Alcohol Delivery

Popularity of E-Cigarettes is a Public Health Matter

 

Snapchat. iPhones. Emojis. Selfies.

Of all the things teens think are cool, e-cigarettes – and the JUUL brand, in particular – should be among the most concerning.

We know e-cigarettes are making their way into the hands of youth, who are curious, attracted to the easy-to-hide design and fun flavors like crème brulee, or influenced by their peers. JUUL is especially popular because they are sleek and resemble a thumb drive, with teens saying they are “discreet enough to vape in class.”

We also know teens and adults find e-cigarettes appealing because they still believe they are less harmful than other tobacco products. But that doesn’t mean they are safe.

Case in point: one significant new study of nearly 70,000 people revealed that daily e-cigarette use can double the risk of a heart attack. When you consider that e-cigarettes are increasingly becoming a gateway to smoking among youth, these studies should be a concern.

But your average teen isn’t concerned about their chances of a heart attack — or other major health concerns like cancer; they’re drawn to e-cigarettes like JUUL, which “has developed a cult-like following among youth and young adults, fueled by a strong presence on social media sites like YouTube.”

Still, the popularity of JUUL and other e-cigarettes should be alarming to the public health community, since we know that exposure to nicotine during adolescence can cause addiction and harm the developing brain, and that children using e-cigarettes are at an a increased risk of using tobacco cigarettes in the future.

Moreover, e-cigarette use among middle and high school students more than tripled from 2013 to 2015. For the first time ever, teens are smoking e-cigarettes more than traditional cigarettes.

As concerned community members, we can advocate for regulation of e-cigarettes by the FDA, which has had the authority to regulate them since 2016 but has delayed implementation of key provisions. We can also share public health materials to build public awareness about potential harms associated with use of JUUL and other e-cigarettes. Several resources are emerging, including educational toolkit materials for teens developed by the Stanford University Department of Medicine, a Truth Initiative fact sheet, and a Campaign for Tobacco-Free Kids fact sheet. Finally, we can get involved with local coalitions like the Galveston/Bay Area and the Wichita County TPCCs (Tobacco Prevention and Control Coalitions) that are working to pass comprehensive smoke-free ordinances and Tobacco21 laws that would prevent anyone under the age of 21 from purchasing tobacco products.

If you have any questions or want more information about what you can do in your community on this issue or other tobacco-related issues, please contact Steve at SRoss@TexansStandingTall.org or 512.442.7501.

Alcohol Delivery

No Ifs, Ands, or (Cigarette) Butts About It

 

School’s out for summer. For many families, spending more time outdoors is a big part of their summertime agenda.

Our Texas parks and beaches are at peak demand for the next several weeks, so it’s a good time to remind everyone about outdoor smoke-free ordinances and why they matter.

Even outdoors, children and adults are affected by secondhand smoke. Asthma attacks, eye irritation, headaches, and ear issues are just some of the effects of secondhand smoke. But it isn’t just an afternoon at the park that is concerning. A 2006 Surgeon General’s Report outlined the dangers of prolonged exposure to secondhand smoke, which include cancer and heart disease in addition to asthma and other respiratory issues. While most studies about secondhand smoke are directly related to indoor exposure, more recent studies have shown that secondhand exposure outdoors can be significant.

Because we know now there is no safe level of secondhand smoke, many communities are looking at expanding their smoke-free policies to include outdoor spaces as well. In addition to protecting people from secondhand smoke, outdoor smoking ordinances can also be helpful to individuals who are trying to quit smoking by eliminating triggers.

They also send an important message to our kids that smoking is not a community norm, which can help prevent later tobacco usage.

When looking at outdoor smoking ordinances, it’s also worth considering the environmental impact of outdoor smoking. Literally trillions of non-biodegradable cigarette butts are collected from sidewalks, beaches, and other outdoors areas every year. In addition to littering the earth, cigarette butts are also harmful to wildlife and can be toxic to fish. Cigarette butts are a significant cause of outdoor fires, and they cost hundreds of millions of dollars every year in property loss and restoration expenses. In a state like Texas, where droughts are common, fire risk is particularly concerning.

While outdoor smoke-free ordinances can be challenging to implement (especially when it comes to defining what is indoor vs. outdoor space), they contribute to a healthier and safer Texas. For more information about pursuing a smoke-free ordinance in your community, please contact Steve Ross, our Statewide Coalition Specialist, at sross@texansstandingtall.org or (512) 442-7501.

Alcohol Delivery

Examining Tobacco Inequities in Black Communities

February is a chance for us to recognize the contributions and accomplishments of so many Black Americans. At the same time, it is also important to remember that there are still obstacles to overcome. We admit, the prevention field has work to do when it comes to creating solutions that address the inequities experienced by neighborhoods with a high or concentrated Black population. These inequities are especially noticeable with the discriminatory practices of the tobacco industry that target black neighborhoods and low-income schools. It is no coincidence that black people in this country die at much higher rates than their white counterparts from smoking-related illnesses.

The tobacco industry knows exactly what it’s doing. While there have been smoking declines in both youth and adult tobacco use, the health gap endures among at-risk communities. Established research indicates that the negative health affects of smoking disproportionately affects racial minorities and tobacco marketing often targets areas with a low socioeconomic status.

The shameless targeted marketing to these communities has put an unnecessary and disproportionate amount of tobacco-related health burdens on black communities. Big tobacco has been known to donate to Historically Black Colleges and Universities, as well as sponsor cultural events, and make contributions to elected officials, community organizations, and even scholarship programs. They’ve long employed blacks to work in tobacco factories as a means of supporting their families. These seeming acts of friendliness to the black community work in contrast to the amount of damage that black families suffer at the hands of the tobacco industry. Tobacco contributes to the three leading causes of death among black Americans: heart disease, cancer and stroke.

While blacks smoke less and begin smoking at a later age than whites, they ultimately have the highest incidence of death rates and shortest survival rate of any race or ethnic group for most cancers. Campaign for Tobacco-Free Kids reports that “more than 72,000 Black Americans are diagnosed with a tobacco-related cancer and more than 39,00 die from tobacco related cancer.” In fact, lung cancer kills more Black Americans than any other type of cancer.

Black youth are also disproportionately affected by exposure to secondhand smoke. Studies show that among youth ages three to 11, 68% of black children are exposed to secondhand smoke, compared to 37% of white children in the same age range. Secondhand smoke exposure is linked with sudden infant death syndrome (SIDS), respiratory infections, ear infection, and more severe asthma attacks.

Prevention is key to the success of creating healthier and safer black communities. Blacks have lower cessation rates than whites because they generally have higher levels of nicotine dependence as a consequence of a preference for menthol cigarettes. Public education campaigns are generally well received and effective in decreasing the number of youth who start smoking, increasing the number of smokers who quit, and making tobacco industry marketing less effective. Research from the 2013 Tips From Former Smokers showed that in areas where the campaign was highly visible, the quit attempt among blacks was 60% higher than those areas that received a standard dose of the campaign.

Environmental prevention strategies like price increases are the most powerful anti-smoking factor for all youth, and enforcing laws that prohibit the sale of cigarettes to youth proves to be most effective in reducing smoking among black teens. However, research shows that black communities have not benefitted from the growing number of smoke-free ordinances and laws that have spread across the country. Research indicates that while white, Hispanic and Asian  communities are benefitting from the spread of comprehensive smoke-free ordinances, geographic region coupled with the lack of prevention resources available in black communities have made it so they aren’t benefitting as much from anti-tobacco campaigns. These issues contribute to the continued disproportionate exposure to secondhand smoke for black youth.

Instead of proposals by lawmakers to decrease funding for Tobacco Prevention and Control in our state, we should look at ways to increase funding. The Centers for Disease Control and Prevention recommends comprehensive tobacco prevention and control programming which includes resources for populations that are disproportionately affected as well as funding of $5.98 per person. Yet, Texas’ current funding levels are at .25 cents to $2.50 a person. An increase in per person funding levels could support public health champions in black communities advocating for their health and safety. It’s time we start investing in these communities.

For more information about tobacco prevention and control efforts in our state, visit TexansStandingTall.org or contact Steve Ross at sross@texansstandingtall.org. If you are interested in bringing change to your community, the African American Tobacco Control Leadership Council will host its 2017 National Conference on Tobacco or Health Ancillary Meeting on from 5 p.m. to  7 p.m. on Thursday, March 23 in Austin, Texas. For more information on the upcoming conference and the African American Tobacco Control Leadership Council, visit SavingBlackLives.org .

Alcohol Delivery

UNIDAD TPCC Passes Two More Smoke-Free Ordinances

New Year? New smoke-free ordinance! In last month’s Compass, we mentioned how we look forward to celebrating more success in 2017, but we didn’t expect to see it happening so soon! The UNIDAD Tobacco Prevention and Control Coalition in the Rio Grande Valley has worked to pass two more smoke-free ordinances already this January.

On Jan. 3, Donna and Weslaco joined Alton, Edinburg, Mission, and Pharr on Hidalgo County’s list of smoke-free ordinances. Hidalgo County is now home to six of the 60 cities in Texas with smoke-free ordinances.

In addition to preventing the use of cigarettes and e-cigarettes inside restaurants, clubs, bars, and other buildings, Donna smokers have to be 25 feet from a building entrance or window when they light up. In Weslaco, that distance is 20 feet. Businesses in both cities will receive information on the new ordinances and will have 30 days to comply and before the city begins enforcing the new laws.

A major benefit of a smoke-free ordinance is decreasing the number of Texans exposed to secondhand smoke. Secondhand smoke contains a mixture of over 4,000 chemicals, more than 50 of which contain cancer-causing agents (carcinogens). Young children are particularly vulnerable to secondhand smoke because their lungs are not fully developed. According to the Texas Department of State Health Services, tobacco related disease cost the state approximately $17.7 billion.

UNIDAD is aiming for a smoke-free county, and one day TST hopes to see a smoke-free state. Increasing the number of smoke-free ordinances across the state helps put a dent in the 498,000 youth under the age of 18 alive today that will ultimately die from smoking related illnesses. We take the health of Texas youth very seriously; it is the reason for our quest to create healthier and safer communities.

We happily applaud the efforts and successes of the coalitions working to create smoke-free communities. UNIDAD will have our continued support in pushing for the positive impact a comprehensive smoke-free ordinance has on the community they serve.

TST offers training and technical assistance for communities working to enact smoke-free ordinances. If you are interested in bringing TST’s expertise to your coalition, please contact Steve Ross for more information.