Tobacco Control: Progress and the Vaping Epidemic Brett Schuette - - PowerPoint PPT Presentation

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Tobacco Control: Progress and the Vaping Epidemic Brett Schuette - - PowerPoint PPT Presentation

Jul 04, 2023 142 likes •370 views

Tobacco Control: Progress and the Vaping Epidemic Brett Schuette Executive Director of Missouri Tobacco Control: A Story of Remarkable Progress In the last half century, lower smoking rates have saved about 8 million lives in the U.S.

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Tobacco Control: Progress and the Vaping Epidemic

Brett Schuette Executive Director of Missouri

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Tobacco Control: A Story of Remarkable Progress

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  • In the last half century, lower smoking rates

have saved about 8 million lives in the U.S.

  • Average adult life expectancy has increased

by about 10 years, almost 1/3 of which, about 3 years – is directly due to lower smoking rates.

  • This highlights why it is critical that the

American Lung Association continues our focus on reducing tobacco use as part of our

  • verall health promotion efforts.
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The History of Cigarettes

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It was not until James Bonsack invented the cigarette-making machine in 1881 that cigarette smoking became widespread.

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We’ve Come a Long Way

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A Really Long Way

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But…The Challenge Remains

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  • Since 1964, cigarette smoking has killed more than 20

million Americans, including 2.5 million nonsmokers and more than 100,000 babies.

  • Today 34 million adults and 3 million middle and high

school students in the U.S. smoke cigarettes.

  • Smoking causes 480,000 deaths in the U.S. per year.
  • Tobacco costs the U.S. $132.5 billion in health care

expenditures and $156.4 billion in lost productivity ($150.7 billion for smokers; $5.7 billion from secondhand smoke exposure, for a total economic impact of $288.9 billion per year.

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But…The Challenge Remains

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  • 18,300 adults die each year from smoking
  • 230,000 kids now under the age of 18 are projected to die

prematurely from smoking conventional cigarettes

  • $5.49 billion in annual health care costs are directly caused

by smoking ($1.9 billion covered by our state Medicaid program)

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Smoking Still Kills More Americans Than All of these Combined

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“The Dirty Dozen” (of 70 carcinogens)

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  • Acetone (solvent and paint stripper)
  • Ammonia (toilet bowl cleaner)
  • Arsenic (potent ant poison)
  • Benzene (poisonous toxin)
  • Butane (flammable chemical in lighter fluid)
  • Cadmium (chemical in batteries)
  • Carbon monoxide (poisonous gas in auto exhaust)
  • Formaldehyde (dead frogs love this stuff)
  • Hydrogen Cyanide (deadly ingredient in rat poison)
  • Methanol (jet and rocket fuel)
  • Polonium – 210 (radioactive element)
  • Toluene (poisonous industrial solvent)
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Catching Kids with Cartoons

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“Today’s teenager is tomorrow’s potential regular customer, and the overwhelming majority of smokers first begin to smoke while still in their teens.” “The base of our business is the high school student”

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Youth Tobacco

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  • Each day 1,300 Americans die from smoking
  • Each smoker who dies is replaced by 2 young smokers
  • 90% of all smokers start before the age of 18
  • 5.6 million kids alive today are projected to die

prematurely from smoking if we don’t take effective action

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Youth Tobacco

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“I am officially declaring e-cigarette use among youth an epidemic in the United States. Now is the time to take

  • action. We need to protect our young people from all of

tobacco products, including e-cigarettes.

  • Jerome Adams

U.S. Surgeon General

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Youth Tobacco

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  • From 2011 to 2018, high school students who smoked

conventional cigarettes declined substantially, from 16 percent to 8 percent, a historic low.

  • However, e-cigarette use among high school students

tripled from 2013-2014, that brought the percentage of high school students who use e-cigarettes to 13%.

  • In 2017 this percentage increased to 27.8%
  • It is now 37.3% in 2018
  • This increase – driven by the e-cigarette use – has erased

the decrease in current use of other tobacco products.

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E-Cigarettes: Industry Strategies

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Anything Harmful?

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E-Cigarette Parts

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E-Cig Composition

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  • Propylene glycol
  • Glycerin
  • Flavorings (many)
  • Nicotine
  • NNN
  • NNK
  • NAB
  • NAT
  • Ethylbenzene
  • Benzene
  • Xylene
  • Toluene
  • Acetaldehyde
  • Formaldehyde
  • Naphthalene
  • Styrene
  • Benzo(b)fluoranthene
  • 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

  • Benzo(ghi)perylene
  • Acetone
  • Acrolein
  • Silver
  • Nickel
  • Tin
  • Sodium
  • Strontium
  • Barium
  • Aluminum
  • Chromium
  • Boron
  • Copper
  • Selenium
  • Arsenic
  • Nitrosamines,
  • Polycyclic aromatic

hydrocarbons

  • Cadmium
  • Silicon
  • Lithium
  • Lead
  • Magnesium
  • Manganese
  • Potassium
  • Titanium
  • Zinc
  • Zirconium
  • Calcium
  • Iron
  • Sulfur
  • Vanadium
  • Cobalt
  • Rubidium

Compounds in yellow are from FDA 2012, Harmful and Potentially Harmful Substances – Established List

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Vaping and Oral Health: It’s worse than you think

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E-Cigarettes: What do we know?

  • The American Lung Association and our partners have pending litigation against the Food and Drug Administration for its

July 2017 decision that allows electronic cigarettes and cigars – including candy flavored products that appeal to kids – to stay on the market for years without being reviewed by the agency.

  • All e-liquids in traditional tobacco flavors, as well as mint and menthol, can stay on the shelves of convenience stores and gas
  • stations. Store can still sell kid-friendly flavors only if they don’t let in underage consumers.
  • E-Cigarettes have not been reviewed by the FDA – this means that companies have not had to disclose their ingredients

to the FDA and the FDA has not determined whether their products are attractive to youth or discourage smokers from quitting tobacco all together.

  • No e-cigarette has been found to be safe and effective in helping smokers quit, yet e-cigarette companies are making

“quit smoking” claims.

  • While the FDA now has authority over e-cigarettes, it has delayed a critical review of ingredients and potential harms

until 2022.

  • The FDA has found that even some brands that say they have no nicotine, actually do.
  • For example, JUUL, the most commonly used e-cigarette, claims to have as much nicotine in one pod as an entire pack of cigarettes.

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Vaping

  • Vaping among high school students has increased to 37.3%

Mental Health

  • One in every four to five youth in the general population meet the criteria for

a lifetime mental disorder that is associated with severe role impairment and/or distress

Obesity

  • In the U.S., the percentage of children and adolescents affected by obesity

has more than tripled since the 1970’s

  • Data from 2015-2016 show that nearly 1 in 5 school age children and

young people (6-19) in the U.S. is obese. Ticking Timebomb?

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E-Cigarettes: What do we know?

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QUESTIONS?