Tag Archives: Nicotine

“Juuling” cause health problems in Teen

This is a question for parents in South Florida: Does your child “Juuling” at school?

The popularity of e-cigarettes and vape products is related to many adults trying to quit smoking. But recently, the problem of nicotine addiction to Teenager, often referred to as the electronic nicotine delivery system, has surfaced.

“It’s everywhere,” said a mother, who asked to remain anonymous for privacy reasons. “In the classrooms, the bathrooms, everywhere.”

The Juul device can be disguised as a USB drive. The device works by heating up liquid nicotine, which is then inhaled as a vapor. It comes in a variety of flavors, like Mango, Fruit Medley and Crème Brulee.

“Everyone is doing it and nobody knows about it,” the concerned mother said. “It’s like an underground little secret.”

She said at least one local student has ended up in the hospital after complications from “Juuling.”

According to the American Academy of Pediatrics the “Symptoms of nicotine poisoning include vomiting, sweating, dizziness, increased heart rate, lethargy, seizures, and difficulty breathing.”

“Pretty popular” said 15 year-old Broward County resident Danielle. “I think it’s like to get a buzz, to get all woozy and stuff.”

For most young people using a Juul would be their first experience with nicotine. Experts worry that in just one Juul pod is the nicotine equivalent of an entire pack of cigarettes.

“They can carry it in their hand just like this it’s not detectable and they go to cough and it’s as simple as that, taking a hit,” said Don Maines, the Broward Sheriff’s Office substance abuse research and program manager.

Maines said the Juul problem has been exploding in the last six months. He said some students have even figured out how to insert other substances into the Juul pods, including THC, or synthetic marijuana.

“It’s a scourge — almost impossible to battle it mostly because the Juuls are so small,” the head of one private school in Broward County said. “I can walk into any class in the high school and I can guarantee at least one student is doing it right under the teacher’s nose.”

Nicotine delivery systems are illegal for kids under 18, but students said they can buy them online and at South Florida stores.

Danielle was able to buy a pack of Juul pods at the Vapor Life shop in Sunrise. An employee at the store said he asked the teen for identification when he sold the pods, and he believed her when she said she forgot her license at work.

The Food and Drug Administration recently announced an undercover blitz found 40 retailers in violation for illegal sales to young people.

The federal agency is cracking down on stores selling to underage people and also targeting online retailers and manufacturers suspected of marketing to kids, which is a concern because research shows “the nicotine in these products can rewire an adolescent’s brain, leading to years of addiction.”

Teens themselves now among those saying Juuling is a problem for young people. A newly released public service announcement produced by a New York area high school student features several teens coming forward about their struggles with nicotine addiction from using Juul.

The manufacturer Juul Labs states their product is only intended for adult use. The company also released a recent statement announcing their support of federal and state initiatives to raise the minimum purchase age to 21 for these products.

That’s something the company says it has already done on its own website. The company has also pledged to invest $30 million toward research and education.

Is Nicotine save millions of people lives

While Washington concentrated on the proceeding with change in the White House, the Food and Drug Administration a month ago made a little-proclaimed announcement that conceivable will end up being significantly more sweeping.

The general wellbeing office uncovered plans to force another standard on tobacco items that would “confine the level of nicotine in cigarettes, rendering them negligibly addictive or nonaddictive.”

In the event that the FDA completes, millions of Americans would be saved from incapacitating illness and sudden passing.

Congress in 2009 engaged the FDA to direct tobacco, however it has taken almost 10 years for the office to progress toward the most encouraging road of control: requiring cigarette makers, and in addition those of substitutes, for example, roll-your-own particular and pipe tobacco, to considerably lessen the measure of nicotine in their items.

Cigarette creators could hereditarily build tobacco that contains no nicotine, at that point blend it with conventional tobacco to hit the correct convergence of the addictive substance.

This approach would be much more powerful than creating “light” cigarettes that regularly neglected to altogether cut the measure of nicotine smokers breathed in. In spite of the fact that nicotine itself isn’t the most lethal substance in tobacco smoke, the fixing keeps individuals frantically snared.

Bringing down nicotine levels may advance stopping, and it unquestionably would keep future ages of adolescents from creating addictions.

As it declared its goal to push ahead with such a run, the FDA featured another examination distributed in the New England Journal of Medicine on the direction’s potential impacts. The paper predicts plunging rates of cigarette smoking, from 15 percent of Americans dependent on under 2 percent.

Cigarette smoking is the deadliest type of tobacco utilize, in charge of a larger number of passings every year than liquor, tranquilize mishandle, manslaughter, auto accidents, suicide and AIDS joined.

The investigation additionally presumed that there would be a spike in noncombustible tobacco utilize, for example, e-cigarette utilize, otherwise called vaping.

E-cigarettes’ security profile is still under investigation, however it is clear the gadgets are less dangerous than conventional cigarettes.

In addition, the investigation found that general tobacco utilize would drop considerably under the new approach, showing that numerous individuals would essentially stop — approximately 5 million in the primary year alone, the examination reports.

Around 33 million could never get snared in the first place. The outcome would be 8 million less unexpected losses by 2100.

In Ohio, around 22 percent of grown-ups are viewed as smokers, which means they detailed smoking no less than 100 cigarettes in their lifetime and as of now smoke each or some days, as indicated by information from the United Health Foundation.

The FDA has a considerable measure of work before it. The organization should even now decide unequivocally where to set its nicotine constrain. In doing as such, it must endeavor to limit reactions. A bootleg market in full-nicotine cigarettes may develop.

Smokers may illuminate all the more regularly looking for a delightful nicotine hit. As more smokers change onto e-cigarettes, the FDA should keep a nearby watch on how those addictive items are fabricated and sold.

School battle a Juul. E-Cigarette Epidemic

“People JUUL at parties, JUUL when they’re driving — it’s a social thing. They’re JUULing all the time,” said C., 17, who said some students at her high school use the popular electronic cigarette in class.

Similar to vaping, JUUL is a brand-name e-cigarette that has outpaced its competition thanks to its sleek, discreet shape — many compare it to the size and look of a thumb drive — and its unique vaping formula of flavored nicotine and salt.

So Mr. Carpenter asked the school nurse about getting the teenager nicotine gum or a patch, to help him get through the school day without violating the rules prohibiting vaping.

E-cigarettes have been touted by their makers and some public health experts as devices to help adult smokers kick the habit. But school officials, struggling to control an explosion of vaping among high school and middle school students across the country, fear that the devices are creating a new generation of nicotine addicts.

In his four years at Cape Elizabeth, Mr. Carpenter says he can’t recall seeing a single student smoke a cigarette. But vaping is suddenly everywhere.

“It’s our demon,” he said. “It’s the one risky thing that you can do in your life — with little consequence, in their mind — to show that you’re a little bit of a rebel.”

Schools say the problem sneaked up on them last fall, when students arrived with a new generation of easily concealed devices that have a sleek high-tech design. The most popular, made by Juul, a San Francisco-based company that has received venture capital money, resemble a flash driveand have become so ubiquitous students have turned Juul into a verb.

Tasting like fruit or mint, these devices produce little telltale plume, making it possible for some students to vape even in class.

“They can pin them on to their shirt collar or bra strap and lean over and take a hit every now and then, and who’s to know?” said Howard Colter, the interim superintendent in Cape Elizabeth.

E-cigarettes are widely considered safer than traditional cigarettes, but they are too new for researchers to understand the long-term health effects, making today’s youth what public health experts call a “guinea pig generation.”

School and health officials say several things are clear though: Nicotine is highly addictive, the pods in vaping devices have a higher concentration of nicotine than do individual cigarettes, and a growing body of researchindicates that vaping is leading more adolescents to try cigarettes.

Ashley Gould, the chief administrative officer of Juul, said that the company’s products are intended solely for adults who want to quit smoking.

“We do not want kids using our products,” she said. “Our product is not only not for kids, it’s not for non-nicotine users.”

She said schools and the e-cigarette industry need to work together to understand why teenagers are vaping, and suggested that stress is a big reason. To that end, she said, Juul has offered schools a curriculum that includes mindfulness exercises for students to keep them away from the devices the company sells.

“We saw the same thing from Philip Morris with the We Card program, andthe evaluation was that those things don’t work,” Jennifer Kovarik, who runs tobacco prevention programs for Boulder County, Colo., said of the company’s efforts to keep their products away from teenagers. “If they didn’t want youth to use it, it would be sold in 18-and-over-only establishments. It’s available at Circle K’s across the country.”

E-cigarettes deliver nicotine through a liquid that is heated into vapor and inhaled, cutting out the cancer-causing tar of combustible cigarettes. But vaping liquids contain additives such as propylene glycol and glycerol that can form carcinogenic compounds when they are heated. Diacetyl, a chemical used to flavor some vape “juice,” has been linked to so-called popcorn lung, the scarring and obstruction of the lungs’ smallest airways. A study published in the journal Pediatrics in March found substantially increased levels of five carcinogenic compounds in the urine of teenagers who vape.

“I’m afraid that we’re going to be hooking a new generation of kids on nicotine, with potentially unknown risks,” said Dr. Mark L. Rubinstein, the lead author of the study and a professor of pediatrics at the University of California, San Francisco. “With cigarettes, we’ve been studying them for many years, we have a pretty good idea of what the risks are. We just don’t know what the risks of inhaling all these flavorings and dyes are, and what we do know is already pretty scary.”

The industry points to a 2016 British study that says that vaping does not lead nonsmokers to become smokers. But the 2016 Monitoring the Future study, sponsored by the federal government’s National Institute on Drug Abuse, followed students who in 12th grade had never smoked a cigarette and found that a year later, those who used e-cigarettes were about four times as likely to have smoked a cigarette.

A study released in January by the National Academies of Sciences, Engineering and Medicine similarly concluded that vaping led students to smoke cigarettes, although it did not determine whether they became habitual smokers or just experimented.

Schools and local officials have stiffened penalties for students caught with vaping devices, suspending and even expelling them, and sent home letters pleading with parents to be on the lookout for a waft of fruit smell and, as one superintendent wrote, “‘pens’ that aren’t pens.”

“If I had a pack of cigarettes in my room as a kid, that would have been discovered, here we’re dealing with, first of all, what’s a Juul?” said Michael McAlister, the principal at Northgate High School in Walnut Creek, Calif.

The school has about 1,600 students, but parent education nights on the issue have turned out only about 70 people. Yet, out of 53 suspensions last year, 40 were for vaping devices.

“We’re losing a battle and to me, it’s predatory,” Mr. McAlister said. “There’s no way you’re going to suspend your way out of this.”

Teenagers are excited for juuling but parents and doctors are so stressed

Teens are obsessed with “juuling,” however like numerous parents, Dr. Jenni Levy didn’t understand her own particular 18-year-old daughter was doing it.

Her significant other found an irregular cartridge in the clothing that neither perceived. A couple of days after the fact, they ran over an article demonstrating the photograph of JUUL, an electronic cigarette that is discrete, smooth, effectively covered and looks like a blaze drive.

It’s a hit with young people and a major worry for families, instructors and specialists stressed over the potential wellbeing dangers. Whenever Levy, an inside pharmaceutical and palliative care doctor in Allentown, Pennsylvania, got some information about the cartridge, the secondary school senior uninhibitedly conceded she was “juuling.”

“I said to her, ‘We think this is a terrible thought.’ My greatest concern is she’s sucking in vapor and we don’t recognize what that does… I am stressed over lung harm, I’m stressed over enslavement. I’m likewise worried that it just appeared to be extremely bizarre for our exceptionally reasonable, chance unwilling child — this was something I never thought I would need to stress over with her.”

Emma disclosed to her mother she was “juuling” in light of the fact that she didn’t think it was hazardous. She “feigned exacerbation” when Levy said the potential wellbeing dangers. She likewise disclosed to her mother she discovered “juuling” fun and lovely — she enjoyed blowing smoke rings with the vapor — and her companions were doing it.

Specialists are worried there’s a misguided judgment among teens that e-cigarettes are sheltered. Smoking e-cigarettes really conveys malignancy causing chemicals that get into the body — and mainstream fruity flavors give off an impression of being the most exceedingly awful, analysts detailed not long ago.

“I do think this is one of the huge dangers to teenager wellbeing at the present time,” said Dr. Wendy Sue Swanson, a Seattle pediatrician who composes the Seattle Mama Doc blog.

“These are a conveyance vehicle for nicotine and we realize that nicotine is addictive.”

Each JUUL case contains a measure of nicotine proportional to one pack of cigarettes or 200 puffs, as per JUUL Labs, the maker.

Guests to the organization’s site are welcomed by a message noticing its items are “proposed for grown-up smokers.” Online clients must be 21 or more established and the organization says keeping the illicit offer of the items to youth is center to its main goal.

In any case, Twitter and Instagram are loaded with posts demonstrating youngsters “juuling.” The innocuous sounding name for the movement — as opposed to “smoking” or “vaping” — and the engaging case flavors, similar to “Mango” and “Natural product Medley” make a hallucination of wellbeing, Swanson said.

“This is risky and I believe it’s unsettling. Parents simply should be extremely obvious to explain the genuine dangers – that these are likely conveying chemicals that are extremely terrible for these children,” she noted.

A school region in Pennsylvania a month ago restricted blaze drives since they looked so much like the e-cigarettes. The worry was children could “juul” before educators without the grown-ups acknowledging it.

Collect disclosed to her 18-year-old daughter Emma that she couldn’t vape in the family’s home. She’s never observed Emma utilize the gadget and doesn’t figure the young lady will proceed onward to consistent cigarettes.

“I do think she’ll stop,” Levy said.

New trendy vape in School teens is JUUL

Juul, a trendy vape that looks like a flash drive and can be loaded into a laptop’s USB port, accounted for 33 percent of the electronic cigarette market at the end of 2017, according to Wells Fargo data.

The product is legally available and available only to adults aged 18 and over, and “the increase seems to be due to the 18- to 24-year age group,” according to Wells Fargo’s report.

But in many cases, media reports suggest, these devices are being used by kids and teenagers even younger than that — which has some parents, educators and medical professionals concerned.

Each Juul cartridge—which lasts about 200 puffs—has as much nicotine as an entire pack of cigarettes. Here’s what to know about “Juuling,” the trend sweeping schools nationwide.

What do parents need to know about Juuling?

Although Juul products, like most e-cigarettes, are made and marketed as smoking alternatives, the device is increasingly popping up on high school and college campuses. The term “Juuling” usually refers to this recreational use.

Because of their sleek design and resemblance to USB drives, Juul products are easy for students to conceal and use in school — sometimes even in the middle of class. (Juuls also produce less smoke than many similar devices, making them even more discreet.)

The problem has grown widespread enough that school districts in states including Kentucky, Wisconsin, California and Massachusetts have voiced their concerns and, in some cases, begun amending school policy to address the issue.

Some college publications, including those at New York University and the University of Illinois, have also reported on the trend.

Ashley Gould, chief administrative officer at Juul Labs, says that the product was created by two former smokers specifically and solely to help adult smokers quit, and that the company has numerous anti-youth-use initiatives in place because “we really don’t want kids using our product.”

Gould also notes that Juul uses age authentication systems to sell only to adults 21 and older online, though most of its sales take place in retail stores, where state laws may allow anyone 18 and older to purchase the devices.

The design, she adds, was not meant to make the device easier to hide.

“It was absolutely not made to look like a USB port. It was absolutely not made to look discreet, for kids to hide them in school,” Gould says. “It was made to not look like a cigarette, because when smokers stop they don’t want to be reminded of cigarettes.”

Are e-cigs safe?

While e-cigarettes contain fewer toxic substances than traditional cigarettes, the CDC warns that vaping may still expose people to cancer-causing chemicals. (Different brands use different formulations, and the CDC’s warning did not mention Juul specifically.)

It’s not clear exactly how e-cigarettes affect health because there’s little long-term data on the topic, says Dr. Michael Ong, an associate professor of general internal medicine and health services at the David Geffen School of Medicine at the University of California Los Angeles. “We just don’t have a lot of information as to what the harms potentially are going to be,” he says. “There likely would be health risks associated with it, though they’re not going to be the same as a traditional cigarette.”

Doctors do know, however, that each Juul pod contains nicotine equivalent to a pack of cigarettes. That’s troubling, because nicotine is “one of the most addicting substances that we know of,” Ong says. “Having access to that is certainly problematic,” Ong adds, because it may get kids hooked, which could potentially lead them to later take up cigarettes.

Juul’s products come in flavors including mango, fruit medley and creme brûlée — and the chemicals used to flavor vaping liquid may also be dangerous, Ong adds. “Even if the manufacturer doesn’t intend it to be something that’s kid-friendly, it’s kid-friendly,” he says. A 2016 study suggested that these flavoring agents may also cause popcorn lung, a respiratory condition first seen in people working in factories that make microwave popcorn.

Does Juuling help you quit smoking?

It’s not yet clear. Gould acknowledges that Juul doesn’t have great end-user data since its products are mostly sold in retail stores, but she says the company is actively researching the effectiveness of its devices.

Research about the efficacy of nicotine replacement therapy using tools such as e-cigarettes and nicotine gum is relatively inconclusive. A new study published in theAnnals of Internal Medicine even found that smokers trying to quit may actually have less success if they use e-cigarettes.

“The literature has suggested that when you have nicotine replacement therapies, they work best if [people are] being advised by a professional,” Ong says. “When we provide things over the counter, we don’t see the benefits of cessation that we would have expected by making it widely available, and that’s probably the reason why: because people aren’t actually getting professional help.”

Correction: The original version of this story misstated the legal purchasing age for Juul. It is 18 in some states, not 21. The original version of this story also misstated Juul’s marketing strategy. The product is marketed as a smoking alternative, not a smoking cessation tool.

 

Teens using E-cigarettes are exposed to toxins that cause cancer [STUDY]

Teenagers who use e-cigarettes expose themselves to cancer-causing toxins, especially in the event that they choose natural product flavored items, a new report reports.

Urine tests revealed elevated levels of five different toxins in the bodies of teens who use e-cigarettes (often called vaping). And the majority of the toxins are known or suspected carcinogens, said lead researcher Dr. Stamp Rubinstein, a professor of pediatrics with the University of California, San Francisco.

Teens who used e-cigarettes had up to three times greater measures of the toxins in their urine than teens who never vape, the researchers found.

“One of the reasons why more teens are utilizing these items is they feel that they are safe as well as safer than smoking,” Rubinstein said. “Based on these results, if the teenagers kept utilizing these items over the years, we believe it could be dangerous.”

The toxins – acrolein, acrylamide, acrylonitrile, crotonaldehyde and propylene oxide – all belong to a class of chemicals known as volatile natural mixes (VOCs).

Specifically, natural product flavored e-cigarettes produced essentially higher levels of acrylonitrile. That is a concern because organic product flavors are most well known among teens and acrylonitrile is a known carcinogen, the researchers said.

“At the present time a considerable measure of the flavors being marketed seem to clearly be targeting teens,” Rubenstein said. “I believe it’s hard to argue that you’re marketing these items to grown-ups endeavoring to wean off cigarettes when you’re offering flavors like ‘unicorn crap’ and bubble gum.”

Volatile natural mixes are released when e-cigarette fluid is heated to the moment that it becomes vapor, Rubinstein said. The fluid contains solvents that are approved sustenance additives, however when heated these additives can shape other chemical mixes, including VOCs, he said.

Lethal VOCs likewise are present in conventional tobacco cigarettes, and in greater quantities. The researchers behind the new examination said “double users” – teens who alternate between cigarette smoking and e-cigarette smoking – had up to three times higher levels of five toxins than those who just vape.

Gregory Conley is president of the American Vaping Association, a charitable that advocates for e-cigarettes. He stated: “The results of this examination fall in line with earlier literature estimating the cancer risk from e-cigarette use to be orders of magnitude lower than the risk from smoking cigarettes.

While it is clear from the information that environmental sources of toxins played a considerable role in the levels measured among all gatherings, the information nonetheless shows critical reductions in exposure among exclusive e-cigarette users.”

Be that as it may, to Dr. Norman Edelman, senior scientific counsel to the American Lung Association, the examination results demonstrate that e-cigarettes aren’t as harmless as some may think.

“Presently, it’s true that in the event that they smoked combustible cigarettes they would get more of this stuff,” Edelman said. “Be that as it may, this does make it quite clear that vaping isn’t safe.”

To investigate chemical exposure from e-cigarettes, the researchers looked at three different gatherings – e-cigarette users, “double users” who additionally smoke customary cigarettes, and teens who don’t smoke or vape.

The researchers recruited 103 members with an average age of 16, and analyzed urine samples from just for the presence of potentially dangerous volatile natural mixes.

“They’re doing it the correct way. They’re not measuring what’s in the vaped fluid, they’re measuring what gets into the children’s bodies, which is really the critical question,” Edelman said.

All e-cigarettes appear to create VOCs, even those that don’t contain nicotine. The VOCs acrylonitrile and acrylamide were found in elevated levels in the urine of teens who said they don’t use nicotine-laced e-fluid.

“That was interesting and astounding to us,” Rubinstein said. “Albeit a large portion of the teenagers used the nicotine-containing items, some did not and we were able to discover these toxins even in them. That is because the solvents are still in these items, even if there’s no nicotine.”

Edelman said the investigation exposes the erroneous suspicion that because e-cigarettes are “more safe” than tobacco, they can serve as a substitute for stopping smoking altogether.

“The most safe approach is smoking cessation, and for kids the most safe approach is smoking prevention,” Edelman said. “What I’m concerned about is that so much discussion about ‘more safe’ under the rubric of mischief reduction will make us forget about the importance of smoking prevention and smoking cessation.”

The U.S. Nourishment and Drug Administration needs to step up regulation of e-cigarettes, especially when it comes to teenage use and natural product flavored items that appear to target teens, Rubinstein said.

“I definitely think there needs to be greater regulation to prevent teenagers from utilizing these items,” Rubinstein concluded.

The examination appears in the March 5 online issue of the diary Pediatrics.

More data

The U.S. Department of Health and Human Services has more about e-cigarettes.

Study Says Vaping is Better Than Cigarettes

Tired of all the vape shops in your city? Tired of the cliché brother culture staple? Well prepare for a potential solid uptick in vapers and decrease in smokers on the grounds that a tumor investigate group just discharged an examination saying that if each smoker changed to e-cigs and comparative gadgets only, they would live 86.7 million more years altogether.

The examination “underpins an approach methodology that energizes supplanting cigarette smoking with vaping to yield significant life year picks up,” says the investigation’s lead creator David Levy, PhD, educator of oncology at Georgetown Lombardi.

Tobacco Control, a universal diary that reviews the impact of tobacco manhandle, distributed the examination by Georgetown Lombardi Comprehensive Cancer Center. It’s the principal concentrate to screen wellbeing results of the huge vape switch.

The factors in the examination relied upon when a subject began smoking, when they quit smoking and when they exchanged, anticipating both an idealistic result and a negative result. Under the critical result, 1.6 million would add a 20.8 million years to their lives. Under the hopeful result, 6.6 million cigarette smokers would include 86.7 million years from exchanging. In this way, even in the most dire outcome imaginable, vapers live more.

“Moreover, there would be gigantic medical advantages including decreased infection handicap to smokers, diminished agony and enduring, and lessened presentation to used smoke,” Levy says. “Indeed, even the gloomiest investigation demonstrates a critical pick up in years of life if nicotine is gotten from vaping rather than considerably more savage measure of toxicants breathed in with tobacco smoke.”

At present, the workplace of the Surgeon General’s crusade to diminish tobacco use in the U.S. utilizes administrative procedures, for example, higher cigarette charges, no-smoking zones, media battles, stopping bolster projects and advertisement limitations. Demand says the execution of these projects yields moderate outcomes.

“Old arrangements should be supplemented with approaches that support substituting e-cigarettes for the much more savage cigarettes,” Levy says. “Together, these approaches and in addition controlling the substance of cigarettes can possibly radically lessen the monstrous damages from smoking cigarettes,” which he says is in accordance with the systems at present being arranged by the FDA.

So get out that vape machine, stock up on vape oil and go out and get some vape companions you can vape with at vape parties. Or, on the other hand, you know, simply quit without any weaning period.