Vaping has exploded in popularity in recent years — but not among the people it was intended for. Rather than adults trying to quit smoking, young people who’ve never picked up a cigarette are now vaping in record numbers.
According to a new Vital Signs report, published by the Centers for Disease Control and Prevention, in 2018, some 4.9 million high school and middle school students used tobacco in the last 30 days, an increase from 3.6 million in 2017. E-cigarettes were the most popular tobacco product among the children and adolescents.
The report follows a late 2018 National Institutes of Health survey, which tracked substance use among American adolescents. It found the number of high school seniors who say they vaped nicotine in the past 30 days doubled since 2017 — from 11 percent to nearly 21 percent. That was the largest increase ever recorded in any substance in the survey’s 43-year history. And it meant a quarter of 12th-grade students are now using, at least occasionally, a nicotine device that’s so new we have no idea what the long-term health impact of using it will be.
Young people’s extraordinarily rapid uptake of nicotine-delivery devices is one of the reasons Food and Drug Administration director Scott Gottlieb called for stronger regulations Monday. “Based on a growing body of evidence, I fear the youth trends will continue in 2019, forcing us to make some tough decisions about the regulatory status of e-cigarettes,” he said in a statement. “The signs that we’re seeing are not encouraging.”
The reason for the concern: Nicotine is a highly addictive substance and can cause immediate harmful side effects in young people’s developing brains and bodies. There’s some evidence that nicotine exposure may prime the developing brain to become more sensitive to substance use disorders later. Trying to quit nicotine can lead to serious withdrawal symptoms, including nervousness, restlessness, anxiety, sleepiness, and fatigue.
There’s also strong evidence of a potential long-term impact: that vaping may encourage kids to smoke. “After years of progress in reducing youth cigarette smoking, today’s report shows … a stall in progress in reducing youth cigarette use and possibly even an uptick among high school students,” Matthew Myers, president of the Campaign for Tobacco-Free Kids, said in a statement. (That’s because the high school smoking rate went from 7.6 percent in 2017 to 8.1 percent in 2018.)
“The kids using e-cigarettes are children who rejected conventional cigarettes, but don’t see the same stigma associated with the use of e-cigarettes,” Gottlieb added. “But now, having become exposed to nicotine through e-cigs, they will be more likely to smoke.”
This may be only the beginning. Like the cigarette industry before it, vaping companies have found effective ways to market their wares to young people. The way they design and pitch their products packs a dual punch: They are both high-tech and highly addicting. That’s left regulators scrambling to keep up, and a big question mark about what vaping nicotine might mean for the health outcomes of this new generation.
The way nicotine is marketed has changed
To understand the surge in vaping among youth, you need to understand Juul, the popular — and controversial — e-cigarette that many argue helped vaping nicotine go viral.
The company’s stated mission is “improving the lives of the world’s one billion adult smokers.” Created by two former smokers and Stanford design graduates (one of whom also worked as a design engineer at Apple), the duo wanted to make a device that looked sleek and attractive:
When they could find no attractive alternative to cigarettes, [James Monsees and Adam Bowen] recognized a groundbreaking opportunity to apply industrial design to the smoking industry, which had not materially evolved in over one hundred years.
So they designed an e-cigarette that could easily be mistaken for a USB flash drive and can fit in the palm of the hand.
But here’s the thing: Not only is the device slick, but its pods pack as much nicotine as one to two packs of cigarettes. Juul also contains three times the nicotine levels permitted in the European Union, which is why Juul can’t be sold there.
So the appeal of Juul — with its high-tech design — is “compounded by its addictiveness,” said Michael Eriksen, dean of the school of public health at Georgia State University and a former director of the Centers for Disease Control and Prevention’s Office on Smoking and Health, “and I think that explains the rapidity of the uptake.”
In 2017, the US market expanded by 40 percent to $1.16 billion, with a lot of that growth driven by Juul.
As of March, Juul made up more than half of all e-cigarette retail market sales in the US, according to Nielsen data. Considering it has only been on the market since 2015 and there are hundreds of other devices available to consumers, Juul’s market share is staggering.
Marketing nicotine expressly to youth isn’t new. In the 1990s, when Eriksen was an expert witness for the Federal Trade Commission’s crackdown on Big Tobacco’s marketing of cigarettes to youth, he explained that tobacco companies like Reynold’s and Marlboro targeted their ads at young people. “They were consolidating around the imagery of the cowboy, [signaling] independence,” he said.
But what’s new, said Eriksen, is “this combination of innovation, social media spread, and the fact that it’s unfortunately addicting at the same time.”
A recent analysis of Juul’s early ads, out of Stanford, showed Juul employed social media influencers and ads that deliberately targeted youth.
An unscientific survey of high schoolers and teachers confirmed Juul’s virality. “I don’t recall any fad, legal or illegal, catching on in this way,” Meg Kenny, the assistant head of school at Burr and Burton Academy in Manchester, Vermont, who has worked in education for 20 years, told Vox in April. Students at her school were Juuling in bathrooms, in class, and on the bus. Because it’s against the school’s rules, they were also hiding the devices in ceiling tiles and in their bras and underwear.
Regulators are scrambling to keep up
The surge of teen vaping has left addiction specialists wondering how to best help young people who want to quit. It’s also left health regulators scrambling and sluggish in their response to the trend.
Here’s the conundrum: It’s true that e-cigarettes do hold potential to help adult smokers move on to a less deadly alternative. That’s why they’re widely viewed as potential harm-reduction tools. But regulators have been struggling with how to strike a balance between curbing the uptake of e-cigarettes in minors while also helping smokers quit. In the meantime, youth vaping exploded.
In July 2017, the FDA delayed the compliance deadline for the regulation of e-cigarette products to 2022. This gave the industry five more years to file public health applications that show that their products are safe alternatives to conventional cigarettes and that they weren’t unduly targeting minors.
Gottlieb positioned the delay as a way to give manufacturers time to get in step with the new laws while ensuring smokers had access to cigarette alternatives that could save their lives. But some health advocates viewed it another way: as a giveaway for the vaping industry, and a chance for e-cigarette makers to further expand their market share among kids at a time when e-cigarette use by teens has eclipsed conventional cigarette use.
It turns out those advocates may have been right. “I don’t want anyone to think I’m against the harm-reduction potential of these devices for adults,” Surgeon General Jerome Adams said on Politico’s Pulse Check podcast in December, explaining his call for new regulations that might curb youth vaping, including taxes and indoor vaping bans. “But 3 percent of adults are using these devices — [and] 20 percent of high schoolers are using these devices.”
More recently, the FDA has been taking action against Juul and teen e-cigarette use — but has stopped short of changing the compliance deadline. In April, the FDA took the unusual step of demanding Juul Labs submit documents about its marketing and research and what it knows about Juul use among young people.
In May, the agency followed up by sending requests for information to four other e-cigarette makers that also appear to be marketing to young people.
In November, the agency said it would restrict the sales of flavored e-cigarettes in stores and online — though it wouldn’t outright ban vape flavors in brick-and-mortar retailers, a move that was widely anticipated after leaked reports from the FDA ahead of the news.
And some wish the FDA would go further. “The mass marketing of cigarettes, a highly sophisticated, addictive, and defective nicotine delivery device that kills over 7 million people globally every year, is an abuse of corporate power and a human rights violation,” said Laurent Huber, Executive Director of ASH, an anti-tobacco nonprofit, in November. “Banning menthol is a step in the right direction, but it is time to go one step further and phase cigarettes out of the market to prevent millions of unnecessary deaths.”
I checked back with Meg Kenny, the assistant head of school at Burr and Burton Academy in Vermont, about Juuling on her campus. She says it appears to have cooled off this winter. While 95 percent of disciplinary infractions at the school were connected to Juul last fall and spring, 50 percent were this fall.
Maybe the awareness and crackdowns are having an impact. Or maybe the Juulers have moved on to cigarettes or have gotten better at hiding the habit. By next year’s youth tobacco surveys, we’ll have a preliminary answer.
For more on Juul and e-cigarettes, read our explainer, listen to the May 3, 2018, episode of Today, Explained, and watch our Vox video here.
26 Photos Proving That Happiness Is Not About iPhones
Some people are chasing their future so fast that they stop noticing how great their lives today actually are. And truly happy people don’t need to chase anything: they are happy to have a comfortable bed, a loyal friend who is always there for them, a present from their grandmother, and for every small achievement on their life path.
These people are more effective than any coach at teaching us to be happy right here and right now and we at Bright Side were inspired by their ability to be happy no matter what.
1. His person just got home after a few months of work. That’s the look of pure happiness.
2. Soap bubbles are absolutely necessary for a happy childhood.
3. These 4 guys agree.
4. “My son has struggled with autism, Tourette’s, agoraphobia, severe anxiety, and OCD. He found solace in writing and just published his book on Amazon! Here he is giving a copy to one of his teachers that helped him along the way.”
5. “The photo my sister sent me of her dog and the new puppy they just got”
6. “My mom made my girls one Pom-Pom rug each. They took 80 hours, 320 Pom-Poms, and she let them choose their favorite colors. Just missed Christmas, but they are ecstatic nevertheless.”
7. “After years of sleeping on the floor and then on an air mattress, I finally own a bed!!! ”
8. I call this one “Pure Happiness.”
9. “My niece has always loved pumpkins. Today, we took her to a pumpkin farm for the first time…”
10. “10 months ago I decided to start learning to love myself. I moved states, got a new job, and have surrounded myself with amazing friends (some new & old). This photo has captured exactly how I feel… Pure happiness! I am so proud”
11. “My wife captured a moment between my daughter and I on the train while she was ‘booping’ my nose with hers. Pure happiness.”
12. “Makes me weak in the knees to see the happiness in my 8-year-old yellow Lab’s eyes, as well as the happiness in the eyes of my 81-year-old Mom.”
13. He is genuinely happy.
14. When your friend is with you and you’re happy:
15. Weee… that was fun.
16. With age, people are more likely to find harmony with themselves and with the world.
17. “My boyfriend got me a lemur experience for my birthday!”
18. Snow. This is all these guys need to be happy.
19. There is no such thing as pure happiness… Or is there?
20. “My mother had wanted a miniature poodle for over 30 years. This is the day Zoe came home.”
21. “My dad got married this past weekend after being single for 13 years and raising 3 girls alone. This is what happiness looks like.”
22. “Here’s another shot of my 101-year-old grandfather with our new puppy! This is pure joy if I’ve ever seen it!”
23. “Me and my girlfriend were in a car accident in which her arm had to be amputated. A week later we adopted Lola, I don’t know who’s happier… I’m going with Lola.”
24. “After an 8 month apprenticeship, and numerous clean downs and set ups, this is me doing my first tattoo on some fake skin. It is what it is but I couldn’t be happier. I earned this.”
25. “My parents split up when I was a baby. Even though they didn’t get along, they maintained a healthy relationship so they could equally raise me. This is our first picture together in a decade. I’m thankful to be proof that parents who are separated can still work together.”
26. Happiness is a state of mind.
Which of these photos seems the most uplifting to you?
Read Viral Immunity: A 10-Step Plan to Enhance Your Immunity Against Viral Disease Using Natural
Dan Brock’s Viral Traffic Optimizer | Dan Brock’s Viral Traffic Optimizer
“For Information Just Click The Link Below :
dale brock, brock lesnar supplements, brock golf course, bob brock ford, brock services, brock art, elizabeth brock, brock houston, brock lee, don brock, brock of baseball, brock baseball, brock construction, brock teachers college, james brock, lisa brock, timothy brock, susan brock, brock tv, brock lesner wwe, wwe brock lesner, ann brock, brock lester, brock tx, brock residence, brock texas, wwe brock, brock wwe, wwe brock lesnar, brock ford, victoria brock, anthony brock, brock turner, pok émon, brock pokemon trainer, peter brocks cars, kenneth brock, brock swimming, brocks real estate, barry brock, brock book store, brock lesnar costume, brock homes, the brock house, linda brock,
View at DailyMotion
Viral News2 months ago
Tony Robbins: HOW TO START OVER – 2019
Viral News3 months ago
16 Game of Thrones Actors You Wouldn’t Recognize Without Makeup
Viral News2 months ago
15 Famous Men We Didn’t Know Were Handsome in Their Youth
Viral News3 months ago
10 Star Couples We Couldn’t Think Would Be Together, but It’s So Cool to See Them Happy
Viral News2 months ago
12 Celebs Who Got Tired of Their Image and Decided to Change Beyond Recognition
Viral News3 months ago
10 Weird Facts Proving Your Body Is a Mysterious System
Viral News2 months ago
We Imagined What 20th-Century Style Icons Would Look Like Today, and the Results Are Curious
Viral News3 months ago
20 Fantastic Tattoos That Make Birthmarks and Scars Come Alive