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E-Cigarettes

E-Cigarettes. Kiandra Haaf January 15, 2014. E-cigarettes: Other names. Hookah Pens Vaporizers Shisha stick. Ushealthworks.com. newlife26.en.made-in-china.com. E-cigarettes: What are they?.

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E-Cigarettes

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  1. E-Cigarettes Kiandra Haaf January 15, 2014

  2. E-cigarettes: Other names • Hookah Pens • Vaporizers • Shisha stick Ushealthworks.com newlife26.en.made-in-china.com

  3. E-cigarettes: What are they? • Similar size and shape to traditional tobacco products (cigarettes and cigars), but don’t contain tobacco • Contain batteries which heat liquids to produce an addictive, nicotine-filled vapor which looks like smoke • Users known as “vapers” money.usnews.com

  4. E-cigarettes: What they are NOT • They are NOT flavored water • They are NOT harmless • They are NOT legally sold to minors • They are NOT allowed in schools

  5. E-cigarettes: How they work

  6. E-cigarettes: What’s the problem? • E-cigs contain varying levels of synthetic nicotine (0-45 mg) • Nicotine is HIGHLY addictive • There is NO governmental regulation of the manufacturing process, labeling or distribution in the US • The FDA has repeatedly tested multiple e-cig models and found unreliable labeling of nicotine amounts, even in “nicotine free” types • There is NO long-term research on the health effects of inhaling nicotine vapor, by the vaper or bystanders

  7. E-cigarettes: What’s the problem? (cont.) • Even e-cig manufacturers cannot determine how much nicotine is present in the vapor • The Centers for Disease Control determined that e-cigs only have a 10% success rate for helping smokers quit traditional cigarettes. • The e-liquid is toxic; emergency room visits have skyrocketed from children ingesting the liquid or absorbing it through their skin, which leads to nicotine poisoning (USAtoday.com, 1/6/14) • “Big Tobacco” companies have now joined the e-cig market (Reynolds, Altria, Phillip Morris, Lorillard)

  8. “E-Cigarettes poison a growing number of children”, Jaclyn Allen, 1/7/14 DENVER - The Rocky Mountain Poison and Drug center has seen a dramatic increase in the number of Colorado children poisoned by e-cigarettes, and the chemicals can cause serious health concerns, including emergency room visits, seizures and even death. "It's a very serious problem," said Dr. Ken Kulig, a toxicologist with Swedish Medical Center. "The toxic dose of nicotine for a child is roughly 30-60 mg, and some of the [e-cigarette] cartridges have 500 mg.”ER doctors are treating toddlers and preschoolers who sometimes lick the nicotine-laced liquid containers in e-cigarettes or drink the liquid. Children are attracted by kid-friendly flavors such as root beer and bubble gum. "You have a very toxic chemical in a very concentrated formula in the home in non-child resistant containers -- it's kind of a perfect storm," said Kulig. It's a storm brewing in Colorado, with two poisonings reported to the Rocky Mountain Poison and Drug center in the last week.

  9. Latest info • “There are no long-term studies on the effects of inhaling tin, but in general, nanoparticles can be toxic.” PrueTablot, UC Riverside, 1.31.14, KGTV news • SB648 • “The producers of propylene glycol and members of Cefic’s PO/PG sector group do not support the use of propylene glycol in electronic cigarettes, nor in artificial (theatrical) fogs due to possible effects on the eye, nose, throat, and respiratory tract membranes as well as the absence of information on potential long term effects from prolonged inhalation of (fine) droplets of propylene glycol.” European Chemical Industry Association statement

  10. E-cigarettes: Marketing • Marketed to kids and teens with flavors such as chocolate, bubble gum, Fruit Loops and cotton candy • Promoted as a “safe” alternative to smoking • Sold everywhere, including the swap meet • Colorful and attractive • Promoted on social media • Cartoon mascots • Mimics smoking to habituate kids to a lifelong addiction Sobercollege.com Electroniccigarettelife.com.au

  11. Only enforceable FDA regulation: Cannot be promoted as cessation devices • NJoy TV ad campaign: “Friends Don’t Let Friends Smoke” • Asked whether the ad winks at the audience about health claims, a spokeswoman for NJoy said yes. • "We do not advertise e-cigs as a smoking cessation device. However, a unique aspect of the NJoyvideo is that we are appealing to the friends & loved ones of smokers -- asking them to leverage the fundamental connection and emotional bond of love that bring us all together and strengthens our trust/intimacy. Everyone can identify with the desire to help our friends & loved ones become the best versions of themselves, and goal (especially in the new year!) to strive to be better versions of ourselves." Company spokesman for NJoy 1.2.14, Ad Age magazine

  12. E-cigarettes: Marketing (cont.) • Blu TV ad • “The e-cigarette market, which is expected to reach $1.7 billion in sales this year, is currently unregulated, allowing for newcomers like NJoy to air TV spots despite a more than 40-year ban on tobacco commercials.” (1/2/14)(http://adage.com/article/media/njoy-e-cig-tv-spot-insists-friends-friends-smoke/290886/)

  13. Global E-Cig Regulation Total Bans: Argentina, Austria, Belgium, Brazil, Colombia, Indonesia, Jordan, Mexico, Norway, Panama, Singapore, Thailand, Turkey, Uruguay, Venezuela Nicotine Restrictions: Australia, Canada, Denmark, France, HongKong, Japan, NewZealand, South Africa, Sweden, Switzerland

  14. Why are countries banning e-cigarettes? • Considered poison or medicine, so need special licenses and regulations • Unknown ingredients and consequences • 2009 FDA study found carcinogens, formaldehyde, lead and antifreeze components in e-liquid • Zero long-term studies • Similar to beginning of smoking industry

  15. Tobacco Product Timeline National Institutes of Health nih.gov • 1913: 1st mass-produced cigarettes from Camel • 1928: 1st link between lung cancer and smoking noted • 1957: U.S. Public Health Service states that smoking might cause lung cancer • 1964: U.S. Public Health Service publicly declares that smoking is dangerous to your health • 1965: 1st warnings placed on cigarette cartons • 1970: Television advertising ban for cigarette companies • 2006: 1st e-cigarettes regularly appear in U.S. • 2009: FDA receives approval from Congress to regulate new tobacco products* *e-cigs are not considered tobacco products

  16. E-cigarettes in Schools • Most districts treating them the same as tobacco products, regardless of nicotine content • Use DOUBLED among middle- and high- school students between 2011 and 2012 (CDC 9/5/13) • Students are able to replace nicotine e-liquid cartridges with marijuana/THC cartridges • Orange County e-cigarette news 1.14.14 • UC system bans e-cigs

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