2018 Winter Kansas Child

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VAPIN Risks of Cartridge (tank) holds the liquid “juice.” Parts of an Electronic Cigarette Mouthpiece Microprocessor Heating elelment/atomizer heats the “juice” to make vapor. Many devices have a switch to activate the heating element. Some devices have a light-emitting diode on the end to simulate the glow of a burning cigarette. Battery BY DR. MICHELLE LOUIS Tallgrass Family Medicine Dr. Michelle Louis serves on Tobacco Free Wichita Coalition’s Medical Advisory Council and is a practicing physician with Tallgrass Family Medicine in Wichita, Kansas. She graduated from the University of Health Sciences College of Osteopathic Medicine in 1988. Parenting is fun, yet very challenging. Just when it has become cool for teens to make the healthy choice not to smoke, the market introduces another novel, exciting way to get addicted to nicotine that is marketed as a “healthy” and hip alternative to smoking. The modern e-cigarette was invented in 2003 by Hon Lik, a Chinese pharmacist and inventor, as an alternative to smoking. E-cigarettes were dismissed as a fad at first but have since gained mass appeal. In the U.S., tobacco producers have a significant share of the e-cigarette market. As of 2015, 80% of all e-cigarette sales in convenience stores were produced by the big tobacco companies. According to the U.S. Surgeon General and leading researchers, e-cigarettes (electronic cigarettes, vape pens, tanks, e-hookahs) contain harmful and potentially harmful ingredients that are inhaled by the user and exhaled into the environment. The majority contain nicotine, propylene glycol, and flavorings. In addition, marijuana and other drugs may be vaped. The popularity of these products among young people has increased significantly over the past five years, and the use of these devices is now more common than the use of regular cigarettes among middle and high school students. In fact, e-cigarettes are now the most commonly used tobacco product among U.S. youth 1 . Nicotine Poisoning on the Rise The Kansas Poison Control Center received 110 calls involving electronic devices and liquid nicotine from 2014 - 2015, a significant increase from previous years 2 . The liquid for e-cigarettes can be purchased at smoke shops, gas stations and convenience stores, and is often not regulated by city inspectors. Most contain high enough levels of nicotine to cause nicotine poisoning if ingested or absorbed through the skin. It’s especially dangerous for young children, who may be attracted to the liquid because of the flavors and bright colors. In Kansas, there are no child-proof packaging restrictions, making the e-juice containers easy to access for children of all ages. According to the CDC, nicotine in any form -- including e-cigs -- is unsafe for youth. It is highly addictive and can harm the developing adolescent’s brain. The brain continues to develop through the early to midtwenties. Because the adolescent brain is still developing, nicotine use during this critical period can disrupt the formation of brain circuits that control attention, learning, and susceptibility to addiction. •§ Young people are uniquely at risk for long-term effects of exposing their developing brains to nicotine, including mood disorders and permanent lowering of impulse control. •§ Nicotine activates the limbic system more strongly in the adolescent brain than in the adult brain, making addiction a greater risk for youth who use nicotine. •§ E-cigarette use is strongly associated with other tobacco product use, including regular cigarettes. 12 Kansas Child A Publication of Child Care Aware ® of Kansas
Secondhand Vapor G In The secondhand vapor exhaled into the air is not harmless water vapor as advertised by many. Besides nicotine, e-cigarettes and their vapor can contain harmful and potentially harmful ingredients, including: •§ ultrafine particles that can be inhaled deep into the lungs •§ flavorants such as diacetyl, a chemical linked to “popcorn lung,” (so identified because of the incidence of the disease in workers at plants that used flavorants containing diacetyl in microwave popcorn) •§ volatile organic compounds •§ heavy metals, including nickel, tin, chromium, and lead. How can we keep our children breathing clean air? Traditional tobacco prevention strategies that have reduced tobacco use over the past two decades can easily be adapted to include electronic devices and other new products. By supporting the adoption of tobaccofree building and ground policies, tobacco-free park ordinances, smokefree multi-unit housing policies, and creating smoke-free home and vehicle rules, parents and caregivers can protect the health of their children and help prevent exposure for children in their care. n Sources: 1. U.S. Department of Health and Human Services. E-cigarette use among youth and young adults: a report of the Surgeon General. Atlanta (GA): US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2016. 2. University of Kansas Hospital – Poison Control Center – Kansas E-Cigarette Related Poisonings 2014 - 2015 SMOKE-FREE Public Housing 2006, the Surgeon General stated, “no amount of secondhand smoke is safe.” Secondhand smoke is not just annoying; it is deadly – containing hundreds of toxic chemicals with approximately 70 of them known to cause cancer. Since that warning was issued, cities and states across the country have adopted clean indoor air laws to protect workers and the general public. For many of us, including some of our most vulnerable populations in public housing, the greatest amount of time spent indoors is in our homes. Science has shown us that more than half of the air in multi-unit housing is “shared” through ventilation, plumbing, electrical paths, etc. So, if you have a neighbor who smokes, you and your family are exposed to secondhand smoke. For many Americans who live in their own homes, they are able to make their own “house rules,” and the majority of Americans have voluntarily made their homes smoke-free. However, for those who live in multi-unit buildings, such as public housing, up until now there has not been a choice to live in a smoke-free home. In order to protect the residents in public housing from the real health hazard of secondhand smoke exposure, the U. S. Department of Housing and Urban Development (HUD) has announced that all public housing nationwide is to implement a smokefree policy by July 30, 2018. HUD has provided an 18-month timeline for public housing to work together with residents to educate them, put a plan together and to answer questions about compliance and enforcement. HUD also has provided an implementation guide. Not only will the health of all residents improve, but there is an annual estimated cost savings of $326 million in property damage. Getting an apartment ready for a new resident can cost two to seven times more when the previous resident was a smoker. The smoke-free rule also will greatly reduce PAT MCKONE Regional Senior Director, Tobacco Control Programs and Policy, American Lung Association of the Upper Midwest Pat McKone, Regional Senior Director – Tobacco Control Programs and Policy, American Lung Association of the Upper Midwest, has worked with lung health programming for more than 35 years. Her work has included tobacco cessation programs for adults and youth, limiting youth access to tobacco, public and school-based education, raising awareness of the impact of tobacco in those with mental illness and/or substance abuse disorders, advocacy for limiting exposure to secondhand smoke, smoke-free housing, point of sale, and e-cigarettes. She has presented at international, national and state conferences and provides technical assistance to coalitions across the Midwest. the risk of fire-related deaths. The leading cause of fire deaths is smoking. The change does not mean people who smoke cannot live in public housing, rather, people who smoke cannot smoke in public housing units. The rule is about the smoke, not the person. For those who smoke and want to take this opportunity to quit, there are free resources online and by phone at 1-800- QUIT NOW. Let us be clear -- there is no constitutional right to smoke. For me, the HUD rule is a social justice issue. As a child, I was raised in public housing. Like me, many children are living in public housing, through no fault of their own. They deserve the right to breathe clean air at home. My only sister was developmentally disabled and lived in public housing her whole adult life. Her apartment was saturated with secondhand smoke. As public housing authorities move forward to implement this new rule, it’s important to remember that everyone deserves the right to breathe clean air. n www.ks.childcareaware.org Kansas Child 13
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Page 9 and 10: The obesity rate is 31.2% 36% of Ka
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2018 Winter Kansas Child

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