1. Shelley Mann-Lev & Janie Corinne 24/7 Technical Assistance Team Creating truly tobacco-free schools

2. New Pictures of Youth and Tobacco

3. 2011 Youth Risk & Resiliency Survey 3 Poly-Tobacco Use is the Norm for our Youth 30% of NM high school youth used at least one form of tobacco Two-thirds of tobacco use was poly-tobacco use (2+ products) 60% used hookah, alone or in combination with other tobacco products Single product use is less prevalent – 12.6% of youth tobacco users smoke only cigarettes, 5.5% use only spit tobacco, and 1.8% use only cigars of youth tobacco users are using hookah, either alone or in combination with other tobacco products Single product use is less prevalent – 12.6% of youth tobacco users smoke only

4. Significant downward trends observed for cigarette and cigar use Spit, chew, and snuff tobacco use remains statistically stable Hookah use remains high Use of emerging products, such as e-cigarettes, is currently unknown 2005-2013 Youth Risk and Resiliency Survey (YRRS) *2013 YRRS data is preliminary 4 ? E-Cigarettes Trends in Tobacco Product Use – NM High School Youth, 2005-2013

5. E-Cigarette Use by Youth Doubled 2011-2012 E-cigarette use doubled (3.3% to 6.8%) among MS and HS students during 2011-2012. Current e-cig use increased from 1.1% to 2.1%. a High school students reporting ever having used an e-cig increased during 2011-2012 from 4.7% to 10.0%. Current use increased from 1.5% to 2.8%. Among current e-cig users, 76.3% reported current conventional cigarette smoking a 5 a www.cdc.gov/mmwr/preview/mmwrhtml/mm6235a6.htm?s_cid=mm6235a6_ewww.cdc.gov/mmwr/preview/mmwrhtml/mm6235a6.htm?s_cid=mm6235a6_e

6. New Mexico Data Cross-sectional study of 18-26 yr old smokers in ABQ area found that use of e-cigs increased from 28% to 44% during 2012-2013, while use of other tobacco products decreased. d E-cigarette data collection for NM youth and adults planned for 2015. d Unpublished TUPAC Program evaluation results

7. Emerging T obacco Products Electronic cigarettes Hookah – water pipes Cigars, including little cigars that look like cigarettes Smokeless tobacco, like chew/dip, dissolvables and snus (pouches) Flavored tobacco products

8. What are you hearing and seeing? Discuss with a partner, 2 minutes each

9. E-hookah or e-cigarette?

10. Basic Anatomy of an Electronic Cigarette

11. Hookahs

12. Cigars and Little Cigars

13. Smokeless Tobacco

14. Flavored Tobacco Products

15. Exercise – Explaining Risks to Students Pair up with another person Each of you select and read a fact sheet or short article Explain the main points to your partner, as if you were talking to a student

16. No Tobacco Use at School Plan for Students  Get into groups of 3  Assign roles:  Health educator - counselor- nurse/health professional - teacher  Student  Observer  Read through the plan  The health educator will guide the student through the plan, filling it in and making agreements about how the student will remain tobacco-free at school  Observer will then comment, make suggestions

17. Free Technical Assistance and Resources for NM Schools Janie Corinne, MPH Coordinator 24/7 Technical Assistance Team Creating truly tobacco-free schools 575 770-6275 www.247NewMexico.com