Embed Size (px)
Citation preview
Katy Ellis HiltsSmoke Free Indy
Electronic Nicotine Delivery Systems (ENDS)
“E‐cigarettes”
Electronic Cigarettes (E‐cigarettes)
• Developed in China in 2003• Introduced around 2007 in the U.S. • Battery‐powered device that looks like a cigarette and delivers an aerosolized vapor containing nicotine and other chemicals to the user
• Designed to mimic cigarettes
Electronic Nicotine Delivery Systems (ENDS)
• Usually contain a battery component, atomizing device to heat the liquid, liquid container or cartridge, and inhaler
• Over 7,000 unique flavors available
ENDS Include a Wide Variety of Products
Glassomizer
Hookah pen or e‐hookahE‐cigar
E‐pipe
PVs or Mods
E‐cigarette
Vapor Pen
What is currently known about ENDS?
Not currently regulated Aerosol contains nicotine
and other potentially harmful substances
Often used in conjunction with conventional cigarettes (dual use)
Not proven smoking cessation aids
Long-term health effects unknown
• Nicotine• Acetaldehyde• Formaldehyde• Acetone• Styrene• Propylene glycol• Xylene• Particulates and more….
Are E‐cigs harmful? They don’t Produce Carbon Monoxide but DO contain:
ENDS Use in Indiana
ENDS use among youth
ENDS use is increasing in popularity among youth.
Between 2013 and 2014, current use of e-cigarettes tripled among U.S. middle and high school students.
E-cigarette use is now more common among U.S. and Indiana youth than conventional cigarettes.
ENDS liquids are available in over 7,000 flavors that may appeal to
youth.
ENDS use among youth
Early research indicates that youth who use e‐cigarettes may be more likely to also start using combustible tobacco.
Because of the harmful effects of nicotine on the developing brain, use of any tobacco product including ENDS among youth should be prevented.
History of Regulation
• 2007‐08: E‐cigarettes first appear in U.S. markets • 2009: FDA seeks to regulate e‐cigarettes as drug/medical devices. E‐
cigarette companies sue to be regulated as a tobacco product.• 2010: The U.S. Circuit Court of Appeals for the D.C. Circuit rules that
FDA must regulate e‐cigarettes as tobacco products• 2011: FDA announces its intent to move forward regulating e‐
cigarettes as tobacco products. • 2014: FDA proposes regulation of e‐cigarettes.
Regulation and Policies in Indiana
• Smoke‐free air laws that include e‐cigarettes– Indianapolis – Indianapolis International Airport
– Hancock County– South Bend (January, 2017)
• Nicotine is a highly addictive substance that can generate life‐long, branded users
• Reward, Attention, Cognitive Control, Anxiety, & Arousal are all affected by the action of nicotine on the brain
• The younger the age of initiating use, the harder it is to quit
• The tobacco industry is aggressively marketing these products to youth
Why is this Important?
Now that big tobacco companies are major players in the e‐cig market there has been an explosion in marketing and
celebrity spokespeople (déjà vu?):
E‐cig Marketing Strategies
Celebrity Endorsements
• Dissolvable/Smokeless tobacco– 2006‐Phillip Morris introduces Taboka– 2009‐R.J. Reynolds introduced Camel Orbs, Strips, and Sticks
• Electronic Cigarettes– 2013‐Altria introduces Mark Ten E‐Cigarette
The Indiana Test Market
Vapor Shops in Indy
Bottom Line…• E‐cigs are good for the
tobacco industry and they are developing new twists on the product
• The vapor is not water but contains potentially harmful ingredients delivered in an aerosolized form
• There are currently significant lapses in regulation, product safety and quality control
• E‐cigs are being target marketed and used by youth, tactics are similar to past tobacco marketing
• There is no good evidence yet to recommend them for cessation
• Smoke‐free policies vary related to protection from e‐cig aerosol despite evidence that the aerosol contains potentially harmful constituents
We know What Works
• Well funded tobacco control programs• Implementation of evidence based cessation programs‐ 1‐800‐Quit‐Now
• Higher prices on tobacco products
More Information • http://www.smokefreeindy.com/resources/electronic‐
cigarettes/
