1. The Beginning of the ENDS
E-cigarettes
The Beginning of the ENDS
Thank you and welcome to this presentation on E-cigarettes.
At some point you’ve probably seen someone smoking an ENDS device. ENDS stands for Electronic Nicotine Delivery System.
Chances are your kids have seen them too.
While promoted to help people quit smoking, e-cigarettes are now being marketed to children with different flavors and smoked in ways that are appealing to them.
We hope this presentation gives you information to talk with you child about e-cigarettes and the danger they pose.

2. Electronic Nicotine Delivery Systems
-Battery Powered
-Rechargeable
-Disposable
-200 to 1,800 puffs
-Flavored Cartridges
E-Cigs
-Larger Devices
-Higher powered batteries
-E-liquids, dabs used
Vaporizers
Dry vaporizers
That actually heat product
Heat-No Burn
Electronic cigarettes, or e-cigarettes, include e-pens, e-pipes, e-hookah, and e-cigars are known collectively as END. According to the FDA, e-cigarettes are devices that allow users to inhale an aerosol (vapor) containing nicotine or other substances.
Unlike traditional cigarettes, e-cigarettes are generally battery-operated and use a heating element to heat e-liquid from a refillable cartridge, releasing a chemical-filled aerosol.

3. Juul – The iPhone of e-cigs
This is one of the more popular e-cigarettes called Juul. They are dubbed the iphone of ecigarettes because of their sleek packaging and resemblance to iphone packaging.

5. These are the cartridges used in the Juul
These are the cartridges used in the Juul. The pods, as they are called, come in different flavors from fruit to brulee to coco mint. These are flavors that are clearly appealing to kids and provide that sense, it must not be that bad since it tastes like fruit or coco mint.

6. So, just how many youth are using e-cigarettes?
This is a national study that shows the number of kids smoking e-cigs compared to regular cigarettes is more than double for 8th graders, double for 10th graders and higher for 12th grade.
Look who’s using more. It’s boys at double the rate.

7. What’s in E-cigarettes
E liquid – Nicotine
Nicotine is addictive
Varying levels
Some that claim to be “nicotine free” contain nicotine
The main component of e-cigarettes is the e-liquid contained in cartridges. To create an e-liquid, nicotine is extracted from tobacco and mixed with a base and may also include flavorings, colorings and other chemicals.
Nicotine is an addictive substance, and almost all e-cigarettes contain nicotine. Even some products that claim not to have any nicotine in them may still contain it.
A recent study found that the amount of nicotine in e-liquid refills is often substantially different from the amount listed on the package.
This matters because the more nicotine used, the greater the potential for addiction.
Nicotine also has a negative impact on adolescent brain development
Nicotine use during adolescence and young adulthood has been associated with lasting cognitive and behavioral impairments, including effects on working memory and attention.

8. Here’s what’s concerning also
Here’s what’s concerning also. Youth are much more likely to start smoking regular cigarettes within 6 months of using e-cigarettes. Nearly 1 out of 3 e-cigarette users will begin to start smoking regular cigarettes within six months versus and child that’s never used an e-cig.

9. What’s in E-cigarettes
We don’t know everything in them
Cancer causing chemicals – ingredients used in anti freeze, formaldehyde
-Level of toxins vary by brands
We don't presently know what is in e-cigarettes. However, in initial lab tests conducted in 2009 the FDA found detectable levels of toxic cancer-causing chemicals, including an ingredient used in anti-freeze, in two leading brands of e-cigarettes and 18 various cartridges. A review of studies found that levels of toxins in e-cigarette aerosol varied considerably within and between brands. A 2014 study found that aerosol from e-cigarettes with a higher voltage level contains more formaldehyde,

10. Also, take a look at what kids say is in their e-cig.
Most of them think it’s just flavoring. But the question is, what’s in the flavoring and what is the flavoring?

11. E-cig liquids - Irreversible lung damage – Popcorn Lung
“This vape is so authentic to your favorite soda pop that you'll think you're sipping it from a straw rather than your electronic cigarette.”
E-cig liquids - Irreversible lung damage – Popcorn Lung
Most vaping-products companies want people to link their flavors closely to popular, brand-named food and flavors, including soft drinks. One vape-products website promises that: "This vape is so authentic to your favorite soda pop that you'll think you're sipping it from a straw rather than your electronic cigarette,”
Flavors in e-cigarettes are also a cause for concern. Not only are flavors used to target kids, but they may be harmful on their own. E-cigarette and flavor manufacturers and marketers may suggest that the flavor ingredients used in e-cigarettes are safe because the flavorings are approved for use in food, but such statements are false and misleading. The reality is that the safety status only applies to food, meaning it's safe to eat, and does not apply to inhaling through e-cigarettes.
Diacetyl, (Day-as-i-tyl) a buttery flavored chemical often added to food products such as popcorn, caramel, and dairy products, has also been found in some e-cigarettes with flavors. Diacetyl can cause a serious and irreversible lung disease commonly known as "popcorn lung."
Stanford Research into the Impact of Tobacco Advertising.

12. The other thing to point out here is that e-cigarettes are also being used to smoke marijuana. About 6% of kids say they have marijuana in their e-cigs.

13. Warning – Which is Which?
Can you tell which one is marijuana and which one is an c-cig cartridge?
(One on left is THC – marijuana)

14. Taking a look at what our kids are exposed to.
The 2009 Family Smoking Prevention and Tobacco Control Act prohibits cigarette advertising, but e-cigarette advertising is allowed an our middle school and high school students are seeing it and seeing it a lot with 7 out of 10 of our kids exposed to e-cigarette advertising from the internet to TV to newspaper and magazines.
Source: National Institute on Drug Abuse; National Institutes of Health; U.S. Department of Health and Human Services.

16. E-Cig concerns - Poisoning and Burns
Large doses of Nicotine can Cause Poisoning
“It was like a bomb went off.”
Not only is addiction and the flavorings a concern but so is the chance for nicotine poisoning and burns.
Large doses of nicotine have a potential for poisoning, with symptoms beginning with nausea and vomiting in cases of acute toxicity and progressing to seizures and respiratory depression in cases of severe nicotine poisoning. This is particularly true in children as calls to poison control centers have increased nationwide. Tragically, one child died from acute e-cigarette poisoning in 2014, attributed to the ingestion of liquid nicotine from an e-cigarette
If you have internet connection this is a great story.
This girl on is a Valley 17-year-old who was severely burned by an e-cigarette.
"It was like bomb going off," she said.
She was getting ready to use her E-Cigarette when it suddenly exploded. Catching her clothes on fire and leaving her with burns to her chest, arms, side, and hands.
She had to undergo surgery at the burn unit.

17. Second hand Emissions Contain Emissions Little is known
Formaldehyde, benzene other tobacco specific carcinogens
No Evidence to suggest e- cigarette emissions are safe for non users to inhale
While e-cigarettes do not contain smoke, they do expose others to secondhand emissions. Little is known about these emissions or the potential harm they can cause. Two studies have found formaldehyde, benzene and other tobacco specific carcinogens coming from those secondhand emissions. Other studies have shown that chemicals in the vapor contain formaldehyde and other potential toxins. There is no evidence that shows e-cigarettes emissions (secondhand aerosol) are safe for non-users to inhale.

18. E-cigarette Bottom line
E-cigarettes are tobacco products
They contain nicotine which is addictive
New rules require a person to be 18 before purchasing
We don’t know what type of health risks are associated with emissions
Talk with your child abut not smoking e-cigarettes the same way you talk with them about not smoking regular cigarettes.
The Bottom line is that E-cigarettes are tobacco products
They contain nicotine which is addictive
It is illegal for anyone under 18 to smoke an e-cigarette
We don’t know what type of health risks are associated with emissions
Talk with your child abut not smoking e-cigarettes the same way you talk with them about not smoking regular cigarettes. They carry the same health risks.