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Tobacco,The Next
Generation: New
Products, Same Targets!
Laura Hamasaka
APICAT for Healthy Communities
April 7, 2018
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THE BIG PICTURE
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435,000
85,000
43,000
29,00020,00017,000
Tobacco Alcohol consumption Motor vehicle crashes
Firearms Sexual behaviors Illicit drugs
PREVENTABLE
CAUSES OF
DEATH IN THE
UNITED STATES
2001
Mokdad, A.H., Marks, J.S., Stroup, D., Gerberding, J.L. Actual Causes of Death in the United States, 2000. JAMA 2004; 291: 1238-1245.
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2010 CENSUS DATA: AANHPI IN WASHINGTON
Asian Indian, 0.9%
Chinese, 1.4%
Filipino, 1.4%
Japanese, 0.5%
Korean, 0.9%
Vietnamese, 1.0%
Other Asian, 1.0%
Native Hawaiian,
0.1%
Guamanian or Chamorro , 0.1%
Samoan, 0.2% Other Pacific
Islander, 0.2%
US Census website 3/27/18
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2010 CENSUS DATA: WASHINGTON STATE
African American or Black
5%
American Indian 3%
Asian American 8%
Native Hawaiian and other Pacific
Islander1%
White77%
Some other race6%
US Census website 3/27/18
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THIS PRESENTATION WILL COVER:
Tobacco Marketing & Promotion
Washington Youth Data
Food and Drug Administration (FDA) & Regulating Tobacco
Tobacco Industry Tactics
Electronic Nicotine Delivery Devices
Cigarette Smoke & E-Juice
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TOBACCO MARKETING & PROMOTIONAdvertising/Marketing ❀ Budget ❀ 4 Ps of Marketing
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THE INDUSTRY
In 2015 the tobacco industry:
Spent $8.4 BILLION to advertise and promote
their products
This equals about $24 MILLION A DAY!
Which is about $1 million each hour!
CDC website (accessed 3/18/18)
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HOW DOES THE THE TOBACCO
INDUSTRY SPEND $8.4 BILLION IN
ONE YEAR?
Images: Trinkets & Trash and Counter Tobacco
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4 Ps of Marketing
Marketing
Product
Price
Promotion
Place(ment)
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Product
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Product
Stanford University Research Into The Impact of Tobacco Advertising
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Price
Images: Counter Tobacco
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Price
Image: Trinkets & Trash
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Promotion
Sweepstakes
Images: Trinkets & Trash
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Promotion
Images: Counter Tobacco
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Image: Trinkets & Trash
Place(ment)
Images: Counter Tobacco
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Place(ment)
Images: Counter Tobacco
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HOW DO YOUTH GET: Tobacco, e-cigs, vapes
TOBACCO SOURCE E-CIG/VAPE SOURCE
Bought in store 15.8% 10.1%
Got on internet 9.9%
Bought from vending
machine
7.8%
Gave money to someone
to buy
21.2% 16.1%
Borrowed/bummed
from someone
17.4% 26.8%
18-yr-old/older gave to
me
10.4% 11.8%
Took from store or
family member
8.2% 4.5%
Some other way 19.3% 20.8%WA Healthy Youth Survey 2016
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BETEL NUT & TOBACCO
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BETEL NUT
World Health Organization Report: A Review of Areca (Betel) Nut & Tobacco Use in the Pacific. A Technical Report. 2012
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BETEL NUT
Classified as a Group 1 carcinogen (for humans).
Betel nut used with tobacco increases a person’s
risk for premature illness and death.
Using betel nut alone causes oral cancer
Adding tobacco to betel nut greatly increases the risk
of oral cancer
World Health Organization Report: A Review of Areca (Betel) Nut & Tobacco Use in the Pacific. A Technical Report. 2012
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SO WHAT DOES THIS MEAN FOR
WASHINGTON YOUTH?
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2016 Tobacco & Marijuana Use by 12th
Graders in Washington
11.1%8.9%
19.9%
4.0%5.5%
7.0%
26.4%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
Cigarettes Cigars E-Cig/Vape (All) E-device forTCH/Marijuana
Smokeless Tobacco Hookah Marijuana
WA Healthy Youth Survey 2016
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2016 Cigarette, e-cig (vape), or marijuana
use in the past 30-days among 10th grade
students who use at least one product.
0.6%
0.8%
1.1%
3.2%
3.6%
4.9%
7.6%
0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% 8.0%
Cigarette only
Cigarette & Vape
Cigarette & Marijuana
Cigarette, Vape, & Marijuana
Vape only
Vape & Marijuana
Marijuana only
WA Healthy Youth Survey 2016
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WHO IS PROTECTING US?Food and Drug Administration
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2009: FAMILY PREVENTION & TOBACCO
CONTROL ACT
FDA has the authority to regulate
tobacco products
Banned:
Flavored cigarettes
Flavored smokeless tobacco
DID NOT ban:
Menthol cigarettes or other
tobacco products
Small flavored cigars (Black &
Mild, Swisher Sweets
Image: Wall Street Journal
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2009: FAMILY PREVENTION & TOBACCO
CONTROL ACT
BANNED: Flavored cigarettes
& Flavored smokeless
NOT BANNED: Menthol &
Flavored Cigars
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http://legacy.library.ucsf.edu/tid/pvt37b00
http://www.archive.org/details/tobacco_uzj52b00 Tobacco Institute (1989)
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TOBACCO INDUSTRY TARGETING
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PAST TACTICS
Image: Trinkets & Trash
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PAST TACTICS
Stanford University Research Into The Impact of Tobacco Advertising
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TODAY’S TACTICS
Stanford University Research Into The Impact of Tobacco Advertising
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TODAY’S TACTICS
Stanford University Research Into The Impact of Tobacco Advertising
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ENDS: Electronic Nicotine Delivery
Devices
E-cigs ❀ Vapes ❀ Mods ❀ E-Hookah ❀ Vape-Pens ❀ E-Hookah ❀ Tanks ❀ Juuls
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Electronic Nicotine Delivery Devices:
ENDS 1.0
Stanford University Research Into The Impact of Tobacco Advertising
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Electronic Nicotine Delivery Devices:
ENDS 2.0
Stanford University Research Into The Impact of Tobacco Advertising
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Electronic Nicotine Delivery Devices:
ENDS 3.0
Stanford University Research Into The Impact of Tobacco Advertising
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Electronic Nicotine
Delivery Devices: ENDS
4.0
Image: Trinkets & TrashImage: Stanford University Research Into The Impact of Tobacco Advertising
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IS THIS SAFE? SAFER? Cigarette smoke ❀ Vapor/Aerosol ❀ Hookah smoke
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MATCH GAME: Secondhand Smoke
Image: www.pixabay.com
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WHAT IS IN CIGARETTE
SMOKE? Over 7,000
chemicals and
compounds
Hundreds are toxic
At least 70 cause
cancer
Can cause cancer
almost anywhere
in your body
Image: www.CT.gov (accessed 3/28/18). Data CDC website (accessed 3/28/18)
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HOOKAH The charcoal used to heat the
tobacco can raise health risks by producing high levels of carbon monoxide, metals, and cancer-causing chemicals.
Hookah tobacco and smoke contain several toxic agents known to cause lung, bladder, and oral cancers.
Tobacco juices from hookahs irritate the mouth and increase the risk of developing oral cancers.
An hour-long hookah smoking session involves 200 puffs, while smoking an average cigarette involves 20 puffs.
The water does not filter out the toxins
Image: Pixabay.com
Image: CDC website (accessed 3/28/18)
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SWITCH?
Stanford University Research Into The Impact of Tobacco Advertising
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SO, ARE ENDS SAFE?
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Image: www.cdc/tobacco
WHAT IS IN E-CIG AEROSOL?
(It is not vapor)
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E-CIGS AEROSOL
Nicotine
Is highly addictive
Can harm adolescent brain development, which continues into the early to mid-20s
Is a health danger to pregnant women and their developing babies
Nicotine has been found in some products marketed as having zero-nicotine
CDC Website (accessed 3/27/18)
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ENDS: OTHER ISSUES
The aerosol can contain
substances that harm the body:
Can include cancer-causing
chemicals and tiny particles
that reach deep into lungs.
Defective e-cigarette batteries
have:
Caused fires and explosions,
some of which have resulted
in serious injuries
Acute nicotine exposure can be
toxic:
Children and adults have
been poisoned by
swallowing, breathing, or
absorbing e-cigarette liquid
through their skin or eyesFacts: CDC website. 3/27/18 Images: Pixabay & Stanford University Research Into The Impact of Tobacco Advertising
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Juul
One Juul pod has the
same amount of nicotine
as a pack of cigarettes
All pods contain nicotine
We do not know all of the
ingredients in a Juul pod
Tobacco Prevention Toolkit
Division of Adolescent Medicine, Stanford University
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THANK YOU!