Tobacco and the Youth Vaping Epidemic (Dr. Harlow)

What is a tobacco product?

• any product made or derived from tobacco, or containing nicotine from any source

What are examples of tobacco products?

• cigarettes

• cigars, cigarillos, filtered cigars

• hookahs

• pipe

• smokeless (snuff, snus)

• e-cigarettes

• flavored oral nicotine

• heated tobacco

What is a combustible tobacco product?

• cigarettes

• hookah

• cigars, cigarillos, filtered cigars

• pipe

What is a non-combustible tobacco product?

• smokeless (snuff, snus)

• heated tobacco

• flavored oral nicotine

• e-cigarettes

What is more harmful combustible or non-combustible tobacco products?

combustible products are the most harmful

Non-combustible are slightly less harmful

What are the trends in e-cigarette youth use (2011-2019)?

2011: 1.5%

2019: 27.5%

(about a 26% increase over the past 8 years)

**in 2016-2017 it went down and then increased again

What are the trends in cigarette youth use (2011-2019)?

2011: 15.8%

2019: 5.8%

(10% decrease over 8 years)

**steady decline

How many US adults currently use e-cigarettes? What is the percentage? What percentage have a cigarette smoking history?

9.1 million

4% of adults

>90% history of cigarette smoking

Vaping among never smokers is —— over time

increasing

What are the 2 top common cessation aid? Which one is approved by the FDA?

2017-2018:

NRT or Pharmaceutical Aid (approved by the FDA)

• 20% of users

E-cigs (not approved by FDA)

• 13% of users

What are harmful ingredients found in both cigarettes and e-cigarettes?

• nicotine

• heavy metals

• particulate matter

• volatile organic compounds

• carcinogenic chemicals

What harmful ingredients are unique to e-cigarettes?

• solvents (PG/VG)

• Flavoring additives

Are e-cigarettes safer than cigarettes?

• exposed users to toxic substances but at significantly lower levels than cigarettes

• switching from cigarettes to e-cigarettes reduces harmful exposure

What is NASEM’s conclusion about whether E-cigarettes are safer than cigarettes?

• If someone switches entirely from regular cigarettes to e-cigarettes, they are exposed to far fewer harmful chemicals and cancer-causing substances than they would be from smoking regular cigarettes.

Why are oral nicotine pouches (ONPs) appealing to young people?

• sleek design

• flavors

• discrete

• nicotine salts

• marketing