Vapes, Ecigs, Mods, Juuls

Chris Harnish

Mercer Island Youth & Family Services

Current Alcohol UsePercent of students who report having drunk a glass, can or

bottle of alcohol in the past 30 days

Mercer Island School District- Source: 2016 Healthy Youth Survey 2

Current Binge DrinkingPercent of students who report having drunk 5 or more drinks

in a row in the past 2 weeks

Mercer Island School District- Source: 2016 Healthy Youth Survey 3

Current Marijuana UsePercent of students who report using marijuana

in the past 30 days

Mercer Island School District- Source: 2016 Healthy Youth Survey 4

2017 YFS Norms Survey“During the past 30 days, on how many occasions (if any) have you used electronic vaping products (e-cigarettes, vaping pens, e-hookah pens, etc.)?

Grade 0 Occasions 1-2 Occasions 3-5 Occasions 6-9 Occasions 10-19 Occasions

20-39 Occasions

40 or more Occasions

6th 98.7% 0.9% 0.3%

7th 98.7% 1.0% 0.3%

8th 95.0% 3.1% 0.6% 0.3% 0.3% 0.3% 0.3%

9th 90.6% 4.9% 0.9% 1.2% 1.2% 1.2%

10th 71.8% 8.9% 4.9% 3.6% 3.3% 3.9% 3.6%

11th 73.7% 10.7% 1.7% 3.7% 2.7% 2.7% 5.0%

12th 73.2% 11.7% 1.7% 0.9% 3.5% 2.2% 6.9%

Vapes, Mods, Tanks, E-Cigs

Vaping Culture

What’s in E-cigarettes/Vape Pens?

Signs and Symptoms

E-Juice/E-Liquid

E-Cigarette/Vape

Pen Liquid

Ingredients

Propylene Glycol

Vegetable Glycerin

Nicotine

Flavoring Chemicals

It’s an Aerosol, Not a Vapor

E-Cig Aerosol Composition

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

Where Else Can You Find These Chemicals?

NicotineFormaldehyde

Acetone

Rubidium

Propylene glycol →Antifreeze Ethylbenzene →Paints, Pesticides

→Cigarettes

→Nail Polish Remover

→Embalming →Fireworks

Electronic Joints

E-Juices

E-Juices with THC

Why JUUL?

Rechargeable/Reusable

Cost: $35

4 pods - $15.99

DIY refills

Discreet

In bathroom

Anatomy of a JUUL

JuulpodCartridge

Device with Rechargeable Battery

Juulpod Cover

Outer Shell-contains e-juice / liquid with NICOTINE!

tobaccopreventiontoolkit.stanford.edu

?

?

?

?

?

?

??

?

?

?

?

?

?

?

? ??

JUUL

What’s in that JUULpod?

• Nicotine

• Benzoic Acid

• Glycerol

• Propylene Glycol

• Natural Oils

• Extracts and Flavors

• ???

devices and pods produced

of the total e-cigarette

market

How Much is That?

AA

59 mg/ml !5% strength of what?

How much is 5%?

They

want

you

to

be

confused!

Strength of a Pack

• 59 mg/ml = extremely high!

• 59 mg/ml = pack of cigarettes

• NOTE: EVERY JUULPOD CONTAINS NICOTINE!

Are Vapes safe?

Higher Nicotine/THC content

Side effects elevated

Teen vapers more likely to use AOD

Vape liquids not well regulated

No long term studies on inhaling glycol or glycerin based vapors - Popcorn Lung?

Battery related dangers

E- Joints, Dabs, Edibles

Highly concentrated THC products

Difficult to regulate dosage

Risk of nausea, anxiety, paranoia, panic attacks, hallucinations, passing out

Regular use of MJ can lead to emotional and social stagnation

Can make the diagnosis and treatment of mental health issues a challenge

Edibles

Addressing Vape use on MI

Presentations in Image and AP Psych

Faculty training

Parent ed and awareness raising

Changes to the MISD AOD Policy

Advocacy work by the SAFE Club

Assessment, Intervention, Treatment

What Parents can do

Educate yourself

Role model responsible use/lock it up

Be clear about family expectations

Use teachable moments vs lectures

Emphasize health and safety first

Reward good choices

Seek out professional help as needed