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Assessment of nicotine and cannabis vaping and respiratory symptoms in young adults

12/22/20--Findings of this cross-sectional study suggest that cannabis vaping is associated with increased risk of bronchitic symptoms and wheeze in young adults. Further research is needed to understand the temporality of the association and the mechanisms underlying the difference between nicotine and cannabis vaping in the risk of bronchitic symptoms and wheeze. Read

Congress extends ban on mailing cigs to include all e-cigs, including marijuana vapes

12/23/20--The recent legislation Congress passed to fund the government included a provision extending the PACT Act’s prohibition on sending cigarettes through the mail to include e-cigarettes. The law also requires FedEx, UPS and other delivery services to verifying age of the recipient in person and getting a signature before delivering e-cigarettes. Read

Vaping could cloud your thoughts, new studies suggest

12/28/20--Two new studies from the University of Rochester Medical Center (URMC) have uncovered an association between vaping and mental fog. Both adults and kids who vape were more likely to report difficulty concentrating, remembering, or making decisions than their non-vaping, non-smoking peers. It also appeared that kids were more likely to experience mental fog if they started vaping before the age of 14. Read

Underage youth and young adult e-cigarette use and access before and during the coronavirus disease 2019 pandemic

12/3/20--In a national, online, cross-sectional survey study of 2167 youth and young adults using e-cigarettes, 1198 respondents reported changing their amount of e-cigarette use, with 810 reducing or quitting e-cigarette use. During the COVID-19 pandemic, youth e-cigarette users reported changes in e-cigarette use, point-of-purchase, and ability to purchase e-cigarettes without age verification. Read

Teens and young adults quitting e-cigarettes during pandemic

12/3/20--Results from a national, cross-sectional survey showed a decrease in e-cigarette use among teens and young adults during the COVID-19 pandemic, according to a study published in JAMA Network Open. Read

Declines in Electronic Cigarette Use Among US Youth in the Era of COVID-19 — A Critical Opportunity to Stop Youth Vaping in Its Tracks

12/3/20--A new study by Gaiha and colleagues examines the associations of the COVID-19 pandemic with patterns of youth e-cigarette use, drawing on a national sample of 2167 underage youth and young adults sampled between May 6 and 14, 2020. Among the key findings of the study were that more than half of participants (1198 ) reported change in their e-cigarette use since the beginning of the COVID-19 pandemic. Among 1197 participants reporting on the type of change, one-third of youth (388 participants ) quit vaping, and another one-third (422 participants ) reduced their use of e-cigarettes. Read

Reactions to messages about smoking, vaping and COVID-19: two national experiments

11/23/20--Results of this study indicate that messages linking smoking with COVID-19 may hold promise for discouraging smoking and may have the added benefit of also discouraging vaping. Read

The Risks of Another Epidemic: Teenage Vaping

11/23/20--Although self-reported use of e-cigarettes by high school and middle school students decreased over the past year, Dr. Robert R. Redfield, director of the Centers for Disease Control and Prevention, cautioned, “Youth e-cigarette use remains an epidemic.” Read

E-cigarette use associated with asthma independent of cigarette smoking and marijuana in a 2017 national sample of adolescents

10/1/20--In a study examining health consequences of e-cigarette use in adolescence with asthma, results indicate that e-cigarette use was significantly associated with asthma in recent data on adolescents, controlling for several disease-relevant covariates. The results are consistent with studies based on previous generations of e-cigarettes and support the significance of e-cigarettes as a continuing public health concern. Read

Broad range of studies show e-cigs increase lung disease risk by 40-50%

11/6/20--A systematic review and meta-analysis of results on respiratory disorder was conducted from studies of general-population samples in consideration of mapping the results to findings about biological processes linked to e-cigarettes in controlled laboratory studies. This study concludes that e-cigarette use has consequences for asthma and COPD, which is of significant concern for respirology and public health. Read

2.3% of US population reports current e-cigarette use

10/28/20--According to data published in JAMA Network Open, the prevalence of e-cigarette use increased from 2018 to 2019 among current, former and never adult smokers in the United States. Researchers examined the distribution of e-cigarette use among 135,211 adults (mean age, 47.5 years; 52% women) from the 2018-2019 Tobacco Use Supplement to the Current Population Survey to examine current e-cigarette use by demographic characteristics and cigarette smoking status. Read

Online popularity of JUUL and Puff Bars in the USA: 2019–2020

11/4/20--The popularity of Puff Bar on Google Search suggests that users may replace cartridge-based vaping products with disposable e-cigarettes in the circumvention of the partial flavour ban. Continuous surveillance and further assessment are needed to prevent potential loopholes in tobacco regulation. Read

Content analysis of instagram posts by leading cannabis vaporizer brands

10/19/20--According to a study, cannabis vaporizer companies reach thousands of consumers through brand-owned social media accounts. Strategies to promote their products on these channels include posts that may appeal to sociodemographic groups and leveraging social media influencers and other companies to increase overall reach. Read

E-cigarette use among teens on the rise in Rhode Island

10/31/20--Rhode Island students in middle and high school reported using e-cigarettes at much higher rates than cigarettes, a youth risk behavior survey by the state Department of Health found. And from 2017 to 2019, the percentage of high school students using e-cigarettes in Rhode Island jumped from 20% to 30%, as traditional cigarette use declined. Read

Reduce your risk of serious lung disease caused by corona virus quitting smoking and vaping

10/18/20--As of April 28, 2020 there were 19 peer reviewed papers that had data on smoking and COVID disease progression, 17 from China, 1 from Korea, and 1 from the US. This peer reviewed meta-analysis of these 19 papers found that smoking was associated with more than a doubling of odds of disease progression in people who had already developed COVID. Read

Youth e-cigarette use drops, more warnings issued

10/20/20--According to the 2020 National Youth Tobacco Survey, conducted by researchers at the FDA and the Centers for Disease Control and Prevention, youth e-cigarette use declined by a third after 2 years of increases. It showed that 19.6% of high school students (3.02 million) reported e-cigarette use, down from 27.5% (4.11 million) in 2019. Among middle school students, 4.7% (550 000) reported e-cigarette use compared with 10.5% (1.24 million) in 2019. Read

Tobacco giant Altria is securing technology in new frontier: Marijuana

10/2/20--Public records indicate that tobacco giant Altria has been trying to claim a long-term stake in the marijuana industry by patenting cannabis technology. The parent company of cigarette brands including Marlboro and Parliament filed two patent applications for vaporizer devices specifically designed for cannabis, according to United States Patent and Trademark Office filings. Read

Trajectories of Nicotine and Cannabis Vaping and Polyuse From Adolescence to Young Adulthood

10/6/20--In this cohort study, the prevalence and type of nicotine vaping and cannabis vaping developmental trajectories from late adolescence to young adulthood were similar. Polysubstance vaping was common from late adolescence to young adulthood, particularly among those reporting more frequent vaping use. The findings suggest that public health policy and clinical interventions should address polysubstance vaping in both adolescence and young adulthood. Read

Smoking on TV: Attorneys general call on Hollywood unions for help kicking the habit

10/5/20--The National Association of Attorneys General is asking several major Hollywood talent unions to help "protect young audiences from tobacco use" by limiting its exposure in streaming shows. Support from the Directors Guild of America, Producers Guild of America, Screenwriters Guild of America, Screen Actors Guild-American Federation of Television and Radio Artists, and International Alliance of Theatrical Stage Employees has been requested for this effort. Read

#PuffBar: how do top videos on TikTok portray Puff Bars?

9/21/20--The objective of this Industry Watch article is to describe how Puff Bar e-cigarettes, a leading disposable e-cigarette brand among youth,3 are portrayed on the popular Beijing-based video-sharing social media platform TikTok. The focuse was on TikTok specifically because 60% of the platform’s 26.5 million active users in the USA in 2019 were between the ages of 16 and 24.6. Read

Investigating the Attitudes of Adolescents and Young Adults Towards JUUL: Computational Study Using Twitter Data

9/21/20--According to a study using Twitter data to understand salient themes regarding JUUL, sentiment towards JUUL, and underage JUUL use, findings suggest that a vast majority of Twitter users are not using JUUL to aid in smoking cessation nor do they mention the potential health benefits or detriments of JUUL use. Using machine learning algorithms to identify tweets containing underage JUUL mentions can support the timely surveillance of JUUL habits and opinions, further assisting youth-targeted public health intervention strategies. Read

Research finds tobacco imagery on TV and streaming shows drives youth vaping

9/17/20--Young people with high exposure to tobacco images in television shows were three times as likely to start vaping compared to peers with no exposure, according to landmark Truth Initiative research that is the first to establish the link. Read

Juul to cut more than half of its workforce

9/3/20--E-cigarette maker Juul Labs Inc. is planning to lay off more than half its employees, according to people familiar with the matter, and is considering halting its sales across Europe and Asia. That could mean pulling out of as many as 11 countries and shrinking the startup’s footprint to its core markets, the U.S., Canada and the U.K. Read

New reports show encouraging decline in youth vaping, but troubling rise in menthol and flavored disposable e-cigarette use

9/9/20--Two new reports published earlier today by the FDA and CDC show that while youth e-cigarette use decreased in a meaningful way, it remains at epidemic levels driven by a dramatic increase in the use of menthol and disposable e-cigarettes, two categories of products exempted from federal restrictions. Reads

E-cigarettes use among middle and high school students – United States, 2020

9/9/20--In 2020, 19.6% of high school students (3.02 million) and 4.7% of middle school students (550,000) reported current e-cigarette use. Among current e-cigarette users, 38.9% of high school students and 20.0% of middle school students reported using e-cigarettes on 20 or more of the past 30 days; 22.5% of high school users and 9.4% of middle school users reported daily use. Among all current e-cigarette users, 82.9% used flavored e-cigarettes, including 84.7% of high school users (2.53 million) and 73.9% of middle school users (400,000). Read

E-cigarette unit sales, by product and flavor type – United States, 2014-2020

9/9/20--During September 2014–May 2020, e-cigarette sales increased by 122.2%. Sales of prefilled cartridges increased during September 2014–August 2019; since then, sales of disposable products have increased. Prefilled mint cartridge e-cigarette sales increased from September 2014 to August 2019, then decreased, as menthol sales increased during August 2019–May 2020. Read

A year of progress, but youth e-cigarette use still at epidemic levels

9/10/20--Although significant progress has been made since the creation of the initiative – Protect Kids: Fight Flavored E-Cigarettes led by the Campaign for Tobacco-Free Kids, youth e-cigarette use remains at epidemic levels and bold action is needed at all levels of government to prohibit flavored e-cigarettes and stop tobacco companies from addicting a new generation of kids. Read

Protecting young people from e-cigarettes

9/13/20--Many things remain uncertain as a new school year begins, but the proven, science-backed information on the risks of using e-cigarettes can protect the minds and lungs of youth from harm caused by e-cigarettes and nicotine, and keep them from starting to use these products in the first place. Read

Quick facts on the risks of e-cigarettes for kids, teens, and young adults

9/13/20--The Centers for Disease Control presents quick facts on the risks of e-cigarettes for kids, teens, and young adults. Some of which include: The use of e-cigarettes is unsafe; most e-cigarettes contain nicotine; nicotine is highly addictive and can harm adolescent brain development, which continues into the early to mid-20s, and young people who use e-cigarettes may be more likely to smoke cigarettes in the future. Read

Surgeon General’s advisory on e-cigarette use among youth

9/13/20--Surgeon General of the United States Public Health Service, VADM Jerome Adams, is emphasizing the importance of protecting children from a lifetime of nicotine addiction and associated health risks by immediately addressing the epidemic of youth e-cigarette use. The recent surge in e-cigarette use among youth, which has been fueled by new types of e-cigarettes that have recently entered the market, is a cause for great concern. Read

Vaping DOES raise the risk of breast cancer, warn scientists amid concerns that young women are ‘targeted by E-cigarette companies’

9/12/20--Vaping increases the risk of developing breast cancer, a new study suggests. According to scientists from a group of American universities, including Yale, Johns Hopkins and Princeton, exposure to e-cigarette vapor creates a 'tumor-promoting environment' in the breast and elsewhere in the body. Read

E-cigarettes, Vaping, and the FDA’s Dilemma

9/14/20--According to this report, the rapidly increasing use of e-cigarettes is currently outpacing the accumulation of evidence regarding its harms versus its benefits. These may be largely generational: the harms of addicting an entirely new generation to nicotine versus the immediate and long-term morbidity and mortality benefits to an older generation who may already be suffering the consequences of its own addiction. The FDA has the herculean task of sorting this out while protecting everyone. Read

E-cigarette promotes breast carcinoma progression and lung metastasis: Macrophage-tumor cells crosstalk and the role of CCL5 and VCAM-1

10/28/20--This study provides the first robust scientific evidence to raise awareness regarding the risks of vaping. Read

California assembly votes overwhelmingly to end the sale of flavored tobacco products; state poised to deliver historic victory for kids over tobacco industry

8/24/20--The California Assembly today delivered a resounding victory for kids and public health over the tobacco industry by voting, 58-1, to prohibit the sale of flavored tobacco products, including flavored e-cigarettes, flavored cigars and menthol cigarettes. This bold action, in a state home to more than 10% of the U.S. population, cracks down on the products that have long been the tobacco industry’s most powerful weapons in targeting and hooking kids and the Black community. Read

CDC survey finds nearly a third of high school students used e-cigarettes in 2019 – It’s time to eliminate the flavored products addicting kids

8/20/20--Following the 2019 Monitoring the Future survey and the 2019 National Youth Tobacco Survey, the 2019 Youth Risk Behavior Survey (YRBS) is the third national survey to show that youth e-cigarette use skyrocketed between 2017 and 2019. The YRBS found that 32.7% of high school students were current e-cigarette users in 2019, up from 13.2% in 2017. Read

What we know and don’t know about Puff Bar right now

8/19/20--As Puff Bar’s popularity has grown, so have many questions and concerns about the product and the company behind it. Puff Bar should never have been sold because it is illegal for any tobacco product that wasn’t on the market before August 2016 to begin sales. Still, Puff Bar appeared on the market in 2019 and raked in profits before the Food and Drug Administration took enforcement action. Read  

Juul submits application to FDA to keep selling e-cigarettes

7/30/20--Juul Labs Inc submitted an application to the U.S. Food and Drug Administration that would allow it to keep selling e-cigarettes, which face heightened scrutiny over a surge in teenage vaping. Once an application is submitted, companies can keep selling their products for a year from the date of deadline, without official approval, or until a negative action is taken by the FDA. Read

Juul quietly revamped its e-cigarette, risking the FDA’s rebuke

7/23/20--According to four former Juul employees, the company’s engineers changed the pod design, added new, heartier internal components to resist the shutdown problem, and rewrote the device’s firmware. The updated model, delivered in late 2017, was given the internal code name Jagwar. Federal regulators were similarly unaware of the full extent of the product changes, even as the Food and Drug Administration crawled all over the company for months in an effort to curb a widening youth nicotine epidemic. Read
 

Kids These Days: Vaping comes with consequences. So why do teens do it?

7/29/20--There can be serious consequences to vaping, so why do so many teens continue to do it? In this episode, Grace Wang and Mia Goldstein talk to teens about addiction. Read

Mass. regulators fine Revolutionary Clinics $120,000 for selling tainted marijuana vapes

8/6/20--A Fitchburg marijuana company, Revolutionary Clinics, will pay Massachusetts $120,000 to settle charges it sold vaporizers containing excessive levels of ethanol to six other dispensaries, which then sold dozens of the tainted devices to consumers. The Cannabis Control Commission voted unanimously to approve the fine and impose a four-month probation for the company over various violations related to the wholesale vape transactions, which occurred from December 2018 to early 2019. Read

European group: E-cigarette use should be limited due to CV effects

8/6/20--In a new position paper, the European Association of Preventive Cardiology recommended that due to known CV harms from e-cigarettes, they should not be used for smoking cessation except as a last resort. Read

Mass regulators release 619,000 aging marijuana vapes for sale, despite lead contamination concerns

8/7/20--Consumers in Massachusetts may soon notice an unfamiliar warning sticker on their marijuana vapes: “This product was previously quarantined. Passed retesting for heavy metals and Vitamin E Acetate.” Actually, more than 619,000 vapes were sitting in vaults at cannabis facilities across the state since September, when Governor Charlie Baker temporarily banned the devices in an effort to combat an outbreak of vaping-related lung illnesses. Read

Content Analysis of Instagram Posts From 2019 With Cartoon-Based Marketing of e-Cigarette–Associated Products

7/20/20--Studies have indicated that cartoons are an effective strategy in increasing product recognition and susceptibility to use e-cigarettes. Recently, the US Food and Drug Administration announced it is prioritizing enforcement against e-cigarette companies that use marketing likely to promote youth use. This study aimed to determine if companies were using cartoon-based strategies to market and promote e-cigarette–associated products in 2019 on Instagram. Read

Controversial e-cigarette company Puff Bar says it’s suspending U.S. sales

7/13/20--Puff Bar, a California-based marketer of disposable e-cigarettes, announced the sales suspension Monday on its website. In a phone call with FairWarning, the company’s Chief Financial Officer Patrick Beltran confirmed that U.S. sales were being halted until further notice, but said that international sales would continue for the time being. Beltran would not give a reason for the move. Read

Reducing vaping among youth and young adults

7/1/20--This guide supports health care providers, systems, and communities seeking to prevent vaping. It describes relevant research findings, examines emerging and best practices, identifies knowledge gaps and implementation challenges, and offers useful resources. Read

Notes from the Field: E-cigarette, or Vaping, Product Use — Associated lung cases during the COVID-19 response

6/26/20--In April 2020, during the early COVID-19 pandemic, eight patients hospitalized with e-cigarette, or vaping, product use–associated lung injury (EVALI) were reported to the California Department of Public Health (CDPH). According to the report, it is unclear whether EVALI cases have continued to occur and were underreported or missed or whether these cases might represent the background incidence of EVALI as previously identified by CDC review of syndromic data. Read

California Senate to Big Tobacco: It’s time to end the sale of candy-flavored tobacco products

6/25/20--A coalition of health, youth, and community advocates united to protect kids from the dangers of tobacco use applauded passage by the California State Senate of SB 793, landmark legislation authored by State Senator Jerry Hill (D-San Mateo) to end the sale of all candy-flavored tobacco products across the state, including the original candy flavor: sweet minty menthol cigarettes. Read

Impact of e-cigarette and cigarette prices on youth and young adult e-cigarette behavior; evidence from a national longitudinal cohort

6/19/20--This is the first study to examine e-cigarette and cigarette prices on e-cigarette and cigarette behavior longitudinally among young people. Findings suggest the need for better measuring the costs associated with e-cigarette use among this population, as well as a careful assessment of price and tax policies that takes into account cross-product impact to sufficiently discourage e-cigarette and cigarette use among young people. Read

Juul sees long road back to growth

6/11/20--Since K.C. Crosthwaite took the helm of the e-cigarette maker nine months ago, Juul has halted most of its U.S. advertising, cut more than 1,500 jobs, stopped selling sweet and fruity flavors in the U.S. and put the brakes on its international expansion. And he doesn’t plan to get the startup back to growth any time soon. Read

State-regulated marijuana vape cartridges aren’t safe, doctor and whistleblower say

6/3/20--According to a doctor and state Department of Health whistleblower, a lack of proper controls over Hawaii’s medical marijuana dispensaries is putting patients’ health in danger. Hawaii News New (HNN) investigation revealed many of the vaping cartridges being sold in Oahu’s dispensaries would be banned in other states for failing to meet safety standards. Read

What we do not know about e-cigarettes is a lot

6/5/20--Much more is unknown than known about e-cigarettes. However, despite all this uncertainty, some have rendered global and fairly Manichean pronouncements regarding the threats and benefits of e-cigarettes. According to an editorial published in JAMA Network, "we are largely ignorant not only about the effects of e-cigarettes, but also about the long-term consequences of such public pronouncements." Read

Association of electronic nicotine delivery system use with cigarette smoking relapse among former smokers in the United States

6/5/20--In this study, risk of cigarette smoking relapse among former cigarette smokers was higher among those who used electronic nicotine delivery systems or other tobacco products compared with those who did not. Furthermore, for clinicians treating former smokers who have successfully quit all nicotine products, the implications are that use of ENDS products should be discouraged, just as use of all other tobacco products is discouraged. Read

Association of socioeconomic position with e-cigarette use among individuals who quit smoking in England, 2014 to 2019

6/5/20--In this study, lower socioeconomic position was associated with higher rates of e-cigarette use among those who quit smoking after e-cigarettes became widely available, likely reflecting continued use of e-cigarettes as a long-term cessation aid among individuals with lower socioeconomic positions. Read

Associations of flavored e-cigarette uptake with subsequent smoking initiation and cessation

6/5/20--In this cohort study with 17, 929 participants, multivariable analyses of nationally representative, longitudinal survey data evaluated differences in smoking initiation and cessation subsequent to vaping uptake among those who used flavored vs unflavored e-cigarettes, separately by age group. Results indicate that adults who began vaping nontobacco-flavored e-cigarettes were more likely to quit smoking than those who vaped tobacco flavors. More research is needed to establish the relationship between e-cigarette flavors and smoking and to guide related policy. Read

Youth and Young Adult Use of Pod-Based Electronic Cigarettes From 2015 to 2019

6/1/20--In this systematic review, pod-based e-cigarettes enhanced the delivery of nicotine and had greater dependence potential. Youth and young adult use can be attributed to social acceptability, convenient product features, and aggressive social media marketing. Read

Vaping and youth—First, do no harm

6/1/20--In this issue of JAMA Pediatrics, Lee and colleagues review the evidence on pod-based electronic cigarette (e-cigarette) use among youth and young adults. Recent data reveal that this trend is driven largely by the increase in e-cigarette use, and today e-cigarettes are the most commonly used tobacco product among youth. These facts have led the US surgeon general to declare youth e-cigarette use to be an epidemic. Read

Allergic and Respiratory Symptoms in Employees of Indoor Cannabis Grow Facilities

5/27/20--A study seeking to investigate the association between workplace exposures and health symptoms in an indoor Cannabis grow facility in Washington State shows a high prevalence of work-related allergic- and particularly respiratory symptoms in the employees of one indoor Cannabis grow facility in Washington State. However, due to the high incidence of recreational cannabis use among these workers, the relative influence of occupational versus recreational exposure to Cannabis dust on the respiratory health and sensitization status of these workers could not be resolved in this study. Read

Coronavirus-like symptoms of 4 teens had been from vaping, doctor says

5/12/20--Doctors at Orlando Health say in the past month they've treated four teenagers for severe respiratory illnesses that appeared to be the coronavirus but when the results came back negative, they realized it was from vaping. Read

Recommendations from the USPSTF for prevention and cessation of tobacco use in children and adolescents

4/28/20--In this issue of JAMA, the US Preventive Services Task Force (USPSTF) presents updated recommendations on prevention and cessation of tobacco use among children and adolescents seen in primary care settings. The USPSTF recommends education and brief counseling with a clinician to prevent initiation of tobacco use. The USPSTF also concludes that evidence is insufficient to assess the balance of benefits and harms of primary care–feasible interventions for the cessation of tobacco use among school-aged children and adolescents. Read

Changes in prevalence of vaping among youths in the United States, Canada, and England from 2017 to 2019

5/4/20--The prevalence of vaping increased between 2018 and 2019 within all 3 countries, but was substantially more prevalent in Canada and the US compared with England. Vaping was substantially higher among individuals who reported smoking than other respondents in all 3 countries, although increases between 2017 and 2019 were observed across all subgroups for most measures of vaping in the US and Canada including among those who reported never smoking. Read