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An Introduction to e- Cigarettes
- 1. AN INTRODUCTION TO E-CIGARETTES CONSIDERING TOBACCO FREE WORK SITES
- 2. My story….and the cloud of smoke that changed my life
- 3. • Tobacco is still the SINGLE greatest cause of disease and premature death in America today and is responsible for more than 430,000 deaths each year.
- 4. • Approximately 1/3 of all tobacco users in this county will die prematurely because of their dependence on tobacco.
- 5. Wisconsin’s Statewide Smoke‐Free Air Law State Statute 101.123, Wisconsin Act 12 Definitions: Place of Employment: any indoor place that employees enter carrying out their work duties such as office, work area, employee lounge, restroom, conference room, meeting room, classroom, elevator, stairway, lobby, common area, vehicle, cafeteria, meeting room, or hallway. Public Place: any place open to the public or where the public may be invited Enclosed Place: a structure or area that has a roof and more than two substantial walls Substantial Wall: a wall with no opening or with an opening that either does not allow air in from the outside or is less than 25 percent (25%) of the wall’s surface area Smoking: a cigar, cigarette, pipe or other lighted smoking equipment (Note: E‐cigarettes are not included)
- 7. We wont get fooled again - The Who 1971
- 10. • More than 70% of current smokers would like to quit, and if they do, the result will be both immediate and long term health improvements for them and for YOU, the employer.
- 12. EXAMPLE OF AN E-CIGARETTE Photo source: http://www.legacyforhealth.org/
- 13. TOP 6 REASONS TO BE CONCERNED ABOUT E-CIGARETTES
- 14. #1) E-CIGARETTES GIVE OFF MORE THAN JUST “WATER VAPOR.” Photo source: http://www.trinketsandtrash.org/
- 15. #2) E-CIGARETTES CAN UNDERMINE CLEAN INDOOR AIR POLICIES BY MAKING ENFORCEMENT CONFUSING. Photo source: http://www.trinketsandtrash.org/
- 16. #3) THERE ARE NO REGULATIONS ON THE MANUFACTURE AND SALE OF E-CIGARETTES TO PROTECT CONSUMERS. Photo source: http://www.trinketsandtrash.org/
- 17. #4) E-CIGARETTES ARE NOT APPROVED BY THE FDA TO HELP SMOKERS QUIT. Photo source: http://www.trinketsandtrash.org/
- 18. #5) E-CIGARETTE USERS OFTEN CONTINUE TO ALSO SMOKE REGULAR CIGARETTES. Photo source: http://www.trinketsandtrash.org/
- 19. #6) E-CIGARETTES APPEAL TO YOUTH.
- 20. #6) E-CIGARETTES APPEAL TO YOUTH. Photo source: NY Times
- 21. Dr Fiori UW Madison CTRI
- 22. KEY POINTS • E-cigarettes aren’t good for our air or our kids • E-cigarettes haven’t been proven to be safe • Unregulated marketing, sale and distribution is driving demand • Cessation claims are unproven
- 23. WHAT CAN YOU DO? • Educate your employees • Revisit your workplace tobacco policy • Be part of the solution - join us!
- 24. RESOURCES AND SUPPORT • Tobwis.org
Editor's Notes
- Thank you for the opportunity to provide education on e-cigarettes, a growing concern. My goal is to provide information and build awareness about why you should be concerned. There are four key points I will make today E-cigarettes aren’t good for our air or our kids 2. E-cigarettes haven’t been proven to be safe 3. Unregulated marketing, sale and distribution is driving demand 4. Cessation claims are unproven
- Grandpa – rocky knoll, scraping lungs, void in my mom’s life for 7 years as a child, never worked outside the home again, spittoon, easily out of breath, not a playful grandpa 16 – tried my first cigarette; hid it from the “good friends”, flaunted it around the “bad kids” and soon it was a part of my everyday life – So flash forward a few years, I find myself smoking a pack a day and spending money I don’t have on a product that wants me dead – literally, tobacco companies sell products that they know will kill their customers – ahhh, that must be why they are always marketing new products to new audiences. So I feel bad that I didn’t quit while pregnant despite telling the doctor that I had; and it wasn’t but a few days after bringing my newborn home that I had this experience…. – the cloud of smoke – quit 29 years ago; however, my son also age 29 has been smoking since age 12
- 50 years of working for clean air and tobacco is still the #1 preventable disease and death
- One in Three - My job is to make it more difficult for youth to start and easier for people to quit
- It took 50 years to get to where we are today – WI statewide smoke free air law. It’s not coincidence that smokeless products are being introduced. Review definitions and where “smoking” is prohibited. Smoking vs Vaping/ Cigarettes vs electronic devices
- Wisconsin passed a statewide smoke-free air law and has had success increasing the cigarette tax. BUT…the fight is NOT over. The Tobacco Industry isn’t just going to concede a loss and leave Wisconsin. They are still here, trying to make a profit - in a BIG way.
- Distribute samples of the products to the audience – these are as Dr Smith from Aurora hospital calls them, “nicotine delivery systems that provide many of the same “satisfiers” for smokers as conventional cigarettes – the look, feel, taste (?) and nicotine burst” or in the words of Dr Brian Harrison Affinity Occupational Health….”I won’t believe none of these tobacco manufacturers want to make SAFE tobacco products until they STOP selling the deadly ones! Since that has never happened, the only safe alternative is no-cigarettes.”
- B is the real cigarette
- The Public Health Law Center defines e-cigarettes as “any oral device that provides a vapor of liquid nicotine, lobelia, and/or other substance, and the use or inhalation of which simulates smoking. The term shall include any such devices, whether they are manufactured, distributed, marketed or sold as e-cigarettes, e-cigars, e-pipes, or under any other product name or descriptor.”
- Here’s the thing – Over 8 billion dollars spent annually on tobacco advertising – selling a product that kills their customer – literally. Images sell new products as attractive safe “alternative” to smokers and non-users, especially kids. Why kids? New customers to replace the ones they are killing. According the Center for Disease Control (CDC) 2014, Tobacco use costs the US about $289 billion a year - $133 in direct medical care and $156 billion in lost productivity (CDC.GOV) WI lost 1.7 billion annually due to productivity costs because of illness and premature death directly associated with smoking. Tobacco users that take four 10-minute breaks per day work one month less than the non-tobacco user who do not need to take these additional breaks. Employers spend an estimated $3048 per tobacco user on health care costs and lose another $1879 per tobacco user on lost productivity. That’s just under $5000 per tobacco user that companies spend annually.
- As cigarette smoking rates have dropped, the tobacco industry has created new products to keep users hooked and find new customers. One of these new products being marketed and sold is e-cigarettes. These products are getting a lot of attention and the sales are increasing. Not surprisingly, with one of the top three brands (blu) owned by a Big Tobacco company (Lorrilard*), e-cigarette marketing has increased significantly with expenditures more than doubling between 2012 and 2013. Top three brands include: blu, FIN and NJOY Reynolds American (maker of Camel) has its VUSE brand Altria Group (maker of Marlboro) has MarkTen * Lorrilard was acquired by Renyolds in 2014
- E-cigarettes are devices that allow users to inhale a vapor containing nicotine or other substances. They are generally battery-operated and use a vaporizer to heat a refillable cartridge that then releases a chemical-filled vapor. They come in many flavors such as gummy bear, strawberry, cherry crush and cotton candy. Each e-cigarette is different. Some can be customized with the concentration of nicotine in the flavored “juice,” the amount of the draw and the temperature of the hit. The health consequences of the inhalants and the vapors they give off are unknown. There is currently no scientific evidence establishing the safety of e-cigarettes.
- There are a number of reasons to be concerned about these products. Let’s talk about them.
- #1) E-cigarettes give off more than just “water vapor.” E-cigarettes produce a vapor (also referred to as aerosol) upon each inhalation that resembles and tastes like the smoke produced by cigars and cigarettes. While the health effects of the vapor are unknown, initial lab tests conducted by the FDA found detectable levels of toxic cancer-causing chemicals, including an ingredient used in anti-freeze. Instead of comparing the aerosol from e-cigarettes to secondhand smoke, we should be comparing it to clean air. We’ve worked hard for the right to breathe clean air and e-cigarette vapor doesn’t meet this standard.
- #2) E-cigarettes can undermine clean indoor air policies by making enforcement confusing. Vaping creates a dense mix of vapor and fine particles that looks like tobacco smoke. If exempt from clean indoor air policies, the ‘smoky look’ creates confusion with enforcement. Some people are using e-cigarettes to disguise illicit drug use, which makes enforcement difficult. Because the devices don’t produce a flame, a person smoking marijuana in an e-cigarette can take a puff and then quickly put it in a pocket.
- #3) There are no regulations on the manufacture and sale of e-cigarettes to protect consumers. The safety of e-cigarettes is unknown. Contents vary widely and may not match the ingredients or amounts listed on the label. E-cigarettes labeled as zero nicotine may still contain nicotine. Nicotine in e-cigarette fluid (also known as ‘juice’) can be deadly if ingested improperly. There has been an increase in reports of calls to the Food and Drug Administration (FDA) and poison control centers due to e-cigarettes. Some e-cigarette devices have caused fires in cars and homes while charging.
- #4) E-Cigarettes are not approved by the FDA to help smokers quit. Despite manufacturer’s claims, not one of these products has been approved by the FDA as a cessation device. We know what works. The combination of cessation counseling and FDA-approved medications, such as nicotine patches, lozenges and gum, is the most effective strategy to help smokers quit.
- #5) E-cigarette users often continue to smoke regular cigarettes as well as use e-cigarettes. E-cigarettes are marketed as a way to circumvent clean indoor air laws. For example, users smoke e-cigarettes indoors and regular cigarettes outside. Since these products are being marketed as an alternative for smokers when they cannot smoke, their use can potentially lead to the dual use of cigarettes and e-cigarettes. This means they don’t quit. They just use a new, potentially harmful product in addition to continuing to smoke.
- #6) E-Cigarettes appeal to youth. Glamorous marketing of these products includes tv and magazine ads, online promotions, social media, billboards and even shout outs at the Golden Globes. These advertisements dress up e-cigarettes as a better smelling, cheaper and guilt free alternative to smoking. The tobacco industry is using the same marketing tricks for e-cigarettes that they once used for traditional tobacco products. Since e-cigarettes are not regulated, marketing strategies which are illegal for tobacco products are fair game when it comes to e-cigarettes. The volume of e-cigarette marketing is increasing daily. This amplified attention could lead to the re-normalization and social acceptability of smoking cigarettes.
- #6) E-Cigarettes appeal to youth. Because of their high-tech design, easy access online and at mall kiosks and the wide array of cartridge flavors these products are attractive to kids. We also know sweet, candy-like flavorings, such as grape apple appeal to our kids. We’ve worked hard to keep our youth healthy. We can’t let a new product like e-cigarettes reverse this good work.
- What about e-cigarettes as a cessation tool? E-cigarettes are not
- Key Points E-cigarettes aren’t good for our air or our kids E-cigarettes haven’t been proven to be safe Unregulated marketing, sale and distribution is driving demand Cessation claims are unproven
- Join our coalition Link the audience to re:TH!NK coalition or tobwis.org Educate your employees Company newsletters; website links, cessation supports Revisit your workplace tobacco policy follow the steps taken when implementing other policies; make sure that it is clearly written, communicated to employees in advance and consistently and fairly enforced. Both hospitals have campus free tobacco policies and health insurance discounts for employees that are tobacco free.
- Add your contact information here!