Next Generation Addiction: JUUL & Other Emerging Tobacco Products

Health Impact of Tobacco Use Major risks: Stroke, Heart Disease, Lung Cancer, Chronic Lung Disease Other Health Risks: Lung Diseases-COPD, Emphysema Cancers-Mouth, Throat, Stomach, Esophagus, Larynx, Cervix, Colon, Rectum, Bladder, Liver, Pancreas, Kidney, Acute Myeoid Leukemia Diabetes Pregnancy

Causes of Preventable Deaths Comparison

Cigarette Ingredients Tar, Formaldehyde, Acetone, Cyanide

Hookah (Water Pipe) Water pipe smoked by indirectly heating specially made tobacco Vary in size, shape, and style Available in a variety of flavors such as candy and fruit flavors Often smoked socially, sometimes sharing mouthpieces Gaining popularity among U.S. youth and young adults Not a safe alternative to cigarettes Emit secondhand smoke that may be harmful for nonsmokers Sources: Centers for Disease Control and Prevention. Smoking and Tobacco Use fact sheet: Hookahs. (http://www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/hookahs/) American Lung Association. Tobacco Policy Trend Alert. An Emerging Deadly Trend: Waterpipe Tobacco Use. February, 2007. (http://www.lungusa2.org/embargo/slati/Trendalert_Waterpipes.pdf)

Health Hazards of Hookah Hookah smoke contains the same toxins as cigarette smoke including: Carbon monoxide Nicotine Tar Heavy metals Cancer-causing chemicals Toxic agents that can cause heart disease Because hookahs are smoked for longer periods of time, hookah users may inhale as much smoke as if they smoked 100 cigarettes or more in a single session. Hookah smokers may be at risk for some of the same diseases as cigarette smokers. Hookah smoke contains many of the same toxins as cigarettes, including carbon monoxide, nicotine, tar, heavy metals, cancer-causing chemicals, and other toxic agents. Because hookahs are typically smoked for longer periods of time, hookah users may inhale far more smoke in a single session than they would from smoking a cigarette. The CDC has indicated that hookah users inhale about 90,000 milliliters of smoke during a typical session. Because about 500-600 milliliters of smoke is typically inhaled when smoking a cigarette, this is equivalent to the amount of smoke from 100 cigarettes or more (Sources: CDC and American Lung Association [full citations are below]). Hookah smokers may also be at risk for some of the same diseases as cigarette smokers, including oral cancer, lung cancer, stomach cancer, cancer of the esophagus, and reduced lung function. Sources: Centers for Disease Control and Prevention. Smoking and Tobacco Use fact sheet: Hookahs. (http://www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/hookahs/) American Lung Association. Tobacco Policy Trend Alert. An Emerging Deadly Trend: Waterpipe Tobacco Use. February, 2007. (http://www.lungusa2.org/embargo/slati/Trendalert_Waterpipes.pd

Electronic Cigarettes (E-Cigs/Vaping) •E-cigarettes are electronic devices that heat a liquid and produce an aerosol, or mix of small particles in the air. •E-cigarettes come in many shapes and sizes. Most have a battery, a heating element, and a place to hold a liquid.

NO MATTER WHAT YOU CALL IT, IT’S AN E-CIGARETTE No matter what you call it, it’s an e-cigarette. E-cigarettes are known by many different names. You’ve probably heard them called “e-cigs” or “vapes” or just “JUUL.”

ENDS Include a Wide Variety of Products Hookah pen or E-hookah E-cigarette E-cigar There are a wide variety of ENDS products available including E-cigarettes, e-cigars, hooka pens/e-hookahs, e-pipes, glassomizers (glass tanks with replaceable atomizer heads), vape pens, and personalized vaporizers (PVs) or Mods. These products are often made to look like such products as cigarettes, cigars, and pipes, but they may also resemble packs or large cylinders. They are also sometimes made to look like everyday items such as pens and USB memory sticks, for people who wish to use the product without others noticing. Image source for PVs/Mods: JUULpods (accessed from www.trinketsandtrash.org 12/15/2015) E-pipe Glassomizer Vape Pen PVs or Mods

What’s in E-cigarette/Vaping Aerosol?

Defective E-cigarette Batteries Can Cause Fires and Explosions And if potential poisoning wasn’t enough, defective e-cigarette batteries have caused fires and explosions, some of which have resulted in serious injuries. Most explosions happened when the e-cigarette batteries were being charged. Here are some real-life examples. Don’t assume an e-cigarette device is safe.

JUUL’ing

VOICE Indiana

Smoke Free St. Joe Coalition Coalition of concerned citizens and businesses working towards comprehensive smoke free policy for ALL WORKERS. Join us by ‘liking’ us on Facebook SMOKE FREE ST. JOE Please follow our posts, send in your pictures and SHARE with your Facebook friends.

The Indiana Tobacco Quitline is a free phone-based counseling service that helps Indiana smokers quit. services include: One on one coaching for tobacco users who have decided to quit Resources for Healthcare Providers who want to improve patient outcomes Support for Family and Friends who want to help loved ones stop smoking Services are available 7 days-a-week in multiple languages. Call today: 1-800-QUIT-NOW.

Questions?

Manager, Community Health & Well-Being and Tobacco Initiatives Latorya R. Greene Manager, Community Health & Well-Being and Tobacco Initiatives Saint Joseph Health System Smoke Free St. Joe 707 E. Cedar St., Suite 100 South Bend, IN 46617 (574) 335-4684 office Latorya.Greene@sjrmc.com