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Home , Nicotine, Tobacco

10/7/2019

What’s New in the World

Erin Foster, CPS Director of Prevention Services Area Council

Electronic Devices:

Trends and Implications of Vaping

What They’re Saying…

• Kansas sees first vaping‐related illness : 'It is time to stop vaping‘ • CDC says stop vaping as mystery lung condition spreads • Sixth person dies from vaping‐related illness • Liquid used in e‐ damages cells crucial for a healthy • Rutgers Study: Most People Who Smoke E‐ cigarettes Want to Quit – 60% “want to quit” • Teen vapers are using eBay to dodge age restrictions

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2018 Iowa Youth Survey Trends Current (past 30 day) use of..

6th 8th 11th

Alcohol3%7%20%

Cigarettes1%2%4%

Used 1% 3% 11% Marijuana Used Rx 3% 3% 4% E-cigarettes 2% 8% 23%

2016: 9%, 155% jump

“It’s Just Water Vapor!”

• It is an aerosol, not a vapor • Aerosol is a mixture of liquid particles suspended in a gas and can contain many chemicals • These chemicals are left behind in the

List of Chemicals

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Sound Familiar? Well, You’ve Also Seen Them In: • • • Embalming Fluid • • Rubber • Pain thinners • Batteries

How much ? It varies, but usually A LOT

Emerging Trend: Dripping

• Dropping e-juice directly on to hot coils – Thicker, more “flavorful” aerosol – Exposure to higher levels of nicotine and other toxins – 20% of HS Students who vape have also dripped – New warning: Teens using e‐cigarettes to 'drip' nicotine (2:19)

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Youth Impact

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Why is the Youth Market Important?

• The industry knows customers are getting older and need to be replaced to make more profits – Many e‐ companies owned by major companies (IE RJ Reynolds, ) • Customers for life – 80% of adult smokers started before age 18

“mission is preventing the illegal sale of our products to youth”

Gateway to Tobacco • Teens who use e-cigarettes are 4x more likely to start using tobacco products than those who don’t

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Drug Concerns:

E-Cigarette or Drug-Delivery Device?

“Versatility” of E-Cigarettes

• Nicotine “vapes” may have their cartridges/pods tampered to put in other substances – ie “hacking the ” • Many vape products sold specifically for THC – Pods could use cartridges from nicotine vapes – “510 cartridge”‐ Used for concentrates

THC “Pods”

Juul Compatible!

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For THC Concentrates

How Common are Drug Combinations?

• 2018 Study, Major Findings: – 39.5% of those using ESDs reported vaping illicit drugs – Most common • THC 18% • MDMA 11.7% • 10.9% • 14.4% (, RX, )

Quick Look at Marijuana

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Not the same

THC: Psychoactive Ingredient

CBD: NON-Psychoactive Ingredient

0.3 0.3 0.4 0.4 0.3 0.3 0.4 0.4 0.4 0.4 0.5 0.5 0.4 0.5 0.5 0.5 0.5 0.5 0.4

0.20.2 0.4 0.5 1.0 1.0 1.5 3.3 3.3 3.5 3.5 3.1 3.1 4.0 4.5 5.2 5.0 4.7 5.4 6.2 7.3 7.2 8.3 8.1 9.1 10.0 10.0 9.9 11.0 11.0

• Source: Mehmedic et al., 2010

Cannabis: % THC Over Time 45 42% 40 THC Nationally 35 30 THC Colorado 25

20 CBD Only 15 % Dry Weight THC: 10 Psychoactive 5 Ingredient 0.2% 0 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 Year

Slide use with permission from Sarah Urfer

“Concentrates are the Future of ” Average of plant: • 1960’s was 2-4% • 2017 is 15-20% Current concentrates are 60-90% Industry reached 98% THC

“Concentrates are used in probably 95 percent of the branded products” (ie: vape oils, the vape cartridges, the edibles) (aka: Dabs, budder, shatter, wax, oil, BHO) Engadget.com

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THC Extraction

THC Products

THC Products

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“Fine edibles”

Medical Product

TREATMENT FOR • Inflammation • • Diabetes • • PTSD • • Rheumatoid Arthritis • Epilepsy • Cardiovascular Disease • Psychosis • • Muscle Spasm • Neuropathic Pain •

What Else is Going On?

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Newest Form: Liquid Meth

Manufacturers of this highly toxic drug are beginning to dissolve meth in water in order to liquefy the drug Made transporting the toxic drug so much easier – Individuals who produce meth will often place this liquid form of the drug into various different types of liquor bottles – Once the liquid meth has passed inspection and been shipped to its destination, individuals will then boil away the water Only the solid form of meth will remain.

Newest Form: Liquid Meth

• “Better” form of Meth • Stronger than regular Meth • Made from made with substance named Terofun (Pseudoephedrine HCL) • Only take minutes to make & less than 10 minutes to cook • Law Enforcement have found in gas tanks of vehicles – 20 gallons street value is $10 Million

Other Trends • “Wasping” – Combination of meth and • May also be used as a substitute – Uses active components of spray to achieve “high” – Sprayed on to or crystalized with meth – Effects: newer trend but reports of hallucinatory sense of smell, trigger flight or flight, and toxic exposure

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Adderall

Adderall

• Adderall is a combination of and that is used primarily to treat the symptoms of attention-deficit hyperactivity disorder (ADHD). • It has benefits with disorders and reported, off-label utility in managing some forms of severe as well. • Central nervous system

Larger Issue-Mixing with

• Adderall has the ability to mask certain indicators of intoxication that people would otherwise use to slow or stop their consumption. If these signs go unnoticed, the user is at risk of continued drinking— potentially leading to alcohol poisoning, , or death.

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Teen Adderall Abuse

• According to SAMHSA's National Survey on Drug Use and Health – 425,000 teens and adolescents between the ages of 12 and 17 reported misuse Adderall. – Approximately 2.5 million among young adults age 18 to 25 • Teens who misuse Adderall are also – 3 times as likely to have used marijuana. – 8 times as likely to have used cocaine or prescription tranquilizers like Xanax and Klonopin recreationally. – 5 times more likely to have misused prescription pain relievers.

Lean/Purple Drank/Sizzurp/ Dirty Sprite

What is it? • A combination of the following: – Prescription‐strength cough medicine. – Soft drinks. – Hard, fruit‐flavored candy • The prescription cough syrups used to make drink present the most danger because they often contain , a powerful drug • Another active ingredient in some prescription cough syrups is promethazine, an antihistamine that causes effects and can impair motor functioning

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Large in Teen Culture • The U.S. Drug Enforcement Administration’s figures show that one in ten American teens have sipped either over-the-counter or prescription syrup. • Huge in the Hip Hop Culture – Known has “Hip Hop’s Heroin” – Referenced in over 30 percent of rap songs that reached the top ten of Billboard’s Hot 100 in 2017 – 2014 Study found that codeine references more than tripled in rap songs between 2000 and 2007.

Marketing and Local impact

Tobacco Industry Success

Alcohol and marijuana following the same plan???

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Pro-Marijuana Industry Wants to shake the past and gain acceptance 1. Establish a brand/logo 2. Increase favorability – Promote benefits, dismiss negatives, create 3. Increase visibility 4. Develop products Has any of this occurred?

Marijuana’s brand?

What is this? How many would recognize it? What colors are often paired with it? Celebrity support? TV and Movies?

Normalizing through TV

“cannabis guest starring more often on television shows as a casual or medicinal product, rather than a taboo”

This is tobacco 101: Confuse, normalize, expand, protect Celebrities, music, movies and TV

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New Marijuana magazines

• Broccoli • Gossamer • Push Mag • Kitchen Toke

Hats

Socks

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Shirts

Who is the target?

Concealment

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Hidden Beverage

Fake tampon stashes

Paraphernalia Sold

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Paraphernalia sold for tobacco use?

OK?

Questions?

Erin Foster [email protected] 319-390-4611 Ext: 193

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