THE YOUTH VAPING PANDEMIC TAKING ACTION TO PROTECT YOUTH AND - - PowerPoint PPT Presentation

THE YOUTH VAPING PANDEMIC

TAKING ACTION TO PROTECT YOUTH AND REDUCE VAPING IN SCHOOLS

The Issue: Vaping & Youth Health Implications Resources for Schools Policy Action

TODAY’S AGENDA

THE ISSUE: VAPING & YOUTH

The frequently cited study published in the British Medical Journal, led by Professor David Hammond of the University of Waterloo, found that among those 16-19 years old, vaping increased by a stunning 74% from 2017 to 2018. The study also found that cigarette smoking among 16-19-year-olds in the same 2017 to 2018 time period increased by 45%. Prior surveys up to and including 2017 had shown a continuing decline in youth smoking. However, these concerning results indicate that youth smoking may now be increasing.

Nicotine Addiction

A Real Issue

The tobacco industry has long understood the role of

• nicotine. A leading Philip Morris nicotine researcher,

William L. Dunn, concluded in 1972: The c e cigar aret ette e sh should be be c conceived no not a as a s a pr product bu but as s a packag age. e. The prod

• duct

ct i is nico cotine … Think k of t the c cigarette p pack ck as a storage container for a day’s supply of nicotine … Thin ink o

• f t

the c cigarette as a dispenser o

• f a

a dose u unit it o

• f

nicotin ine … … Thin ink of a puff o

• f smoke as the v

vehic icle le o

• f

ni nicotine … … Smoke is s be beyond que question the he m most

• ptim

imiz ized v vehic icle le o

• f nicotin

ine a and t the cigarette t the mo most

• ptimized

ed d dispen enser er o

• f smoke.

e.

• Altria, one of the largest tobacco companies in the

world owns Philip Morris.

• On December 20, 2018 Altria purchased a 35% share in JUUL Labs, the

most popular vaping brand in North America.

• Philip Morris, a subsidiary of Altria also markets the IQOS heat not burn

tobacco product.

• Two weeks earlier in December 2018, Altria purchased a 45% share in

Cronos, one of Canada’s largest cannabis companies.

• At a shareholder meeting in January 2019 the CEO of Altria stated, "I

think that both we and Cronos think there are opportunities really across the world in a variety of product categories, both recreational and medicinal, that would involve them entering new product forms and developing new products and new product brands," he said. "I think it's early days there, and we have not restricted our thinking with regards to that.“

We are sure you can all do the math.

Big Tobacco

Big Plans

VAPING 101

• Vapes are known by

many names, like e- cigarettes, vapourizers, vape pens, pods, mods, tank systems, e-pipes, or e-hookahs.

• Vapes heat a liquid called

e-liquid or e-juice which produces a vapour instead of smoke, which is then inhaled.

MODS VS. PODS

• These are large size, modifiable vapes that

allow for more aerosol, nicotine, and other chemicals to be breathed into the lungs, at a faster rate.

• Mod devices use electricity to heat a cartridge
• f e-liquid, which contains nicotine in a so-

called free-base form. E-liquids come with varying nicotine levels, from 0mg (no nicotine) to 24mg (very high).

• This nicotine solution is added to a mixture of

flavourings, along with vegetable glycerin and propylene glycol which "carry" the nicotine with them when vaped.

• A pod vape is a mini vape based on a two-

part system: a pod filled with e-juice that snaps into a small battery.

• These vapes look closer to a USB stick and

contain pods with higher amounts of nicotine than the e-liquid for Mods; one pod can have as much nicotine as 3 packs of cigarettes,

• ver 59mg. The legal limit in Canada is

66mg.

• Pods work by vaporizing nicotine salts which

are known to quickly deliver a high concentration of nicotine to the body without a harsh sensation.

E-Liquid & How it Works

Contents of E-liquid:

• Flavours - Consists of chemicals
• Nicotine (possibly) - Levels can vary
• A carrier solvent - Usually propylene

glycol and/or vegetable glycerin

• Benzoic acid (only in nic salt e-liquid)

From Liquid to Vapour:

• 1. E-liquid is heated to become an

aerosol.

• 2. The aerosol is inhaled through the

mouth into the lungs where it is absorbed into the bloodstream.

• 3. The remaining aerosol in exhaled.
• 4. While propylene glycol, vegetable

glycerine, or flavourings are not known to cause cancer when ingested, there is little research of the effects of inhaling them.

YOUTH PERSPECTIVES ON VAPING

THE HEALTH IMPLICATIONS

Given en the a addictive n e nature e and l lack o ack of resear earch o

• n lon
• ng t

g term heal alth e effect ects o

• f

vaping ng pr produ ducts ts, , e-ci ciga garet ettes es a are e not recom commen ended ed f for

• r y

you

• uth, non-sm

smokers, s,

• r
• r ex

ex-smoker kers who h

• hav

ave a e alread eady q quit. CAUTION

• Ni

Nicotine ne

• Che

hemic icals ls i in n e-so solution / / sa salts ts

• Met

etals ls from t the he hea heatin ing c coil l (nic nicke kel, l, c chr hronic icum et etc.)

• Silic

ilica fro rom t the w wic ick

WHAT MAKES THEM HARMFUL?

• Negative impact on the cells that line the month,

nose, lungs and blood vessels

• Increased risk for heart attack and injury to the

respiratory airways

• Long term use of vape products pose direct

health risks for respiratory and cardiovascular disease?

HEART, LUNGS, BRAIN AND MORE

• Nicotine increases blood pressure and makes

the heart work harder

• Nicotine use in youth can damage the developing

brain

• May affect memory and concentration
• Reduces impulse control
• May be linked to cognitive and behavioural

problems

• Nicotine salts may be toxic to the lung cells

Nicotine & Youth

Cumulative probability estimate of transition from first use to dependence

NICOTINE AND ADDICTION

National Epidemiologic Survey on Alcohol and Related Conditions

WHAT ABOUT NICOTINE WITHDRAWL?

RESOURCES FOR SCHOOLS

MANITOBA RESOURCES ON VAPING & SMOKING

• Resource: Vaping and smoking prevention program
• Target Group: Students in elementary and middle

schools

• Program Objective: To give students information

about nicotine use so they can make healthy and informed decisions about whether or not to vape or smoke

• Key Learning: That life is better when you are

nicotine-free!

LUNGS ARE FOR LIFE!

PROGRAM TOPICS

Review & Rate

• Manitoba Health, Seniors & Active Living

Lungs Are For Life!

• Lung Association, Manitoba

SMOKING & VAPING PREVENTION

POLICY ACTION

How y w you c can protec ect s student dents and d cur urb b the t he trend ends of yout uth v vaping i in n you

• ur sch

schools ls

Why regulate tobacco use and vaping in schools?

WHATS THE OBJECTIVE?

Scho hool v l vapin ping po polic icie ies s sho hould ld a align w with tobacco us use e po polic icie ies

• Embed education into curriculum
• Enforce through a balance of punitive

and remedial measures

• Research best practices in vaping

prevention and cessation for youth

• Involve youth in peer mentoring and

education initiatives

SCHOOL VAPING POLICIES

Even the best school policy implementation and enforcement is NOT ENOUGH to curb the tide and protect our students.

SCHOOL VAPING POLICIES

“A friendly strawberry- marshmallow sugary treat you all know and love!”

Available in 0, 3, and 6mg/ml of nicotine

CANDY FLAVOURED E-JUICE

CANDY FLAVOURED E-JUICE

“Old-fashionned donut filled with marshmallows slightly dipped in real chocolate & dusted generously with graham crackers.”

Available in 0, 3, and 6mg/ml of nicotine

“Get your goggles on! A mouth-watering blend of strawberry and raspberry gummies with a splash of sour, Sour Blast Berry Wave delivers a delicious treat that’s sour and sweet.”

Available in 30 and 50mg/ml of nicotine

CANDY FLAVOURED E-JUICE

“Same flavor as

the white hard candy...soooo good...melts in your mouth.. sorta' speak!”

CANDY FLAVOURED E-JUICE

Available in 30 and 50mg/ml of nicotine

MARKETTING AND PROPAGANDA THROUGH SOCIAL MEDIA

What t could ld our fe federal a and p provin incia ial l gove vernments do do t to be better protect our ur ki kids from

• m

getting h hooked o

• n

n e-ci cigaret rette p e product cts? s?

• Ban or strictly regulate flavourings
• Ban internet sales or mandate better age

verification requirements

• Set a much lower maximum nicotine content

standard

• Set a legal age of 21 for both tobacco and

e-cigarettes

FEDERAL AND PROVINCIAL POLICY OPTIONS

• Develop regulatory authority over

product standards

FEDERAL AND PROVINCIAL POLICY OPTIONS

The school boards of Manitoba have the power to meaningfully impact the youth vaping epidemic.

BE BOLD

Questions?

Thank you for your time.