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Home My WebLink AboutCM Smoking Ordinance Amendments PPT; CountySan Rafael City Council, April 4th 2016 Marin County Tobacco Related Disease Control Program Emcigarelles are Toxic • E -liquid forms an aerosol when heated, not just a "harmless water vapor" • This aerosol contains nicotine, toxins and ultrafine particles that are inhaled and trapped in the lungs • It also contains 10 chemicals listed on CA's Proposition 65 list of chemicals that cause cancer, birth defects and reproductive harm • Chemicals from the aerosol are absorbed by the blood stream and delivered to the brain and other organs Marin County Tobacco Related Disease Control Program Secondhand Aerosol • E -cigarettes also harm those exposed to the secondhand aerosol • People exposed absorb nicotine at comparable levels to secondhand smoke from cigarettes • Secondhand aerosol contains ultrafine particles that may: • Cause cancer • Cause birth defects • Cause other reproductive harms Marin County Tobacco Related Disease Control Program But is nicotine really that had? • Nicotine is more addictive than heroin and cocaine • It raises blood pressure and pulse and constricts blood vessels, which may increase the risk of heart attack • Can harm brain development in adolescence and predispose future tobacco use Marin County Tobacco Related Disease Control Program Side Effects of Nicotine Blood - Increased clotting tendency Lungs - Bronchospasm Muscular - Tremor - Pain Gastro- intestinal stro- intestinaI - - Nausea - Dry mouth - Dyspepsia Side effects of Nicotine tin Central Lightheadedness 4 - Headache y - Sleep disturbances Abnormal dreams - Irritability - Dizziness - Diarrhea - Heartburn Heart - Increased or decreased heart rate - Increased blood pressure- - Tachycardia - Blore Ior less) arrhythmias - Coronary artery Constriction JorrltS .+ r - Hyperinsulinernia - Pain Insulin resistance Marin County Tobacco Related Disease Control Program oq EmCigarelles Do Not Help Smokers Quit • No scientific evidence that e -cigarettes help smokers to quit cigarettes or reduce consumption • E -cigarette users are no more likely to quit smoking than regular smokers • One study showed that 89% of e -cigarette users are still using them 1 year later • Most users are dual users (cigarette and e -cigarette) • Continuing to smoke traditional cigarettes does not reduce cardiovascular health risks Marin County Tobacco Related Disease Control Program Flavored Emcigarelles MORE THAN 90 FLAVOURS • E -cigarettes come in many enticing flavors a.Fw Gummy r n vanilla Gu y bea ,cottn o candy, va a cupca e • Flavored cigarettes are "starter products" • Flavored traditional cigarettes are banned • FDA acknowledged that flavored tobacco products are attractive to youth ENO- • Possible gateway to other smoking products • Flavors may entice children to drink e -liquids Marin County Tobacco Related Disease Control Program Rise in Youth Use • From 2013-2014, use of e -rigs more than tripled for students grades 6-12 nationally. National Youth Tobacco Survey shows an increase from 4.5% to 13.4% for High School Youth. • Adolescents who use e -cigarettes are more likely to become established cigarette smokers than non-users • Studies suggest that youth who may have otherwise never smoked cigarettes are becoming addicted to nicotine through e -cigarettes Marin County Tobacco Related Disease Control Program Rise in Young Adult Use • In California: adult e -cigarette use in the past 30 days doubled from 2012-2013 • For California young adults (18-29) e -cigarette use tripled in one year • California young adults are 3x more likely to use e -cigarettes than those 30+ • Nearly 20% of California young adult e -cigarette users have never smoked cigarettes Marin County Tobacco Related Disease Control Program In Conclusion • E -cigarettes are a public health concern • They are not proven to help smokers quit smoking • Use by youth and adults has risen dramatically • They emit a dangerous aerosol and other toxins • They contain nicotine and are addicting E -CIGARETTES ARE DANGEROUS!! Marin County Tobacco Related Disease Control Program