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  • Presenter Presentation Notes This presentation is intended for those who influence youth- health professionals, teachers, parents or even young adults.

    The use of electronic smoking products (or ESPs) has grown quickly over the last three years. That’s why it is more important than ever that youth understand the difference between how these products are advertised and what we actually know about them. Ask group what they know about ESPs before you start the presentation.

  • • ESPs are battery-operated devices that contain cartridges filled with liquid chemicals.

    • The chemicals turn into a vapour that the user inhales (this is called vaping).

    • They do not contain tobacco.

    • They can look like a cigarette, a pen or many other objects.

    Presenter Presentation Notes Ask youth if they have seen or heard of many people who use ESPs.

  • Electronic cigarettes

    Electronic smoking devices

    Personal vaporizers (PVs)

    Nicotine vaporizers

    Hookah pens

    E-hookahs

    Vape pens

    E-cigs

    E-cigars

    E-gars

    E-pipes

    E-fags

    Mods

    Presenter Presentation Notes Ask the group which of these terms they have heard used most commonly.

  • Mouthpiece Heating element/Atomizer heats the “juice” to make vapour.

    Many devices have a switch to activate the heating element.

    Battery

    Microprocessor

    Cartridge (tank) holds the liquid “juice”.

    Some devices have a light-emitting diode on the end to simulate the glow of a burning cigarette.

  • • Early e-cigarettes were made to look like cigarettes.

    • They were either disposable, or came with rechargeable lithium batteries.

    • These ESPs were linked to many cases of explosions and fires.

    • These are still available today.

    Presenter Presentation Notes Prices varied widely, depending on what features the ESP come with, if it is rechargeable or disposable, etc. Can be sold individually, or in larger packs. Explosions and fire more likely due to the shape and structure of the cylindrical device the placement of the battery within the cylinder the lack of protection around the battery the common USB charging port, which is compatible with non-certified chargers that can overcharge the battery   Sources: Campaign for Tobacco-Free Kids. (n.d.). Electronic cigarettes: An overview of key issues. Retrieved from https://www.tobaccofreekids.org/research/factsheets/pdf/0379.pdf Ecigarettereviewed. (n.d.). What is an e-cigarette? Retrieved from http://ecigarettereviewed.com/about-e-cigs Lopez, A. A., & Eissenberg, T. (2015). Science and the evolving electronic cigarette. Preventive Medicine, 80, 101–106. Retrieved from http://www.sciencedirect.com/science/article/pii/S0091743515002224 U.S. Fire Administration. Electronic Cigarette Fires and Explosions (2014) https://www.usfa.fema.gov/downloads/pdf/publications/electronic_cigarettes.pdf

  • • These come in many shapes and sizes and can look like anything from a screwdriver to a smartphone.

    • They come with many different types of batteries, tanks and atomizers.

    • Many parts can be mixed and matched to create a custom product.

    • These products can be very expensive — up to $300 for the device, and more for the accessories.

    Presenter Presentation Notes Ask group if they have seen these types of products, and what they looked like. Discuss the expense of the product and how it adds up: $300 for the base $10 for batteries $20 for a charger $10–50 for the liquid (which lasts a few days or less)   Sources: Morean, M. E., Kong, G., Camenga, D. R., Cavallo, D. A., & Krishan-Sarin, S. (2015). High school students’ use of electronic cigarettes to vaporize cannabis. Pediatrics, 136(4). Retrieved from http://pediatrics.aappublications.org/content/pediatrics/early/2015/09/01/peds.2015-1727.full.pdf Neal, M. (2014, June 8). E-cigarettes don’t look anything like you think they do. Motherboard. Retrieved from http://motherboard.vice.com/read/e-cigarettes-dont-look-anything-like-you-think-they-do

  • Ever Use of E-cigarettes by Age Group Among Smokers, Comparison 2013/2015

    Data Source: CTADS, 2015

    0

    5

    10

    15

    20

    25

    30

    35

    Overall 15-19 20-24

    % (P

    er ce

    nt ) u

    se

    2013 2015

    Presenter Presentation Notes Use is increasing across all age groups, but especially among youth and young adults. Ask: How does this compare to what we now about tobacco use?

    Sources: Government of Canada. (2017). Canadian tobacco, alcohol and drugs survey (CTADS): Summary of results for 2015. Retrieved from http://healthycanadians.gc.ca/science-research-sciences-recherches/data-donnees/ctads-ectad/summary-sommaire-2013-eng.php

  • Past 30 Day use of E-cigarettes

    by Smoking Status

    0

    10

    20

    30

    40

    50

    60

    70

    Current Former Never

    Pe rc

    en ta

    ge o

    f r es

    po ns

    e

    Presenter Presentation Notes Ask questions, such as: What do you think of these numbers? What might it tell us? (we cannot know for sure)   Source: Government of Canada. (2017). Canadian tobacco, alcohol and drugs survey (CTADS): Summary of results for 2015. Retrieved from http://healthycanadians.gc.ca/science-research-sciences-recherches/data-donnees/ctads-ectad/summary-sommaire-2013-eng.php

  • of students in Canada (grades 7-12) have ever tried e-cigarettes or vaping. This was an increase from 20% in the previous year.

    of these youth had used an e-cigarette in the past 30 days. This number was higher in Alberta, at 14.5%.

    23%

    • 36% of students with past 30 day use reported never having had smoked a cigarette, not even a puff.

    10%

    Presenter Presentation Notes Ask questions: What do you think about these statistics? What do you think about the fact that youth who do not smoke are using them?   Sources: Government of Canada. CSTADS (2018) Summary of results from 2015-16 Canadian Students Tobacco, Alcohol and Drug Survey. https://www.canada.ca/en/health-canada/services/canadian-student-tobacco-alcohol-drugs-survey/2016-2017-summary.html

  • Of students perceive smoking on a regular basis to pose “great risk”. Whereas,

    65%

    26% Of students believe that using electronic cigarettes pose “great risk”.

    healthy.bewell.ca\Fhe\Amh\Groups’ Prov-Tobacco-Reduction

    Presenter Presentation Notes Source: 2016-17 Canadian Student Tobacco, Alcohol and Drugs Survey  

  • Electronic cigarettes and e-juice are now regulated to sell in Canada to adults, 18+.

    These regulations include guidelines for labelling, sale, promotion and product content.

    Presenter Presentation Notes New regulations are coming into force as of late 2018-2019. Visit https://laws-lois.justice.gc.ca/eng/acts/T-11.5/page-1.html for more information. A product may be sold that is unregulated, as the black market for e-juice is strong. One should check carefully prior to purchase.

  • • Vaping products cannot be sold to minors under the age of 18.

    • Products cannot be sold without clear labeling of contents and harms.

    Sales

    Promotion

    In Canada, electronic cigarettes and e-juice (both nicotine and nicotine-free) are legal to sell to adults 18+.

    • Products cannot be promoted in a way that would be expected to appeal to youth.

    • Products cannot be promoted in a contest that may engage youth.

    Presenter Presentation Notes Regulations now apply to all products that are considered vaped/vaping/ecigarettes. However, there are many products that are still readily available that are not approved. It is important to check labels and ensure the product you are using is regulated. It is important to be clear on this information to youth- just because something is for sale, does not mean it is safe or even regulated. Products that are unregulated may not contain what the label says. All of this may change if regulations become enforced.

  • ESP advertisements use many of the same tactics that cigarette companies have been using for years, many of which will now be against regulations.

    • They have celebrity spokespeople.

    • Their ads feature manly men and glamorous women.

    • They know sex sells.

    • They sponsor sports and music festivals.

    • Their products come in sweet flavours.

    • They use cartoons.

    Presenter Presentation Notes Ask the group “Do you think any of these tactics target youth? How?”  

  • • The liquid in e-cigarettes contains many cancer-causing substances, toxic chemicals and heavy metals, including

    • formaldehyde • arsenic • lead

    • At their highest voltage settings, ESPs may produce higher levels of carcinogenic formaldehyde than what is found in tobacco smoke.

    • Regulations require that ingredients are listed on each product.

    • Regulations also limit certain ingredients, including:

    • Sugars

    • Vitamins

    • Fatty acids

    • Antioxidants

    • Caffeine

    Presenter Presentation Notes E-juice contains many of the same carcinogens as conventional tobacco (smaller amounts). People vaping inhale many of the same chemicals contained in second-hand tobacco smoke.   Sources