Anthrax, Maxime Coles MD - and More

AMHE Newsletter summer 2019 september 16 Haitian Medical Association Abroad Association Medicale Haïtienne à l'Étranger Newsletter # 263 AMHE NEWSLETTER Editor in Chief: Maxime J-M Coles, MD Editorial Board: Rony Jean Mary, MD Reynald Altema, MD Technical Adviser: Jacques Arpin Vaping, the addiction of a new generation of teenagers? Maxime Coles MD In this number - Words of the Editor, Maxime Coles,MD - Donate now to the AMHE Dorian Fund - La chronique de Rony Jean-Mary,M.D. - 46th AMHE Scientific Convention - La chronique de Reynald Altéma,M.D. - Upcoming Events - Anthrax, Maxime Coles MD - And more... 2 emergency a month later for what I understood was students. It is presented under different shades. an overdose experience. In my mind, I did not see Every JUUL contains a high dose of nicotine the difference and I swallowed my pride. I loaded in cartridges with a choice of flavors accepted the explanation of this parents justifying like crème brulee, mango, strawberry cheese the incident and decided to look for other reasons. cake, cucumber by example and is sold only to Soon, I realize that the use of a Vaping apparatus at customers older than 18. It is estimated that home as a social activity among the visiting kids, about 11.5 billion in sale, are generated with was a norm. What a party! I told myself. the market of vaping products around the I remained ignorant but looked for answers to world. satisfy my curiosity. I learned that the act of Certainly, Vaping is free of smoke but is not inhaling or exhaling, was releasing an aerosol, risk free. The nation’s Drug and Food often referred to “Vapor”, the same way it is Administration announced in November 2008, produced by the e-cigarette or similar device. I was plans to limit sales of most types of flavored e- told that they were using the term simply because cigarettes to vaping stores. It became so the e-cigarettes did not produce tobacco smoke but popular among middle-schoolers, high rather an aerosol often mistaken for fine particles schoolers and college kids that the age of 21 of water vapor. Those particles were found to was proposed for the purchase of any vaping contain different amount of toxic chemicals linked product. Inversely, Countries like Brazil, to cancer in the pulmonary tree and toxic to the Greece, Saudi Arabia, Thailand and Turkey heart. banned their sales. Many deaths, at least 6, Vaping has grown in popularity especially after the have been recorded through the United States introduction of the e-cigarettes in the United States of America because of a mysterious disease (2007). One of the prime selling point is that the involving the lungs: 380 confirmed cases in 36 use of e-cigarettes has helped smokers wean states and the US Virgin Islands, were cited, in themselves of traditional cigarettes. Many devices a recent report and many more have visited the are available to “vape” like e-cigarettes, or vape emergency rooms. It is not yet clear of what pens, and more sophisticated advanced personal exactly is causing the illnesses affecting mostly vaporizers known as “Mods”. The e-cigarette young men who are vaporizing cannabinoids reminds a regular cigarette while the vape pens like THC. The culprit may be some chemicals look like large fountain pens which can be like vitamin E acetate used illegally in customized for the user. In general, a vaping vaporizers. This substance has been found in device consists in a mouthpiece, a container for the all cannabis containing vapes. The Trump “e-liquid” or “e-juice” and a heating component, administration has cautioned about the practice powered by a battery able to heat the component to of vaping under all forms and menace to place degrade it into an aerosol ready to be inhaled at a ban over all flavored e-cigarettes in the USA, will. including mint and menthol flavors, until a The “e-liquid” contains a propylene glycol or a plausible explanation can be given to this vegetable glycerin-based liquid mixed with a epidemic of youth e-cigarettes. Unfortunately, Nicotine flavoring material and other chemicals or the users are also aware of the dangers linked metallic elements, but not tobacco. Many have also to inhaling vapors. used the vaporizing cannabinoids “Vape THC” Vaping added to a high consummation of responsible for most of the marijuana mind- Alcohol or mix to different potent drugs can altering effects, or even drugs like flakka to replace bring “enjoyment” to the users especially with the nicotine. A new product is presently on the the legalization of Marijuana in so many states. market. It is called the “JUUL” This device looks It has also become a hobby very popular like a USB computer drive, easy to hide in a pocket among drug users. A quick acting component but used in Vaping. This is also the reason why it can easily be added in a fairly discrete way for is so popular among middle and high school medication or pleasure. Although this form of 3 delivery of the substance is considered safer than suffering with lungs or throat discomfort, may smoking, Vaping is short for Vaporization find vaping more accommodating than smoking commonly used as a way of delivering cannabis. to avoid more irritation. It is also easier to dose The user inhales the vapors of cannabis generated the cannabis with the specific vape pens. from the heating of the active compounds at low Vaping is not without dangers especially when temperatures. Contrarily to smoking cannabis, using cannabis through a deficient vaporizer, there is no combustion or burning at these low then the additive become harmful to the users temperatures (200 degrees), so no smoke is once the substance is heated. The common generated. Researchers have quickly concluded additive is propylene glycol which is known to recently that this form of delivery was safer induce asthma and allergic reactions in because, there was no creation of carcinogen like producing higher levels of acetaldehyde and benzene, toluene and naphthalene associated to its formaldehyde than propylene glycol. This is combustion. This is why vaping is preferred over why it has been suggested to use low smoking with less side effects or risks to the temperatures when vaping, in order to avoid respiratory system. Smoke in the contrary is known these carcinogenic by-products. No matter what to cause allergies and irritation to the lungs company manufactures the vaporizers, you will producing cough and phlegm. In 2000, at the inhale hot aerosol ultrafine particles of University of McMaster in Hamilton, aldehyde, diacetyl etc. Side effects like Vethanayagam a pulmonologist at the University of dizziness, hypotension, tachycardia, loss of Alberta with his colleagues, reported a woman who memory or concentration as well as anxiety can had “lipoid pneumonia” after in her practice of surface. This can become habit-forming for Vaping. people using THC. They are not recommended To vape the cannabis, you need a vaporizer which for people suffering from mental illness like can fit a desktop, or be portable or handheld with a schizophrenia, bipolar disorder, anxiety and power source (battery or plug), a heating element depression. nor they should be used in people (heater or atomizer), a chamber to pack the ingesting alcohol and other drugs cannabis flower or any concentrate, a button to To conclude, it may appear that Vaping brings activate the heat and finally a mouth piece to inhale with it use, advantages that a regular smoker the vapor through. Popular vaping products have looks for, but there is no long term data to reached the market under the form of dry flower conclude that it is a safer choice to lighting up a vapes, Pax 3 (dry herb) sold internationally, cigarette. Facts appear to be conclusive that e- Absolute Xtracts in California, Avilas in cigarettes aerosol can damage the pulmonary Washington, O pen in Colorado etc. They can be tree the same way Nicotine does. Some purchased on line or at local smoke shops. Prices evidence suggests also that the by-products can range between 25 to 300 dollars. harm the brain as well as the heart. I wish to all We do know that any tobacco product including e- young men involved in this hobby, to try to cigarettes are unsafe to youth. Nicotine can harm find time to get familiar with the complications the developing adolescent brain, the cilia in the of such Vaping activities and weight the lungs that clear the mucus and is certainly a consequences to avoid being part of the powerful additive. A chunk of nicotine in a pod statistics. may be the equivalent of a pack of cigarettes, rendering the youth easily addicted. People Maxime Coles MD References: FDA Webpage on e-cigarettes. E-cigarettes regulation in United States Dangers of Vaping (Bloomberg Editorial) Timeline of the spate of vape-related illness (September 2019) 4 Rony Jean-Mary, M.D. Le drame profond que vivent au quotidien les Haïtiens de Bahamas… Le cyclone Dorian vient de finir sa course dans Les Haïtiens n’ont jamais été aimés aux le nord de l’Atlantic. Les dégâts et les ravages Bahamas .Les Bahamiens sont très ignorants de qu’ils a laissés sur son passage se chiffrent en la culture et du mode de vie de l’Haïtien. Ils ont milliards de dollars d’une part ,et se comptent une idée complètement erronée de qui nous de l’autre , en milliers de vies humaines portées sommes, de ce qui nous caractérise en tant que disparues ou terrassées en un jour , sous les peuple….

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