This presentation is made possible through the Delaware Division of Public Health Tobacco Prevention Community Contract. Funding for the contract is provided by the Delaware Health Fund and managed by the American Lung Association in Delaware.

Tobacco use, including cigarettes is the leading cause of preventable death in the U.S.

Public understanding of the risks of cigarettes has grown, but people (especially adolescents) are beginning to use other products instead.

Tobacco products are prohibited for sale to people under 18

Starting in 2014 “tobacco substitutes” are also prohibited

This includes e-cigarettes

Frequently sold in packaging that appeals to kids, resembling candies or beverages

Electronically heats up water with other chemicals into a vapor that the user inhales “Vape juice” almost always contains nicotine

Also commonly contains flavoring

Sometimes contains other drugs such as THC (The main active ingredient in marijuana)

Advertised as alternative to smoking

Most common source of nicotine and nicotine addiction for youth.

FDA began regulation in 2016

Common Names: Vape

E-cigs

Hookah Pens

Vape Pens

Mods

A brand of e-cigarettes

Resembles a USB flash drive

Frequently confiscated in schools

Advertised heavily on social media

After accusations of advertising for teenagers, changed marketing to be less colorful and changed flavor names to be less exciting

“Juuling” is another word for vaping, used as a marketing tool

80% of youth or more believe that e-cigarettes do not cause “great risk of harm.”

Majority of e-cigarette users also use tobacco cigarettes.

Youth who use e-cigarettes are more likely to later use tobacco cigarettes

Vapor contains low levels of heavy metals and carcinogens

Vapor can lead to inflammation and toxicity in the lungs

Some flavors, like cinnamon or tobacco, cause additional stress

E-Cigarette trend of “dripping” the vape liquid directly onto the heating coil causes even greater risks with higher concentrations of nicotine and carcinogens.

No matter the source, nicotine is highly addictive and toxic

Bronchiolitis Obliterans

A disease commonly associated with e-cigarettes

Caused by inhaling common e-cigarette flavors

Diacetyl – used for popcorn butter flavor

Acetaldehyde – tastes sweet

Also most abundant carcinogen in tobacco and marijuana smoke

Used to vaporize tobacco, cannabis, or opium

“Hookah bars” use it as a social activity

E-hookahs also exist

Often shared, which allows spread of infectious disease

Toxic chemicals in smoke can lead to

Cancer

Heart Disease

Lung Disease

Many more

Lauterstein, Dana et al. “The Changing Face of Tobacco Use Among United States Youth.” Current drug abuse reviews 7.1 (2014): 29–43. Print.

Giroud, C., de Cesare, M., Berthet, A., Varlet, V., Concha-Lozano, N., & Favrat, B. (2015). E-Cigarettes: A Review of New Trends in Cannabis Use. International Journal of Environmental Research and Public Health, 12(8), 9988–10008. http://doi.org/10.3390/ijerph120809988.

By VaporVanity.com (Juul with pods) [CC BY 2.0 (https://creativecommons.org/licenses/by/2.0)], via Wikimedia Commons.

Monitoring the Future. University of Michigan, 2018, monitoringthefuture.org.

What are electronic cigarettes? National Institute on Drug Abuse, June 2018, drugabuse.gov/publications/drugfacts/electronic-cigarettes-e-cigarettes.

E-Cigarette Vapors, Flavorings, Trigger Lung Cell Stress. University of Rochester Medical Center, 11 February 2015, urmc.rochester.edu/news/story/4253/e-cigarette-vapors-flavorings-trigger-lung-cell-stress.aspx.

What is Popcorn Lung? WebMD, https://www.webmd.com/lung/popcorn-lung#1.

Richtel, M., Kaplan, S., Did Juul lure teenagers and get ‘customers for life’? The New York Times, 27 August 2018, https://www.nytimes.com/2018/08/27/science/juul-vaping-teen-marketing.html

Nguyen, C., ‘E-Hookah’ Debuts in San Diego Amid Critics, NBC San Diego, 31 January 2014, https://www.nbcsandiego.com/news/local/E-Hookah-vape-cigarette-smoke-243042311.html

Waterpipe tobacco smoking: health effects, research needs and recommended actions for regulators, World Health Organization, 2015.

Drugabuse.gov – National Institute on Drug Abuse

DHSS.Delaware.gov – Delaware Health and Social Services

This presentation is made possible through the Delaware Division of

Public Health Tobacco Prevention Community Contract. Funding for the contract is provided by the Delaware Health

Fund and managed by the American Lung Association in Delaware.

The presentation was developed for Delaware 4-H by Robert Johnston, BS Food Science, awarded 2019

Contains

Nicotine

Contains

Tobacco

Uses

Smoke

Chewing

Tobacco

Uses

Vapor

Must be

18+

Hookah

Juul

E-

Cigarettes

Cigarettes

This presentation is made possible through the Delaware Division of Public Health Tobacco Prevention Community Contract.

Funding for the contract is provided by the Delaware Health Fund and managed by the American Lung Association in Delaware.