VAPINGM. Conlon & B. Merkle

NYS Dept of Health: https://www.health.ny.gov/prevention/tobacco_control/campaign/e-cigarettes/

GET THE FACTS - ELECTRONIC CIGARETTES (E-CIGARETTES) AND SIMILAR VAPOR PRODUCTS

• Electronic cigarettes and similar vapor products are tobacco products.1 Most contain a battery that heats a flavored liquid, usually containing nicotine, into an aerosol users inhale. The liquid is often called e-liquid or e-juice. E-liquids usually contain nicotine and flavorings in a base of propylene glycol (PG) and vegetable glycerin (VG). Nicotine is highly addictive and harms brain development. Some flavorings, such as diacetyl, can cause serious disease. PG and VG are generally recognized as safe to eat but inhaling them can irritate the eyes, nose and throat and make it hard to breathe.

SOME OTHER NAMES FOR ELECTRONIC CIGARETTES ARE:e-cigarettes, e-smokes, e-cigs and cigalikes;

vapes, personal vaporizers (PVs) and advanced personal vaporizers (APVs);

mods, pod mods, pod vape devices, vape mods and box mods;

wop machines;

pens and vape pens; and

electronic nicotine delivery systems (ENDS).

Other electronic vaping products that that use e-liquids include e-cigars, e-pipes and hookah pens (e-hookah).

The top-selling e-cigarette brand is a USB-shaped device called JUUL. News outlets and social media sites report widespread use of JUUL by students in schools, including in classrooms and bathrooms. All JUUL e-cigarettes have a high level of nicotine. Similar products are available.

Use of an e-cigarette is often called "vaping" or "JUULing."

VAPING DEVICES:

• Electronic cigarette: smokeless, battery operated device used to deliver nicotine with flavorings or other chemicals to the lungs.

• Vaporizer pen or vape pen: a device ranging in size from a standard pen to a large cigar used to generate an inhalable vapor from a solid, semi-solid, or liquid substance.

• Three components: A liquid cartridge used to produce the vapor. A heating element known as the atomizer and a rechargeable battery to power the atomizer.

TEENS MAY NOT CALL THEM E-CIGARETTES:

•“cartridges”

•“carts”

•“water pipe”

•“vape pipe/pen”

•“Juul”

• Note. Some e-cigs connect to other electronic devices to play music and answer calls

WHO IS USING E-CIGARETTES AND WHY?

Youth and young adults are the primary users of e-cigarettes.1,2 High school students use e-cigarettes at rates five times higher than adults over age 25.3,4 Youth and young adults say their reasons for trying and using e-cigarettes are flavor and taste, curiosity and the belief that they are less harmful than other tobacco products.1

The U.S. Food and Drug Administration (FDA) regulates tobacco products, including e-cigarettes. Currently, e-cigarettes are not as strictly regulated as cigarettes. Except for menthol, the FDA does not allow cigarettes to contain flavored tobacco. This is not the case for e-cigarettes. E-cigarette companies know youth are attracted to many of the over 15,000 e-liquid flavors. Some of the sweet and fruity flavors that appeal to young people are cereal and milk, mango, cherry cola, bubblegum, crème, chocolate mint, blueberry cheesecake and fruit punch.

E-LIQUID/E-JUICE• Main ingredient: propylene glycol (PG ) and/or vegetable glycerin (VG)

usually with water-soluble food flavorings. With or without nicotine, THC

• Allergies to PG are rare, but it can irritate the lungs and eyes and may be more harmful to people with chronic lung diseases like asthma and emphysema.

• The FDA generally views both PG and VG as safe in food, drugs and cosmetics BUT there have not been sufficient scientific studies done on what the impact of inhaling them on a short or long term basis may be

• It is not always clear what is in e-liquids

THC :TETRAHYDROCANNABINOL IS THE CHEMICAL RESPONSIBLE FOR MOST OF MARIJUANA'S PSYCHOLOGICAL EFFECTS (NIDA)

• Dry herbal marijuana (flowers),marijuana oil or wax and synthetic forms of marijuana

• Liquid THC is applied to a vaping device in the same way that flavored nicotine liquid is applied

• Use of hash oil, is becoming more common

DABBING: MAY MEAN SOMETHING ELSE

• Dabbing is a method used to convert marijuana into a concentrate.

• It uses butane, which is highly flammable, to extract THC from the cannabis plant

• Also known as butane hash oil (BHO), honey oil, budder, crumble, shatter and/or wax

• While marijuana in its traditional plant form has a THC concentration of about 20 percent, the wax used for dabbing can have a concentration of up to 80 percent

WHAT ARE MARIJUANA CONCENTRATES?

Also known as: 710 (the word “OIL” flipped and spelled backwards), wax, ear wax, honey oil, budder, butane honey oil (BHO), shatter, dabs WHAT IS IT?highly potent THC- (Tetrahydrocannabinol) concentrated mass that looks like honey or butter.

HOW POTENT IS THIS FORM OF MARIJUANA?Marijuana concentrates contain extraordinarily high THC levels ranging from 40 to 80 percent THC amounts. This form of marijuana can be up to four times stronger in THC content than high grade or top shelf marijuana, which normally measures around 20 percent THC levels

HOW IS IT ABUSED?Orally by infusing marijuana concentrates in various food or drink products. Smoking by use of water or oil pipes, e-cigarette/vaporizer because it is smokeless, odorless and easy to hide. The user takes a “dab” of the concentrate, then heats the substance producing vapors that ensure an instant high. WHAT ARE THE EFFECTS OF USING MARIJUANA CONCENTRATES?Being a highly concentrated form of marijuana, the effects upon the user may be more psychologically and physically intense than plant marijuana use. To date, long term effects of marijuana concentrate use are not yet fully known; but, we do know the effects of plant marijuana use.

These effects include paranoia, anxiety, panic attacks, and hallucinations. Additionally, the use of plant marijuana increases one’s heart rate and blood pressure. Plant marijuana users may also experience withdrawal and addiction problems.

DRIPPING:

• a more labor-intensive method of vaping in which the user manually applies a few drops of liquid directly to the exposed heating coil of the e-cig every so few puffs in 4 teens who vape say they’ve used this method

• Dripping produces thicker clouds of vapor, gives a stronger sensation in the throat and makes flavors taste better (Journal of Pediatrics)

• Dripping generates higher heating coil temperatures than conventional use of e-cigarettes, which lead to greater emissions of a class of harmful chemicals

• Some chemicals released are associated with cancer, chronic obstructive pulmonary disease

• Handling liquid exposes teens to direct skin contact with nicotine which is absorbed rapidly through human skin

VAPE CULTURE:

CNN

NICOTINE IS ADDICTIVE AND DANGEROUS FOR YOUTH AND YOUNG

ADULTS

• Most e-liquids contain nicotine, the highly addictive chemical in all tobacco products. Nicotine is harmful for young people.1 Nicotine can harm the developing brain of adolescents and young adults, which can:

• lead to lower impulse control and mood disorders;

• disrupt attention and learning among youth and young adults; and

• prime the developing brain for addiction to alcohol and other drugs, such as cocaine.1

E-CIGARETTE AEROSOL IS HARMFUL• The e-cigarette aerosol users inhale and exhale is not harmless water vapor. Some

e-liquids are advertised as nicotine free, but this may not be true. With or without nicotine, e-cigarette aerosol is unsafe. E-cigarette aerosol can contain:

• fine and ultrafine toxic particles that can interfere with the growth and work of the lungs and increase the risk of heart disease, lung cancer and asthma attacks;

• heavy metals such as lead, tin and nickel;

• chemicals used for flavoring such as diacetyl that can cause a serious lung disease commonly known as "popcorn lung"; and

• volatile organic compounds (VOCs) that can cause long-term health effects including cancer.1

• Many of the chemicals found in cigarette smoke are also found in e-cigarette aerosol. They include:

• formaldehyde, also found in embalming fluid;1,7

• cadmium, used in batteries;1,8

• benzene, found in gasoline;1,9 and

• toluene, an industrial solvent.1,10

E-CIGARETTE USE AMONG YOUTH AND YOUNG ADULTS IS A MAJOR PUBLIC HEALTH

CONCERN• Youth use e-cigarettes more than

cigarettes, cigars, smokeless tobacco and hookah.3

• Almost five times as many high school students in New York State use e-cigarettes than smoke cigarettes.3

• The New York State smoking rate among youth is at a record low (4.3%), but their e-cigarette use doubled between 2014 and 2016 (from 10.5% to 20.6%).3

• Few high school students say they plan to try smoking, but increasing numbers are open to trying e-cigarettes.5

• More than half of teens believe nondaily e-cigarette use causes little or some harm.1

• Of young people who use e-cigarettes, a third falsely believe nondaily e-cigarette use is harmless.1

• E-cigarette use does not prevent from smoking. Adolescents and young adults who use e-cigarettes are at increased risk for starting smoking and continuing to smoke.1,6

• More than half of high school students and young adults who smoke cigarettes also use e-cigarettes (called dual use).1

“HARMLESS” VAPOR:• Toxic chemicals are formed as the e-liquid heats up to

make the aerosol that e-cig users inhale

CBS NEWS 2

VAPING AND SCHOOLS

• Products that look like pens or

highlighters can easily be hidden

by students in schools and classrooms

• Teachers may not recognize e-cigs, and

smoke detectors won’t catch the aerosol

• There is no odor

VAPES WITH THC

JUUL VAPE & PODS

LEAFLY.com Everything and more for marijuana vapors

JUUL

WHAT NEW YORK STATE IS DOING TO PROTECT YOUTH FROM NICOTINE

ADDICTION• Almost all adults addicted to nicotine started smoking or using other tobacco

products in their teens. Nearly 9 out of 10 adult smokers started smoking by age 18, and 99 percent started by age 26.11

• New York State's strong laws and programs protect youth from accessing tobacco products and denormalize tobacco use to prevent lifelong addiction, illness and early death.

• As of November 22, 2017, e-cigarettes and similar devices are included in the state's Clean Indoor Air Act, which prohibits their use and tobacco smoking in virtually all indoor public areas, including workplaces, bars and restaurants.

• State law also prohibits the use of tobacco products and e-cigarettes on the grounds of all public and private pre-schools, nursery schools, and elementary and secondary schools as well as in school vehicles used to transport children or school personnel.

LONG ISLAND NEWS

LEGAL:

• Currently, the NYS age to buy cigarettes and e-cigarettes is 18 years old. Westchester County is considering raising the age from 18 to 21 years old. If the bill becomes law, Westchester would join New York City, Suffolk County and four other counties.

• E-cigarettes and vaping are being banned in indoor public areas in New York under the state's Clean Indoor Air Act.

• In May 2016, the FDA outlined regulations that extended its authority to electronic cigarettes and eliquids:

• Any e-cigarette or vaping product released after Feb 15, 2007, would require the same expensive, lengthy FDA approval as regular smokes.

• Ban e-cigarette, hookah, pipe tobacco, and cigar sales — either in person or online — to minors (some states have already done this)

• Require age verification by photo ID for purchase of these products

• Require manufacturers of products to register with the FDA and submit their products for approval — disclosing ingredients, safety and emissions data, and manufacturing processes.

• Require companies to put health warning labels on e-cigarettes and other tobacco products, including warnings of the possibility of addiction and the health effects of nicotine

• Prohibit selling of covered tobacco products in vending machines (unless in an adult-only facility)

• Ban free samples of e-cigarettes and other tobacco products

E-CIGARETTES ARE NOT PROVEN TO HELP PEOPLE QUIT SMOKING

• Most youth and young adults do not report using e-cigarettes to quit smoking.1

• Most adult smokers want to quit.12 Every year, more than half of smokers quit for at least one day as an attempt to stop smoking.12,13 But, highly addictive nicotine makes it hard to quit for good, and fewer than one in 10 smokers successfully quits for good.12 Some smokers have heard that e-cigarettes can help them quit. Researchers are investigating if substituting e-cigarettes for cigarettes may help adults quit smoking, but this is unproven.14,15

• E-cigarettes are not an FDA-approved smoking cessation product. However, the FDA has approved seven products proven to help smokers quit:

• Five nicotine replacement therapies (NRTs):• patch (available over-the-counter and by

prescription for Medicaid enrollees)• gum (available over-the-counter and by

prescription for Medicaid enrollees)• lozenge (available over-the-counter and by

prescription for Medicaid enrollees)• nasal spray (by prescription)• inhaler (by prescription); and

• Two non-nicotine oral medicines:• varenicline tartrate, brand name Chantix® (by

prescription)• bupropion hydrochloride, brand names

Zyban® and Wellbutrin® (by prescription).14

RESOURCES:People who smoke or use other tobacco products can improve their chances of quitting for good with treatment from their health care provider.13 Treatment that includes brief counseling and FDA-approved medication can double or triple the chances of permanently quitting.15 To learn more, talk to your health care provider. For additional assistance, call or visit the New York State Smokers' Quitline at 1-866-NYQUITS (1-866-697-8487).