1. Emerging Forms of Tobacco in the U.S. Alternative Forms of Tobacco aka Potentially Reduced Exposure Products (PREPS)

2. New Tobacco Products Once limited to cigarettes, cigars, pipe tobacco and chewing or spit tobacco, tobacco products today come in more flavors, forms, shapes and sizes, and with more unproven health claims, than ever before. Key trends include: Introducing flavored products Creating novel smokeless products Targeting products and marketing Sustaining addiction and discouraging quitting

3. Reduced Exposure vs. Reduced Risk Reduced Exposure: The shortened level of secondhand smoke omitted and its inhalation to non-smokers Reduced Risk: A lower risk of negative health effects associated with the use of the tobacco product

4. New Advertisement Methods Manufacturers focus on the habits, desires, and tastes of their intended audience. The tobacco pandemic is a communicated disease. It is communicated through advertising, through the example of smokers and through the smoke to which non-smokers- especially children-are exposed. – Gro Harlem Brundtland, Director General, World Health Organization, 1999

5. NEW PRODUCTS New Packaging New Sizes New Designs New Colors New Flavors New Techniques TRU Youth must have New IDEAS too!

6. Virginia Slims Smaller diameter. Skinny for image and convenience. Meant to attract women Camel #9

7. By Revved Up Inc. & Southern Smokeless INFUSED WITH CAFFEINE

8. Keeping an eye on Japan Innovative Manufacturing Philip Morris has a Japanese company PMJ D-spec/LSS Products D-Spec or Less Smoke Smell (LSS) cigarette. D-spec, a technology perfected by Japan Tobacco Inc., is a method of fixing a flavorant onto the cigarette to improve the smell of side stream smoke.

9. Camel Nutty Menthol When lit, the extra paper- layer burns simultaneously with the cigarette rod, off setting the tobacco smell. Salem Menthol Triple menthol cigarette with an internal flavored yarn inserted in the filter. Flavors include mint, spearmint, and peppermint.

10. Marlboro 7.2cm long compared to a regular 8.5cm cigarette. Designed for quick use. Marlboro Intense This smaller cigarette is being referred to as snack size. Similar to Marlboros 72s brand.

11. Contains a small blue menthol capsule within the filter. By squeezing the filter the small blue capsule is crushed and chemicals are released. Camel Crush

12. Reduced Risk Products Advertise they have less nicotine or tobacco therefore it is a safer alternative Some products substitute tobacco for other harmful substances that can contain carbon monoxide and propylene glycol Can still have a high level nicotine There are not current studies supporting the use of these products, no safe level!

13. E-cig: Nicotine, No Tobacco Heats up nicotine instead of burning it No carcinogens or tar Blows out vapors A mix of water, nicotine, artificial smoke flavor and propylene glycol, the chemical used in fog-making machines. "The electronic cigarette is not a proven nicotine replacement therapy," said Dr Ala Alwan, Assistant Director-General of WHO's Noncommunicable Diseases and Mental Health Cluster.

14. Eclipse contains Tobacco, heats instead of burning.

15. Camel Dissolvables deliver between 0.0 to 3.1 milligrams of nicotine, while cigarette smokers typically inhale about 1mg per cigarette. Camel Dissolvables will not be positioned as a smoking cessation or reduced risk product. Emerging Products by R.J. Reynolds Reduced exposure products Camel Dissolvable Sticks: Can be placed in the mouth like a toothpick or broken into a piece that is placed between the upper lip and gum, where it dissolves after ten minutes. Flavor: Mellow Camel Orbs: Pellet that lasts about 15 minutes. Same usage as sticks. Flavors: Fresh Mint and Mellow Strips: Dissolve after 3 minutes. Flavor: Fresh Mint

16. Sachet (Pouch) Revel Smokeless and Spit-less Available in mint, wintergreen, and cinnamon Resembles gum or mints Comes in a pouch (sachs)

17. Camel Snus Spit-less pouch The juice can be swallowed

18. Fuisz Film strip Owned by MonoSol Rx Claims to have significantly lower amounts of tobacco What could be dangers of using this film?

19. Nicotine Water Each 8-ounce bottle contains 4mg of nicotine equally suspended in purified water, with just a hint of lemon flavoring. All you will taste is the water. For use where smoking is not allowed or for people who want to quit smoking. From http://www.nicoworldwide.com/http://www.nicoworldwide.com/ NICLite® contains a purified organic nicotine molecule in a Complex Homeopathic Formula, which will go into equal suspension in 8 ounces of pharmaceutical grade water.

20. Nicotine Water From http://www.nicoworldwide.com/ http://www.nicoworldwide.com/ NICLite® contains a purified organic nicotine molecule in a Complex Homeopathic Formula, which will go into equal suspension in 8 ounces of pharmaceutical grade water.

21. Nicogel is a tobacco gel that smokers can substitute for cigarettes. It is to be used when a smoker is in a place where they are not allowed to smoke. It is not a smoking cessation product. To use Nicogel one must take a single press of gel and rub it into their skin. http://www.nicogel-uk.com/index.php

22. Moving from ideas to action Questions to ask yourself when making an action plan: Have a goal. How can we write down the goal in simple terms? How to spread the message who needs to be educated, how do we get our message out, etc When to begin and end the work towards this goal. Are these dates realistic in terms of what everyone can do? Materials are neededfood, pencils and paper, poster board, etc Make sure that everyone knows what their responsibility will be. How do we evaluate the successfulness of the action steps? How do we know when weve finished the steps?

23. Techniques Hosting tobacco education events Educate Staff about new products to help with Compliance Host events with your TRU club at school Submitting letters to the editor to your local newspapers. Educate Family and Friends Continue to research and stay up to date!

24. Resources Jim Martin, NC Tobacco Prevention and Control Brach Presentation: 15 New Tobacco Products sept29-3 (2)-1.ppt Paul Turner, NC STEP Presentation: Task Force Updates August 2008 World Health Organization, Marketers of electronic cigarettes should halt unproved therapy claims, 9/19/2008. http://www.who.int/mediacentre/news/releases/2008/pr34/en/index.html. http://www.who.int/mediacentre/news/releases/2008/pr34/en/index.html Southern Smokeless, http://www.southernsmokeless.com/.http://www.southernsmokeless.com/ Crown Seven, http://www.crown7.com/.http://www.crown7.com/ New Products, Tobacco Documents, www.tobaccoproducts.orgwww.tobaccoproducts.org NC Tobacco Prevention and Control Branch, http://www.tobaccopreventionandcontrol.ncdhhs.gov/. http://www.tobaccopreventionandcontrol.ncdhhs.gov/ NC Health and Wellness Trust Fund, www.healthwellnc.comwww.healthwellnc.com Nico Worldwide Inc, http://www.nicoworldwide.com/http://www.nicoworldwide.com/ Nicogel, Limited Company registered in England, http://www.nicogel-uk.comhttp://www.nicogel-uk.com

26. What flavors does Revel usually come in? A. Mint B. Wintergreen C. Cinnamon D. All of the above

27. What commonly used object can be most compared to the size of the Fuisz: A. Pencil C. Index Finger D. Rice Grain B. Penny

28. Camel #9 are mainly made to appeal to: B. Men C. Children D. Elderly A. Women

29. E-cigs are meant to heat up tobacco, not burn it. TRUEFALSE

30. A. Watermelon C. Orange D. Lime B. Lemon What flavoring does Nico Water have a hint of?

31. Reduced Risk means: A. A lower risk of negative health effects with usage of tobacco B. The more tobacco you use, the lower the risk of cancer is C. The risk of being hit by a UFO is reduced

32. Virginia Slims are skinnier because: A. Of image and for convenience B. Because theres less tobacco for women C. They look cooler than regular cigarettes

33. REVVED UP is directed to: B. Young men with fast cars C. Retired Nurses A. 14 year old girls

34. To activate the flavor in Camel Crush, you: C. Squeeze the ball until you hear a click A. Punch the box B. Throw the carton down the stairs

35. Marlboro Intense are small because: B. So they are snack size A. Babies want them C. Theyre more intense