E-Cigarettes and Vaping

Presented by Libby Thomas, BSPH, CHES, CTTS

Creating a Health Environment, Healthy People, and a Healthy Community.

E-Cigarette Products

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In 2018:

21 out of 100 high school students, or 20.8%,

reported using electronic cigarettes in the past 30

days. In 2011 it was 1.5%.

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It’s an Aerosol, Not a

Vapor

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NicotineFormaldehyde

Acetone

Rubidium

Propylene glycol Antifreeze Ethylbenzene Paints, Pesticides

Cigarettes

Nail Polish Remover

Embalming Fireworks

Vape Contents

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Vape Contents

Compounds in yellow are from FDA 2012, Harmful and Potentially Harmful Substances

– Established List

• Propylene glycol

• Glycerin

• Flavorings (many)

• Nicotine

• NNN

• NNK

• NAB

• NAT

• Ethylbenzene

• Benzene

• Xylene

• Toluene

• Acetaldehyde

• Formaldehyde

• Naphthalene

• Styrene

• Benzo(b)fluoranthe

ne

• Cadmium

• Silicon

• Lithium

• Lead

• Magnesium

• Manganese

• Potassium

• Titanium

• Zinc

• Zirconium

• Calcium

• Iron

• Sulfur

• Vanadium

• Cobalt

• Rubidium

• Benzo(ghi)perylene

• Acetone

• Acrolein

• Silver

• Nickel

• Tin

• Sodium

• Strontium

• Barium

• Aluminum

• Chromium

• Boron

• Copper

• Selenium

• Arsenic

• Nitrosamines,

• Polycyclic aromatic hydrocarbons

• Chlorobenzene

• Crotonaldehyde

• Propionaldehyde

• Benzaldehyde

• Valeric acid

• Hexanal

• Fluorine

• Anthracene

• Pyrene

• Acenaphthylene

• Acenapthene

• Fluoranthene

• Benz(a)anthracene

• Chrysene

• Retene

• Benzo(a)pyrene

• Indeno(1,2,3-

cd)pyrene

All of these have been found in e-cig aerosol

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Health Risks

• Nicotine Related Risks

Nicotine poisoning

Altered brain

development

Increased risk of

tobacco use

Increased risk of

illicit drug use

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Health Risks

• Lung residue

• Ear, eye and throat irritation

• Increased risk of cancer and heart disease

• Increased risk of Pneumonia

• Regulation

• Limited research

• Physical injury

• Wet lung

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Health Risks- Popcorn Lung

Diacetyl

Alveoli & BronchiolesExperience scarring

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Advertising

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References• American Lung Association. (2016). What’s in a cigarette? Retrieved from http://www.lung.org/stop-smoking/smoking-

facts/whats-in-a-cigarette.html?referrer=https://www.google.com/

• Baby and Me Tobacco Free Program

• Bach, Laura. (2015). Electronic Cigarettes and Youth. Campaign for Tobacco-Free Kids.

• Campaign for Tobacco Free Kids. (2016). Electronic Cigarettes: An Overview of Key Issues.

• Centers for Disease Control and Prevention. (2015). Youth and Tobacco Use. Retrieved from

http://www.cdc.gov/tobacco/data_statistics/fact_sheets/youth_data/tobacco_use/

• Michael Blanding & Madeline Drexler. (2016). The E-Cig Quandary. Harvard School of Public Health. Retrieved February 1,

2016 from http://www.hsph.harvard.edu/magazine-features/e-cigarette-quandary.

• http://www.atsdr.cdc.gov/asbestos/asbestos/health_effects/

• http://www.cancer.org/cancer/cancercauses/tobaccocancer/smokeless-tobacco

• The Breathing Association

• https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Richmond-Center/Pages/Electronic-Nicotine-Delivery-

Systems.aspx

• https://www.cdc.gov/tobacco/basic_information/e-cigarettes/index.htm

• https://e-cigarettes.surgeongeneral.gov/knowtherisks.html

• http://www.lung.org/about-us/blog/2016/07/popcorn-lung-risk-ecigs.html

• https://www.drugabuse.gov/publications/drugfacts/electronic-cigarettes-e-cigarettes

www.medinahealth.org

Medina County Health Department

4800 Ledgewood Drive

Medina, Ohio 44256

330-723-9688

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Creating a Health Environment, Healthy People, and a Healthy Community.