Community Collaboration Summit on Youth...

10/31/2019

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Community Collaboration

Summiton Youth Vaping

October 24th, 2019

Winona Middle School

Introduction & Welcome

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Schedule• Introduction & Welcome• Karin Sonneman, CJCC6:00 p.m.• Denver Brown, PA-C &• Helen Bagshaw, RN – Winona Health6:05 p.m.• Amber Hewitt, Know the Truth6:45 p.m.• Panel Discussion/Questions7:20 p.m.• Debrief in small groups/visit resource

tables7:40 p.m.• Program End8:00 p.m.

Youth E-cigarette Use A New Generation at Risk

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What Is It?Denver Brown, PA-C, TTS

Helen Bagshaw, RN

Introductions

• Denver Brown, PA-C, TTS

• Helen Bagshaw, RN

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Winona County Alliance for Substance Abuse Prevention (ASAP)

Creating a safe, healthy, drug-free community in Winona County

WinonaCountyASAP.org

Live Well Winona

Community health hub supporting healthy activities and lifestyles in Winona

LiveWellWinona.org

Winona County PartnerSHIP (SHIP)

Creating better health together by making the healthy choice the easier choice

WinonaCountyPartnerSHIP.com

Who are we?

Names for Vaping Juul or Juul-ing

E-cigs

E-hookas

Mods

Pods

Vape pens

Vapes

Tank Systems

Electronic nicotine delivery systems (ENDS)

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History of Vaping

1965

2006

2015

Anatomy of an e-cigarette

Source: Wikipedia

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What is in e-cigarette liquids?

Nicotine

Flavorings

Other chemicals

Sometimes, THC or other drugs or toxic substances

JUUL Juul was the first company to figure out

how to increase the amount of nicotine in the e-cigarettes while still making it palatable

Newly produced “nicotine salts” allow users to have about 5 times as much nicotine while still have it be palatable

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JUUL (Cont.)

What is in E-Cigarette Liquids? (Cont.)

Propylene Glycol: Can turn to Formaldehyde when heated

Formaldehyde: Commonly used in embalming fluid and carcinogen

Diacetyl: In flavoring linked to “popcorn lung” (bronchiolitis obliterans)

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‘What is in your kid’s backpack?’ Exhibit

Tobacco products are designed to look like everyday items like candy and school supplies

The Backpack Exhibit shows parents the different types of e-cigarette and vaping products that kids use and explains the risks associated with these products

Contact ASAP Phone: 507-474-2727 Email

[email protected]

E-cigarettes or vapes come in all shapes and sizes

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The JUUL – E-Cigarette

Phillies - Swisher Sweets -Watermelon - Cigarillo

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Watermelon Hemp and Berry Cigar Wraps

The Loon E-Cigarette

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Blu Disposable E‐Cigarette

Camel Smokeless Tobacco

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The Suroin Drop E-Cigarette

Skoal flavored loose tobacco

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Is tobacco in your kid’s backpack?

Why Do We Care?

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Health Effects of Youth Vaping

E-Cigarettes have not been around long enough to prove long-term safety (i.e. cancer risk)

E-Cigarettes have been associated with severe lung injury and death in some patients

E-Cigarettes have chemicals in them that are known to be harmful

3.5 times higher risk for smoking tobacco

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Reasons for Concern

“Younger adults are the only source of replacement smokers”

Spectrum of Harm

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The Numbers

An e-cigarette user is 3.5x more likely to smoke traditional

cigarettes than a non-e-cigarette user

1 in 4 middle and high school students in Minnesota tried an e-cigarettes in 2017

16.7% of Winona County 11th graders used e-cigarettes in the past month (2016)•3.4% of 8th graders •10% of 9th graders

7 out of 10 high school students in

Winona County think vaping is a great or

moderate problem in their school

What can we do about it?

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Talking About Vaping

Open the lines of communication early

Ask open ended questions

Affirmation

Summarize

TOBACCO 21Raising the Minimum Legal Sale Age

Will Help Save Lives

A 2015 report by the Institute of Medicine (IOM) concluded that raising the tobacco sale age to 21 will have a substantial positive impact on public health and save lives.The IOM finds that raising the tobacco sale age will: • significantly reduce the number of adolescents and young adults who start smoking;• reduce smoking-caused deaths• immediately improve the health of adolescents, young adults and young mothers who would be deterred from smoking, as well as their children.

Tobacco 21 or T21

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Tobacco 21 or T21

Tobacco 21or T21

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Tobacco 21 or T21Winona Post, Oct. 21, 2019

W i n o n a V a p i n g S u m m i tO c t o b e r 2 4 t h , 2 0 1 9

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W E L C O M E

AMBER HEWITTP R E V E N T I O N A D V O C A T E

C H E M I C A L H E A L T H S U P P O R T G R O U P SM N A D U L T & T E E N C H A L L E N G E | K N O W T H E T R U T H ™

1 . W E A R E A L L I M P A C T E D2 . W E N E E D T O C O M E T O G E T H E R A S A

C O M M U N I T Y3 . T H E R E I S H O P E

K N O W T H E T R U T H ™ P R E V E N T I O N P R O G R A M

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E S T . 2 0 0 61 6 0 S C H O O L S & 6 0 , 0 0 0 S T U D E N T S

A N N U A L L YP E E R T O P E E R F O R M A T

A N O N Y M O U S T E X T H O T L I N E

9 3 % D O N O T P L A N

T O U S E

7 6 % D O N O T P L A N T O

D R I N K

6 1 % R E A L I Z E I T

C O U L D H A P P E N T O T H E M


L i c e n s e d S h o r t - T e r mO u t p a t i e n t

a n d R e s i d e n t i a l

P r o g r a m m i n g

C o - O c c u r r i n g M e n t a l H e a l t h

S e r v i c e s

1 1 L o c a t i o n s M i n n e a p o l i s

B r a i n e r dD u l u t h

R o c h e s t e rB u f f a l o

M N A D U L T & T E E N C H A L L E N G E

S e r v i n g 7 5 0 + C l i e n t s E v e r y d a y

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L A K E S I D E A C A D E M Y

L i c e n s e d C D , M e n t a l H e a l t h ,

B e h a v i o r a l T h e r a p y

O n - s i t e P u b l i c S c h o o l w i t h

i n t e g r a t i o n o f I E P s a n d 5 0 4

p l a n s

V a r i o u s f u n d i n g o p t i o n s

B u f f a l o , M N

G E N E R A T I O N Z :W H A T Y O U N E E D T O K N O W

B o r n f r o m 1 9 9 6 - 2 0 1 0( A g e 9 - 2 3 )

G e n Z m a k e s u p 3 2 % o f t h e g l o b a l p o p u l a t i o n , w h i c h s u r p a s s e d m i l l e n n i a l s i n 2 0 1 9

M o s t e n t r e p r e n e u r i a l a n d t e c h s a v v y g e n e r a t i o n


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K E E P I T S I M P L E - Y O U H A V E 8 S E C O N D S

B E T R A N SP A R E N T , O P E N & H O N E ST

L I S T E N . T H E N T E L L T H E M W H A T Y O U S T A N D F O R

C O N N E C T I N G W I T H G E N Z

H O W A R E T H E Y G E T T I N G T H E I R I N F O R M A T I O N ?


R E D D I T , I N S T A G R A M , Y O U T U B E , S N A P C H A T

L O C A L B R O A D C A S T T V

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V A P I N G


V A P I N G

V a p e s a r e s a f e . I w o n ’ t g e t a d d i c t e d

I c a n ’ t g e t i n m u c h t r o u b l e .

M Y T H :

M Y T H :

M Y T H :


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V a p e s a r e s a f e . I w o n ’ t g e t a d d i c t e d

I c a n ’ t g e t i n m u c h t r o u b l e .

M Y T H :

M Y T H :

M Y T H :

V a p i n g i s r e a l l y h a r m f u l t oy o u r b o d y a n d d e v e l o p i n g b r a i n .

T R U T H :

V a p i n g i s v e r y a d d i c t i v e

T R U T H :

T h e r e a r e l e g a l r a m i f i c a t i o n s .

T R U T H :

V A P I N G


N i c o t i n e – N i c o t i n e s t i m u l a t e s t h e c e n t r a l n e r v o u s s y s t e m a n d r a i s e s b l o o d p r e s s u r e , r e s p i r a t i o n a n d h e a r t r a t e . W h e n n i c o t i n e e n t e r s t h e b r a i n , i t r e l e a s e s

a f e e l i n g o f p l e a s u r e a s d o p a m i n e l e v e l s i n c r e a s e .

F l a v o r i n g s – O v e r s e v e n t h o u s a n d f l a v o r s e x i s t i n c l u d i n g c h e r r y , c o c o n u t , b e r r y b l a s t , f r e s h a p p l e , s w e e t t a r t s , c i n n a m o n a n d e v e n t o b a c c o .

D i a c e t y l - i n h a l i n g d i a c e t y l c a n t r i g g e r a n i n c u r a b l e d i s e a s e c a l l e d O b l i t e r a t i v eb r o n c h i o l i t i s ( O B ) , a l s o k n o w n a s “ P o p c o r n L u n g . ”

F o r m a l d e h y d e - t y p i c a l l y s e e n u s e d a s a n e m b a l m i n g f l u i d

P r o p y l e n e G l y c o l ( P G ) – u s e d t o m a k e a r t i f i c i a l s m o k e o r f o g f o r p e r f o r m a n c e s . I t c a n i r r i t a t e t h e l u n g s a n d e y e s a n d m a y b e m o r e h a r m f u l f o r p e o p l e w i t h

c h r o n i c l u n g d i s e a s e s l i k e a s t h m a a n d e m p h y s e m a .

G l y c e r i n – O d o r l e s s a n d c o l o r l e s s , i t i s u s e d t o a d d a s w e e t f l a v o r


W H A T ’ S I N I T ?

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W H O ’ S D O I N G I T ?

Source: MN Student Survey (2019)

3 5 % o f s t u d e n t s h a v e r e p o r t e d v a p i n g a t l e a s t o n c e

2 6 % o f a l l 1 1 t h g r a d e r s a r e V a p i n g d a i l y

I n C o m p a r i s o n , o n l y 5 % o f s t u d e n t s r e p o r t e d s m o k i n g a t r a d i t i o n a l C i g a r e t t e


W H E R E A R E T H E Y G E T T I N G I T ?

Source: MN Student Survey (2019)

4 5 % o f s t u d e n t s g e t t h e m f r o m f r i e n d s

1 4 % g e t s o m e o n e t o b u y i t f o r t h e m

9 % g e t i t f r o m a S m o k e S h o p

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I n J u l y o f 2 0 1 7 , o n l y 2 % o f t e e n s h a d u s e d e - c i g s . B y D e c e m b e r o f 2 0 1 8 , i t

h a d i n c r e a s e d t o 2 0 %

I n c r e a s e d B e n z o i c A c i d a l l o w s f o r h i g h e r n i c o t i n e c o n t e n t & s m o o t h e r h i t s

D i r e c t e x p o s u r e t o E - L i q u i d c a n b e t o x i c , c a u s i n g s e i z u r e s , v o m i t i n g a n d n a u s e a


W H A T E L S E Y O U N E E D T O K N O W

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P E R S O N A L S T O R Y

AMBER HEWITTP R E V E N T I O N A D V O C A T E

C H E M I C A L H E A L T H S U P P O R T G R O U P SM N A D U L T & T E E N C H A L L E N G E | K N O W T H E T R U T H ™

M E N T A L H E A L T H

6 I N 1 0 P E O P L E W H O S T R U G G L E W I T H S U B S T A N C E U S E

A L S O H A V E A M E N T A L H E A L T H

D I S O R D E R

A D V E R S E C H I L D H O O D E X P E R I E N C E

D I V O R C EA B U S E

T R A U M A T I C L O S S O R I L L N E S S

O N E O F T H E B I G G E S T S T R U G G L E S T H A T G E N Z H A S I S C O M P E T I N G W I T H C E L L P H O N E S

F O R T H E I R P A R E N T ’ S A T T E N T I O N

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C O N N E C T E D A N D L O N E L Y

L o n e l y = 4 3 / 1 0 0

* S t u d y c o n d u c t e d b y C i g n a H e a l t h

I m p a c t o f l o n e l i n e s s o n h e a l t h i s e q u i v a l e n t t o

G e n Z – 4 8M i l l e n n i a l s – 4 5 . 3

G e n X – 4 5 . 1B a b y B o o m e r s – 4 2 . 4

1 5 C i g a r e t t e s p e r d a y .


R E A S O N S W H Y

B O R E D O M / C U R I O S I T YR E B E L L I O N / L A C K O F

C O N F I D E N C ES E L F M E D I C A T I O N

P E E R P R E S S U R EI N S T A N T G R A T I F I C A T I O NM I S I N F O R M A T I O NA C C E P T A N C E

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W A R N I N G S I G N S

B I O L G O I C A L F A C T O R SF A M I L Y H I S T O R Y O F U S E

A C C O U N T S F O R 4 0 - 6 0 % O F A P E R S O N S R I S K F O R A D D I C T I O N

L I F E S T YL E C H A N G E SD R O P I N G R A D E S

C H A N G E I N I N T E R E S T SC H A N G E I N F R I E N D G R O U P

A T T IT U DE C H A N G E SD E F I A N T T O A U T H O R I T Y

O V E R L Y T I R E D O R H Y P E R A C T I V EC H A N G E I N A P P E A R A N C E / L E S S C A R E F O R H Y G I E N E

S E C R E T I V E O F P O S S E S S I O N S & P L A N S

C O M M U N I C A T I O N

Listen Allow the child to speak

openly‐ if disciplinary action is required, follow up after everyone has had time to process. Do not respond with emotion alone.

Make It SafeBe Flexible

Use ‘I’ StatementsState what you don’t

intend to do

Set BoundariesMake this a conversation with the child so that their

voice is a part of the conversation

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C O M M U N I C A T I O N

Identity Test Scores, Grades & Athletic performance doesn’t define them

Help them put things in perspective

Self care is important

Address StigmasTalk openly about

depression, anxiety, and mental health

Don’t…Discredit their emotions because they’re ‘just a

teenager’

Cast judgments for how often they’re on their phones‐ for them, its

connection

W H A T Y O U C A N D O

Be Proactive Be clear about expectations

Lock up medicationsIf they need medication‐ ask

for an 8‐12 hour dose‐administer at homeTalk early, talk often

Knowing the child’s friends

Be Their ParentCheck car mileage

ReceiptsMonitor phone and what’s

in their room

Partner with Others

This isn’t an issue that one person can fix alone

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H O W T O Q U I T

Pick a Day‐Decide WHY they want to quit and write it down‐ use this as a reminder for when they have the urge to vape

‐Pick a date and put it on the calendar. Tell

supportive friends and family they’re quitting

‐Throw all vaping devices and supplies away

Equip with Resources Download apps to their phone that will send encouraging messages about quitting

Understand Withdrawal

They’ll experience headaches, feeling tired, cranky or depressed, have trouble

concentrating, be more hungry or experience restlessness

Prevention

J O I N U S !

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Prevention

Q U E S T I O N S ?

6 1 2 . 4 4 0 . 3 9 6 7A N O N Y M O U S T E X T H O T L I N E :

@ K N O W T H E T R U T H M NS O C I A L M E D I A :

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Resources Minnesota Department of Health website on e-cigarettes

https://www.health.state.mn.us/communities/tobacco/ecigarettes/index.html

Winona County ASAP webpage on vaping

http://www.winonacountyasap.org/vaping/

Know the Truth website

https://www.knowthetruthmn.org/

American Lung Association Website

https://www.lung.org/our-initiatives/tobacco/

Centers for Disease Control

https://www.cdc.gov/tobacco/basic_information/e-cigarettes/index.htm

Thank you to our Sponsors/Presenters

& all attendees!

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