1. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth z Tobacco Products: Cigarettes and Beyond

2. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth Today We Will Cover… What is tobacco? What is nicotine? Different types of tobacco products New tobacco products Electronic cigarettes

3. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth Cigarettes Cigars, cigarillos, pipes, bidis, cloves Dip, snuff, chew Hookahs Electronic cigarettes (e-cigarettes) What is Tobacco?

4. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth Tobacco Products

5. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth What is in a cigarette?

6. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth The addictive substance found in all tobacco products Causes mood-altering effects in your brain Leads to dependence and addiction Tobacco Use: Nicotine

7. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth Tobacco Use: Prevalence 17% of Chatham high school students use tobacco products Decrease in cigarette use among youth Large increase in electronic cigarettes and hookah among youth

8. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth New Tobacco Products

9. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth Electronic Cigarettes Electronic Nicotine Delivery Systems (ENDS) Includes: e-cigarettes, e-hookahs, hookah pens, vape pens, e-cigars Battery-powered devices that deliver nicotine to users “Vape” or “vaping” is used to define the act of using a ENDS product

10. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth First introduced in China in 2004 Made available in the U.S. in 2007 First by internet, then mail kiosks and then retail outlets Now available at convenience stores and gas stations as well What are e-cigarettes?

11. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth What are e-cigarettes? Image Sources: WFBH; hookah-shisha.com Rechargeable – Replacement Cartridges Rechargeable – Refillable Tank System Disposables

12. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth Electronic Nicotine Delivery Systems (ENDS)

13. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth Legacy Foundation How e-cigarettes work

14. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth Electronic Cigarettes “Many teens who start with e-cigarettes may be condemned to struggling with a lifelong addiction to nicotine and conventional cigarettes.” CDC Director Tom Frieden, M.D., M.P.H

15. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth Emerging Tobacco Products Dissolvable  Orbs  Strips  Sticks Ariva Snus Sweet Flavored Tobacco Products

16. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth z Debrief

17. Leading the Charge to a Healthier Chatham. Chatham County Public Health Department L. Layton Long, Health Director www.chathamnc.org/publichealth References Williams, M. (2013, Oct. 3). Electronic cigarette liquids and vapors: Is it harmless water vapor? In Philip S. Gardiner (Chair), Electronic Cigarettes: The vapor this time. Conducted by the Tobacco Related Disease Research Program at the University of California Riverside in San Francisco, California. Retrieved from http://www.trdrp.org/ecigarettes.php http://www.trdrp.org/ecigarettes.php Centers for Disease Control and Prevention. (2013). Notes from the field: Electronic cigarette use among middle and high school students — United States, 2011–2012. MMWR, 62(35);729-830. CDC (2014). “Notes from the Field: Calls to Poison Centers for Exposures to Electronic Cigarettes — United States, September 2010–February 2014.” MMWR, 63(13): 292-293. Americans for Nonsmokers Rights: Electronic Cigarettes - http://www.no-smoke.org/learnmore.php?id=645 American Academy of Pediatrics Handout on E-Cigarettes - http://www2.aap.org/richmondcenter/pdfs/ECigarette_handout.pdf http://www2.aap.org/richmondcenter/pdfs/ECigarette_handout.pdf American Legacy Foundation: Tobacco Fact Sheet - http://www.legacyforhealth.org/content/download/582/6926/file/LEG-FactSheet-eCigarettes- JUNE2013.pdf http://www.legacyforhealth.org/content/download/582/6926/file/LEG-FactSheet-eCigarettes- JUNE2013.pdf American Lung Association The Emergence of New Smokeless Tobacco Products- http://www.lung.org/stop-smoking/tobacco-control-advocacy/reports-resources/tobacco-policy-trend- reports/new-smokeless-tobacco-products.pdf