Tag Archives: Tobacco Facts

American College of Cardiology study: E-cigarettes linked to heart attacks, coronary artery disease and depression

7 Mar

Some children consider smoking a rite of passage into adolescence. According to Tobacco Facts most teenage smoking starts early. Among the statistics cited at Tobacco Facts are the following:

Each day 3,000 children smoke their first cigarette.
Tobacco use primarily begins in early adolescence, typically by age 16.
At least 3 million adolescents are smokers.
20 percent of American teens smoke.
Almost all first use occurs before high school graduation.
Roughly 6 million teens in the US today smoke despite the knowledge that it is addictive and leads to disease.
Of the 3,000 teens who started smoking today, nearly 1,000 will eventually die as a result from smoking.
Of every 100,000 15 year old smokers, tobacco will prematurely kill at least 20,000 before the age of 70.
Adolescent girls who smoke and take oral birth control pills greatly increase their chances of having blood clots and strokes.
According to the Surgeon’s General, Teenagers who smoke were:
* Three times more likely to use alcohol.
* Eight times are likely to smoke marijuana.
* And 22 times more likely to use Cocaine.
Although only 5 percent of high school smokers said that they would definitely be smoking five years later, close to 75 percent were still smoking 7 to 9 years later.
Kids who smoke experience changes in the lungs and reduced lung growth, and they risk not achieving normal lung function as an adult.
A person who starts smoking at age 13 will have a more difficult time quitting, has more health-related problems and probably will die earlier than a person who begins to smoke at age 21.
Kids who smoke have significant health problems, including cough and phlegm production, decreased physical fitness and unfavorable lipid profile.
If your child’s best friends smoke, then your youngster is 13 times more likely to smoke than if his or her friends did not smoke.
Adolescents who have two parents who smoke are more than twice as likely as youth without smoking parents to become smokers.
More than 90 percent of adult smokers started when they were teens. http://www.tobacco-facts.net/smoking-facts/teen-smoking-facts

It is important to prevent teens from beginning to smoke because of health issues and the difficulty many smokers have in quitting the habit.
Science Daily reported in E-cigarettes, as used, aren’t helping smokers quit, study shows, http://www.sciencedaily.com/releases/2016/01/160114162544.

DW reported in E-cigarettes can cause heart attacks, vascular diseases and depression:

Smokers of e-cigarettes have — in comparison to non-smokers — a 56 percent higher risk of heart attacks. The risk of a stroke is also about 30 percent higher.
Coronary artery disease occurs about 10 percent more frequently and circulatory problems, including blood clots 44 percent more frequently. Depression, anxiety and other emotional disorders occur about twice as frequently as in non-smokers.
These findings come from a team led by medical professor Mohinder Vindyhal, assistant professor at the University of Kansas School of Medicine in Wichita. Vindyhal will present his research results at the ACC19 cardiology congress in New Orleans on March 18, 2019.
Don’t use that vaporizer!
“I wouldn’t want any of my patients nor my family members to vape,” Vindyhal said. “We found that regardless of how frequently someone uses e-cigarettes, daily or just on some days, they are still more likely to have a heart attack or coronary artery disease.”
His study disproves the widespread myth that e-cigarettes are harmless because they do not emit fumes and thus release fewer toxins from the combustion process into the lungs.
However, normal cigarettes performed even worse than e-cigarettes, according to the study. There, the risk of a heart attack was 165 percent higher, coronary artery disease 94 percent higher and stroke 78 percent higher.
Vindyhal used data from the National Health Interview Survey of the Center for Disease Control and Prevention.
It included data from 96,467 participants from surveys taken in 2014, 2016 and 2018. In 2015, the questionnaire did not include a question on e-cigarettes.
Younger people vape more
On average, consumers of e-cigarettes were younger than those of traditional cigarettes with an age of 33 years compared to over 40 years.
“Until now, little has been known about cardiovascular effects relative to e-cigarette use,” Vindyhal says. “These findings are a real wake-up call and should prompt more action and awareness about the dangers of e-cigarettes.”
In e-cigarettes different carrier liquids are evaporated. These may contain chemicals such as glycerol, propylene or ethylene glycol.
In addition, the liquids contain various flavors and other chemicals. The temperature of the electrically operated “cigarette” must be high enough to generate steam.
Vindyhal estimates that there are more than 460 different e-cigarette types on the US market and more than 7700 flavors. About one in 20 US citizen “vapes” already…. https://www.dw.com/en/e-cigarettes-can-cause-heart-attacks-vascular-diseases-and-depression/a-47815356

Citation:

E-cigarettes linked to heart attacks, coronary artery disease and depression
Data reveal toll of vaping; researchers say switching to e-cigarettes doesn’t eliminate health risks
Date: March 7, 2019
Source: American College of Cardiology
Summary:
Concerns about the addictive nature of e-cigarettes — now used by an estimated 1 out of 20 Americans — may only be part of the evolving public health story surrounding their use, according to new data. New research shows that adults who report puffing e-cigarettes, or vaping, are significantly more likely to have a heart attack, coronary artery disease and depression compared with those who don’t use them or any tobacco products.

Here is the press release from the American College Cardiology:

E-Cigarettes Linked to Heart Attacks, Coronary Artery Disease and Depression
Data reveal toll of vaping; researchers say switching to e-cigarettes doesn’t eliminate health risks
Mar 07, 2019
Contact: Nicole Napoli, nnapoli@acc.org, 202-375-6523
WASHINGTON (Mar 07, 2019) –
Concerns about the addictive nature of e-cigarettes—now used by an estimated 1 out of 20 Americans—may only be part of the evolving public health story surrounding their use, according to data being presented at the American College of Cardiology’s 68th Annual Scientific Session. New research shows that adults who report puffing e-cigarettes, or vaping, are significantly more likely to have a heart attack, coronary artery disease and depression compared with those who don’t use them or any tobacco products.
“Until now, little has been known about cardiovascular events relative to e-cigarette use. These data are a real wake-up call and should prompt more action and awareness about the dangers of e-cigarettes,” said Mohinder Vindhyal, MD, assistant professor at the University of Kansas School of Medicine Wichita and the study’s lead author.
E-cigarettes—sometimes called “e-cigs,” “vapes,” “e-hookahs,” “vape pens” or “electronic nicotine delivery systems”— are battery-operated, handheld devices that mimic the experience of smoking a cigarette. They work by heating the e-liquid, which may contain a combination of nicotine, solvent carriers (glycerol, propylene and/or ethylene glycol) and any number of flavors and other chemicals, to a high enough temperature to create an aerosol, or “vapor,” that is inhaled and exhaled. According to Vindhyal, there are now more than 460 brands of e-cigarettes and over 7,700 flavors.
E-cigarettes have been gaining in popularity since being introduced in 2007, with sales increasing nearly 14-fold in the last decade, researchers said. But they are also hotly debated—touted by some as a safer alternative to smoking tobacco, while others are sounding the alarm about the explosion of vaping among teens and young adults.
This study found that compared with nonusers, e-cigarette users were 56 percent more likely to have a heart attack and 30 percent more likely to suffer a stroke. Coronary artery disease and circulatory problems, including blood clots, were also much higher among those who vape—10 percent and 44 percent higher, respectively. This group was also twice as likely to suffer from depression, anxiety and other emotional problems.
Most, but not all, of these associations held true when controlling for other known cardiovascular risk factors, such as age, sex, body mass index, high cholesterol, high blood pressure and smoking. After adjusting for these variables, e-cigarette users were 34 percent more likely to have a heart attack, 25 percent more likely to have coronary artery disease and 55 percent more likely to suffer from depression or anxiety. Stroke, high blood pressure and circulatory problems were no longer statistically different between the two groups.
“When the risk of heart attack increases by as much as 55 percent among e-cigarettes users compared to nonsmokers, I wouldn’t want any of my patients nor my family members to vape. When we dug deeper, we found that regardless of how frequently someone uses e-cigarettes, daily or just on some days, they are still more likely to have a heart attack or coronary artery disease,” Vindhyal said.
The study, one of the largest to date looking at the relationship between e-cigarette use and cardiovascular and other health outcomes and among the first to establish an association, included data from a total of 96,467 respondents from the National Health Interview Survey, a Centers for Disease Control and Prevention-fielded survey of Americans, from 2014, 2016 and 2017. The 2015 survey did not include any e-cigarette-related questions. In their analyses, researchers looked at the rates of high blood pressure, heart attack, stroke, coronary artery disease, diabetes and depression/anxiety among those who reported using e-cigarettes (either some days or daily) and nonusers. Those who reported using e-cigarettes were younger than nonusers (33 years of age on average vs. 40.4 years old).
Researchers also compared the data for reported tobacco smokers and nonsmokers. Traditional tobacco cigarette smokers had strikingly higher odds of having a heart attack, coronary artery disease and stroke compared with nonsmokers—a 165, 94 and 78 percent increase, respectively. They were also significantly more likely to have high blood pressure, diabetes, circulatory problems, and depression or anxiety.
The researchers also looked at health outcomes by how often someone reported using e-cigarettes, either “daily” or “some days.” When compared to non-e-cigarette users, daily e-cigarette users had higher odds of heart attack, coronary artery disease and depression/anxiety, whereas some days users were more likely to have a heart attack and suffer from depression/anxiety, with only a trend toward coronary artery disease. Researchers said this could be due to decreased toxic effects of e-cigarette usage, early dissipation of the toxic effects, or the fact that it has not been studied long enough to show permanent damage to portray cardiovascular disease morbidity.
“Cigarette smoking carries a much higher probability of heart attack and stroke than e-cigarettes, but that doesn’t mean that vaping is safe,” Vindhyal said, adding that some e-cigarettes contain nicotine and release very similar toxic compounds to tobacco smoking. Nicotine can quicken heart rate and raise blood pressure.
There are some limitations. For example, the study design doesn’t allow researchers to establish causation, but Vindhyal said it does show a clear association between any kind of smoking and negative health outcomes. He added that self-reported data is also subject to recall bias. The researchers were also unable to determine whether these outcomes may have occurred prior to using e-cigarettes. Further longitudinal data is needed.
Vindhyal will present the study, “Impact on Cardiovascular Outcomes among E-Cigarette Users: A review from National Health Interview Surveys,” on Monday, March 18, at 8:00 a.m. CT in Room 225.
The ACC’s Annual Scientific Session will take place March 16–18, 2019, in New Orleans, bringing together cardiologists and cardiovascular specialists from around the world to share the newest discoveries in treatment and prevention. Follow @ACCinTouch, @ACCMediaCenter and #ACC19 for the latest news from the meeting.
The American College of Cardiology envisions a world where innovation and knowledge optimize cardiovascular care and outcomes. As the professional home for the entire cardiovascular care team, the mission of the College and its more than 52,000 members is to transform cardiovascular care and to improve heart health. The ACC bestows credentials upon cardiovascular professionals who meet stringent qualifications and leads in the formation of health policy, standards and guidelines. The College also provides professional medical education, disseminates cardiovascular research through its world-renowned JACC Journals, operates national registries to measure and improve care, and offers cardiovascular accreditation to hospitals and institutions. For more, visit acc.org.

As with a many issues adolescents face, it is important for parents and guardians to know what is going on in their children’s lives. You should know who your children’s friends are and how these friends feel about smoking, drugs, and issues like sex. You should also know how the parents of your children’s friends feel about these issues. Do they smoke, for example, or are they permissive in allowing their children to use alcohol and/or other drugs. Are these values in accord with your values?

Resources:
A History of Tobacco
http://archive.tobacco.org/History/Tobacco_History.html

American Lung Association’s Smoking and Teens Fact Sheet Women and Tobacco Use
African Americans and Tobacco Use
American Indians/Alaska Natives and Tobacco Use
Hispanics and Tobacco Use
Asian Americans/Pacific Islanders and Tobacco Use
Military and Tobacco Use
Children/Teens and Tobacco Use
Older Adults and Tobacco Use
http://www.lung.org/stop-smoking/about-smoking/facts-figures/specific-populations.html

Center for Young Women’s Health A Guide for Teens
http://www.youngwomenshealth.org/smokeinfo.html

Kroger Resources Teens and Smoking
http://kroger.staywellsolutionsonline.com/Wellness/Smoking/Teens/
Teens Health’s Smoking
http://kidshealth.org/teen/drug_alcohol/tobacco/smoking.html
Quit Smoking Support.com
http://www.quitsmokingsupport.com/teens.htm

Where information leads to Hope. Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

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University of California San Francisco study: E-cigarettes, as used, aren’t helping smokers quit

17 Jan

Some children consider smoking a rite of passage into adolescence. According to Tobacco Facts most teenage smoking starts early. Among the statistics cited at Tobacco Facts are the following:

Each day 3,000 children smoke their first cigarette.

Tobacco use primarily begins in early adolescence, typically by age 16.

At least 3 million adolescents are smokers.

20 percent of American teens smoke.

Almost all first use occurs before high school graduation.

Roughly 6 million teens in the US today smoke despite the knowledge that it is addictive and leads to disease.

Of the 3,000 teens who started smoking today, nearly 1,000 will eventually die as a result from smoking.

Of every 100,000 15 year old smokers, tobacco will prematurely kill at least 20,000 before the age of 70.

Adolescent girls who smoke and take oral birth control pills greatly increase their chances of having blood clots and strokes.

According to the Surgeon’s General, Teenagers who smoke were:

* Three times more likely to use alcohol.

* Eight times are likely to smoke marijuana.

* And 22 times more likely to use Cocaine.

Although only 5 percent of high school smokers said that they would definitely be smoking five years later, close to 75 percent were still smoking 7 to 9 years later.

Kids who smoke experience changes in the lungs and reduced lung growth, and they risk not achieving normal lung function as an adult.

A person who starts smoking at age 13 will have a more difficult time quitting, has more health-related problems and probably will die earlier than a person who begins to smoke at age 21.

Kids who smoke have significant health problems, including cough and phlegm production, decreased physical fitness and unfavorable lipid profile.

If your child’s best friends smoke, then your youngster is 13 times more likely to smoke than if his or her friends did not smoke.

Adolescents who have two parents who smoke are more than twice as likely as youth without smoking parents to become smokers.

More than 90 percent of adult smokers started when they were teens.                                       http://www.tobacco-facts.net/smoking-facts/teen-smoking-facts

It is important to prevent teens from beginning to smoke because of health issues and the difficulty many smokers have in quitting the habit.

Science Daily reported in E-cigarettes, as used, aren’t helping smokers quit, study shows:

Electronic cigarettes are widely promoted and used to help smokers quit traditional cigarettes, but a new analysis from UC San Francisco found that adult smokers who use e-cigarettes are actually 28 percent less likely to stop smoking cigarettes.

The study — a systematic review and meta-analysis of published data — is the largest to quantify whether e-cigarettes assist smokers in quitting cigarettes.

The findings will be published online January 14, 2016 in The Lancet Respiratory Medicine.

“As currently being used, e-cigarettes are associated with significantly less quitting among smokers,” concluded first author Sara Kalkhoran, MD who was a clinical fellow at the UCSF School of Medicine when the research was conducted. She is now at Massachusetts General Hospital and Harvard Medical School.

“E-cigarettes should not be recommended as effective smoking cessation aids until there is evidence that, as promoted and used, they assist smoking cessation,” Kalkhoran wrote.

Electronic cigarettes, known by a variety of names including vapor pens, are battery-powered devices that heat nicotine and flavorings to deliver an aerosol inhaled by the user. While they are promoted as a way to quit traditional cigarettes, they also are promoted as a way to get nicotine in environments where traditional cigarettes are prohibited, even though more than 430 cities and several states ban their use in smoke free sites where conventional cigarettes are also prohibited.

In 2015, the U.S. Preventive Services Task Force concluded that there was insufficient evidence to recommend the devices to help adults quit smoking. No e-cigarette company has submitted an application to the U.S. Food and Drug Administration to approve e-cigarettes for smoking cession, and the FDA has not taken any action against companies that claim e-cigarettes are effective for quitting smoking….                                                                                                            http://www.sciencedaily.com/releases/2016/01/160114162544.htm

Citation:

E-cigarettes, as used, aren’t helping smokers quit, study shows

New analysis found ‘vapers’ are 28 percent less likely to stop smoking

Date:     January 14, 2016

Source: University of California – San Francisco

Summary:

Electronic cigarettes are widely promoted and used to help smokers quit traditional cigarettes, but a new analysis found that adult smokers who use e-cigarettes are actually 28 percent less likely to stop smoking cigarettes.

Journal Reference:

  1. Sara Kalkhoran, Stanton A Glantz. E-cigarettes and smoking cessation in real-world and clinical settings: a systematic review and meta-analysis. The Lancet Respiratory Medicine, 2016; DOI: 10.1016/S2213-2600(15)00521-4

Here is the press release from the University of San Francisco:

E-Cigarettes, As Used, Aren’t Helping Smokers Quit, Study Shows

New Analysis by UCSF Found “Vapers” Are 28 Percent Less Likely to Stop Smoking

By Elizabeth Fernandez on January 14, 2016

Electronic cigarettes are widely promoted and used to help smokers quit traditional cigarettes, but a new analysis from UC San Francisco found that adult smokers who use e-cigarettes are actually 28 percent less likely to stop smoking cigarettes.

The study — a systematic review and meta-analysis of published data — is the largest to quantify whether e-cigarettes assist smokers in quitting cigarettes.

The findings will be published online January 14 in The Lancet Respiratory Medicine.

“As currently being used, e-cigarettes are associated with significantly less quitting among smokers,” concluded first author Sara Kalkhoran, MD who was a clinical fellow at the UCSF School of Medicine when the research was conducted. She is now at Massachusetts General Hospital and Harvard Medical School.

“E-cigarettes should not be recommended as effective smoking cessation aids until there is evidence that, as promoted and used, they assist smoking cessation,” Kalkhoran wrote.

Electronic cigarettes, known by a variety of names including vapor pens, are battery-powered devices that heat nicotine and flavorings to deliver an aerosol inhaled by the user. While they are promoted as a way to quit traditional cigarettes, they also are promoted as a way to get nicotine in environments where traditional cigarettes are prohibited, even though more than 430 cities and several states ban their use in smoke free sites where conventional cigarettes are also prohibited.

In 2015, the U.S. Preventive Services Task Force concluded that there was insufficient evidence to recommend the devices to help adults quit smoking. No e-cigarette company has submitted an application to the U.S. Food and Drug Administration to approve e-cigarettes for smoking cession, and the FDA has not taken any action against companies that claim e-cigarettes are effective for quitting smoking.

In their analysis, the UCSF team reviewed 38 studies assessing the association between e-cigarette use and cigarette cessation among adult smokers. They then combined the results of the 20 studies that had control groups of smokers not using e-cigarettes in a meta-analysis that concluded that the odds of quitting smoking were 28 percent lower in smokers who used e-cigarettes compared to those who did not.

There were no language restrictions imposed on the studies, which included both real-world observational as well as clinical studies. The studies included smokers who both were and were not interested in quitting, and included people as young as 15 years old.

The studies included in the analysis controlled for many variables, including demographics, past attempts to quit, and level of nicotine dependence.

“The irony is that quitting smoking is one of the main reasons both adults and kids use e-cigarettes, but the overall effect is less, not more, quitting,” said co-author Stanton A. Glantz, PhD, UCSF professor of medicine and director of the UCSF Center for Tobacco Control Research and Education. “While there is no question that a puff on an e-cigarette is less dangerous than a puff on a conventional cigarette, the most dangerous thing about e-cigarettes is that they keep people smoking conventional cigarettes.”

“The fact that they are freely available consumer products could be important,” Glantz added.

E-cigarette regulation has the potential to influence marketing and reasons for use, the authors wrote:

“The inclusion of e-cigarettes in smoke-free laws and voluntary smoke-free policies could help decrease use of e-cigarettes as a cigarette substitute, and, perhaps, increase their effectiveness for smoking cessation. The way e-cigarettes are available on the market — for use by anyone and for any purpose — creates a disconnect between the provision of e-cigarettes for cessation as part of a monitored clinical trial and the availability of e-cigarettes for use by the general population.”

Kalkhoran’s research was supported by the National Institutes of Health National Research Service Award T32HP19025. Glantz’s work in the project was supported by grant 1P50CA180890 from the National Cancer Institute and the FDA Center for Tobacco Products.

UC San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It includes top-ranked graduate schools of dentistry, medicine, nursing and pharmacy, a graduate division with nationally renowned programs in basic, biomedical, translational and population sciences, as well as a preeminent biomedical research enterprise and UCSF Health, which includes two top-ranked hospitals, UCSF Medical Center and UCSF Benioff Children’s Hospital San Francisco, as well as other partner and affiliated hospitals and healthcare providers throughout the Bay Area.                                                                                                                                                              https://www.ucsf.edu/news/2016/01/401311/e-cigarettes-used-arent-helping-smokers-quit-study-shows

Family Doctor.org has some excellent tips about quitting smoking at Tobacco Addiction Treatment:

How can I stop smoking?

You’ll have the best chance of stopping if you do the following:

  • Get ready.
    •Get support and encouragement.
    •Learn how to handle stress and the urge to smoke.
    •Get medication and use it correctly.
    •Be prepared for relapse.
    •Keep trying….
    Remember, you will need some help to stop smoking. Nine out of 10 smokers who try to go “cold turkey” fail because nicotine is so addictive. But it is easy to find help to quit.
    http://familydoctor.org/familydoctor/en/diseases-conditions/tobacco-addiction/treatment.html

Prevention is the best course of action.

Resources:

Smokeless Tobacco

http://kidshealth.org/PageManager.jsp?dn=KidsHealth&lic=1&ps=207&cat_id=20138&article_set=20424

A Tool to Quit Smoking Has Some Unlikely Critics
http://www.nytimes.com/2011/11/08/science/e-cigarettes-help-smokers-quit-but-they-have-some-unlikely-critics.html

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

 

 

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University of California San Francisco study: E-Cigarettes are gateway to smoking

14 May

According to Tobacco Facts most teenage smoking http://www.tobacco-facts.net/smoking-facts/teen-smoking-facts starts early. Among the statistics cited at Tobacco Facts are the following:

Each day 3,000 children smoke their first cigarette.
Tobacco use primarily begins in early adolescence, typically by age 16.
At least 3 million adolescents are smokers.
20 percent of American teens smoke.
Almost all first use occurs before high school graduation.
Roughly 6 million teens in the US today smoke despite the knowledge that it is addictive and leads to disease.
Of the 3,000 teens who started smoking today, nearly 1,000 will eventually die as a result from smoking.
Of every 100,000 15 year old smokers, tobacco will prematurely kill at least 20,000 before the age of 70.
Adolescent girls who smoke and take oral birth control pills greatly increase their chances of having blood clots and strokes.
According to the Surgeon’s General, Teenagers who smoke were:
* Three times more likely to use alcohol.
* Eight times are likely to smoke marijuana.
* And 22 times more likely to use Cocaine.
Although only 5 percent of high school smokers said that they would definitely be smoking five years later, close to 75 percent were still smoking 7 to 9 years later.
Kids who smoke experience changes in the lungs and reduced lung growth, and they risk not achieving normal lung function as an adult.
A person who starts smoking at age 13 will have a more difficult time quitting, has more health-related problems and probably will die earlier than a person who begins to smoke at age 21.
Kids who smoke have significant health problems, including cough and phlegm production, decreased physical fitness and unfavorable lipid profile.
If your child’s best friends smoke, then your youngster is 13 times more likely to smoke than if his or her friends did not smoke.
Adolescents who have two parents who smoke are more than twice as likely as youth without smoking parents to become smokers.
More than 90 percent of adult smokers started when they were teens.

It is important to prevent teens from beginning to smoke because of health issues and the difficulty many smokers have in quitting the habit. See, E-Cigarette Teen Popularity Prompts Concerns http://www.huffingtonpost.ca/2012/09/11/e-cigarette-teen-popular_n_1875319.html

Anna Almendrala reported in the Huffington Post article, 5 Important Lessons From The Biggest E-Cigarette Study:

E-cigarettes as we know them today were invented by a Chinese pharmacist, Hon Lik in the early 2000s as a smoking cessation aid. They are handheld nicotine vaporizers that deliver an aerosol made up of nicotine, flavorings and other chemicals to users. It’s the chemicals in those vapors that are moving municipalities like Los Angeles, New York City, Washington D.C., Chicago and Boston to restrict “vaping” in some way.
Formaldehyde, for instance, is a carcinogen that also irritates the eyes, nose and throat. Propylene glycol can also cause eye and respiratory irritation, and prolonged exposure can affect the nervous system and the spleen. Acetaldehyde, also known as the “hangover chemical,” is also a possible carcinogen.
The secondhand vapor finding is just one of several that UCSF researchers highlighted in the broadest review to date of peer-reviewed e-cigarette studies. The findings, which were published Monday in the American Heart Association’s journal Circulation, include:
1. Some youth have their first taste of nicotine via e-cigarettes. Twenty percent of middle schoolers and 7.2 percent of high schooler e-cigarette users in the U.S. report never smoking cigarettes.
2. Nicotine absorption varies too much between brands. Early 2010 studies found that users got much lower levels of nicotine from e-cigarettes than from conventional cigarettes, but more recent studies show that experienced e-cigarette users can draw levels of nicotine from an e-cigarette that are similar to conventional cigarettes….
3. Just because particulate matter from e-cigarettes isn’t well studied, doesn’t mean it’s safe. To deliver nicotine, e-cigarettes create a spray of very fine particles that have yet to be studied in depth. “It is not clear whether the ultra-fine particles delivered by e-cigarettes have health effects and toxicity similar to the ambient fine particles generated by conventional cigarette smoke or secondhand smoke,” wrote the researchers….
4. So far, e-cigarette use is not associated with the successful quitting of conventional cigarettes. One clinical trial found that e-cigarettes was no more effective than the nicotine patch at helping people quit, and both cessation methods “produced very modest quit rates without counseling.”
5. Major tobacco companies have acquired or produced their own e-cigarette products. They’re promoting the products as “harm reduction” for smokers, which allows them to protect their cigarette market while promoting a new product. Companies also using “grassroots” tactics to form seemingly independent smokers’ rights groups, just like they did for cigarettes in the 1980s.
Based on the weight of the combined research, UCSF researchers end with several policy recommendations, which include banning e-cigarettes wherever cigarettes are banned, subjecting e-cigarettes to the same advertising restrictions that constrict cigarette marketing and banning fruit, candy and alcohol flavors, which are attractive to younger customers.
http://www.huffingtonpost.com/2014/05/14/e-cigarette-studies_n_5319225.html

Citation:

E-Cigarettes
A Scientific Review
1. Rachel Grana, PhD, MPH;
2. Neal Benowitz, MD;
3. Stanton A. Glantz, PhD
+ Author Affiliations
1. From the Center for Tobacco Control Research and Education (R.G., N.B., S.A.G.) and Department of Medicine and Cardiovascular Research Institute (N.B., S.A.G.), University of California, San Francisco.
1. Correspondence to Stanton A. Glantz, PhD, Center for Tobacco Control Research and Education, University of California, San Francisco, 530 Parnassus Ave, No. 366, San Francisco, CA 94143-1390. E-mail glantz@medicine.ucsf.edu
Key Words:
adolescent
particulate matter
public policy
smoking
Introduction
Electronic cigarettes (e-cigarettes) are products that deliver a nicotine-containing aerosol (commonly called vapor) to users by heating a solution typically made up of propylene glycol or glycerol (glycerin), nicotine, and flavoring agents (Figure 1) invented in their current form by Chinese pharmacist Hon Lik in the early 2000s.1 The US patent application describes the e-cigarette device as “an electronic atomization cigarette that functions as substitutes [sic] for quitting smoking and cigarette substitutes” (patent No. 8,490,628 B2). By 2013, the major multinational tobacco companies had entered the e-cigarette market. E-cigarettes are marketed via television, the Internet, and print advertisements (that often feature celebrities)2 as healthier alternatives to tobacco smoking, as useful for quitting smoking and reducing cigarette consumption, and as a way to circumvent smoke-free laws by enabling users to “smoke anywhere.”3
Figure 1.
Examples of different electronic cigarette (e-cigarette) products. Reproduced from Grana et al.1
There has been rapid market penetration of e-cigarettes despite many unanswered questions about their safety, efficacy for harm reduction and cessation, and total impact on public health. E-cigarette products are changing quickly, and many of the findings from studies of older products may not be relevant to the assessment of newer products that could be safer and more effective as nicotine delivery devices. In addition, marketing and other environmental influences may vary from country to country, so patterns of use and the ultimate impact on public health may differ. The individual risks and benefits and the total impact of these products occur …
[Full Text of this Article]
http://circ.ahajournals.org/content/129/19/1972.full

Here is the press release from the UCSF:

E-Cigarettes Expose People to More than ‘Harmless’ Water Vapor and Should be Regulated, UCSF Scientists Find
First Comprehensive Analysis Shows that Industry Health Claims are Unsupported by Data
Share this story:
By Elizabeth Fernandez on May 13, 2014
Email
In a major scientific review of research on e-cigarettes, UC San Francisco scientists found that industry claims about the devices are unsupported by the evidence to date, including claims that e-cigarettes help smokers quit.
The review marks the first comprehensive assessment of peer-reviewed published research into the relatively new phenomenon of electronic cigarettes.
The devices, which are rapidly gaining a foothold in popular culture particularly among youth, are marketed as a healthier alternative to tobacco smoking, as an effective tool to stop smoking, and as a way to circumvent smoke-free laws by allowing users to “smoke anywhere.” Often the ads stress that e-cigarettes produce only “harmless water vapor.”
But in their analysis of the marketing, health and behavioral effects of the products, which are unregulated, the UCSF scientists found that e-cigarette use is associated with significantly lower odds of quitting cigarettes. They also found that while the data are still limited, e-cigarette emissions “are not merely ‘harmless water vapor,’ as is frequently claimed, and can be a source of indoor air pollution.
The long-term biological effects of use are still unknown, the authors said.
In tackling the question of whether e-cigarette use is helping or harming the nation’s tobacco control efforts, the authors analyzed 84 research studies on e-cigarettes and other related scientific materials.
They concluded that e-cigarettes should be prohibited wherever tobacco cigarettes are prohibited and should be subject to the same marketing restrictions as conventional cigarettes.
The paper is published May 12, 2014 in the American Heart Association’s journal Circulation.
E-cigarettes deliver a nicotine-containing aerosol popularly called “vapor” to users by heating a solution commonly consisting of glycerin, nicotine and flavoring agents. E-liquids are flavored, including tobacco, menthol, coffee, candy, fruit and alcohol flavorings.
Despite many unanswered questions about e-cigarette safety, the impact on public health, and whether the products are effective at reducing tobacco smoking, e-cigarettes have swiftly penetrated the marketplace in the United States and abroad in both awareness and use. Sold by the major multinational tobacco and other companies, the devices are aggressively marketed in print, television and the Internet with messages similar to cigarette marketing in the 1950s and 1960s, even in the U.S. and other countries that have long banned advertising for cigarettes and other tobacco products.
In one indication of the swiftness by which the devices have been embraced, in the U.S. youth “ever use” of the devices rose from 3.3 percent in 2011 to 6.8 percent the following year; in Korea, youth “ever use” of e-cigarettes rose from .5 percent in 2008 to 9.4 percent in 2011. “Ever use” means whether one has smoked the product even just once.
Furthermore, most adults and youths who use e-cigarettes are engaging in “dual use” – smoking both e-cigarettes and conventional cigarettes.
While most youth using e-cigarettes are dual users, up to a third of adolescent e-cigarette users have never smoked a conventional cigarette, indicating that some youth are starting use of the addictive drug nicotine with e-cigarettes.
The report also tackles secondhand exposure.
“E-cigarettes do not burn or smolder the way conventional cigarettes do, so they do not emit side-stream smoke; however, bystanders are exposed to aerosol exhaled by the user,” said the authors. Toxins and nicotine have been measured in that aerosol, such as formaldehyde, acetaldehyde, acetic acid and other toxins emitted into the air, though at lower levels compared to conventional cigarette emissions.
One study of e-cigarettes was conducted to resemble a smoky bar: the researchers found that markers of nicotine in nonsmokers who sat nearby was similar for both cigarette smoke and e-cigarette aerosol exposure. Short-term exposure studies of e-cigarette use show a negative impact on lung function and bystanders absorb nicotine from passive exposure to e-cigarette aerosol, the authors report.
While early research found that e-cigarettes resulted in lower levels of plasma nicotine than conventional cigarettes, more recent research demonstrated that experienced users can attain nicotine absorption similar to that with conventional cigarettes.
When UCSF scientists pooled the results of five population-based studies of smokers, they found that smokers who used e-cigarettes were about a third less likely to quit smoking than those who did not use e-cigarettes. Whether e-cigarette use prevents attempts to quit or whether people who choose to use e-cigarettes are more highly dependent and therefore have a harder time quitting remains to be determined.
The scientists said their research illustrates the need for product regulation.
“While it is reasonable to assume that, if existing smokers switched completely from conventional cigarettes (with no other changes in use patterns) to e-cigarettes, there would be a lower disease burden caused by nicotine addiction, the evidence available at this time, although limited, points to high levels of dual use of e-cigarettes with conventional cigarettes, no proven cessation benefits, and rapidly increasing youth initiation with e-cigarettes,” the authors wrote.
“Furthermore, high rates of dual use may result in greater total public health burden and possibly increased individual risk if a smoker maintains an even low-level tobacco cigarette addiction for many years instead of quitting.”
The authors are Rachel Grana, PhD, MPH, a postdoctoral fellow at the UCSF Center for Tobacco Control Research and Education (CTCRE); Neal Benowitz, MD, a UCSF professor of medicine and bioengineering and therapeutic sciences and chief of the division of clinical pharmacology at San Francisco General Hospital and Trauma Center; and Stanton Glantz, PhD, professor of medicine at UCSF, director of the CTCRE and the American Legacy Foundation Distinguished Professor in Tobacco Control.
The same authors have previously published general information on e-cigarettes.
The paper is a condensed and updated version of a longer report by Grana, Benowitz and Glantz with the support of the World Health Organization. Additional support came from the University of California Tobacco Related Disease Research Program and the National Cancer Institute and Food and Drug Administration Center for Tobacco Products.
Benowitz is a consultant to several pharmaceutical companies that market smoking cessation medications and has been a paid expert witness in litigation against tobacco companies.
UC San Francisco (UCSF), now celebrating the 150th anniversary of its founding, is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It includes top-ranked graduate schools of dentistry, medicine, nursing and pharmacy, a graduate division with nationally renowned programs in basic, biomedical, translational and population sciences, as well as a preeminent biomedical research enterprise and two top-ranked hospitals, UCSF Medical Center and UCSF Benioff Children’s Hospital San Francisco.

Science Daily reported about a Swedish Study which showed that parents are influential in their child’s decision whether to smoke.

Teenagers are more positive today towards their parents’ attempts to discourage them from smoking, regardless of whether or not they smoked, than in the past. The most effective actions parents could take include dissuading their children from smoking, not smoking themselves and not allowing their children to smoke at home. Younger children were more positive about these approaches than older children. Levels of smoking amongst participants were stable at 8% in 1987 and 1994, but halved in 2003. The decrease in the proportion of teenagers smoking is thought to result from a number of factors, including changes in legislation and the decreasing social acceptability of smoking….http://www.sciencedaily.com/releases/2009/03/090303193956.htm

Another study reported by Reuters came to a similar conclusion that parents influence the decision whether to smoke http://www.reuters.com/article/2009/08/26/us-smoking-teens-idUSTRE57P43R20090826 The Mayo Clinic has some excellent tips on preventing your teen from smoking http://www.mayoclinic.org/healthy-living/tween-and-teen-health/in-depth/teen-smoking/art-20047069

As with a lot of issues adolescents face, it is important for parents and guardians to know what is going on in their children’s lives. You should know who your children’s friends are and how these friends feel about smoking, drugs, and issues like sex. You should also know how the parents of your children’s friends feel about these issues. Do they smoke, for example, or are they permissive in allowing their children to use alcohol and/or other drugs. Are these values in accord with your values?

Resources:
Smokeless Tobacco http://kidshealth.org/PageManager.jsp?dn=KidsHealth&lic=1&ps=207&cat_id=20138&article_set=20424

A Tool to Quit Smoking Has Some Unlikely Critics
http://www.nytimes.com/2011/11/08/science/e-cigarettes-help-smokers-quit-but-they-have-some-unlikely-critics.html

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:
COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

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Study: Third hand smoke causes damage to human cells

19 Mar

Some children consider smoking a rite of passage into adolescence. According to Tobacco Facts most teenage smoking starts early. Among the statistics cited at Tobacco Facts are the following:

Each day 3,000 children smoke their first cigarette.
Tobacco use primarily begins in early adolescence, typically by age 16.
At least 3 million adolescents are smokers.
20 percent of American teens smoke.
Almost all first use occurs before high school graduation.
Roughly 6 million teens in the US today smoke despite the knowledge that it is addictive and leads to disease.
Of the 3,000 teens who started smoking today, nearly 1,000 will eventually die as a result from smoking.
Of every 100,000 15 year old smokers, tobacco will prematurely kill at least 20,000 before the age of 70.
Adolescent girls who smoke and take oral birth control pills greatly increase their chances of having blood clots and strokes.
According to the Surgeon’s General, Teenagers who smoke were:
* Three times more likely to use alcohol.
* Eight times are likely to smoke marijuana.
* And 22 times more likely to use Cocaine.
Although only 5 percent of high school smokers said that they would definitely be smoking five years later, close to 75 percent were still smoking 7 to 9 years later.
Kids who smoke experience changes in the lungs and reduced lung growth, and they risk not achieving normal lung function as an adult.
A person who starts smoking at age 13 will have a more difficult time quitting, has more health-related problems and probably will die earlier than a person who begins to smoke at age 21.
Kids who smoke have significant health problems, including cough and phlegm production, decreased physical fitness and unfavorable lipid profile.
If your child’s best friends smoke, then your youngster is 13 times more likely to smoke than if his or her friends did not smoke.
Adolescents who have two parents who smoke are more than twice as likely as youth without smoking parents to become smokers.
More than 90 percent of adult smokers started when they were teens. http://www.tobacco-facts.net/smoking-facts/teen-smoking-facts

It is important to prevent teens from beginning to smoke because of health issues and the difficulty many smokers have in quitting the habit. Research indicates that thirdhand smoke is an increasing danger and even those who do not smoke are at risk.

David McNamee reported in the Medical News Today article, Thirdhand smoke ‘damages DNA and may cause cancer’:

Evidence presented at the 247th National Meeting and Exposition of the American Chemical Society warns that thirdhand smoke damages DNA, attaching to it in a way that may result in cancer.
The talk, titled “Thirdhand smoke causes DNA damage in human cells,” was presented by Bo Hang, PhD, a scientist at Lawrence Berkeley National Laboratory in California, who in 2013 published a study of the same name in the journal Mutagenesis.
Thirdhand smoke – exposure to the toxic compounds of tobacco smoke from surfaces and dust in a room or car where someone has previously been smoking – is a relatively recent area of study, with the first scientific research into the subject appearing in 2009.
In 2010, a consortium was formed in California to investigate the effects of thirdhand smoke. This consortium funded Dr. Hang’s research and has been working to understand the public health implications of thirdhand smoke.
Researchers have found that many of the 4,000 pollutants from smoke have been identified in carpets, walls, furniture and dust, as well as on the clothing, hair and skin of smokers. People can be exposed to these pollutants by inhaling, touching or ingesting them.
But some of the surface-absorbed residue from tobacco smoke can also produce additional toxicants, undergoing a chemical transformation when it interacts with compounds in the atmosphere.
What is ‘NNA’ and why is it of concern?
One of these secondary compounds is 4-(Methylnitrosamino)-4-(3-pyridyl)-butanal, or “NNA” for short. Hang and his colleagues have found that NNA attaches itself to DNA to create a cancer-causing chemical.
Both NNA and another compound called 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone), or “NNK,” break down DNA. This damage to DNA can lead to cell growth becoming uncontrolled and the formation of cancerous tumors.
Though compelling, this research is still in an early phase. Dr. Hang thinks that just as it took a long time to conclusively establish a connection between firsthand smoke and cancer, it could be years before the connections between thirdhand smoke, NNA and cancer are conclusive…. http://www.medicalnewstoday.com/articles/274143.php

Citation:

Thirdhand smoke causes DNA damage in human cells.
Hang B1, Sarker AH, Havel C, Saha S, Hazra TK, Schick S, Jacob P 3rd, Rehan VK, Chenna A, Sharan D, Sleiman M, Destaillats H, Gundel LA.
Author information
• 1Life Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720, USA. Bo_Hang@lbl.gov
Abstract
Exposure to thirdhand smoke (THS) is a newly described health risk. Evidence supports its widespread presence in indoor environments. However, its genotoxic potential, a critical aspect in risk assessment, is virtually untested. An important characteristic of THS is its ability to undergo chemical transformations during aging periods, as demonstrated in a recent study showing that sorbed nicotine reacts with the indoor pollutant nitrous acid (HONO) to form tobacco-specific nitrosamines (TSNAs) such as 4-(methylnitrosamino)-4-(3-pyridyl)butanal (NNA) and 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK). The goal of this study was to assess the genotoxicity of THS in human cell lines using two in vitro assays. THS was generated in laboratory systems that simulated short (acute)- and long (chronic)-term exposures. Analysis by liquid chromatography-tandem mass spectrometry quantified TSNAs and common tobacco alkaloids in extracts of THS that had sorbed onto cellulose substrates. Exposure of human HepG2 cells to either acute or chronic THS for 24h resulted in significant increases in DNA strand breaks in the alkaline Comet assay. Cell cultures exposed to NNA alone showed significantly higher levels of DNA damage in the same assay. NNA is absent in freshly emitted secondhand smoke, but it is the main TSNA formed in THS when nicotine reacts with HONO long after smoking takes place. The long amplicon-quantitative PCR assay quantified significantly higher levels of oxidative DNA damage in hypoxanthine phosphoribosyltransferase 1 (HPRT) and polymerase β (POLB) genes of cultured human cells exposed to chronic THS for 24h compared with untreated cells, suggesting that THS exposure is related to increased oxidative stress and could be an important contributing factor in THS-mediated toxicity. The findings of this study demonstrate for the first time that exposure to THS is genotoxic in human cell lines.
PMID:
23462851
[PubMed – indexed for MEDLINE]
PMCID:
PMC3681537
[Available on 2014/7/1]

See, Major ‘third-hand smoke’ compound causes DNA damage and potentially cancer http://www.sciencedaily.com/releases/2014/03/140316203156.htm

Smoking is not only deadly for the smoker, but for others as well.

Resources:

What is thirdhand smoke, and why is it a concern? http://www.mayoclinic.org/healthy-living/adult-health/expert-answers/third-hand-smoke/faq-20057791

Thirdhand Smoke http://www.no-smoke.org/learnmore.php?id=671

Thirdhand Smoke: A Select Bibliography of Recent Studies http://publichealthlawcenter.org/sites/default/files/resources/tclc-fs-thirdhand-smoke-bibliography-2013_0.pdf

A History of Tobacco
http://archive.tobacco.org/History/Tobacco_History.html

American Lung Association’s Smoking and Teens Fact Sheet Women and Tobacco Use
African Americans and Tobacco Use
American Indians/Alaska Natives and Tobacco Use
Hispanics and Tobacco Use
Asian Americans/Pacific Islanders and Tobacco Use
Military and Tobacco Use
Children/Teens and Tobacco Use
Older Adults and Tobacco Use http://www.lung.org/stop-smoking/about-smoking/facts-figures/specific-populations.html

Center for Young Women’s Health A Guide for Teens
http://www.youngwomenshealth.org/smokeinfo.html

Kroger Resources Teens and Smoking
http://kroger.staywellsolutionsonline.com/Wellness/Smoking/Teens/

Teens Health’s Smoking
http://kidshealth.org/teen/drug_alcohol/tobacco/smoking.html

Quit Smoking Support.com http://www.quitsmokingsupport.com/teens.htm

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

Tags: , , , , , , , , , ,

E-Cigarette study produces plenty of smoke about its conclusions

8 Mar

Some children consider smoking a rite of passage into adolescence. According to Tobacco Facts most teenage smoking starts early. Among the statistics cited at Tobacco Facts are the following:

Each day 3,000 children smoke their first cigarette.
Tobacco use primarily begins in early adolescence, typically by age 16.
At least 3 million adolescents are smokers.
20 percent of American teens smoke.
Almost all first use occurs before high school graduation.
Roughly 6 million teens in the US today smoke despite the knowledge that it is addictive and leads to disease.
Of the 3,000 teens who started smoking today, nearly 1,000 will eventually die as a result from smoking.
Of every 100,000 15 year old smokers, tobacco will prematurely kill at least 20,000 before the age of 70.
Adolescent girls who smoke and take oral birth control pills greatly increase their chances of having blood clots and strokes.
According to the Surgeon’s General, Teenagers who smoke were:
* Three times more likely to use alcohol.
* Eight times are likely to smoke marijuana.
* And 22 times more likely to use Cocaine.
Although only 5 percent of high school smokers said that they would definitely be smoking five years later, close to 75 percent were still smoking 7 to 9 years later.
Kids who smoke experience changes in the lungs and reduced lung growth, and they risk not achieving normal lung function as an adult.
A person who starts smoking at age 13 will have a more difficult time quitting, has more health-related problems and probably will die earlier than a person who begins to smoke at age 21.
Kids who smoke have significant health problems, including cough and phlegm production, decreased physical fitness and unfavorable lipid profile.
If your child’s best friends smoke, then your youngster is 13 times more likely to smoke than if his or her friends did not smoke.
Adolescents who have two parents who smoke are more than twice as likely as youth without smoking parents to become smokers.
More than 90 percent of adult smokers started when they were teens. http://www.tobacco-facts.net/smoking-facts/teen-smoking-facts

It is important to prevent teens from beginning to smoke because of health issues and the difficulty many smokers have in quitting the habit.

Why Do Teens Smoke?

Denise Witmer at About.Com lists the reasons teens smoke:

According to the World Health Organization ‘between 80,000 and 100,000 children worldwide start smoking every day.’ Here are some of the reasons why teens start smoking:
• One or both parents smoke.
• People they admire smoke.
• Teens find acceptance by peers if they smoke too.
• Mass media campaign for smoking works on teenagers and adults.
• Teens feel invincible or that they can stop at anytime. So why not try it?
• It helps the teen lose weight, reduce stress, etc.
• Smoking’s biggest draw is that it is an adult activity that is forbidden http://parentingteens.about.com/od/tobaccouse/f/teen_smoking4.htm
Lauren Pappa writing in Junior Scholastic quotes Danny Mc Goldrick who cites peer pressure as the most important reason kids start to smoke.
Peer pressure is one of the biggest factors in youth smoking, says Danny McGoldrick, research director for Tobacco-Free Kids. Smoking, McGoldrick told JS, is a way for kids “to belong and rebel [against parents] at the same time.” http://www.thefreelibrary.com/Why+do+teens+smoke%3F+Despite+the+risks,+many+kids+are+still+lighting+…-a0139430444

This pressure exerted by peers and culture can be countered by the active involvement of parents and guardians. E-cigarettes are viewed by some as a possible tool to help kick the smoking habit.

Sabrina Tavernise reported in the New York Times article, Young Using E-Cigarettes Smoke Too, Study Finds:

Middle and high school students who used electronic cigarettes were more likely to smoke real cigarettes and less likely to quit than students who did not use the devices, a new study has found. They were also more likely to smoke heavily. But experts are divided about what the findings mean.
The study’s lead author, Stanton Glantz, a professor of medicine at the University of California, San Francisco, who has been critical of the devices, said the results suggested that the use of e-cigarettes was leading to less quitting, not more….
But other experts said the data did not support that interpretation. They said that just because e-cigarettes are being used by youths who smoke more and have a harder time quitting does not mean that the devices themselves are the cause of those problems. It is just as possible, they said, that young people who use the devices were heavier smokers to begin with, or would have become heavy smokers anyway.
“The data in this study do not allow many of the broad conclusions that it draws,” said Thomas J. Glynn, a researcher at the American Cancer Society.
The study is likely to stir the debate further over what electronic cigarettes mean for the nation’s 45 million smokers, about three million of whom are middle and high school students. Some experts worry that e-cigarettes are a gateway to smoking real cigarettes for young people, though most say the data is too skimpy to settle the issue. Others hope the devices could be a path to quitting.
So far, the overwhelming majority of young people who use e-cigarettes also smoke real cigarettes, a large federal survey published last year found.
Still, while e-cigarette use among youths doubled from 2011 to 2012, regular cigarette smoking for youths has continued to decline. The rate hit a record low in 2013 of 9.6 percent, down by two-thirds from its peak in 1997.
The new study drew on broad federal survey data from more than 17,000 middle school and high school students in 2011 and more than 22,000 in 2012. But instead of following the same students over time — which many experts say is crucial to determine whether there has been a progression from e-cigarettes to actual smoking — the study examined two different groups of students, essentially creating two snapshots.
Dr. Glantz says that his findings show that use of e-cigarettes can predict who will go on to become an established smoker. Students who said they had experimented with cigarettes — that is, taken at least one puff — were much more likely to become established smokers if they also used e-cigarettes, he said….
But David Abrams, executive director of the Schroeder Institute for Tobacco Research and Policy Studies at the Legacy Foundation, an antismoking research group, said the study’s data do not support that conclusion….
He argued that there were many possible reasons that students who experimented with e-cigarettes were also heavier smokers — for example, living in a home where people smoke, belonging to a social circle where smoking is more common, or abusing drugs or alcohol.
The study did have a bright spot: Youths who used e-cigarettes were more likely to plan to quit smoking. Dr. Abrams highlighted that finding, but said it was impossible to tell whether students who planned to quit actually did, because the data did not track this. http://mobile.nytimes.com/2014/03/07/health/young-users-of-e-cigarettes-less-likely-to-quit-smoking-study-finds.html?hpw&rref=health&_r=0&referrer=

Citation:

Electronic Cigarettes and Conventional Cigarette Use Among US AdolescentsA Cross-sectional StudyONLINE FIRST
Lauren M. Dutra, ScD1; Stanton A. Glantz, PhD1
[+] Author Affiliations
JAMA Pediatr. Published online March 06, 2014. doi:10.1001/jamapediatrics.2013.5488
Text Size: A A A
Article
Figures
Tables
References
Comments
ABSTRACT
ABSTRACT | METHODS | RESULTS | DISCUSSION | CONCLUSIONS | ARTICLE INFORMATION | REFERENCES
Importance Electronic cigarette (e-cigarette) use is increasing rapidly among adolescents, and e-cigarettes are currently unregulated.
Objective To examine e-cigarette use and conventional cigarette smoking.
Design, Setting, and Participants Cross-sectional analyses of survey data from a representative sample of US middle and high school students in 2011 (n = 17 353) and 2012 (n = 22 529) who completed the 2011 and 2012 National Youth Tobacco Survey.
Exposures Ever and current e-cigarette use.
Main Outcomes and Measures Experimentation with, ever, and current smoking, and smoking abstinence.
Results Among cigarette experimenters (≥1 puff), ever e-cigarette use was associated with higher odds of ever smoking cigarettes (≥100 cigarettes; odds ratio [OR] = 6.31; 95% CI, 5.39-7.39) and current cigarette smoking (OR = 5.96; 95% CI, 5.67-6.27). Current e-cigarette use was positively associated with ever smoking cigarettes (OR = 7.42; 95% CI, 5.63-9.79) and current cigarette smoking (OR = 7.88; 95% CI, 6.01-10.32). In 2011, current cigarette smokers who had ever used e-cigarettes were more likely to intend to quit smoking within the next year (OR = 1.53; 95% CI, 1.03-2.28). Among experimenters with conventional cigarettes, ever use of e-cigarettes was associated with lower 30-day (OR = 0.24; 95% CI, 0.21-0.28), 6-month (OR = 0.24; 95% CI, 0.21-0.28), and 1-year (OR = 0.25; 95% CI, 0.21-0.30) abstinence from cigarettes. Current e-cigarette use was also associated with lower 30-day (OR = 0.11; 95% CI, 0.08-0.15), 6-month (OR = 0.11; 95% CI, 0.08-0.15), and 1-year (OR = 0.12; 95% CI, 0.07-0.18) abstinence. Among ever smokers of cigarettes (≥100 cigarettes), ever e-cigarette use was negatively associated with 30-day (OR = 0.61; 95% CI, 0.42-0.89), 6-month (OR = 0.53; 95% CI, 0.33-0.83), and 1-year (OR = 0.32; 95% CI, 0.18-0.56) abstinence from conventional cigarettes. Current e-cigarette use was also negatively associated with 30-day (OR = 0.35; 95% CI, 0.18-0.69), 6-month (OR = 0.30; 95% CI, 0.13-0.68), and 1-year (OR = 0.34; 95% CI, 0.13-0.87) abstinence.
Conclusions and Relevance Use of e-cigarettes was associated with higher odds of ever or current cigarette smoking, higher odds of established smoking, higher odds of planning to quit smoking among current smokers, and, among experimenters, lower odds of abstinence from conventional cigarettes. Use of e-cigarettes does not discourage, and may encourage, conventional cigarette use among US adolescents.
http://archpedi.jamanetwork.com/article.aspx?articleid=1840772

Science Daily reported about a Swedish Study which showed that parents are influential in their child’s decision whether to smoke.

Teenagers are more positive today towards their parents’ attempts to discourage them from smoking, regardless of whether or not they smoked, than in the past. The most effective actions parents could take include dissuading their children from smoking, not smoking themselves and not allowing their children to smoke at home. Younger children were more positive about these approaches than older children. Levels of smoking amongst participants were stable at 8% in 1987 and 1994, but halved in 2003. The decrease in the proportion of teenagers smoking is thought to result from a number of factors, including changes in legislation and the decreasing social acceptability of smoking….http://www.sciencedaily.com/releases/2009/03/090303193956.htm

Another study reported by Reuters came to a similar conclusion that parents influence the decision whether to smoke http://www.reuters.com/article/2009/08/26/us-smoking-teens-idUSTRE57P43R20090826 The Mayo Clinic has some excellent tips on preventing your teen from smoking http://www.mayoclinic.org/healthy-living/tween-and-teen-health/in-depth/teen-smoking/art-20047069

As with a lot of issues adolescents face, it is important for parents and guardians to know what is going on in their children’s lives. You should know who your children’s friends are and how these friends feel about smoking, drugs, and issues like sex. You should also know how the parents of your children’s friends feel about these issues. Do they smoke, for example, or are they permissive in allowing their children to use alcohol and/or other drugs. Are these values in accord with your values?

Resources:

Smokeless Tobacco
http://kidshealth.org/PageManager.jsp?dn=KidsHealth&lic=1&ps=207&cat_id=20138&article_set=20424

A Tool to Quit Smoking Has Some Unlikely Critics http://www.nytimes.com/2011/11/08/science/e-cigarettes-help-smokers-quit-but-they-have-some-unlikely-critics.html

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

Tags: , , , , , , , , , , ,

Hookah a growing menace for teen health

17 Nov

Peeps, the kids are thinking up new things to get into faster than moi can post. Newest fad hitting many high schools and colleges is hookah. Douglas Quenqua reported in the New York Times article, Putting A Crimp In the Hookah about hookah.

Kevin Shapiro, a 20-year-old math and physics major at the University of Pennsylvania, first tried a hookah at a campus party. He liked the exotic water pipe so much that he chipped in to buy one for his fraternity house, where he says it makes a useful social lubricant at parties.
Like many other students who are embracing hookahs on campuses nationwide, Mr. Shapiro believes that hookah smoke is less dangerous than cigarette smoke because it “is filtered through water, so you get fewer solid particles.”
“Considering I don’t do it that often, once a month if that, I’m not really concerned with the health effects,” he added.
But in fact, hookahs are far from safe. And now, legislators, college administrators and health advocates are taking action against what many of them call the newest front in the ever-shifting war on tobacco. In California, Connecticut and Oregon, state lawmakers have introduced bills that would ban or limit hookah bars, and similar steps have been taken in cities in California and New York. Boston and Maine have already ended exemptions in their indoor-smoking laws that had allowed hookah bars to thrive….
Many young adults are misled by the sweet, aromatic and fruity quality of hookah smoke, which causes them to believe it is less harmful than hot, acrid cigarette smoke. In fact, because a typical hookah session can last up to an hour, with smokers typically taking long, deep breaths, the smoke inhaled can equal 100 cigarettes or more, according to a 2005 study by the World Health Organization.
That study also found that the water in hookahs filters out less than 5 percent of the nicotine. Moreover, hookah smoke contains tar, heavy metals and other cancer-causing chemicals. An additional hazard: the tobacco in hookahs is heated with charcoal, leading to dangerously high levels of carbon monoxide, even for people who spend time in hookah bars without actually smoking, according to a recent University of Florida study. No surprise, then, that several studies have linked hookah use to many of the same diseases associated with cigarette smoking, like lung, oral and bladder cancer, as well as clogged arteries, heart disease and adverse effects during pregnancy. And because hookahs are meant to be smoked communally — hoses attached to the pipe are passed from one smoker to the next — they have been linked with the spread of tuberculosis, herpes and other infections.
“Teens and young adults are initiating tobacco use through these hookahs with the mistaken perception that the products are somehow safer or less harmful than cigarettes,” said Paul G. Billings, a vice president of the American Lung Association. “Clearly that’s not the case.”
Mr. Billings calls the emerging anti-hookah legislation a “top priority” for the lung association. http://www.nytimes.com/2011/05/31/health/31hookah.html?emc=eta1&_r=0

Kids mistakenly think hookah is safe.

Richard D. Hurt, M.D. of the Mayo Clinic has posted the article Hookah Smoking: Is it Safer Than Cigarettes? at the Mayo Clinic site:

Specially made tobacco is heated, and the smoke passes through water and is then drawn through a rubber hose to a mouthpiece. The tobacco is no less toxic in a hookah pipe, and the water in the hookah does not filter out the toxic ingredients in the tobacco smoke. Hookah smokers may actually inhale more tobacco smoke than cigarette smokers do because of the large volume of smoke they inhale in one smoking session, which can last as long as 60 minutes.
While research about hookah smoking is still emerging, evidence shows that it poses many dangers:
• Hookah smoke contains high levels of toxic compounds, including tar, carbon monoxide, heavy metals and cancer-causing chemicals (carcinogens). In fact, hookah smokers are exposed to more carbon monoxide and smoke than are cigarette smokers.
• As with cigarette smoking, hookah smoking is linked to lung and oral cancers, heart disease and other serious illnesses.
• Hookah smoking delivers about the same amount of nicotine as cigarette smoking does, possibly leading to tobacco dependence.
• Hookah smoke poses dangers associated with secondhand smoke.
• Hookah smoking by pregnant women can result in low birth weight babies.
• Hookah pipes used in hookah bars and cafes may not be cleaned properly, risking the spread of infectious diseases. http://www.mayoclinic.com/health/hookah/AN01265

Karen Kaplan reported in in the L.A. Times about Hookah growing allure among teens

In Cigars, e-cigarettes and hookahs increasingly popular among youth, Kaplan reported:

Electronic cigarettes, hookahs and dissolvable tobacco were all more popular in 2012 than in 2011, according to data CDC researchers published this week in the Morbidity and Mortality Weekly Report. Cigar smoking has also become more prevalent among high school students.
Overall, 6.7% of middle schoolers and 23.3% of high schoolers were using tobacco in 2012. In 2011, the corresponding figures were 7.5% and 24.3%.
Those figures are based on surveys of roughly 25,000 students in grades 6 through 12 who participated in the National Youth Tobacco Survey. Students were considered current tobacco users if they had smoked a cigarette, cigar, pipe, hookah, electronic cigarette, bidis (thin, hand-rolled cigarettes) or kreteks (clove cigarettes) or used smokeless tobacco, dissolvable tobacco, or snus (a powdered tobacco) at least once in the last 30 days.
Here’s what the researchers found:
Cigarettes were the most popular form of tobacco or nicotine among middle school students, with 3.5% of kids in grades 6 through 8 saying they had smoked a cigarette in the previous 30 days. That was followed by cigars (2.8% used them), pipes (1.8%), smokeless tobacco (1.7%), hookahs (1.3%), electronic cigarettes (1.1%), snus (0.8%), bidis (0.6%), kreteks (0.5%) and dissolvable tobacco (0.5%).
Cigarettes were also the most popular item among high schoolers, with 14% of students in grades 9 through 12 reporting they had smoked one within the last 30 days. Cigars came in a close second, with 12.6% of students saying they smoked them recently. In addition, 6.4% of high schoolers used smokeless tobacco, 5.4% used hookahs, 4.5% used pipes, 2.8% used electronic cigarettes, 2.5% used snus, 1% used kreteks, 0.9% used bidis and 0.8% used dissolvable tobacco.
Though overall tobacco use was down, the authors of the report flagged the rising popularity of products other than cigarettes that are not regulated by the Food and Drug Administration. In the case of cigars, they noted that some of the items in that category were “similar to cigarettes in terms of appearance, but depending on their weight, can be taxed at lower rates and legally sold with certain flavors that are banned from cigarettes.” The lower prices and option of flavors probably make them especially appealing to teens, they wrote….
http://www.latimes.com/science/sciencenow/la-sci-sn-smoking-tobacco-teens-cdc-20131115,0,6663897.story#axzz2ksth5AXn

Here is the press release from the Centers for Disease Control:

Tobacco Product Use Among Middle and High School Students — United States, 2011 and 2012
Weekly
November 15, 2013 / 62(45);893-897
Nearly 90% of adult smokers in the United States began smoking by age 18 years (1). To assess current tobacco product use among youths, CDC analyzed data from the 2012 National Youth Tobacco Survey (NYTS). This report describes the results of that analysis, which found that, in 2012, the prevalence of current tobacco product use among middle and high school students was 6.7% and 23.3%, respectively. After cigarettes, cigars were the second most commonly used tobacco product, with prevalence of use at 2.8% and 12.6%, respectively. From 2011 to 2012, electronic cigarette use increased significantly among middle school (0.6% to 1.1%) and high school (1.5% to 2.8%) students, and hookah use increased among high school students (4.1% to 5.4%). During the same period, significant decreases occurred in bidi* and kretek† use among middle and high school students, and in dissolvable tobacco use among high school students. A substantial proportion of youth tobacco use occurs with products other than cigarettes, so monitoring and prevention of youth tobacco use needs to incorporate other products, including new and emerging products. Implementing evidence-based interventions can prevent and reduce tobacco use among youths as part of comprehensive tobacco control programs. In addition, implementation of the 2009 Family Smoking Prevention and Tobacco Control Act, which granted the Food and Drug Administration (FDA) the authority to regulate the manufacture, distribution, and marketing of tobacco products (1–3), also is critical to addressing this health risk behavior.
NYTS is a school-based, self-administered, pencil-and-paper questionnaire administered to U.S. middle school (grades 6–8) and high school (grades 9–12) students to collect information on key tobacco control outcome indicators used to monitor the impact of comprehensive tobacco control policies and programs (4) and FDA’s newly granted regulatory authority. NYTS was conducted in 2000, 2002, 2004, 2006, 2009, 2011, and 2012. The 2012 NYTS used a three-stage cluster sampling procedure to generate a cross-sectional, nationally representative sample of students in grades 6–12. This report includes 2011 and 2012 NYTS data to provide an updated definition of current tobacco use, which now also includes hookahs, snus, dissolvable tobacco, and electronic cigarettes, to take into account nonconventional products that are new to the market or are increasing in popularity; data for these four products were first collected in 2011. The previous definition for current tobacco use did not include all of these products, thus yielding slightly lower estimates of current tobacco use. For example, in 2011, the previous definition for overall current tobacco use resulted in estimates of 7.1% for middle school and 23.2% for high school students (5), whereas the new definition resulted in 2011 estimates of 7.5% for middle school and 24.3% for high school students (Table).
Of the 284 schools selected for the 2012 NYTS, 228 (80.3%) participated, resulting in a sample of 24,658 (91.7%) among 26,873 eligible students; the overall response rate was 73.6%. The 2011 NYTS had a comparable overall response rate of 72.7% (5). Respondents were asked about their current use of cigarettes, cigars§ (defined as cigars, cigarillos, or little cigars), smokeless tobacco, pipes, bidis, kreteks, hookahs, snus, dissolvable tobacco, and electronic cigarettes. For each product, current use was defined as using on ≥1 day of the past 30 days.
Data were adjusted for nonresponse and weighted to provide national prevalence estimates with 95% confidence intervals for current tobacco use overall and by product, school level, sex, and race/ethnicity. Point estimate differences between 2011 and 2012 were assessed using a two-tailed t-test for significance (p<0.05).
In 2012, 6.7% of middle students reported current use of any tobacco product (Table). The most commonly used forms of tobacco were cigarettes (3.5%), cigars (2.8%), pipes (1.8%), smokeless tobacco (1.7%), hookahs (1.3%), electronic cigarettes (1.1%), snus (0.8%), bidis (0.6%), kreteks (0.5%), and dissolvable tobacco (0.5%). Among high school students, 23.3% reported current use of any tobacco product. The most commonly used forms of tobacco were cigarettes (14.0%), cigars (12.6%), smokeless tobacco (6.4%), hookahs (5.4%), pipes (4.5%), electronic cigarettes (2.8%), snus (2.5%), kreteks (1.0%), bidis (0.9%), and dissolvable tobacco (0.8%).
During 2011–2012, among middle school students, for current electronic cigarette use, significant increases were observed overall (0.6% to 1.1%) and among females (0.4% to 0.8%), males (0.7% to 1.5%), and Hispanics (0.6% to 2.0%) (Table). For hookahs, a significant increase was observed among Hispanics (1.7% to 3.0%).
During 2011–2012, among high school students, for electronic cigarette use, significant increases were observed overall (1.5% to 2.8%) and among females (0.7% to 1.9%), males (2.3% to 3.7%), non-Hispanic whites (1.8% to 3.4%), and Hispanics (1.3% to 2.7%). For hookahs, significant increases were observed overall (4.1% to 5.4%) and among non-Hispanic whites (4.3% to 6.1%). For cigars, a significant increase in use was observed among non-Hispanic blacks (11.7% to 16.7%).
Reported by
René A. Arrazola, MPH, Shanta R. Dube, PhD, Brian A. King, PhD, Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, CDC. Corresponding contributor: René A. Arrazola, rarrazola@cdc.gov, 770-488-2414.
Editorial Note
The findings in this report indicate that during 2011–2012 significant increases occurred in current use of nonconventional tobacco products, such as electronic cigarettes and hookahs, among middle and high school students; in addition, an increase in cigar use occurred among non-Hispanic black high school students. During this same period, overall current use of some tobacco products, such as bidis and kreteks, significantly decreased. These findings indicate that more efforts are needed to monitor and prevent the use of both conventional and nonconventional tobacco products among youths.
During 2011–2012, cigar use increased significantly among non-Hispanic black high school students to 16.7%, more than doubling the 2009 estimate (6). Further, cigar use among high school males (16.7%) was approximately double that of high school females (8.4%) and similar to cigarette use among high school males (16.3%). Cigars include traditional premium cigars as well as cigarillos and "little cigars," which are similar to cigarettes in terms of appearance, but depending on their weight, can be taxed at lower rates and legally sold with certain flavors that are banned from cigarettes (7). Youths are known to have higher rates of cigar use than adults, which might be related to the lower price of some cigars (e.g., cigarillos and "little cigars") relative to cigarettes, or the marketing of flavored cigars that might appeal to youths (8). Significant increases also were observed in overall use of current electronic cigarettes (9) and hookahs. Current use of electronic cigarettes doubled among middle and high school females, middle school males, and Hispanic high school students. Among non-Hispanic white high school students, this increase was slightly less than double (1.8% to 3.4%), and among high school males, this increase was slightly more than 60% (2.3 to 3.7). For current hookah use, an increase of more than 75% (1.7% to 3.0%) was observed for Hispanic middle school students; among high school students, an overall increase of more than 30% (4.1% to 5.4%) was observed, but for non-Hispanic whites, this increase was more than 40% (4.3% to 6.1%). The increase in use of electronic cigarettes and hookah tobacco could be attributed to low price, an increase in marketing, availability, and visibility of these products, and the perception that these tobacco products might be "safer" alternatives to cigarettes. Cigars, electronic cigarettes, hookah tobacco, and certain other new types of tobacco products are not currently subject to FDA regulation. FDA has stated it intends to issue a proposed rule that would deem products meeting the statutory definition of a "tobacco product" to be subject to the Federal Food, Drug, and Cosmetic Act.¶
The findings in this report are subject to at least six limitations. First, data were only collected from youths who attended either public or private schools and might not be generalizable to all middle and high school-aged youths. Second, data were self-reported; thus, the findings are subject to recall and response bias. Third, current tobacco use was defined by including students who responded to questions about at least one of the 10 tobacco products but might have had missing responses to any of the other tobacco products that were assessed; missing responses were considered as nonuse, which might have resulted in conservative estimates. Fourth, in 2012, the question wording for bidis and kreteks was modified, and cigar brand examples were added to the heading and ever cigar use question of the survey; therefore, any observed changes in prevalence estimates across years might be attributed in part to these wording modifications. Fifth, the NYTS overall response rate of 73.6% in 2012 and 72.7% in 2011 might have resulted in nonresponse bias, even after adjustment for nonresponse. Finally, estimates might differ from those derived from other youth surveillance systems, in part because of differences in survey methodology, survey type and topic, and age and setting of the target population. However, overall relative trends are similar across the various youth surveys (1).
Effective, population-based interventions for preventing tobacco use among youths are outlined in the Surgeon General's report (1) and the World Health Organization's MPOWER package (10). Interventions include increasing the price of all tobacco products, implementing 100% comprehensive smoke-free laws and policies in workplaces and public places, warning about the dangers of all tobacco use with tobacco use prevention media campaigns, increasing access to help quitting, and enforcing restrictions on all tobacco product advertising, promotion, and sponsorship. Interventions are best implemented as part of comprehensive tobacco control programs, which are effective in decreasing tobacco use in the United States (2). Full implementation of comprehensive tobacco control programs at CDC-recommended funding levels, in coordination with FDA regulations of tobacco products, would be expected to result in further reductions in tobacco use and changes in social norms regarding the acceptability of tobacco use among U.S. youths (1,2,10).
References
1. US Department of Health and Human Services. Preventing tobacco use among youth and young adults. Atlanta, GA: US Department of Health and Human Services, CDC; 2012. Available at http://www.cdc.gov/tobacco/data_statistics/sgr/2012/index.htm.
2. CDC. Best practices for comprehensive tobacco control programs—2007. Atlanta, GA: US Department of Health and Human Services, CDC; 2007. Available at http://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm.
3. CDC. CDC Grand Rounds: current opportunities in tobacco control. MMWR 2010;59:487–92.
4. CDC. Key outcome indicators for evaluating comprehensive tobacco control programs. Atlanta, GA: US Department of Health and Human Services, CDC; 2005. Available at http://www.cdc.gov/tobacco/tobacco_control_programs/surveillance_evaluation/key_outcome/pdfs/frontmaterial.pdf .
5. CDC. Current tobacco use among middle and high school students—United States, 2011. MMWR 2012;61:581–5.
6. CDC. Tobacco use among middle and high school students—United States, 2000–2009. MMWR 2010;59:1063–8.
7. United States Government Accountability Office. Tobacco taxes: large disparities in rates for smoking products trigger significant market shifts to avoid higher taxes (GAO-12-475). Washington, DC: United States Government Accountability Office; 2012. Available athttp://www.gao.gov/products/gao-12-475 .
8. King B, Tynan M, Dube S, Arrazola R. Flavored-little-cigar and flavored-cigarette use among U.S. middle and high school students. J Adolesc Health 2013 [Epub ahead of print].
9. CDC. Notes from the field: electronic cigarette use among middle and high school students—United States, 2011–2012. MMWR 2013;62:729–30.
10. World Health Organization. WHO report on the global tobacco epidemic, 2008—the MPOWER package. Geneva, Switzerland: World Health Organization; 2008. Available at http://www.who.int/tobacco/mpower/mpower_report_full_2008.pdf .
* The question to assess past 30 day use of bidis changed between 2011 and 2012. In 2011, the bidis question was "In the past 30 days, on how many days did you smoke bidis?" Students selected among "0 days," "1 or 2 days," "3 to 9 days," "10 to 19 days," "20 to 29 days," or "all 30 days." In 2012, the bidis question was "In the past 30 days, which of the following products have you used on at least one day?" Students could select different products, of which "bidis (small brown cigarettes wrapped in a leaf)" was a possible selection. This change might have affected the results for bidis.
† The question to assess past 30 day use of kreteks changed between 2011 and 2012. In 2011, the kreteks question was "In the past 30 days, on how many days did you smoke kreteks?" Students selected among "0 days," "1 or 2 days," "3 to 9 days," "10 to 19 days," "20 to 29 days," or "all 30 days." In 2012, the bidis question was "In the past 30 days, which of the following products have you used on at least one day?" Students could select different products, of which "clove cigarettes (kreteks)" was a possible selection. This change might have affected the results for kreteks.
§ The heading for the cigar section of the questionnaire changed between 2011 and 2012. In 2011, the heading was "Cigars." In 2012, the heading was "Cigars, cigarillos, or little cigars, such as Black and Milds, Swisher Sweets, Dutch Masters, White Owl, or Phillies Blunts," and the question on ever use of cigars also included brand names. This change might have affected the results for cigars.
¶ FDA has expressed its intent to assert jurisdiction over all tobacco products. Additional information available at http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201304&RIN=0910-AG38 .
What is already known on this topic?
Nearly 90% of adult smokers began smoking by age 18 years.
What is added by this report?
Although decreases in the use of certain tobacco products (bidis and kreteks) have been observed, current cigar use has increased among non-Hispanic black high school students (11.7% to 16.7%), and the use of nonconventional products, such as electronic cigarettes, have increased among middle school (0.6% to 1.1%) and high school (1.5% to 2.8%) students.
What are the implications for public health practice?
Current use of cigars and nonconventional tobacco products need to be monitored at local, state, and national levels. This is especially true for nonconventional tobacco products and specific population subgroups. To reduce tobacco use among youths, national and state tobacco control programs can continue to implement evidence-based strategies, including those that will work in coordination with the Food and Drug Administration to regulate the manufacture, distribution, and marketing of tobacco products. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6245a2.htm?s_cid=mm6245a2_w

How to Prevent Your Teen from Smoking

Science Daily reported about a Swedish Study which showed that parents are influential in their child’s decision whether to smoke.

Teenagers are more positive today towards their parents’ attempts to discourage them from smoking, regardless of whether or not they smoked, than in the past. The most effective actions parents could take include dissuading their children from smoking, not smoking themselves and not allowing their children to smoke at home. Younger children were more positive about these approaches than older children. Levels of smoking amongst participants were stable at 8% in 1987 and 1994, but halved in 2003. The decrease in the proportion of teenagers smoking is thought to result from a number of factors, including changes in legislation and the decreasing social acceptability of smoking.
Use of snus, a type of moist snuff, remained relatively constant. Fewer teenagers thought their parents would be concerned about snus use, probably reflecting a general perception that snus is less of a health hazard than smoking. Unsurprisingly, older children were more likely to smoke or use snus than younger children.
The authors of the study concluded that the prevalence of smoking in adolescents in Sweden has fallen and an increasing number of teenagers have never smoked. “The fact that adolescents respond positively to parental attitudes to smoking is encouraging,” says Nilsson. “Parents should be encouraged to intervene with respect to their children’s tobacco use.” http://www.sciencedaily.com/releases/2009/03/090303193956.htm

Another study reported by Reuters came to a similar conclusion that parents influence the decision whether to smoke

Friends and parents have a strong influence over whether teenagers move from experimenting with cigarettes to becoming full-fledged smokers — but so do parents, a new study finds.
The study, which followed 270 teenagers who had become occasional smokers before high school, found that 58 percent made it a daily habit by 12th grade.
But the likelihood of that happening depended partly on friends and parents, according to a study published in the journal Pediatrics.
“We found that parents play an important role in preventing teens’ smoking escalation from experimental to daily smoking,” Dr. Min Jung Kim, of the University of Washington in Seattle, said.
When friends or parents smoked, teens were more likely to become daily smokers. On the other hand, they were less likely to become habitual smokers when their parents had a “positive family management” style — monitoring their comings and goings, doling out reasonable punishments for rule-breaking and rewarding good behavior.
Teens whose parents kept tabs on them and were non-smokers themselves had a 31 percent chance of becoming daily smokers. The odds were 71 percent among teenagers with parents who smoked and were more lax in managing their kids’ behavior. http://www.reuters.com/article/2009/08/26/us-smoking-teens-idUSTRE57P43R20090826

The Mayo Clinic has some excellent tips on preventing your teen from smoking These 10 tips can help.

1. Understand the attraction.
Sometimes teen smoking is a form of rebellion or a way to fit in with a particular group of friends. Some teens light up in an attempt to lose weight or to feel better about themselves. Others smoke to feel cool or independent. ..
2. Say no to teen smoking.
You may feel as if your teen doesn’t hear a word you say, but say it anyway. Tell your teen that smoking isn’t allowed. Your disapproval may have more impact than you think. Teens whose parents set the firmest smoking restrictions tend to smoke less than do teens whose parents don’t set smoking limits. The same goes for teens who feel close to their parents.
3. Set a good example.
Teen smoking is more common among teens whose parents smoke. If you don’t smoke, keep it up. If you do smoke, quit — now. ..
4. Appeal to your teen’s vanity.
Smoking isn’t glamorous. Remind your teen that smoking is a dirty, smelly habit. ..
5. Do the math.
Smoking is expensive. Help your teen calculate the weekly, monthly or yearly cost of a pack-a-day smoking habit. You might compare the cost of smoking with that of electronic gadgets, clothes or other teen essentials.
6. Expect peer pressure.
Friends who smoke can be convincing, but you can give your teen the tools he or she needs to refuse cigarettes. Rehearse how to handle tough social situations. It might be as simple as, “No thanks, I don’t smoke.” The more your teen practices this basic refusal, the more likely he or she will say no at the moment of truth.
7. Take addiction seriously.
Most teens believe they can quit smoking anytime they want. But teens become just as addicted to nicotine as do adults, often quickly and at relatively low doses of nicotine. And once you’re hooked, it’s tough to quit.
8. Predict the future.
Teens tend to assume that bad things only happen to other people. But the long-term consequences of smoking — such as cancer, heart attack and stroke — may be all too real when your teen becomes an adult. Use loved ones, friends or neighbors who’ve been ill as real-life examples.
9. Think beyond cigarettes.
Smokeless tobacco, clove cigarettes (kreteks) and candy-flavored cigarettes (bidis) are sometimes mistaken as less harmful or addictive than are traditional cigarettes. Hookah smoking — smoking tobacco through a water pipe — is another alternative sometimes touted as safe. Don’t let your teen be fooled. Like traditional cigarettes, these products are addictive and can cause cancer and other health problems. Many deliver higher concentrations of nicotine, carbon monoxide and tar than do traditional cigarettes.
10. Get involved.
Take an active stance against teen smoking. Participate in local and school-sponsored anti-smoking campaigns. Support bans on smoking in public places.
If your teen has already started smoking, avoid threats and ultimatums. Instead, be supportive. Find out why your teen is smoking — and then discuss ways to help your teen stop smoking, such as hanging out with friends who don’t smoke or getting involved in new activities. Stopping teen smoking in its tracks is the best thing your teen can do for a lifetime of good health. http://www.mayoclinic.com/health/teen-smoking/HQ00139

As with a many issues adolescents face, it is important for parents and guardians to know what is going on in their children’s lives. You should know who your children’s friends are and how these friends feel about smoking, drugs, and issues like sex. You should also know how the parents of your children’s friends feel about these issues. Do they smoke, for example, or are they permissive in allowing their children to use alcohol and/or other drugs. Are these values in accord with your values?

Resources

1. A History of Tobacco http://archive.tobacco.org/History/Tobacco_History.html

2. American Lung Association’s Smoking and Teens Fact Sheet Women and Tobacco Use
African Americans and Tobacco Use
American Indians/Alaska Natives and Tobacco Use
Hispanics and Tobacco Use
Asian Americans/Pacific Islanders and Tobacco Use
Military and Tobacco Use
Children/Teens and Tobacco Use

Older Adults and Tobacco Use
http://www.lung.org/stop-smoking/about-smoking/facts-figures/specific-populations.html

3. Center for Young Women’s Health A Guide for Teens http://www.youngwomenshealth.org/smokeinfo.html

4. Kroger Resources Teens and Smoking http://kroger.staywellsolutionsonline.com/Wellness/Smoking/Teens/

5. Teens Health’s Smoking http://kidshealth.org/teen/drug_alcohol/tobacco/smoking.html

6. Quit Smoking Support.com
http://www.quitsmokingsupport.com/teens.htm

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Electronic cigarette use growing among kids

9 Sep

Moi wrote in More California teens turning to smokeless tobacco:
Some children consider smoking a rite of passage into adolescence. According to Tobacco Facts most teenage smoking http://www.tobacco-facts.net/smoking-facts/teen-smoking-facts starts early. Among the statistics cited at Tobacco Facts are the following:
Each day 3,000 children smoke their first cigarette.
Tobacco use primarily begins in early adolescence, typically by age 16.
At least 3 million adolescents are smokers.
20 percent of American teens smoke.
Almost all first use occurs before high school graduation.
Roughly 6 million teens in the US today smoke despite the knowledge that it is addictive and leads to disease.
Of the 3,000 teens who started smoking today, nearly 1,000 will eventually die as a result from smoking.
Of every 100,000 15 year old smokers, tobacco will prematurely kill at least 20,000 before the age of 70.
Adolescent girls who smoke and take oral birth control pills greatly increase their chances of having blood clots and strokes.
According to the Surgeon’s General, Teenagers who smoke were:
* Three times more likely to use alcohol.
* Eight times are likely to smoke marijuana.
* And 22 times more likely to use Cocaine.
Although only 5 percent of high school smokers said that they would definitely be smoking five years later, close to 75 percent were still smoking 7 to 9 years later.
Kids who smoke experience changes in the lungs and reduced lung growth, and they risk not achieving normal lung function as an adult.
A person who starts smoking at age 13 will have a more difficult time quitting, has more health-related problems and probably will die earlier than a person who begins to smoke at age 21.
Kids who smoke have significant health problems, including cough and phlegm production, decreased physical fitness and unfavorable lipid profile.
If your child’s best friends smoke, then your youngster is 13 times more likely to smoke than if his or her friends did not smoke.
Adolescents who have two parents who smoke are more than twice as likely as youth without smoking parents to become smokers.
More than 90 percent of adult smokers started when they were teens.
It is important to prevent teens from beginning to smoke because of health issues and the difficulty many smokers have in quitting the habit. See, E-Cigarette Teen Popularity Prompts Concerns http://www.huffingtonpost.ca/2012/09/11/e-cigarette-teen-popular_n_1875319.html
Richard Craver of the Winston-Salem Journal wrote in the article, Electronic cigarettes gaining on traditional products:
The swelling popularity of electronic cigarettes may add to the regulatory and revenue tension between tobacco manufacturers and states.
Electronic cigarettes, or e-cigs, are battery-powered devices that heat a liquid nicotine solution in a disposable cartridge and create a vapor that is inhaled.
Refill cartridges can be purchased in different sizes and flavors; five-packs typically cost between $9 and $18. By comparison, a carton of cigarettes can cost between $25 and $50 for most name brands.
Bonnie Herzog, a Wells Fargo Securities analyst, believes the e-cig craze has shifted from “fad” to “here to stay.”
So much so that Herzog said recently in a note to investors that e-cig sales could grow fast enough to affect the payments states receive from the landmark Master Settlement Agreement.
Tobacco companies, including R.J. Reynolds Tobacco Co., agreed in 1998 to settle lawsuits filed by 46 state attorneys general over smoking-related health-care costs by paying those states about $206 billion over more than 20 years.
Most states have redirected much, if not all, of their MSA money to general expenditures, much to the chagrin of public-health advocacy groups.
Meanwhile, sales of e-cigs are about $300 million a year and the products have about 2.5 million users, according to Tobacco Vapor Electronic Cigarette Association.http://www.journalnow.com/business/business_news/local/article_41fa04d6-4655-11e2-95d9-0019bb30f31a.html
Science Daily reported about a Swedish Study which showed that parents are influential in their child’s decision whether to smoke.
Teenagers are more positive today towards their parents’ attempts to discourage them from smoking, regardless of whether or not they smoked, than in the past. The most effective actions parents could take include dissuading their children from smoking, not smoking themselves and not allowing their children to smoke at home. Younger children were more positive about these approaches than older children. Levels of smoking amongst participants were stable at 8% in 1987 and 1994, but halved in 2003. The decrease in the proportion of teenagers smoking is thought to result from a number of factors, including changes in legislation and the decreasing social acceptability of smoking…. http://www.sciencedaily.com/releases/2009/03/090303193956.htm
Another study reported by Reuters came to a similar conclusion that parents influence the decision whether to smoke http://www.reuters.com/article/2009/08/26/us-smoking-teens-idUSTRE57P43R20090826 The Mayo Clinic has some excellent tips on preventing your teen from smoking http://www.mayoclinic.com/health/teen-smoking/HQ00139
As with a lot of issues adolescents face, it is important for parents and guardians to know what is going on in their children’s lives. You should know who your children’s friends are and how these friends feel about smoking, drugs, and issues like sex. You should also know how the parents of your children’s friends feel about these issues. Do they smoke, for example, or are they permissive in allowing their children to use alcohol and/or other drugs. Are these values in accord with your values? https://drwilda.com/2012/12/16/more-california-teens-turning-to-smokeless-tobacco/
Brady Dennis wrote in the Washington Post article, E-cigarette use among middle and high school students skyrockets, CDC data show:
The use of electronic cigarettes among middle and high school students has been rising rapidly, a trend that public health officials worry could undermine decades of efforts to reduce youth smoking and put a growing number of teenagers on a path toward conventional cigarettes.
According to data released Thursday by the Centers for Disease Control and Prevention, the percentage of middle and high school students in the United States who have used e-cigarettes more than doubled from 2011 to 2012.
“The increased use of e-cigarettes by teens is deeply troubling,” CDC Director Tom Frieden said in announcing findings from the National Youth Tobacco Survey. “Nicotine is a highly addictive drug. Many teens who start with e-cigarettes may be condemned to struggling with a lifelong addiction to nicotine and conventional cigarettes.”
E-cigarettes are battery-powered devices that look like cigarettes but do not burn tobacco. Rather, they deliver nicotine, flavor and other chemicals in the form of a vapor. A starter kit, which typically includes two e-cigarettes, extra batteries and various nicotine cartridges, can cost $20 to $200. Because of the limited research into e-cigarette use, their risks and benefits remain uncertain and subject to widespread debate.
What’s more certain is their steady growth in popularity among adults and, according to the CDC survey, young people.
The survey found that the percentage of high school students who said they had used an e-cigarette jumped from 4.7 percent in 2011 to 10 percent in 2012. Nearly 3 percent of those students said they had used an e-cigarette in the past 30 days, up from 1.5 percent a year earlier. Use also doubled among middle school students, the CDC reported.
All told, more than 1.78 million middle and high school students nationwide had tried e-cigarettes in 2012, the agency said.
Perhaps most troubling for public health advocates, the survey found that more than three-quarters of middle and high school students who had used e-cigarettes within the past month also had smoked conventional cigarettes during the same period. About 1 in 5 middle school students who reported using e-cigarettes said they had never tried conventional cigarettes.
The CDC’s findings are in line with a more recent survey conducted in Florida that found that more than 4 percent of middle-schoolers and 12 percent of high-schoolers had tried e-cigarettes — figures that have risen dramatically over the past two years.
Big U.S. tobacco companies have begun scooping up e-cigarette manufacturers with an eye toward a not-so-distant future, when, some analysts say, sales of e-cigarettes could eclipse those of conventional cigarettes. This year alone, tobacco giants such as Lorillard, Altria and Reynolds have begun wading into the e-cigarette market. E-cigarette use also has boomed in Europe in recent years.
Anti-smoking activists say that the rise in the popularity has happened in part because the devices are largely unregulated and cultivate an image as a cooler, less harmful alternative to regular cigarettes….http://www.washingtonpost.com/national/health-science/e-cigarette-use-among-middle-and-high-school-students-skyrockets-cdc-data-show/2013/09/05/77d1839c-1632-11e3-a2ec-b47e45e6f8ef_story.html?
For a contra view, see Viewpoint: Leave Junior Alone About His E-Cigs http://ideas.time.com/2013/09/06/viewpoint-leave-junior-alone-about-his-e-cigs/
Family Doctor.org has some excellent tips about quitting smoking at Tobacco Addiction | Treatment:
How can I stop smoking?
You’ll have the best chance of stopping if you do the following:
•Get ready.
•Get support and encouragement.
•Learn how to handle stress and the urge to smoke.
•Get medication and use it correctly.
•Be prepared for relapse.
•Keep trying.
Steps to make quitting easier:
•Pick a stop date. Choose a date 2 to 4 weeks from today so you can get ready to quit. If possible, choose a time when things in your life will change, like when you’re about to start a break from school. Or just pick a time when you don’t expect any extra stress at school, work or home. For example, quit after final exams, not during them.
•Make a list of the reasons why you want to quit. Keep the list on hand so you can look at it when you have a nicotine craving.
•Keep track of where, when and why you smoke. You may want to make notes for a week or so to know ahead of time when and why you crave a cigarette. Plan what you’ll do instead of smoking (see list above for ideas). You may also want to plan what you’ll say to people who pressure you to smoke.
•Throw away all of your tobacco. Clean out your room if you have smoked there. Throw away your ashtrays and lighters–anything that you connect with your smoking habit.
•Tell your friends that you’re quitting. Ask them not to pressure you about smoking. Find other things to do with them besides smoking.
•When your stop date arrives, STOP. Plan little rewards for yourself for each tobacco-free day, week or month. For example, buy yourself a new shirt or ask a friend to see a movie with you.
What about nicotine replacement products or medicine to help me stop smoking?
Nicotine replacement products are ways to take in nicotine without smoking. These products come in several forms: gum, patch, nasal spray, inhaler and lozenge. You can buy the nicotine gum, patch and lozenge without a prescription from your doctor. Nicotine replacement works by lessening your body’s craving for nicotine and reducing withdrawal symptoms. This lets you focus on the changes you need to make in your habits and environment. Once you feel more confident as a nonsmoker, dealing with your nicotine addiction is easier.

Prescription medicines such as bupropion and varenicline help some people stop smoking. These medicines do not contain nicotine, but help you resist your urges to smoke.

Talk to your doctor about which of these products is likely to give you the best chance of success. For any of these products to work, you must carefully follow the directions on the package. It’s very important that you don’t smoke while using nicotine replacement products.

How can I get support and encouragement?
Tell your family and friends what kind of help you need. Their support will make it easier for you to stop smoking. Also, ask your family doctor to help you develop a plan for stopping smoking. He or she can give you information on telephone hotlines, such as 1-800-QUIT-NOW (784-8669), or self-help materials that can be very helpful. Your doctor can also recommend a stop-smoking program. These programs are often held at local hospitals or health centers.

Give yourself rewards for stopping smoking. For example, with the money you save by not smoking, buy yourself something special.

Remember, you will need some help to stop smoking. Nine out of 10 smokers who try to go “cold turkey” fail because nicotine is so addictive. But it is easy to find help to quit.
http://familydoctor.org/familydoctor/en/diseases-conditions/tobacco-addiction/treatment.html
Prevention is the best course of action.
Resources:
Smokeless Tobacco http://kidshealth.org/PageManager.jsp?dn=KidsHealth&lic=1&ps=207&cat_id=20138&article_set=20424

A Tool to Quit Smoking Has Some Unlikely Critics
http://www.nytimes.com/2011/11/08/science/e-cigarettes-help-smokers-quit-but-they-have-some-unlikely-critics.html

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

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More California teens turning to smokeless tobacco

16 Dec

Some children consider smoking a rite of passage into adolescence. According to Tobacco Facts most teenage smoking starts early. Among the statistics cited at Tobacco Facts are the following:

Each day 3,000 children smoke their first cigarette.

Tobacco use primarily begins in early adolescence, typically by age 16.

At least 3 million adolescents are smokers.

20 percent of American teens smoke.

Almost all first use occurs before high school graduation.

Roughly 6 million teens in the US today smoke despite the knowledge that it is addictive and leads to disease.

Of the 3,000 teens who started smoking today, nearly 1,000 will eventually die as a result from smoking.

Of every 100,000 15 year old smokers, tobacco will prematurely kill at least 20,000 before the age of 70.

Adolescent girls who smoke and take oral birth control pills greatly increase their chances of having blood clots and strokes.

According to the Surgeon’s General, Teenagers who smoke were:

* Three times more likely to use alcohol.

* Eight times are likely to smoke marijuana.

* And 22 times more likely to use Cocaine.

Although only 5 percent of high school smokers said that they would definitely be smoking five years later, close to 75 percent were still smoking 7 to 9 years later.

Kids who smoke experience changes in the lungs and reduced lung growth, and they risk not achieving normal lung function as an adult.

A person who starts smoking at age 13 will have a more difficult time quitting, has more health-related problems and probably will die earlier than a person who begins to smoke at age 21.

Kids who smoke have significant health problems, including cough and phlegm production, decreased physical fitness and unfavorable lipid profile.

If your child’s best friends smoke, then your youngster is 13 times more likely to smoke than if his or her friends did not smoke.

Adolescents who have two parents who smoke are more than twice as likely as youth without smoking parents to become smokers.

More than 90 percent of adult smokers started when they were teens.

It is important to prevent teens from beginning to smoke because of health issues and the difficulty many smokers have in quitting the habit.

Why Do Teens Smoke?

Denise Witmer at About.Com lists the reasons teens smoke

According to the World Health Organization ‘between 80,000 and 100,000 children worldwide start smoking every day.’ Here are some of the reasons why teens start smoking:

·         One or both parents smoke.

·         People they admire smoke.

·         Teens find acceptance by peers if they smoke too.

·         Mass media campaign for smoking works on teenagers and adults.

·         Teens feel invincible or that they can stop at anytime. So why not try it?

·         It helps the teen lose weight, reduce stress, etc.

·         Smoking’s biggest draw is that it is an adult activity that is forbidden 

Lauren Pappa writing in Junior Scholastic quotes Danny Mc Goldrick who cites peer pressure as the most important reason kids start to smoke.

Peer pressure is one of the biggest factors in youth smoking, says Danny McGoldrick, research director for Tobacco-Free Kids. Smoking, McGoldrick told JS, is a way for kids “to belong and rebel [against parents] at the same time.”

This pressure exerted by peers and culture can be countered by the active involvement of parents and guardians.

Todd R. Hansen of the Colusa County Sun-Herald reports in the article, Smokeless tobacco use by youth rising:

Illegal sales of tobacco products to minors increased for the first time in three years in California, and the number of high school students who said they have had a cigarette jumped by nearly 37 percent in recent years.

Still, fewer California teens smoke than in virtually all other states, but the use of smokeless and other nicotine products are on the rise.

Nearly 4 percent of all teens in California used smokeless tobacco in 2010, an increase from just over 3 percent in 2004, the state reported.

In Colusa County, the percentage of youth (ages 12-18) who reported using smokeless tobacco products is 6.7 percent, compared to the 3.9 percent statewide. Moreover, 18.9 percent report have used such products compared to 11 percent statewide….http://www.colusa-sun-herald.com/news/tobacco-9759-percent-smokeless.html

Here is the executive summary of the report, Tobacco Use and Promotion in California.

Executive Summary

This report provides the latest information on tobacco use and promotion in California, including the impact of tobacco advertising in retail stores on youth tobacco use, statewide tobacco consumption trends, and the economic and environmental impact of smoking. The following are key highlights from the report:

Youth Data

• In 2010, 36.8 percent of high school students had smoked a whole cigarette by 13 or 14 years of age, an increase from 34.4 percent of high school students in 2008.

• Illegal tobacco sales to minors rose to 8.7 percent from 5.6 percent in 2011.

• Non-traditional stores (i.e., donut shops, discount stores, deli, meat or produce markets) had the largest percentage of illegal sales at 20.3 percent, up 10.5 percent from 2011

Emerging Tobacco Products

• Sales of other tobacco and nicotine products have risen dramatically over the last decade in California, from $77.1 million in 2001 to $210.9 million in 2011.

• Among high school students, smokeless tobacco prevalence was 3.9 percent in 2010, an increase from 3.1 percent in 2004, and places selling snus in California have increased significantly, from less than one percent in 2008 to 39.5 percent in 2011.

Tobacco Advertising in Retail Stores

• There are approximately 36,700 licensed tobacco retail stores in California – one for every 254 kids.

• Prevalence of smoking was higher at schools in neighborhoods with  five or more stores that sell tobacco than at schools in neighborhoods without any stores that sell tobacco.

• Nearly one-third (32.3 percent) of California stores that sell tobacco had at least one cigarette advertisement less than three feet above the floor, where it is easily seen by children.

Economic Impact of Smoking

• Smoking impacts many chronic diseases, such as heart disease, diabetes and asthma.

• It is estimated that Californians will pay $6.5 billion toward adult tobacco-related health care costs in 2012, more than $400 per taxpayer.

• The most cost-effective way to decrease health care costs is to encourage and support tobacco cessation.

In conclusion, we must remain committed to decreasing the death, disease and health care costs attributed to tobacco by supporting tobacco users who want to quit, and protecting young people from the influence of tobacco product marketing. http://www.cdph.ca.gov/Documents/EMBARGOED%20State%20Health%20Officers%20Report%20on%20Tobacco.pdf

See, E-Cigarette Teen Popularity Prompts Concerns http://www.huffingtonpost.ca/2012/09/11/e-cigarette-teen-popular_n_1875319.html

Richard Craver of the Winston-Salem Journal wrote in the article, Electronic cigarettes gaining on traditional products:

The swelling popularity of electronic cigarettes may add to the regulatory and revenue tension between tobacco manufacturers and states.

Electronic cigarettes, or e-cigs, are battery-powered devices that heat a liquid nicotine solution in a disposable cartridge and create a vapor that is inhaled.

Refill cartridges can be purchased in different sizes and flavors; five-packs typically cost between $9 and $18. By comparison, a carton of cigarettes can cost between $25 and $50 for most name brands.

Bonnie Herzog, a Wells Fargo Securities analyst, believes the e-cig craze has shifted from “fad” to “here to stay.”

So much so that Herzog said recently in a note to investors that e-cig sales could grow fast enough to affect the payments states receive from the landmark Master Settlement Agreement.

Tobacco companies, including R.J. Reynolds Tobacco Co., agreed in 1998 to settle lawsuits filed by 46 state attorneys general over smoking-related health-care costs by paying those states about $206 billion over more than 20 years.

Most states have redirected much, if not all, of their MSA money to general expenditures, much to the chagrin of public-health advocacy groups.

Meanwhile, sales of e-cigs are about $300 million a year and the products have about 2.5 million users, according to Tobacco Vapor Electronic Cigarette Association.http://www.journalnow.com/business/business_news/local/article_41fa04d6-4655-11e2-95d9-0019bb30f31a.html

Science Daily reported about a Swedish Study which showed that parents are influential in their child’s decision whether to smoke.

Teenagers are more positive today towards their parents’ attempts to discourage them from smoking, regardless of whether or not they smoked, than in the past. The most effective actions parents could take include dissuading their children from smoking, not smoking themselves and not allowing their children to smoke at home. Younger children were more positive about these approaches than older children. Levels of smoking amongst participants were stable at 8% in 1987 and 1994, but halved in 2003. The decrease in the proportion of teenagers smoking is thought to result from a number of factors, including changes in legislation and the decreasing social acceptability of smoking….

Another study reported by Reuters came to a similar conclusion that parents influence the decision whether to smoke The Mayo Clinic has some excellent tips on preventing your teen from smoking

As with a lot of issues adolescents face, it is important for parents and guardians to know what is going on in their children’s lives. You should know who your children’s friends are and how these friends feel about smoking, drugs, and issues like sex. You should also know how the parents of your children’s friends feel about these issues. Do they smoke, for example, or are they permissive in allowing their children to use alcohol and/or other drugs. Are these values in accord with your values?

Resources:

Smokeless Tobacco                                                                   http://kidshealth.org/PageManager.jsp?dn=KidsHealth&lic=1&ps=207&cat_id=20138&article_set=20424

A Tool to Quit Smoking Has Some Unlikely Critics http://www.nytimes.com/2011/11/08/science/e-cigarettes-help-smokers-quit-but-they-have-some-unlikely-critics.html

Where information leads to Hope. ©                    Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©                             http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©                                               http://drwildareviews.wordpress.com/

Dr. Wilda ©                                                                                       https://drwilda.com/

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