E-CIGARETTES 101:
HEALTH & SAFETY CONCERNS,
YOUTH USE, & LOCAL POLICIES
March 31, 2015
C.E.A.S.E. C.E.A.S.E. C.E.A.S.E. C.E.A.S.E. Presents: Presents: Presents: Presents:
Grace Alderson, M.P.H. & Dawn M. Dunn, M.P.H.
About C.E.A.S.E.
� Coalition Engaged in A Smoke-free Effort (CEASE)
� CEASE supports the values, beliefs, and healthy life practices that foster a community that promotes and supports tobacco/nicotine-free behavior among youth and adults.
“Not A Replacement”: https://www.youtube.com/watch?v=vaCYlHsISHI
“The Kids Are Not Alright”: https://www.youtube.com/watch?v=jaMgWUBPeHY
Electronic Smoking Devices
Electronic Smoking Devices are battery-powered devices that provide inhaled doses of nicotine by heating and vaporizing a solution.
• E-cigarettes• E-cigs• E-hookahs • Hookah Pens• Vaporizers
• Vapes• Vape pens• G-Pens• MOD’s• AVP’s
How They Work
E-Juice & E-Liquid
Many Shapes and Sizes
Youth-friendly Flavors
Marketing & Media
Nicotine Poisonings & Accidents
� Components of electronic smoking devices and chargers have exploded and caused fires.
� E-liquid bottles & e-cigarette cartridges don’t have child-resistant caps & often leak.
� Even a drop of e-liquid (1/2 tsp.) ingested by a small child can be lethal!
Cessation Claims� Lack of sound scientific evidence that e-cigarettes help smokers successfully quit or reduce consumption of traditional cigarettes.
� Studies suggest e-cigarettes inhibit people from successfully kicking their nicotine addiction.
� Dual use of cigarettes and e-cigarettes do not reduce cardiovascular health risks.
� Not FDA-approved quitting device.
Nationwide Popularity Among Youth
California Youth Choosing E-Cigarettes
The 2013 California Health Kids Survey found that youth in the following grades tried e-cigarettes:
� 11% of 7th graders (vs. 3 % for traditional cigarettes)
�Nearly 25% of 9th graders (vs. about 10% for cigarettes)
�Nearly 30% of 11th graders (vs. about17% for cigarettes)
California Adult E-Cigarette Use
� Use of e-cigarettes in the past 30 days doubledbetween 2012 and 2013.
� For younger adults, aged 18-29, e-cigarette use tripled in one year.
Illicit Drug Use
� Increasing reports of using refillable electronic smoking devices for various illicit substances:
�Marijuana
� Hemp Wax
� Hash oil
�Methamphetamine
� Ecstasy
� Heroin
What Has California Done?
Prohibits the sale of e-cigarettes to minors
(Health and Safety Code §119405 )
Proposed Legislation
� Awaiting FDA decision to issue a warning
� Proposed State legislation would
� Put e-cigarettes behind the counter
� Define e-cigarettes as a tobacco product
� Include e-cigarettes in tobacco taxes
LOCAL ACTION CAN BE MORE RESPONSIVE TO COMMUNITY NEEDS
School Policies
�E-cigarettes are prohibited in 19 of the 23 districts Santa Barbara County
http://www.cde.ca.gov/ls/he/at/documents/certifiedtfschoolsyr1410.pdf
�Treated the same as tobacco products whether they contain nicotine or not
Santa Barbara County Regulations
�Buellton & Goleta: enclosed public places & worksites, 20 feet from where tobacco use is prohibited, & outdoors at parks, service areas & 75% of outdoor dining
�Lompoc: enclosed public places & worksites & outdoors at parks
�Santa Maria: enclosed public places & worksites & 20 feet from government buildings
�Solvang: enclosed public places & worksites
�Unincorporated Areas: recreational areas, except Lake Cachuma and Jalama Beach
�Carpinteria & Goleta: E-cigarettes placed behind the counter like other tobacco products
Recommendations for Educators &
Health Care Providers
� Encourage cessation� Advise current smokers and e-cigarette users to quit
� Refer users to cessation resources offered by their health plan and to the California Smokers’ Helpline at 1-800-NO BUTTS
� Protect Children from Nicotine Poisoning� Inform parents about the lack of child-resistant packaging on e-cigarette cartridges and e-liquid bottles
� Educate about Misleading Marketing� Educate youth and parents about unknowningredients and misleading advertising and labeling
www.nobutts.org
1-800-NO-BUTTS
Resources
www.countyofsb.org/phd/tobacco
• Santa Barbara Public Health Department
• Local laws/policies
• E-cigarette information
• Downloadable resources in English & Spanish
www.StillBlowingSmoke.org
• California Public Health Department
For More Information
Thank you!
Santa Barbara Tobacco Prevention Settlement Program
Phone: (805) 681-5407Email: [email protected]
Website: www.countyofsb.org/phd/tobacco
www.facebook.com/CoalitionEngagedinaSmokefreeEffort