VapingECigarettes amp Schools Started showing up on KSDE Leadership and Kansas State Board of Education radars in Spring 2019 Problems faced by Kansas schools Students vaping during the school day in and on school grounds ID: 1043551
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1. E-Cigarettes/VapingWhat We Know and What We Don’t Know
2. Vaping/E-Cigarettes & SchoolsStarted showing up on KSDE Leadership and Kansas State Board of Education radars in Spring 2019.Problems faced by Kansas schools:Students vaping during the school day in and on school grounds.Students experiencing dependence/addiction to nicotine.Areas of schools (i.e. bathrooms) that become centers for vaping and causing discomfort for students.Vaping/e-cigarettes not being specifically identified in policies.Consequences/discipline for those who are using or possessing products.
3. Vaping/E-Cigarettes Task ForceTask Force formed in July 2019 to take action and provide recommendations to State BOE beginning in August 2019.Representation from: KSDE, KDHE, School Administrators, KASB, KNEA, KASHSAA, Kansas AG, Kansas Dept. of Revenue, Kansas Health Institute, School Nursing, School Counseling, School Resource Officer, Medical Professionals, Parents, College Student, American Lung Association, retail.
4. Task Force ActionsDeveloped “8 Elements of a Vape-Free School” that was sent to schools for beginning of school year.Directed school personnel to KDHE Vape-Free Schools page which includes link to “Kansas Vape-Free Schools Toolkit”Collaborated with KDHE on new signage to include vaping.Presented a draft policy for Kansas Board of Education to Consider at their December 2019 monthly meeting.Prioritizing aiding schools with best practices to address discipline surrounding e-cigarette use and possession by students
5. Types of Devices
6. How Do E-Cigarettes Work?
7. What’s In E-Juice?
8. What is In E-Cigarette Aerosol?
9. There is insufficient evidence from randomized controlled trials about the effectiveness of e-cigarettes as cessation aids compared with no treatment of to FDA-approved cessation aids.Adults and E-cigarettes…
10. E-cigarette uses poses avoidable health risks to young people.E-cigarettes may contain nicotine.Nicotine can cause addiction and is harmful to the developing adolescent brain.E-cigarettes can contain metals known to cause respiratory distress and disease.There is substantial evidence that e-cigarette use is associated with the use of other tobacco products.Youth and E-cigarettes…
11. Unique ChallengesMore difficult to detect than traditional cigarette use.Smell/aromaDevices – designed to look like “normal” student belongings such as flash drivesMessaging of manufacturers and distributors.“Safe” or “Safer than cigarettes”It’s just water vaporIt’s a healthier way to stop smoking cigarettesSocial media depiction that use of the products is “cool”
12. Challenging Issues Age-appropriate awareness and education to impact all ages of students.Getting information in parents’/guardians’ hands.Counter-messaging pro-vaping industry and champions.Helping students who are dependent/addicted to nicotine.Making factual statements without research to substantiate.
13. Lung Injuries and Deaths2 deaths in Kansas, 42 in nation in 24 states, tied to vaping.Approximately 2,016 cases of lung injury tied to vaping in U.S.15% are under 1838% are 18-2424% are 25-3423% are 35+13% exclusive use of nicotine-containing products35% exclusive use of THC-containing products
14. E-Cigarette or Vaping Associated Lung InjuryVitamin E Acetate is a chemical of concernUsed as an additive (thickening agent) to THC-containing productsMany other substances are still under investigationVitamin E Acetate usually does not harm when ingested or applied to the skin.Research suggests when vitamin E acetate is inhaled, it may interfere with normal lung functioning.EVALI
15. 2019 YRBS Data: Hot Off the PressesSurvey is of 9th-12th grade Kansas public high school students 2017 2019 IncreaseEver tried e-cigarettes: 34.8% 48.6% 39.7%Used at least 1 day of last 30: 10.6% 22% 107%Used e-cigarettes daily: 1.4% 5.2% 271%
16. Comparison to CigarettesItem Cigarette E-CigaretteEver tried 24.8% 48.6%Used at least 1 day of last 30 5.8% 22%Used daily over last 30 days 1.3% 5.2%
17. Tobacco Industry Targets Youth
18. Over 15,500 unique e-juice flavors are available online.1Research found that majority (80.8%) of youth ever-users report that the first tobacco product they used was flavored.21Hsu G, Sun JY, Zhu SH. Evolution of Electronic Cigarette Brands from 2013-2014 to 2016-2017: Analysis of Brand Websites. J Med Internet Res. 2018 12;20(3):e80.2Ambrose BK, et al. Flavored Tobacco Product Use among US Youth Aged 12-17 Years, 2013-2014. JAMA. 2015;314(17):1871-1873.Tobacco Industry Targets Youth
19. Tobacco Industry Targets Youth
20. E-cigarette shaped like a USB flash driveFlavorsCool Mint, Crème Brûlée, Fruit Medley and MangoJUULpods ALWAYS contain nicotineNow offered in 5% and 3% strengthInformation About JUULJUUL Labs. 2018. https://support.juul.com/home/learn/faqs/juulpod-basicsImage: https://truthinitiative.org/news/what-is-juul
21. Nicotine in JUUL1 JUULpod(3% or 5%)1 pack of cigarettes
22. Kansas Tobacco Quitline The Quitline is available 24 hours a day/7 days a week online or by phone. This is QuittingMobile application and companion text messaging program designed specifically for young adult smokers and e-cigarette users. Aspire Bilingual, interactive online tool where educators have administrative access to track student progress.Credible, Free Youth Cessation Resources
23. Quitting vaping isn’t easy. A solid support system helps. Text DITCHJUUL to 887-09 to get started.It’s completely free, and available 24-7 to help with cravings, stress and slips, plus regularly-scheduled messages and reminders that are designed to help people quit. If not sure you’re ready, they’ve got messages to help build your confidence and practice quitting if you’re not 100% there yet.#DITCHJUUL – Text 2 Quit Program
24. Tobacco 21Tobacco/Vape-Free SchoolsTobacco-Free ParksInserting E-cigs into Local OrdinancesRetail Prevention StrategiesFlavor BansPolicy Issues
25. What Do We Know?Use among teens is increasingNicotine is highly addictive – lifelong nicotine addiction is likelyIt’s not just water vaporIt is not “safe”Teens have been and continue to be targeted by e-cigarette manufacturers and distributors
26. What Don’t We Know?The long-term effects of regular e-cigarette useIt’s effectiveness as a stop-smoking aidThe exact causes of the vaping-related lung injuriesThe true comparison of an e-juice pod and cigarettesWhat is contained in e-juice pods
27. What Are Your Take-Aways?For schoolsFor studentsFor parents/guardiansQuestions?
28. Thank you!
29. Mark ThompsonEducation Program Consultant, Health & Physical EducationCareer, Standards and Assessment Services(785) 296-6823mathompson@ksde.org