tobacco,the next generation: new products, same targets!

Tobacco,The Next

Generation: New

Products, Same Targets!

Laura Hamasaka

APICAT for Healthy Communities

April 7, 2018

THE BIG PICTURE

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.

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

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

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

TOBACCO MARKETING & PROMOTIONAdvertising/Marketing ❀ Budget ❀ 4 Ps of Marketing

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)

HOW DOES THE THE TOBACCO

INDUSTRY SPEND $8.4 BILLION IN

ONE YEAR?

Images: Trinkets & Trash and Counter Tobacco

4 Ps of Marketing

Marketing

Product

Price

Promotion

Place(ment)

Product

Product

Stanford University Research Into The Impact of Tobacco Advertising

Price

Images: Counter Tobacco

Price

Image: Trinkets & Trash

Promotion

Sweepstakes

Images: Trinkets & Trash

Promotion



Place(ment)


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

BETEL NUT & TOBACCO

BETEL NUT

World Health Organization Report: A Review of Areca (Betel) Nut & Tobacco Use in the Pacific. A Technical Report. 2012

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

SO WHAT DOES THIS MEAN FOR

WASHINGTON YOUTH?

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

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

WHO IS PROTECTING US?Food and Drug Administration

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

2009: FAMILY PREVENTION & TOBACCO

CONTROL ACT

BANNED: Flavored cigarettes

& Flavored smokeless

NOT BANNED: Menthol &

Flavored Cigars

http://legacy.library.ucsf.edu/tid/pvt37b00

http://www.archive.org/details/tobacco_uzj52b00 Tobacco Institute (1989)

http://legacy.library.ucsf.edu/tid/pvt37b00

http://www.archive.org/details/tobacco_uzj52b00

TOBACCO INDUSTRY TARGETING

PAST TACTICS


TODAY’S TACTICS


ENDS: Electronic Nicotine Delivery

Devices

E-cigs ❀ Vapes ❀ Mods ❀ E-Hookah ❀ Vape-Pens ❀ E-Hookah ❀ Tanks ❀ Juuls

Electronic Nicotine Delivery Devices:

ENDS 1.0



ENDS 2.0



ENDS 3.0


Electronic Nicotine

Delivery Devices: ENDS

4.0

Image: Trinkets & TrashImage: Stanford University Research Into The Impact of Tobacco Advertising

IS THIS SAFE? SAFER? Cigarette smoke ❀ Vapor/Aerosol ❀ Hookah smoke

MATCH GAME: Secondhand Smoke

Image: www.pixabay.com

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)

http://www.ct.gov/

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)

SWITCH?


SO, ARE ENDS SAFE?

Image: www.cdc/tobacco

WHAT IS IN E-CIG AEROSOL?

(It is not vapor)

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)

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

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

THANK YOU!

tobacco,the next generation: new products, same targets!

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