quit.org.au E-cigarettes and Vaping An Overview
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quit.org.au E-cigarettes and Vaping An Overview Version 1.3 November 2022 The content of this presentation is correct and up-to-date at the time of development Acknowledgement of Country quit.org.au What are Electronic Cigarettes
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quit.org.au E-cigarettes and Vaping An Overview Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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Acknowledgement of Country quit.org.au<br>
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What are Electronic Cigarettes (E-cigarettes)? quit.org.au Battery operated devices that work by heating a liquid (e-liquid), until it becomes an aerosol that users inhale
Also known as vapes, e-cigars, e-pipes, electronic nicotine/non-nicotine delivery systems (ENDS/ENNDS), alternative nicotine delivery systems (ANDS), e-shishas, e-hookas, hookah-pens, vape-pipes, vape-pens and e-cigs
Disposable or reusable Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
Also known as vapes, e-cigars, e-pipes, electronic nicotine/non-nicotine delivery systems (ENDS/ENNDS), alternative nicotine delivery systems (ANDS), e-shishas, e-hookas, hookah-pens, vape-pipes, vape-pens and e-cigs
Disposable or reusable Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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E-cigarette Design quit.org.au Come in many different shapes and sizes
Can be shaped and coloured to look like cigarettes, cigars or cigarillos
Can look like everyday items such as highlighters, pens, memory sticks or lipsticks, or even be concealed within clothing Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
Can be shaped and coloured to look like cigarettes, cigars or cigarillos
Can look like everyday items such as highlighters, pens, memory sticks or lipsticks, or even be concealed within clothing Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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Adolescents and young adults are more likely to vape fruit- and confectionary-flavoured e-cigarettes (Soneji et al. 2019; Public Health Rep) Flavours and Packaging quit.org.au Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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What is in E-liquid? quit.org.au Contains propylene glycol, vegetable glycerine/glycerol, andflavourings
Might or might not contain nicotine
Flavourings have not been tested for inhalation safety
Some flavouring chemicals can cause DNA damage Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
Might or might not contain nicotine
Flavourings have not been tested for inhalation safety
Some flavouring chemicals can cause DNA damage Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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What is being inhaled? quit.org.au Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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quit.org.au Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development E-cigarette Use ('vaping')<br>
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E-cigarette Use – those under 18 quit.org.au In 2022/2023, 30% of Australian 12-17 year olds had tried an e-cigarette
16% had vaped in the past month
5% had vaped on 20 or more days in the past month
Among students who had tried vaping, 69% had never smoked a regular cigarette
(Australian Secondary Schools Alcohol & Drug Survey, 2023) Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
16% had vaped in the past month
5% had vaped on 20 or more days in the past month
Among students who had tried vaping, 69% had never smoked a regular cigarette
(Australian Secondary Schools Alcohol & Drug Survey, 2023) Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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Smoking and Vaping Legislation in Victoria quit.org.au Wherever smoking is regulated, vaping is included, and applies whether or not the e-cigarette contains nicotine
Cigarettes and e-cigarettes cannot be sold to people under 18 years of age
Adults can purchase e-cigarettes without nicotine, while e-cigarettes containing nicotine can only be purchased with a prescription from a GP Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
Cigarettes and e-cigarettes cannot be sold to people under 18 years of age
Adults can purchase e-cigarettes without nicotine, while e-cigarettes containing nicotine can only be purchased with a prescription from a GP Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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Health Effects of Vaping quit.org.au Harms with strong evidence:
Addiction
Lung injury
Acute nicotine toxicity
Increased indoor air pollution
Environmental waste and fires
Harms where evidence is emerging:
Poor cardiovascular health markers
Impaired lung function
Particulate matter is emitted by e-cigarettes and is potentially dangerous, as it increases indoor pollution Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development Banks et al. Electronic cigarettes and health outcomes: systematic review of global evidence. Report for the Australian Department of Health. Canberra: National Centre for Epidemiology and Population Health, 2022.<br>
Addiction
Lung injury
Acute nicotine toxicity
Increased indoor air pollution
Environmental waste and fires
Harms where evidence is emerging:
Poor cardiovascular health markers
Impaired lung function
Particulate matter is emitted by e-cigarettes and is potentially dangerous, as it increases indoor pollution Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development Banks et al. Electronic cigarettes and health outcomes: systematic review of global evidence. Report for the Australian Department of Health. Canberra: National Centre for Epidemiology and Population Health, 2022.<br>
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Health Effects of Vaping for Children and Young People quit.org.au E-cigarettes pose serious health risks to children and young people
Nicotine is highly addictive especially for children
Nicotine exposure during the teenage years can harm brain development
Adolescents who vape are more than 3x more likely to move onto smoking cigarettes (Aladeokin & Haighton, 2019; Tob Prev Cessat) Version 1.3 November 2022 The content of this presentation is correct and up-to-date at the time of development<br>
Nicotine is highly addictive especially for children
Nicotine exposure during the teenage years can harm brain development
Adolescents who vape are more than 3x more likely to move onto smoking cigarettes (Aladeokin & Haighton, 2019; Tob Prev Cessat) Version 1.3 November 2022 The content of this presentation is correct and up-to-date at the time of development<br>
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Health Effects of Vaping Continued… quit.org.au Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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Vaping and Mental Health quit.org.au Vaping can exacerbate mental health concerns
Current e-cigarette users have 2x the likelihood of having a diagnosis of depression, while frequent vaping has 2.4x the likelihood (Obisesan et al. 2019; JAMA Netw Open)
Vaping is significantly associated with more ADHD symptoms (Bierhoff et al. 2019; Subst Use Misuse).
Adults using e-cigarettes had nearly 2x the likelihood of association with cognitive complaints, including serious difficulty concentrating, remembering, or making decisions (Xie et al, 2020; PLoS ONE) Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
Current e-cigarette users have 2x the likelihood of having a diagnosis of depression, while frequent vaping has 2.4x the likelihood (Obisesan et al. 2019; JAMA Netw Open)
Vaping is significantly associated with more ADHD symptoms (Bierhoff et al. 2019; Subst Use Misuse).
Adults using e-cigarettes had nearly 2x the likelihood of association with cognitive complaints, including serious difficulty concentrating, remembering, or making decisions (Xie et al, 2020; PLoS ONE) Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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Other Potential Dangers of E-cigarettes quit.org.au E-liquids stored in plastic or glass containers may spill or leak, and may be easily opened by children
Ingestion of e-liquid may lead to poisoning and death when swallowed by children
E-cigarettes have caused serious burns and explosions injuries
E-cigarette components and e-liquid capsules are also a choking hazard for young children Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
Ingestion of e-liquid may lead to poisoning and death when swallowed by children
E-cigarettes have caused serious burns and explosions injuries
E-cigarette components and e-liquid capsules are also a choking hazard for young children Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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Key Behavioural Insights (van Bueren et al. 2022; The Behaviour Change Collaborative) quit.org.au Teens who vape overestimate vaping prevalence - Keep pointing out that most teens and young people do not vape
Teenagers are curious about the cigarette equivalency of vaping and may be deterred if they knew it because smoking is seen as harmful – Increase awareness of how many cigarettes vape use represents
Trusted adults’ opinions matters to many teens – Influential adults need to repeatedly voice their disapproval of vaping with teens they have an established or close relationship with
Affordability and ease of access are significant enablers of vape use in teens Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
Teenagers are curious about the cigarette equivalency of vaping and may be deterred if they knew it because smoking is seen as harmful – Increase awareness of how many cigarettes vape use represents
Trusted adults’ opinions matters to many teens – Influential adults need to repeatedly voice their disapproval of vaping with teens they have an established or close relationship with
Affordability and ease of access are significant enablers of vape use in teens Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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Key Behavioural Insights (Yet to be published Common Cause Australia research in an Australian jurisdiction) quit.org.au Teens perceive differences in extent of harms based on variables such as perceived quality of vapes, nicotine vs non-nicotine vapes – Emphasise that all vapes are harmful
Teens want to avoid developing or exacerbating mental health issues – Focus on the mental health impacts of dependence on nicotine
Teens feel uncomfortable to hear they are breathing in corrosive chemicals when vaping – Increase awareness of the chemicals in vapes and what they are usually used for (e.g. as a weed killer)
When communicating about vaping, make it look and sound like young peoples’ content - Use young peoples’ language and perspective; use young peoples' stories to highlight the harms of vaping Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
Teens want to avoid developing or exacerbating mental health issues – Focus on the mental health impacts of dependence on nicotine
Teens feel uncomfortable to hear they are breathing in corrosive chemicals when vaping – Increase awareness of the chemicals in vapes and what they are usually used for (e.g. as a weed killer)
When communicating about vaping, make it look and sound like young peoples’ content - Use young peoples’ language and perspective; use young peoples' stories to highlight the harms of vaping Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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Key Challenges quit.org.au Vaping is currently normalised amongst children and young people
Devices, packaging and flavours are designed and marketed to appeal to children and young people
Predatory marketing aimed at youth
Highly accessible
Tobacco industry highly invested in e-cigarettes – wants to get a whole new generation of kids addicted to nicotine
Tobacco and e-cigarette industry working hard to frame e-cigarettes as “less harmful” than cigarettes Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
Devices, packaging and flavours are designed and marketed to appeal to children and young people
Predatory marketing aimed at youth
Highly accessible
Tobacco industry highly invested in e-cigarettes – wants to get a whole new generation of kids addicted to nicotine
Tobacco and e-cigarette industry working hard to frame e-cigarettes as “less harmful” than cigarettes Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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Key Take Home Messages quit.org.au Vaping is harmful to health, even if the e-cigarette doesn’t contain nicotine
E-cigarettes are intrinsically harmful
Nicotine-containing e-cigarettes and cigarettes are nicotine addiction devices being pushed by an industry that needs new customers
Need strong protections against the vaping and tobacco industries to ensure young people continue to breathe easy
Can address vaping using health promotion and policy approaches that have successfully reduced community acceptance and tolerance of smoking
Smoking is still the single leading cause of preventable death and disease – combat smoking and vaping together as two sides of the same coin Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
E-cigarettes are intrinsically harmful
Nicotine-containing e-cigarettes and cigarettes are nicotine addiction devices being pushed by an industry that needs new customers
Need strong protections against the vaping and tobacco industries to ensure young people continue to breathe easy
Can address vaping using health promotion and policy approaches that have successfully reduced community acceptance and tolerance of smoking
Smoking is still the single leading cause of preventable death and disease – combat smoking and vaping together as two sides of the same coin Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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E-cigarette and Vaping Resources Get the facts on vaping – Online information and resource hub on vaping for parents and influential adults
Chapter 18B on e-cigarettes from Tobacco in Australia - A comprehensive review of the major issues in smoking and health in Australia, compiled by the Cancer Council Victoria
The dangers of liquid nicotine – Quit webpage with information on the toxicity and dangers of liquid nicotine
E-cigarettes and vaping: Unveil what you inhale – Information and resources from the Lung Foundation Australia
Facts about vaping (e-cigarettes) – Tackling Indigenous Smoking webpage quit.org.au Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
Chapter 18B on e-cigarettes from Tobacco in Australia - A comprehensive review of the major issues in smoking and health in Australia, compiled by the Cancer Council Victoria
The dangers of liquid nicotine – Quit webpage with information on the toxicity and dangers of liquid nicotine
E-cigarettes and vaping: Unveil what you inhale – Information and resources from the Lung Foundation Australia
Facts about vaping (e-cigarettes) – Tackling Indigenous Smoking webpage quit.org.au Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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References Better Health Channel. E-cigarettes [Internet]. 2021 [cited 2022 May 12]. Available from: https://www.betterhealth.vic.gov.au/health/healthyliving/e-cigarettes
The Royal Children’s Hospital Melbourne. E-cigarettes and teens [Internet]. 2020 [cited 2022 May 12]. Available from: https://www.rch.org.au/kidsinfo/fact_sheets/E-cigarettes_and_teens/
Soneji SS, Knutzen KE, Villanti AC. Use of Flavored E-Cigarettes Among Adolescents, Young Adults, and Older Adults: Findings From the Population Assessment for Tobacco and Health Study. Public Health Rep. 2019;134:282-92. Available from: https://journals.sagepub.com/doi/10.1177/0033354919830967
Department of Health & Human Services. E-liquids for use in e-cigarettes [Internet]. 2019 [cited 2022 May 12]. Available from: https://www.health.vic.gov.au/publications/e-liquids-for-use-in-e-cigarettes-important-safety-information
Chivers E, Janka M, Franklin P, Mullins B, Larcombe A. Nicotine and other potentially harmful compounds in “nicotine-free” e-cigarette liquids in Australia. Med J Aust. 2019;210:127-8. Available from: https://www.mja.com.au/journal/2019/210/3/nicotine-and-other-potentially-harmful-compounds-nicotine-free-e-cigarette
Bayly M, Mitsopoulos E, Durkin S, Scollo M. E-cigarette use and purchasing behaviour among Victorian adults: Findings from the 2018-19 and 2022 Victorian Smoking and Health Surveys. Prepared for: Quit Victoria. Centre for Behavioural Research in Cancer, Cancer Council Victoria: Melbourne, Australia, October 2022. Available from: https://www.cancervic.org.au/downloads/cbrc/R22_MB_E-cigarette use and purchasing behaviour among Victorian adults.pdf quit.org.au Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
The Royal Children’s Hospital Melbourne. E-cigarettes and teens [Internet]. 2020 [cited 2022 May 12]. Available from: https://www.rch.org.au/kidsinfo/fact_sheets/E-cigarettes_and_teens/
Soneji SS, Knutzen KE, Villanti AC. Use of Flavored E-Cigarettes Among Adolescents, Young Adults, and Older Adults: Findings From the Population Assessment for Tobacco and Health Study. Public Health Rep. 2019;134:282-92. Available from: https://journals.sagepub.com/doi/10.1177/0033354919830967
Department of Health & Human Services. E-liquids for use in e-cigarettes [Internet]. 2019 [cited 2022 May 12]. Available from: https://www.health.vic.gov.au/publications/e-liquids-for-use-in-e-cigarettes-important-safety-information
Chivers E, Janka M, Franklin P, Mullins B, Larcombe A. Nicotine and other potentially harmful compounds in “nicotine-free” e-cigarette liquids in Australia. Med J Aust. 2019;210:127-8. Available from: https://www.mja.com.au/journal/2019/210/3/nicotine-and-other-potentially-harmful-compounds-nicotine-free-e-cigarette
Bayly M, Mitsopoulos E, Durkin S, Scollo M. E-cigarette use and purchasing behaviour among Victorian adults: Findings from the 2018-19 and 2022 Victorian Smoking and Health Surveys. Prepared for: Quit Victoria. Centre for Behavioural Research in Cancer, Cancer Council Victoria: Melbourne, Australia, October 2022. Available from: https://www.cancervic.org.au/downloads/cbrc/R22_MB_E-cigarette use and purchasing behaviour among Victorian adults.pdf quit.org.au Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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References Continued… Scully M, Bain E, Koh I, Wakefield M, Durkin S. ASSAD 2022/2023: Australian secondary school students’ use of tobacco and e-cigarettes. Prepared for: Australian Government Department of Health and Aged Care: Melbourne, Australia, December 2023. Available from: https://www.health.gov.au/sites/default/files/2023-11/secondary-school-students-use-of-tobacco-and-e-cigarettes-2022-2023.pdf
Department of Education and Training Victoria. School Operations: Smoking and Vaping Ban [Internet]. 2021 [cited 2022 May 12]. Available from: https://www2.education.vic.gov.au/pal/smoking-vaping-ban/policy
Banks E, Yazidjoglou A, Brown S, Nguyen M, Martin M, Beckwith K, et al. Electronic cigarettes and health outcomes: systematic review of global evidence. Report for the Australian Department of Health. Canberra: National Centre for Epidemiology and Population Health; 2022. Available from: https://openresearch-repository.anu.edu.au/bitstream/1885/262914/1/Electronic%20cigarettes%20health%20outcomes%20review_2022_WCAG.pdf
Aladeokin A, Haighton C. Is adolescent e-cigarette use associated with smoking in the United Kingdom?: A systematic review with meta-analysis. Tob Prev Cessat. 2019;5:15. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205081/
Obisesan OH, Mirbolouk M, Osei AD, Orimoloye OA, Uddin SMI, Dzaye O, et al. Association Between e-Cigarette Use and Depression in the Behavioral Risk Factor Surveillance System, 2016-2017. JAMA Netw Open. 2019;2:e1916800. Available from: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2756260 quit.org.au Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
Department of Education and Training Victoria. School Operations: Smoking and Vaping Ban [Internet]. 2021 [cited 2022 May 12]. Available from: https://www2.education.vic.gov.au/pal/smoking-vaping-ban/policy
Banks E, Yazidjoglou A, Brown S, Nguyen M, Martin M, Beckwith K, et al. Electronic cigarettes and health outcomes: systematic review of global evidence. Report for the Australian Department of Health. Canberra: National Centre for Epidemiology and Population Health; 2022. Available from: https://openresearch-repository.anu.edu.au/bitstream/1885/262914/1/Electronic%20cigarettes%20health%20outcomes%20review_2022_WCAG.pdf
Aladeokin A, Haighton C. Is adolescent e-cigarette use associated with smoking in the United Kingdom?: A systematic review with meta-analysis. Tob Prev Cessat. 2019;5:15. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205081/
Obisesan OH, Mirbolouk M, Osei AD, Orimoloye OA, Uddin SMI, Dzaye O, et al. Association Between e-Cigarette Use and Depression in the Behavioral Risk Factor Surveillance System, 2016-2017. JAMA Netw Open. 2019;2:e1916800. Available from: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2756260 quit.org.au Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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Bierhoff J, Haardorfer R, Windle M, Berg CJ. Psychological Risk Factors for Alcohol, Cannabis, and Various Tobacco Use among Young Adults: A Longitudinal Analysis. Subst Use Misuse. 2019;54:1365-75. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6510654/
Xie Z, Ossip DJ, Rahman I, O’Connor RJ, Li D. Electronic cigarette use and subjective cognitive complaints in adults. PLoS ONE. 2020;15:e0241599. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0241599
McFadden DD, Bornstein SL, Vassallo R, Salonen BR, Bhuiyan MN, Schroeder DR, et al. Symptoms COVID 19 Positive Vapers Compared to COVID 19 Positive Non-vapers. J Prim Care Community Health. 2022;13:21501319211062672. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744181/
van Bueren D, van der Beeke L, Grainge A, Petrut R. Being Gen Vape – Exploratory research on the knowledge, perceptions, attitudes and influences on teen vaping in Western Australia. The Behaviour Change Collaborative. 2022. Available from: https://thebcc.org.au/wp-content/uploads/2022/08/Being-Gen-Vape-Exploratory-Research-Report-Final.pdf quit.org.au References Continued… Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
Xie Z, Ossip DJ, Rahman I, O’Connor RJ, Li D. Electronic cigarette use and subjective cognitive complaints in adults. PLoS ONE. 2020;15:e0241599. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0241599
McFadden DD, Bornstein SL, Vassallo R, Salonen BR, Bhuiyan MN, Schroeder DR, et al. Symptoms COVID 19 Positive Vapers Compared to COVID 19 Positive Non-vapers. J Prim Care Community Health. 2022;13:21501319211062672. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744181/
van Bueren D, van der Beeke L, Grainge A, Petrut R. Being Gen Vape – Exploratory research on the knowledge, perceptions, attitudes and influences on teen vaping in Western Australia. The Behaviour Change Collaborative. 2022. Available from: https://thebcc.org.au/wp-content/uploads/2022/08/Being-Gen-Vape-Exploratory-Research-Report-Final.pdf quit.org.au References Continued… Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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Image Credits https://academic.oup.com/eurheartj/article/41/28/2612/5875664?login=false
https://www.thekindpen.com/product-tag/e-juice/
https://highrollersmoke.com/collections/vaprwear
https://660vapeandsmokekc.com/xvape-vixen-lipstick/
https://q8vapes.com/product/juice-box-by-salty-man-30ml/
https://vapekorner.com/product/rainbow-by-shortfill-e-liquid-skittles-sweet-shop-120ml/
https://cornerstonevape.co/product/blvk-unicorn-milkbox-chocolate-60ml-0mg/
https://www.bu.edu/articles/2018/liquid-nicotine-packaged-like-juice-deceives-children/
https://www.vapecityshop.com/en/aromazon/600-e-liquid-bubble-juice-50-ml.html quit.org.au Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
https://www.thekindpen.com/product-tag/e-juice/
https://highrollersmoke.com/collections/vaprwear
https://660vapeandsmokekc.com/xvape-vixen-lipstick/
https://q8vapes.com/product/juice-box-by-salty-man-30ml/
https://vapekorner.com/product/rainbow-by-shortfill-e-liquid-skittles-sweet-shop-120ml/
https://cornerstonevape.co/product/blvk-unicorn-milkbox-chocolate-60ml-0mg/
https://www.bu.edu/articles/2018/liquid-nicotine-packaged-like-juice-deceives-children/
https://www.vapecityshop.com/en/aromazon/600-e-liquid-bubble-juice-50-ml.html quit.org.au Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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Image Credits Continued… https://ecigarettes-wholesale.com/index.php?route=product/product&product_id=2582
https://www.ejuicedb.com/products/pink-lemonade-by-cloud-heads-e-liquid
https://www.hopkinsmedicine.org/health/wellness-and-prevention/vape-flavors-and-vape-juice-what-you-need-to-know
https://vapingdaily.com/what-is-vaping/how-to-choose-e-liquid/
https://nccd.cdc.gov/MCRC/apps/AdDetails.aspx?CatalogID=3152&IFS=108
https://www.fda.gov/tobacco-products/public-health-education/think-e-cigs-cant-harm-teens-health
https://internetmarketingwithblogs.com/effects-of-online-education-on-mental-and-physical-health/
https://www.hollandhospital.org/healthylife/healthy-life-blogs/the_dangers_of_vaping_six_facts_to_know_166 quit.org.au Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
https://www.ejuicedb.com/products/pink-lemonade-by-cloud-heads-e-liquid
https://www.hopkinsmedicine.org/health/wellness-and-prevention/vape-flavors-and-vape-juice-what-you-need-to-know
https://vapingdaily.com/what-is-vaping/how-to-choose-e-liquid/
https://nccd.cdc.gov/MCRC/apps/AdDetails.aspx?CatalogID=3152&IFS=108
https://www.fda.gov/tobacco-products/public-health-education/think-e-cigs-cant-harm-teens-health
https://internetmarketingwithblogs.com/effects-of-online-education-on-mental-and-physical-health/
https://www.hollandhospital.org/healthylife/healthy-life-blogs/the_dangers_of_vaping_six_facts_to_know_166 quit.org.au Version 1.3 November 2022The content of this presentation is correct and up-to-date at the time of development<br>
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Contact Us If you would like to contact Quit Victoria, please emailquit@cancervic.org.au<br>