EPIDEMIC Nina Gregerson, MPH, MCHES | Health Education Coordinator - - PDF document

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Aug 19, 2022 178 likes •459 views

1/30/2020 REVERSING THE E-CIGARETTE EPIDEMIC Nina Gregerson, MPH, MCHES | Health Education Coordinator Public Health Madison & Dane County The Products The Concerns Industry Targeting The State of Legislation What Can You Do 1

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REVERSING THE E-CIGARETTE EPIDEMIC

Nina Gregerson, MPH, MCHES | Health Education Coordinator Public Health Madison & Dane County

The Concerns The Products The State of Legislation Industry Targeting What Can You Do

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It doesn’t matter what you call them, they are all e-cigarettes

Next Generation of Discreet

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Next Generation of Discreet E-Juice

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How do they work?

Stanford Medicine’s Tobacco Prevention Toolkit

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The Concerns

It’s an Aerosol, Not a Vapor

Stanford Medicine’s Tobacco Prevention Toolkit

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What’s in E-Cig Aerosol?

Propylene glycol
Glycerin
Flavorings (many)
Nicotine
NNN
NNK
NAB
NAT
Ethylbenzene
Benzene
Xylene
Toluene
Acetaldehyde
Formaldehyde
Naphthalene
Styrene
Benzo(b)fluoranthene
Cadmium
Silicon
Lithium
Lead
Magnesium
Manganese
Potassium
Titanium
Zinc
Zirconium
Calcium
Iron
Sulfur
Vanadium
Cobalt
Rubidium
Benzo(ghi)perylene
Acetone
Acrolein
Silver
Nickel
Tin
Sodium
Strontium
Barium
Aluminum
Chromium
Boron
Copper
Selenium
Arsenic
Nitrosamines,
Polycyclic aromatic

hydrocarbons

Chlorobenzene
Crotonaldehyde
Propionaldehyde
Benzaldehyde
Valeric acid
Hexanal
Fluorine
Anthracene
Pyrene
Acenaphthylene
Acenapthene
Fluoranthene
Benz(a)anthracene
Chrysene
Retene
Benzo(a)pyrene
Indeno(1,2,3-

cd)pyrene Stanford Medicine’s Tobacco Prevention Toolkit

E-Juice is Super Toxic

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Nicotine + Brain

Disrupts Proper Brain Development in Young People Nicotine is one of the most ADDICTIVE drugs that exist!

Long Term Effects of E-Cigs

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3-7 times as likely to switch to regular cigarettes

EVALI: E-cigarette, or Vaping, product use Associated Lung Injury

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How are e-cig & JUUL manufacturers reaching young people?

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JUUL is MORE addictive

59 mg/ml = extremely high! 1 JUULpod = 1 pack of cigarettes

NOTE: EVERY JUULPOD CONTAINS NICOTINE!

=

Price

Pack of Cigarettes = ~$7-$10 Cigarette Tax = $2.52 Starter Kit = $49.95 1 device + 4 pods $0.05 per mL Suorin = ~$28 Not taxed ~$8-$30, depending on nicotine level & amount $0.05 per mL 4 pack JUUL Pods = $15.95 $0.05 per mL

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45%

Flavors

Stanford Medicine’s Tobacco Prevention Toolkit

9 out 10 Wisconsin Teens Would NOT try e-cigs if they didn’t contain flavors!

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“Trendy” Accessories Social Media Presence

“They liked my edgy style and that I appealed to the younger market” – Christina, paid JUUL influencer

Stanford Medicine’s Tobacco Prevention Toolkit

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Leading to a new generation hooked?

50%

are under 18!

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1/30/2020 14 Deliver as much nicotine in the most non-invasive way to addict their customers Introduce flavors that attract young people and try to downplay the harms of these flavors Use marketing strategies, such as social media, that are known to attract young people

JUUL: Big Tobacco Disguised?

The makers of Marlboro cigarettes have invested $12.8 billion in JUUL Labs.

Stanford Medicine’s Tobacco Prevention Toolkit

73

PERCENT

$16 BILLION

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1 in 5 Wisconsin High School Students are CURRENT e-cig users A 154% increase from 2014 to 2018

Source: 2018 WI Youth Tobacco Survey

Wisconsin Middle School Students

Source: 2018 WI Youth Tobacco Survey

From 2014 to 2018, there was a 272% increase in current e-cig use

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What’s the State of Legislation?

Concerns:

Only applies to cartridge-based products; NOT e-juice,

disposable products, or open-pod systems

Does not address Menthol flavored products (e-cigs, cigarettes)
Does not address flavored other tobacco products (little

cigars/cigarillos, hookah, etc.)

It’s Not Comprehensive:

Does not address online sales of e-cigarette products
Does not address advertising or marketing of e-cigarette

products

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Current State Legislation

SB 364 & AB 422: Tobacco 21 SB 118: Tobacco & E- Cigarette Placement AB 491: Prohibiting E- Cigarette Use in Workplaces

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Governor Ever’s Proposed Bills to Reverse the E-cig Epidemic

License Electronic Smoking Device

Retailers

Makes All Wisconsin Schools Tobacco-Free,

including Electronic Smoking Devices

Expands Public Health Authority
Enhances Funding for Local Initiatives,

Cessation Efforts, and Public Information

What You Can Do

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Youth Friendly Lesson Plans

Addressing the harms of nicotine & e-cigarette use

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Review & Strengthen School Policy

Ensure it includes strong & comprehensive e-cigarette language

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Help Addicted Youth Quit

Implement Alternative to Suspension/Citation prgrams & provide cessation resources

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INDEPTH: Alternative to Teen Nicotine Suspension or Citation

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Provide Resources to Parents

So they can know the products and know how to talk to their teens

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Engage YOUTH

To promote ANY health messaging throughout the school

Include Electronic Cigarettes in Municipal Smoke-Free Air Policies

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Get Involved Locally

20 Local Tobacco Free Coalitions or Networks located throughout Wisconsin

www.tobwis.org

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THANK YOU!

NINA GREGERSON, MPH, MCHES

Public Health Madison & Dane County ngregerson@publichealthmdc.com 608.243.0434