The Health Effects of Vaping on Teens | Learn More | Flavors Hook Kids - California Tobacco Control

Web Name: The Health Effects of Vaping on Teens | Learn More | Flavors Hook Kids - California Tobacco Control

WebSite: http://www.flavorshookkids.org

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Flavors Hook Kids

Vaping Dangers

Parent Resources

Vaping Dangers

Parent Resources

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Do Something

Do Something

Emails matter. Send yours in 3 clicks.

The tobacco industry targets kids with flavors. Reaching out to your local officials can make a difference. Enter your name, choose your location and we’ll direct your email to your city’s mayor or your county supervisors.

THE TOBACCO INDUSTRY HAS A KIDS MENU.

The tobacco industry uses fun flavors and tech devices to hook kids on nicotine. Why kids? A developing brain is easier to addict.

Download the Guide Get Help

BACK-TO-SCHOOL ALERT: As students return to in-person learning, kids have more opportunities to use vapes. Parents and teachers should watch for warning signs like increased mood swings, anxiety, and even taking a lot of bathroom breaks. Teens who vape are at 5–7x greater risk of testing positive for COVID-19. Explore this site with your teen to learn why vaping is more dangerous than ever.

NICOTINE = BRAIN POISON

The tobacco industry profits by hooking kids on flavored nicotine.

Flavors

96% of high school kids in CA who vape use flavors.Vapes come in kid-friendly flavors like Blue Razz, Pegasus Milk, Menthol Freeze.Flavors mask tobacco’s harshness.Flavoring chemicals can damage lungs.

New nicotine

Many tobacco companies use a highly concentrated form of nicotine called nicotine salts that’s engineered for vaping.Tobacco companies often use nicotine salts in vapes instead of regular nicotine.Nicotine salts allow higher concentrations to be inhaled more easily,  and absorbed more quickly, than regular nicotine.Whether it’s regular nicotine or nicotine salts, addiction happens fast, and can lead to further substance abuse.

Poison

Nicotine is poison for the adolescent brain. Nicotine changes the way connections form in the brain. Nicotine can interfere with attention and learning.Nicotine can increase anxiety, mood swings, and irritability.

See how Californians are taking action to protect kids from the dangers of vaping.

Sources

Villanti AC, Johnson AL, Ambrose BK, et al. Flavored Tobacco Product Use in Youth and Adults: Findings From the First Wave of the PATH Study (2013–2014). Am J Prev Med. 2017;53(2):139-151. doi:10.1016/J.AMEPRE.2017.01.026

View Source

Ramamurthi, Divya, et al. “JUUL and Other Stealth Vaporisers: Hiding the Habit from Parents and Teachers.” Tobacco Control, 15 Sept. 2018, doi:10.1136/tobaccocontrol-2018-054455.

View Source

Office of the U.S. Surgeon General. Know the Risks. E-cigarettes.surgeon general.gov. Accessed March 11, 2019.

View Source

Etter JF, Ussher M, Hughes JR. A Test of Proposed New Tobacco Withdrawal Symptoms. Addiction. 2012;108(1):50-59. doi:10.1111/j.1360-0443.2012.03981.x

View Source

Zhao-Shea, Rubing et al. “Increased CRF Signalling in a Ventral Tegmental Area-Interpeduncular Nucleus-Medial Habenula Circuit Induces Anxiety during Nicotine Withdrawal.” Nature Communications 6 (2015): n. pag. Nature Communications. Web.

View Source

Levin S. Teen vaping is finally trending downward, but experts warn the return to in person learning could reverse progress. Wcnc.com. https://www.wcnc.com/article/news/health/teen-vaping-may-spike-again/275-1655dd4c-5fb4-4657-9828-ff424b92a737. Published March 12, 2021. Accessed May 19, 2021.

View Source

Gaiha SM, Cheng J, Halpern-Felsher B. Association Between Youth Smoking, Electronic Cigarette Use, and Coronavirus Disease 2019. J Adolesc Heal. August 2020. doi:10.1016/j.jadohealth.2020.07.002

View Source

Zhu S-H, Braden K, Zhuang Y-L, Braden K, Gamst A, Cole AG, Wolfson T, Li S. (2021). Results of the Statewide 2019-20 California Student Tobacco Survey. San Diego, California: Center for Research and Intervention in Tobacco Control (CRITC), University of California San Diego.

Gotts JE, Jordt SE, McConnell R, Tarran R. What are the respiratory effects of e-cigarettes? BMJ. 2019;366. doi:10.1136/bmj.l5275

View Source

Becker R. Juul’s nicotine salts are dominating the market — and other companies want in. The Verge. https://www.theverge.com/ 2018/11/21/18105969/juul-vaping-nicotine-salts-electroniccigarettes-myblu-vuse-markten. Published November 21, 2018. Accessed March 13, 2020.

View Source

Centers for Disease Control and Prevention. Quick Facts on the Risks of E-cigarettes for Kids, Teens, and Young Adults. cdc.gov. https://www.cdc.gov/tobacco/basic_information/e-cigarettes/Quick-Facts-on-the-Risks-of-E-cigarettes-for-Kids-Teens-and-Young-Adults.html Reviewed February 3, 2020. Accessed May 8, 2020

View Source

International Programme on Chemical Safety, World Health Organization. Nicotine. inchem.org. March, 1991.

Office of the U.S. Surgeon General. Know the Risks. E-cigarettes.surgeongeneral.gov. Accessed March 11, 2019.

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Hughes JR. Effects of abstinence from tobacco: Valid symptoms and time course. Nicotine Tob Res. 2007;9(3):315-327. doi: 10.1080/14622200701188919

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Cullen KA, Gentzke AS, Sawdey MD, et al. e-Cigarette Use Among Youth in the United States, 2019 [published online ahead of print, 2019 Nov 5]. JAMA. 2019;322(21):2095–2103. doi:10.1001/jama.2019.18387

View Source

Gentzke AS, Creamer M, Cullen KA, et al. Vital Signs: Tobacco Product Use Among Middle and High School Students — United States, 2011–2018. MMWR Morb Mortal Wkly Rep. 2019;68(6):157-164. doi:10.15585/mmwr.mm6806e1

View Source

Rostron BL, Cheng YC, Gardner LD, Ambrose BK. Prevalence and Reasons for Use of Flavored Cigars and ENDS among US Youth and Adults: Estimates from Wave 4 of the PATH Study, 2016-2017. Am J Health Behav. 2020;44(1):76–81. doi:10.5993/AJHB.44.1.8

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Cullen KA, Ambrose BK, Gentzke AS, Apelberg BJ, Jamal A, King BA. Notes from the Field: Use of Electronic Cigarettes and Any Tobacco Product Among Middle and High School Students — United States, 2011–2018. MMWR Morb Mortal Wkly Rep. 2018;67(45):1276-1277. doi:10.15585/mmwr.mm6745a5

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Dai H, Leventhal AM. Prevalence of e-Cigarette Use Among Adults in the United States, 2014-2018 [published online ahead of print, 2019 Sep 16]. JAMA. 2019;322(18):1824-1827. doi:10.1001/jama.2019.15331

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Johnston LD, Miech RA, O’malley PM, Bachman JG, Schulenberg JE, & Patrick ME (2019). Monitoring the Future national survey results on drug use 1975−2018: Overview, key findings on adolescent drug use. Ann Arbor, MI: Institute for Social Research, University of Michigan. Published January 2019. Accessed March 12, 2019

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Pierce JP, Chen R, Leas EC, et al. Use of E-cigarettes and Other Tobacco Products and Progression to Daily Cigarette Smoking. Pediatrics. 2021;147(2):e2020025122. doi:10.1542/peds.2020-025122

View Source

Youth and young adult vaping is associated with 5 – 7x greater risk of testing positive for COVID-19.

In the last 2 years, vaping has increased by 218% among middle schoolers and 135% among high schoolers

96% of kids who vape use flavors

Teens are nearly 7x more likely to vape nicotine than adults

Marijuana vaping among youth has increased by 58% in a single year

Teens who vape are 3x more likely than non-vapers to become daily cigarette smokers

The average age of youth and young adults who try smokeless tobacco, like chew or snus, for the first time is 16.

An FDA Policy With a Dangerous Loophole

The youth vaping epidemic finally prompted FDA action. Victory? Not by a long shot. Pressure from the tobacco industry created a dangerous loophole that lets kids continue to get vapes in thousands of flavors, including menthol.

Since the flawed policy was adopted, sales of all menthol vapes have jumped by 52%. Companies that used to sell fruit-flavored or pre-filled flavor pods to kids changed tactics. Now, they push the vapes that remain unregulated, like menthol and disposable. No surprise, those sales are up.

FDA policy does not allow:

Any pre-filled flavored vape pods that snap into vapes like Juul pods. However, menthol and tobacco flavors are still allowed. Synthetic nicotine to be treated any differently than nicotine from any other source.

FDA policy continues to allow:

All refillable flavored vapes, like Suorin and Smok. All disposable flavored vapes, like Flum and Lush Flow. Pre-filled menthol and tobacco-flavored pods.

Sources

US Food & Drug Administration. FDA finalizes enforcement policy on unauthorized flavored cartridge-based e-cigarettes that appeal to children, including fruit and mint. fda.gov. https://www.fda.gov/news-events/press-announcements/fda-finalizes-enforcement-policy-unauthorized-flavored-cartridge-based-e-cigarettes-appeal-children. Published January 2, 2020. Accessed February 4, 2020

View Source

Karni A, Haberman M, Kaplan S. Trump Retreats From Flavor Ban for E-Cigarettes. The New York Times. https://www.nytimes.com/2019/11/17/health/trump-vaping-ban.html. Published November 17, 2019. Accessed February 21, 2020.

View Source

Sully E, Brody B. Juul Spent Record $1.2 Million Lobbying as Regulators Stepped Up. Bloomberg. https://www.bloomberg.com/news/articles/2019-10-22/juul-spent-record-1-2-million-lobbying-as-regulators-stepped-up. Published October 21, 2019. Accessed February 21, 2020.

View Source

Karlis N. The e-cig industry poured money into lobbying prior to Trump’s reversal on vaping ban. salon.com. https://www.salon.com/2019/11/18/the-e-cig-industry-poured-money-into-lobbying-prior-to-trumps-reversal-on-vaping-ban/. Published November 18, 2019. Accessed February 21, 2020.

View Source

KIDS CAN STILL GET THESE VAPES

Despite the FDA flavors policy, kids can still get certain types of vapes. Click each product for details.

Allowed

Pre-Filled Pod Vapes

JUUL PHIX Allowed

Pre-Filled Pod Vapes

The FDA ended the sale of vapes with pre-filled flavored pods like Juul and Phix. Despite the FDA policy, menthol- and tobacco-flavored pre-filled vape pods are still on the market. In fact, after the policy went into effect, sales of all menthol vape pods increased by 52%.

Allowed

Refillable Vapes

SUORIN DROP Allowed

Refillable Vapes

Suorin Drops are refillable. The FDA policy only prohibits pre-filled flavored pods, so these are still allowed in thousands of kid-friendly flavors.

Allowed

Disposable Vapes

POSH Allowed

Disposable Vapes

Single-use disposable vapes like Posh Vape, Flum and Lush Flow don’t have pods. The vape itself contains the flavored nicotine. So these vapes in candy flavors like Frozen Strawberry, Blue Raspberry, and Apple sail right through the loophole and onto shelves. In fact, disposable vapes have had a great year since the FDA policy went into effect, enjoying the increase in sales of flavors that were restricted in pre-filled vape products like Juul.

Allowed

Vape Pens

Vape Pen Allowed

Vape Pens

Vape pens are refillable in thousands of kid-friendly flavors. They get through the FDA loophole because the policy states no more pre-filled pods, letting refillable vapes off the hook.

MENTHOL:
EASY TO HIT,
HARD TO QUIT.

When will childhood addiction rates drop? When tobacco tastes like tobacco.

OUR PROGRESS IS ACCELERATING

Communities up and down the state have moved quickly over the last few years to protect their kids from flavored tobacco products. But there’s still work to be done.
2010-2017
2018
2019
2020
2021
2022
17 policies Statewide Policy See Full List

Sources

Lee JG, Henriksen L, Rose SW, Moreland-Russell S, Ribisl KM. A Systematic Review of Neighborhood Disparities in Point-of-Sale Tobacco Marketing. Am J Public Health. 2015;105(9):e8-18.

Learn More

Yerger VB, Malone RE. African American leadership groups: smoking with the enemy. Tob Control. 2002;11(4):336–345. doi:10.1136/tc.11.4.336.

Learn More

Levy DT, Pearson JL, Villanti AC, et al. Modeling the future effects of a menthol ban on smoking prevalence and smoking-attributable deaths in the United States. Am J Public Health. 2011;101(7):1236–1240. doi:10.2105/AJPH.2011.300179

Learn More

Do Something

Emails matter. Send yours in 3 clicks.

The tobacco industry targets kids with flavors. Reaching out to your local officials can make a difference. Enter your name, choose your location and we’ll direct your email to your city’s mayor or your county supervisors.

In The News

NY Times

The Loophole That’s Fueling a Return to Teenage Vaping

Time

Juul Is No Longer U.S. Teenagers’ Preferred E-Cigarette. Puff Bar Seems to Have Taken Over

NY Times

NY Times

Vaping Links to Covid Risk Are Becoming Clear

NY Times

Smokers and Vapers May Be at Greater Risk for Covid-19

SF Chronicle

Juul bought ads on Cartoon Network, other youth sites, suit says

Reuters

Juul disregarded early evidence it was hooking teens

NY Times

Teens Find a Big Loophole in the New Flavored Vaping Ban

NPR

Parents: Teens Are Still Vaping, Despite Flavor Ban. Here’s What They’re Using

Good Morning America

Loophole in vaping ban has teens turning to disposable e-cigarettes

LA Times

Reports linking Juul e-cigarettes to seizures started FDA investigation

NY Times

There Are Anti-Vaping P.S.A.’s on YouTube. There’s A Lot More Vaping.

Inverse

Puff, Puff, Pass: A New Vape With Hazy Origins Takes Juul’s Place

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