1. A N I NTRODUCTION TO E-C IGARETTES : W HAT ’ S O LD IS N EW A GAIN T IFFANY S CHUETTE – N EW H OLSTEIN E LEMENTARY S CHOOL C OUNSELOR C ASEY M ERTENS – N EW H OLSTEIN M IDDLE S CHOOL C OUNSELOR A NNA C ARPENTER – H EALTH E DUCATOR, W INNEBAGO C OUNTY H EALTH D EPARTMENT

2. The Facts Nicotine itself is toxic Nicotine users suffer from nicotine addiction.

3. The Facts Combustible Cigarettes 1 cigarette = 1mg = 20 mg in a pack Electronic Cigarettes 1 e-cigarette cartridge = approx. 20 mg

4. Retellings of a “safer cigarette” Menthol Filtered Low tar/nicotine Recessed filters Spit/ Smokeless Snus Dissolvable tobacco And now… Electronic Cigarettes

5. What’s Old Is New Again

6. Tobacco Corporations Corporation Lorillard Reynolds Tobacco Imperial Tobacco Altria (Formerly Phillip Morris) E-cigarette Brand Blu Ecig Vuse and Zonnic Fontem Ventures Vapuour Products MarkTen, NuMark & GreenSmoke Brands

8. e-cig·a·rette [ee-sig-uh-ret]

9. E-C IGARETTES I NCLUDE :

11. E XAMPLE OF AN E-C IGARETTE

12. T OP 6 R EASONS TO BE CONCERNED ABOUT E - CIGARETTES

13. #1) E- CIGARETTES GIVE OFF MORE THAN JUST “ WATER VAPOR.”

15. #2) E- CIGARETTES UNDERMINE CLEAN INDOOR AIR POLICIES BY MAKING ENFORCEMENT CONFUSING.

16. #3) NO REGULATION ON MANUFACTURE AND SALE OF E - CIGARETTES TO PROTECT CONSUMERS.

17. #4) E-C IGARETTES ARE NOT APPROVED BY THE FDA TO HELP SMOKERS QUIT.

18. #5) E- CIGARETTE USERS OFTEN CONTINUE TO ALSO SMOKE REGULAR CIGARETTES.

19. #6) E-C IGARETTES APPEAL TO YOUTH. Trendy Rebellious Sex Appeal Glamorous Fun “Traditional” Marketing Celebrity Endorsements Social Media

20. Trendy

22. Rebellious

23. Sex Appeal

24. Glamorous

25. Fun

26. Fun: Flavors

27. Dr. Brian D. Harrison Dr. Harrison is the medical director of Health and Productivity Management for Affinity Health System. Occ Doc in a Box Blog: http://affinityocchealth.blogspot.com/ Quote about the bottom line: Tobacco is Harmful

28. K EY P OINTS E-cigarettes aren’t good for our air or our kids E-cigarettes are not safe E-cigarettes are unregulated – marketing, sale and distribution Quit help claims are unproven

29. W HAT C AN Y OU D O ? Update District-wide policies from “Smoke Free Facilities” to “Tobacco Free Facilities” Elementary Level Middle School Level High School Level

30. W HAT C AN Y OU D O ? Join your tobacco prevention coalition Write letters to the editor Educate community organizations Educate policy makers

31. F OR R ESOURCES AND S UPPORT Tobwis.org Occ Doc in a Box Blog: http://affinityocchealth.blogspot.com

32. Questions? Tiffany Schuette Elementary School Counselor New Holstein School District (920) 898-4208 tschuette@nhsd.k12.wi.us Anna Carpenter Health Educator, Coalition Coordinator Winnebago County Health Department (920) 232-3009 acarpenter@co.winnebago.wi.us Casey Mertens Middle School Counselor New Holstein School District (920) 898-4769 cmertens@nhsd.k12.wi.us ?

33. References Tobwis.org http://www.tobwis.org/resources#!/tags=e- cigarettes Occ Doc in a Box Blog: http://affinityocchealth.blogspot.com/