Kosciusko County Tobacco Free Coalition Presenter: Heidi Blake PU - - PowerPoint PPT Presentation
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 ) COMMISSIONS V VISION T TO S SIGNIFICAN ANTLY IM IMPR PROVE
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.
As of January 2019
Total Population 77,358 Adults who smoke 24.9% (14,330) in 2020 down from 25%
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)
Indiana
About 6% of adult Hoosiers vape, leaving Indiana with the third-highest vaping rate in the country. 79,344 Kosciusko County residents = 60,304 adults = 6% 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
3rd in the nation for adult vaping population
The Indiana Youth Survey is a biennial survey of students in grades 6-
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:
products, from 19.7 percent to 28.6 percent.
was 16.9 percent, and 5.7 percent reported they smoked cigarettes. Monthly use of marijuana is more prevalent than use of synthetic marijuana, which is chemical-grade synthetic cannabinoids.
marijuana, but only reported 0.1 percent use of synthetic cannabinoids.
since the 2017 survey.
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), 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 (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)
Th The JUUL is made up of
battery that can be charged through a USB port.
cartridge provides 200 puffs and contains a variety of different flavored e-juices with different JUUL pod covers.
pod is heated to produce an aerosol. The aerosol produced is sent through the chimney and out of the mouthpiece.
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.
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 Use of 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.
4.9 2.8 1.8 1.5 1.3 1.0 0.6 20.3 10.5 8.7 8.7 5.3 2.5 4.1 10 20 30 Any tobacco product E-cigarettes Cigarettes Cigars, cigarillos, or little cigars Chewing tobacco, snuff, or dip Hookah Other tobacco* Percent Middle School High School
Pe Perce centage of Hoosier Middle and High Sch chool Students Wh Who Currently Use To Tobacco, , 2016 IYTS TS
Source: Indiana Youth Tobacco Survey, 2016
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.
The creators of the JUUL claim that their target audience is adult cigarette smokers. JUUL Pods come in flavors including mint, mango, and crème brulee. Candy and fruit-flavored tobacco are proven to appeal to youth and facilitate initiation of tobacco 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 tobacco products.
tobacco users
tobacco users 51.5% 62.4%
Flavored Tobacco Use among Hoosier Youth, 2016
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 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.
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
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.
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.”
How pervasive is teen vaping? Students at this local high school formed an addiction support group Ahmed Abouelsoud “hit a Juul” last year when a friend offered it to him. He was hooked from the start. “All of my friends and everyone I see and everyone at any social event all have jewels. Everyone our age.” Ahmed would never consider lighting up a cigarette. They’re nasty, he said. But he loved the feeling when he hit the Juul. The soothing vapor, the mint flavor, the high. “When I actually started being able to breathe in the smoke and get a buzz, I, like, loved it. It was something unlike I've ever done before because I've never smoked or done anything,” he said. And like many teens, he found himself addicted, blowing money on the replacement “pods” and sneaking off to vape in secret at school. When he resolved to quite, he threw his Juul from the balcony of his high-rise apartment. A short time later, having turned 18 and of legal age to purchase, he simply bought another one.
Include e-cigarettes/Electronic Nicotine Delivery Devices in the definition of to tobacco products prohibited on school grounds
vEnsure that all teachers and staff know what JUUL is and how to identify the product. vDispel any myths about tobacco industry-sponsored curriculum. vCommunicate concerns and educate parents. Parents - talk to your children about e-cigarettes and other tobacco products on a regular basis. vEnforce comprehensive tobacco-free school grounds policies; Communicate the policy with students, parents, faculty, staff and the community; and take action for violations. vYouth 13 yrs and older who use tobacco products may be referred to the Indiana Tobacco Quitline for evidence-based help to quit all forms of tobacco. vEducate youth on the dangers of Juul and e-cigarettes.
generally seeing more referrals Juul / e-cigarettes than any other behavior issue
referrals for e-cigarettes than any
middle school and high school in Kosciusko County
qJUUL is an e-cigarette, and e-cigarette aerosol is not harmless. It can contain several harmful chemicals. qJUUL pods contain the same amount of nicotine found in a pack of cigarettes, a higher concentration than most other e-cigarettes. qJUULs use salt-based nicotine, which helps deliver nicotine like a cigarette. qNicotine in e-cigarettes and other tobacco products can cause addiction and harm brain development among teens. qE-cigarette use may increase the risk of using other tobacco products. qJUUL has developed their own prevention curriculum. Industry-sponsored curricula has been ineffective in the past. qSupport 100% Tobacco Free School Grounds Policies that include ENDS. qYouth 13 yrs and older who use tobacco products may be referred to the Indiana Tobacco Quitline for evidence-based help.
Nicotine can reach the brain within seven seconds .The area of the brain responsible for emotions and controlling our impulses is very vulnerable to nicotine’s effects, especially for youth. Why? Because this part of the brain doesn’t finish developing until about age 25. Developing brains are uniquely at risk from exposure to nicotine. The risks include addiction, mood disorders, permanent lowering of impulse control, and potential harm to the parts of the brain that control attention and learning.
2018 Indiana Youth Tobacco Survey
5.5 1.9 2.1 1.5 0.8 1.4 18.5 5.2 6.7 3.8 2.1 3.2
5 10 15 20
E-cigarettes Cigarettes Cigars* Smokeless** Hookah Other***
Middle School Students High School Students
2018 Indiana Youth Tobacco Survey
Percent
Text ‘DITCHJUUL’ to 88709
“Ditch Juul – This is Quitting
The goal is to give "youth and young adults the motivation and support they need to ditch JUUL and other e- cigarettes." To enroll in This is Quitting, teens and young adults (13+) can text INDIANA to
899-7550 to sign up to receive text messages designed specifically for parents of vapers.
T.E.E.N. Course Tobacco Education and Education on Nicotine in Partnership with Kosciusko County Teen Court
Tobacco Toolbox Curriculum
Do you feel that the vaping/Juul/e-cigarette industry targets youth/teens? Pre-survey 68.4% Post-survey 89.5% Do you feel that you are addicted to vaping/Juul/e-cigarettes? (Do you feel unable to Quit) Pre-survey 26.3% Yes / 52.6% No / 21.1% Not Currently Using Post-survey 23.5% Yes / 41.2% No / 35.3% No Currently Using Have you used e-cigarettes, vaping products, or Juul in the last 30 days? Pre-survey 52.6% Yes / 47.4% No Post-survey 42.1 Yes / 57.9% No Have you gained information that you will share with your peers/other teens? 93.8% Yes
vapefreeindiana.isdh.in.gov Contains Vape Free Indiana School Toolkit as well as: Educator Section Parent Section Youth Section and more!
Tobacco-related legislation and discussed rulings in 2019 Tobacco 21 Flavored tobacco products
Tobacco 21
Heidi Blake Director Kosciusko County Tobacco Free Coalition 1515 Provident Dr Ste 150 Warsaw, IN 46580 (574) 372-3514 Follow us on Facebook, Twitter, and Instagram