BRAIN on DRUGs 101 GATEWAY. TRENDS . Markeng Recognion 2012 1 LT. Ed Moses, Rered 1 Ojecves • Recite number one cancer killer of women {#6 CDC source on slide} • List the three main areas of the brain in order of alcohol impairment {#36 Dr. John Duncan OK U • Idenfy the age of brain maturity {#37 Dr. Daniel Amen of www.amenclinics.com} 2 Target Markeng….Children 3 Our Children Targeted Parents Unaware In the lile world in which children have their existence, whosoever brings them up, there is nothing so finely perceived and so finely felt, as injusce. Charles Dickens 4 More Women Die every year due to Lung Cancer than Breast Cancer *2007 70,880 women died from Lung Cancer, while 40,460 women died from Breast Cancer. *Estimated by American Cancer Society 5 Smoking Rate vs. Cancer Rate About 24yrs #1 7th 6 7 8 Success trends cause Markeng Change Internal Medicine News 11/1/06 Cigaree Nicone Levels Increase 10% in 6 Years . Reports Commissioner Paul J. Cote Jr., of Massachuses Dept. of Public Health one of only 3 states that require tobacco co. to report yearly nicone yields 9 9 ‘07 Camel Ads • Pink Camels for Girls? 10 10 And the latest… VIRGINIA SLIMS “PURSE PACKS” 11 Camel Exoc Blends A few years ago, R.J. Reynolds introduced Camel Exotic Blends in a range of flavors, featuring unusual packaging that was bright and alluring. In 2006, RJR pulled this line of flavored cigarettes after signing a settlement with 39 state AG’s to stop marketing flavored cigarettes. 12 Camel Signature Blends RJR agreed not to use certain terms – such as “sweet” and “creamy” – to market any future flavored cigarettes to the public. But this is RJR, so it was inevitable that the spirit of the agreement would be violated: new signature blends were created. 13 Tobacco Markeng • * Based on current cigarette smoking patterns, an estimated 25 million Americans who are alive today will die prematurely from smoking-related illnesses, including 5 million people younger than 18.6 Smokers on the average die 14 years sooner. - CDC 14 Point of Sale Adversing: Locaon, Locaon, Locaon 15 These cigars can easily be mistaken for candy by adults and children alike. White Owl cigars Candy eggs Colorful White Owl flavored cigar display near Easter candy at a Mobil gas staon counter in Washington D.C. in April 2006. 16 Altria now owns John Middleton, Inc., makers of Black & Mild cigars, flavors that are oen sold at low prices, singly or in small packs, making them even more appealing to youth. 17 Smokeless tobacco comes in a variety of candy flavors 18 Snus Products 19 Other products created for situaons where smokers cannot smoke: Stonewall Hard Snuff Tobacco and Ariva-flavored tobacco lozenges. 20 New smokeless, dissolvable tobacco products from R.J. Reynolds Test marketing in Columbus, OH, Portland, OR and Indianapolis, IN starting in January 2009 21 E-Smoke Nico0ne mist 22 23 “[It] will not kill them as quick or as much as other brands,” Benne LeBow, CEO, Vecotor, Manufacturer of new Omni Cigarees, USA TODAY 01/11/2002 24 Lile cigars come in many flavors: • Strawberry Chocolate Peach Berry Sour Apple Grape Pineapple Watermelon Banana 25 2006 U.S. Surgeon General’s Report on 2nd hand Smoke Minnesotans will pay $215.7 million dollars to treat health condions caused by exposure to secondhand smoke . Reported by Dr. Marc Manley of MN Blue Cross & Blue Shield 26 Smoking Related Cost to Medicaid in MO 2001 & ’01 Tobacco Selement -$182.1 Million cost +$151. Million pymt $-31.1 Million Loss Net loss 1 area alone News Tribune The Statesman 27 How can you prove the Tobacco Industry needs to recruit teen customers? Tobacco execuves' own once-secret documents tell the story. Behind closed doors, they write, “...the base of our business is the high school student.” 28 They discuss using sweeteners to lure children. They write about the need to aract teenagers to replace dying smokers. They analyze how to cra ads to appeal to young people. It’s laid out clearly, in their own words. [googled - tmvoice & found:] www.leg.state.mn.us/docs/pre2003/other/bigplan/tobacco/_v_cnf/indexb.html - 4k - “This Web-based document was archived by the Minnesota Legislave Reference Library.” 29 Tobacco Markeng • Camel Walk $8 Mill vs Joe Cool > $478 Mill • Marlboro Woman vs Man > $1 vs $1,000 • Cancer Lung 7th to 1st by ’88 > Vir. Phlegm • Boys spit draws…… Flies • Girls smell???? 5 vs 1 30 Past Month Cigaree Use by Age 2005 NSDUH 31 THIRD HAND SMOKE • When a cigaree burns, nicone is released in the form of a vapor that collects and condenses on indoor surfaces such as walls, carpeng, drapes and furniture, where it can linger for months, said the study, which was published in the Proceedings of the Naonal Academy of Sciences (PNAS). • "Our study shows that when this residual nicone reacts with ambient nitrous acid it forms carcinogenic tobacco- specific nitrosamines, or TSNAs," said Hugo Destaillats, a corresponding author of the study. • "TSNAs are among the most broadly ac:ng and potent carcinogens present in unburned tobacco and tobacco smoke," he said. 32 TEEN SMOKERS WANT TO QUIT University of Rochester NY researcher Dr. Jonathan D. Klein reported from two teen surveys 87 percent and 73 percent, respecvely -- said that they wanted to quit. 33 • Gateway drugs impair judgment. – If a person gets drunk or high, its easier to say yes to cocaine or whatever else is around. – These drugs break down inhibions, so a person is more suscepble to peer [self] pressure or experimenng. – They don't just impair judgment -- these drugs can change the way a person feels about drugs in general. 34 Associaons and Links Esmates Alcohol Use 2001 SAMHSA NHSDA • Alcohol Use - 8th and 12th Grade: 100 –Non-smokers 90 80 th • 32% 8 Grade 70 th 60 • 57.4% 12 Grade 50 Non-Smoker 40 Smoker –Pack-a-day smoker 30 th 20 • 94% 8 Grade 10 th 0 • 98.8% 12 Grade 8th Grader 12th Grader 35 Alcohol Effects Brain in Three Main Parts Reverse Order Learned 1st Judgment • Cerebrum INHIBITIONS . • Cerebellum 2nd Hand Eye Coordinaon . • Brain Stem 3rd Vital Areas . NOTE: Beginners at: .. Each is further divided Socializing into regions that control Driving specific funcons Drinking 36 36 36 [Graph visual example only] 37 37 Increased Risk for Adults: 25 to 55 • More than 2 drinks per day • More than 4 mes per week • FEMALE • Descendant of Alcoholic • Some Cultures / the why is debated • Pregnant • Taking Medicaon • Sensive to Alcohol • Any acvity requiring crical thinking or decisive reacon..Operang38 vehicle, vessel, or aircra Crash Probability @ .05-.10% per IIA, NHTSA 60 • Male Adult x 9 50 • Male Teen x 18 40 30 Adult • Female Adult x 25 Teen 20 • Female Teen x 54 10 0 • 1:2 Female teen vs. Male Female Male teen J-4 39 Drinking Lab – 300 o/10yr BAC .03-.20 • By .02 - .03 Majority gave up keys • By .05 all gave up keys • Downside requested keys 2x to 5x higher • .06 vs .11 [ Driver / Passenger J4 ] • 1975 16 year old drivers killed > 19 per 100,000 • 2000 16 year old drivers killed> 35 per 100,000 NHTSA 40 Alcohol related • Kent University research on shock game. No alcohol level 1to 3, with either intoxicated [male or female] starts 6 to 7 and quickly escalates to maximum of 10. • Brain scan showing ac:vity on alcohol ads with college students. “Geng Stupid” video Alcohol 42 May 1, 2006 NEW STUDY IN ARCHIVES OF PEDIATRICS AND ADOLESCENT MEDICINE AND CASA* REPORT REVEAL: Teen Mantra: • UNDERAGE DRINKERS, “PARTY TIL U PUKE” ALCOHOLICS AND ALCOHOL ABUSERS CONSUME BETWEEN 37.5 AND 48.8 PERCENT OF ALCOHOL SOLD • • MORE THAN A QUARTER OF UNDERAGE DRINKERS MEET CLINICAL CRITERIA FOR ALCOHOL ABUSE OR DEPENDENCE 43 Why Target: Teen$ & problem Drinker$ • National Center on Addiction and Substance Abuse (CASA) at Columbia University, finds: Anheuser • underage drinkers and adult Busch pathological drinkers account for at least $48.3 billion and as much as $62.9 billion in alcohol sales in 2001 *The last year for which the necessary data were available. Columbia U. NY May 1, 2006 ‘06 Tilt no Al ‘08 No caffeine - add Al ‘11-12 Al 12% to 8% ?? 44 44 Alcoholic Energy Drinks Alcoholic energy drinks are prepackaged beverages that combine alcohol with caffeine, guarana, ginseng, taurine, and other ingredients commonly associated with nonalcoholic energy drinks. They may be malt- or dislled spirits-based. Sparks is the top selling malt-based brand, while Pink Vodka and V2 Vodka are examples of dislled spirit-based products. Get the latest informaon and learn how you can help Marin Instute keep them out of the hands of young people. We are now called "Alcohol Jusce,” “The Industry Watchdog,” 45 [copied from www.marininstute.org] 45 Pseudophedrine/ephedrine-Caffeine 1-phenyl-2-methylaminopropanol Researchers say: Ephedra, herbal stimulant used by millions of Americans for body building, energy, and weight loss, can cause heart attacks, stroke, [DEA] seizures and death in otherwise healthy young people . Trend “Energy Drinks” > Amp, Pimp Juice, Full Throle, Rock Star, Monster Energy, Rage, Cocaine, Red Bull > Aside from caffeine & sugar, some common ingredients are taurine, ginseng, guarana, vitamins, & green tea. Some have methylxanthines, inositol, carnine, creane, glucuronolactone and ginkgo biloba [WebMD & Wikipedia] Anheuser-Busch’s > Tilt, B to the E [30 states sued - off market] 46 Sparks - Note: Alcohol 6-12% Volume 1 pint+ [16-24 oz] • The joint venture of SABMiller and Molson Coors Brewing will voluntarily tone down the formula of Sparks to remove caffeine, taurine, guarana and ginseng, and it has agreed not to produce alcohol-caffeine combos in the future, MillerCoors said 47 Four has added a 23.5oz (695ml) beverage called Four Loko to their product line.