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Regular tobacco cigarettes contain 7,000 chemicals, many of which are toxic. So I know I know your focus is on youth and I'm totally on board with doing everything we can to keep young people from using these things because it's a slippery slope then to use a combustible, which is even worse for them. Patricia Tilley - Deputy Director, Division of Public Health Services at the N.H. Dept. Michael, thank you for that e-mail. And also the people have been on narcotics, because when you have all this stuff in you, your instinct is to pull it out. You know, I mean, this is what we're hearing around the country. Patricia Tilley: Over the years, we've had long trends of reduced rates of regular cigarette tobacco use. Oh, my goodness. While some people switch from smoking to vaping because they may think vaping is a safer alternative to smoking, studies show that it is just bad for your teeth and gums. The amount of nicotine in one JUUL cartridge is roughly equal to the amount of nicotine in a pack of cigarettes, or about 200 puffs, according to the product website. This is because of the presence of the tar in the conventional cigarettes that gets deposited on the teeth during smoke inhalation and cause staining. Question: What’S The Side Effects Of Giving Up Smoking ? Although e-cigarettes are not medical devices, side effects for the user may occur. And these kids are starting out on this. “This study shows that even though flavoring compounds are considered safe for ingestion, it is not safe for inhalation.”. You know, I think you mentioned this before, sort of home brews and THC, which is the psychoactive component of marijuana, street drugs and so forth. And his parents really didn't know that the dangers he the dad was a former smoker. Laura Knoy: All right. And the narcotics and the steroids you mentioned earlier, all powerful medicines. By the way, lots of extra reading and resources on our Web site today and each prawns slash exchange. And I would I want to stay on top and figure out whether there is a common product or substance, you know, to get to the bottom of what is what is causing this. And you're listening to The Exchange on New Hampshire Public Radio. Also from The Washington Post: Concerns about a new form of addiction among teens, e . I've seen them. Lena Sun: They have been using steroids in some cases because that's to help with reducing inflammation, because there's a lot of inflammation in the lung. And Patricia, good to see you. They look like flash drives. Lena Sun: They have ruled out infectious agents like viruses or bacteria. There’s no good evidence that e-cigarettes could cause the lung condition called popcorn lung. At what PSI will a tire explode? This must be pharmaceutical grade. What is the most stinkiest thing in the world? So that is a way of trying to get something through as our amendment. Laura Knoy: That's horrific. 1: Vaping Is Less Harmful Than Smoking, but It’s Still Not Safe. Quick Answer: Should I Use Water In My Smoker? And again, we have these devices that are are really cool looking and they taste good. Lena Sun: Lena, last question. So that's a huge problem. And he was starting to puff on that. X-LOCK angle grinder features the X-LOCK mount, offering a wheel change that's up to five times faster than conventional interfaces. Vaping E-cigarettes is Less Harmful than Smoking Cigarettes. You're better off just sticking with tobacco flavor. It's great to hear from you. According to Addiction Resource, those side effects include depression, difficulty concentrating, fatigue, insomnia, and weight gain.. What are the side effects of vaping too much? Laura Knoy: So, Lena, you wrote the article that described this. Quick Answer: Can I Buy A House With My Elderly Mother. And that's only Max 15. Patricia Tilley: But there really hasn't been a lot of experience of what that means when you when you bring that into your lungs. And. And it's just so sad. Lena Sun: And it is probably underreported because often the people who are presenting to their urgent care clinics and the emergency rooms have symptoms of what could be flu or pneumonia. Those also have not succeeded. Jonathan. So the jewelry. Thanks for being with us. It's Tom Sherman, the state senator and also chair of Health and Human Services. A new touched on this, too, Patricia. Patricia, has any of this been reported in New Hampshire yet? And certainly for my understanding of the the cases that are in the rest of the country, there is often been this co use of both e-cigarettes with nicotine, with a vape product that might have had THC. But this same study also find e-cigarettes may lead youth to actually start smoking traditional tobacco cigarettes. And Lena Sun, really good to have you to thank you for your time. And I would say four or five pops in and I ended up experiencing nausea, diarrhea, vomiting. So they've they've honed in right on the flavors, as you know, as you noted. Though. Laura Knoy: And there's a lot of equipment. Well, Sara, thank you for calling. They're they're not something you want to get involved with. But if you're buying a food grade oil, then that is a different level. Frequent marijuana use appears to be causing a mysterious syndrome characterized by severe nausea and repeated vomiting. So just remind us how these work. And in some cases, what they try to do is to get additional oxygen into the patient. Lena Sun: I don't know. What else would you like to know about the impact of e-cigarettes on young people? Vape is a slang term for the vaporizer used in e-cigarettes, and vaping refers to using a vaporizer or e-cigarette to inhale a vapor that contains nicotine. You know, I don't you know, the problem is that when you talk to these individuals, they are showing you the different products. I mean, one cigarette. You don't smell anymore. Lena Sun: But in this case, at this young man was using a nicotine product that he bought in a vape shop. You're on the air. So anyway, I just want to make sure people don't just demonize them and say we should just throw this product out because they are much, much safer than a combustible cigarette. And we do also know that once they transition, as you know, as they get a little bit older, they're out and about as a young and as a young adult. He just couldn't stop vomiting. Go ahead. You're inhaling nicotine straight into your lungs. It sounded very, very scary. Laura Knoy: So Patricia for people listening who think e-cigarettes, vaping. Caller: It's something that I'm not quite sure why it's there, because every, you know, quality is used from companies that have been around for, you know, 10 to 15 years that I see that I use contains just propane glycol and vegetable glycerin and food grade. Yeah, it might be difficult for a company to do that on a case by case, a state by state basis. Laura Knoy: Yeah. They're attractive. Caller: Well, the budget can be placed to put things that are that have not succeeded in the legislature. Some JUUL pods contain 5 percent nicotine by weight. The nicotine and chemicals used in vaping can also cause skin ageing as the nicotine can cause the breakdown of collagen which helps to keep our skin firm and plump, which is why smokers and indeed those who vape often develop lines around the lips and have puffiness around their eyes.”. Steam therapy. JUUL says it's strictly monitors, you know, the purity of of its products, although there are a lot of chemicals, as you described, even in these, you know, official products from a company. Yeah. Caller: And so it's one of the actual beneficial roles of taxing tobacco products as that tends to keep teenagers away. Do you happen to know if any states have tried to regulate concentration of nicotine as a way of decreasing toxicity of vape products? And in Wisconsin, for example, they had 30 cases, 15 confirmed, 15 suspected. There's really a sense that they're there can't be risk. So lots of issues probably worthy of a another show. Right. That's Lena Sun, a health reporter for The Washington Post and voters. ; 4 Why does my vape pop juice in my mouth? Thank you very much. Caller: But she's still using her JUUL. They weren't able to breathe for themselves. JUULs may look different, but they’re actually a type of e-cigarette. *****This is very d. Lena, do you know, would that even be something that would be possible to regulate the amount of nicotine, given the highly addictive nature, as Patricia described? And so that's what we're really promoting right now, is an ongoing for parents to educate themselves, understand what those products are, and really talk about those risks with their kids. The answer is yes.While some people switch from smoking to vaping because they may think vaping is a safer alternative to smoking, studies show that it is just bad for your teeth and gums. This the young man that I spoke to yesterday was using a device and he just switched to a different brand of nicotine. Desert Sniper is an extraordinary, true account of one man's journey from well-meaning volunteer to battle-scarred combat sniper, placing himself daily in the line of fire to fight one of the greatest evils of this new century. The teenager ” died in his sleep at the age of 18 after years of Juul use.”, Your email address will not be published. Lena Sun: Well, I know my colleague has written a lot about the flavors and as as Dr. Tilley said, that the flavorings are what attract the youngsters. “Nicotine-free e-liquids have generally been considered safe; however, the impact of flavoring chemicals, especially on immune cells, has not been widely researched,” Rahman said by email. Some of them like cigars. And they also suspect there might be some cases where it's do it yourself home brewers of the substance that's being inhaled. Patricia, you might not know the exact numbers, but I'm guessing this is a a concern. Laura Knoy: Do you have personal experience with this, Eric? And and as you're aware, they often don't succeed in the budget either. And in some cases, the people who have been using the devices have been using nicotine, and in some cases they've been using marijuana based products. The CDC has linked these cases to vaping while investigations continue. I think that's you know, that's been made pretty clear. For his Eagle Scout project, Quandt added a gaga ball pit to the school's playground for . With a new introduction written by the author, this edition offers an engrossing portrait of one of the twentieth century's most popular, and most private, poets. Patricia Tilley: Sure. It was only 20 milligrams and I'm a smoker about a pack a day. They had four cases of patients, 16 to 19 years old, all hospitalized. You can imagine putting something 50 milligrams into your body. So this is part of the problem that we're learning about what the short and long term effects are of inhaling this type of aerosol. But her life is in danger, and she must break free. The question is – who can she trust? Carnegie Medal-winner Melvin Burgess returns with a powerful, thrilling fantasy for young adults about magic, myth and following your instincts. If vape wasn't around mean they are an appealing product. But on the legislative side, the state is split. You said salt based?. Patricia Tilley: We are so lucky that we have had no known cases yet in New Hampshire, but we're monitoring this very closely right now and we are providing education and outreach to clinicians and others as we learn more from the CDC and from the other states that have seen this before. Contents. But in some cases, they are just hoping that they can if they can get the oxygen somehow into the body and keep the body from getting worse, that, you know, that that that the patient themselves will heal. Breathing in the harmful chemicals from vaping products can cause irreversible (cannot be cured) lung damage, lung disease and, in some cases, death. Hi, Sarah. Quick Answer: Do Cats Hate Cigarette Smoke? In this honest, affecting memoir, he introduces us to the Long Island child who felt burdened by his family’s financial strains and his parents’ unhappy marriage; the Washington, DC, college student gearing up for a career in politics; ... You know, they're small. They think they're smelly, they think they're dirty. Acrolein: Most often used as a weed killer, this chemical can also damage lungs. I know a lot of kids that'll tell you. Laura Knoy: So even though no, that individual person, we don't know if they never would've picked up a cigarette. Sally Bedell Smith returns once again to the British royal family to give us a new look at Prince Charles, the oldest heir to the throne in more than three hundred years. I've smelled the, you know, the blueberry puff of smoke walking down the street. But I'm just curious about what these people are experiencing. How did this compare to somebody who, like the previous caller was saying, has been smoking regular cigarettes all their lives? There's not much that people have, but these can be a really useful tool for somebody who's like an entrenched smoker and cannot quit. Formaldehyde: This toxic chemical can cause lung disease and contribute to heart disease. Thanks for calling in. And I think not all states are maybe being as proactive as they could be to get the message out to their clinicians and their health system. 1. Again, because a lot of these products can be bought in individual vape shops. Go ahead. What is the difference between vaping and JUULing? And because e-cigarettes is vaporizing a liquid, all those byproducts somebody mentioned all the chemicals in e-cigarettes, there's way more chemicals and cigarettes. That's the equivalent of a heavy smoker that goes through two packs a day. Caller: Specifically about vaping in young people. See what the commonalities are and try to figure this out. Caller: And I just I feel like there's so much doom and gloom surrounding them that it just contributes to the counterculture kind of aspects of the lifestyle. It's like, well, I'm going to keep with this for a little while because keeping me away from regular cigarettes. I think they have a place idea, a place that that they hold for me as an I have a close colleague who works on all my studies, who was a smoker for 30 years, and she finally has passed by over a year, not smoking combustible. Yeah. No, Sarah, I'm really glad you called. Patricia Tilley: So, in New Hampshire, we're still taking the lead from CDC and from those other states and and discovering what what type of education would be most effective for our clinicians out in the community. And what they've also told me is that in many of these cases, these patients are young, 21, 20, you know, in their 20s. Caller: Yep, yep. And we found that we needed go back on with our tobacco advocates and legislators and policymakers across the aisle say, you know what, we don't need to define illiquid that way. Lena Sun: So they're trying to figure out how much of it is the patients using some kind of commercially available device, whether they're sharing e-cigarette products like the refill pods or cartridges with other people or whether they're reusing old cartridges or pods with homemade or commercially bought products or whether they're doing something to the drug to concentrate it and then using a specific kind of device to inhale it. Lena Sun: And he had been puffing before other things. By law, they can't reduce it to nothing. But these side effects are not a given. This year, the legislature passed a bill called HB 511, and so what that did was clarify in our current youth access laws that not only is the wealth tip that the device is illegal for minors to have in any EE juice in it is illegal. Tell-tale signs of smokingStains. And some of the warning labels are clearly, as some are made in the U.S. Lena Sun: But if they are making it on their own or if they are buying the oil, for example, the oil is that's in many, many of these products. And it's causing what these doctors are very, very worried about. The danger of using a product containing nicotine is that users can develop dependence and have a hard time shaking the habit. Laura Knoy: Ok, after a short break, we will talk a lot more and we'll start taking your questions and comments. Had to try to get people to stop smoking. Prior to that, our youth access law that we had written it a long time ago at several years ago now, and the way the legislation had read was that it required that nicotine be in the E juice that was within the definition of our law. Adults as well. You know, children and adults have been poisoned by swallowing, breathing or absorbing the E! Solo F1 Kit from Vaptio is part of a popular range of vape kits that also includes the Vaptio Solo 2 AIO and the Vaptio Solo 2 Mesh Kit. It's a tank and a battery with sophisticated controls for how whether you want to do pure wattage or an actual temperature control. Pretty much everything except for the lung issues that were described. E- cigarettes heat nicotine (extracted from tobacco ), flavorings and other chemicals to create an aerosol that you inhale. But the fact is, what's dangerous about smoking is the smoke, not the nicotine. The U.S. average is only around 13 percent. And now we have a product that's completely can be hidden from teachers, from moms, from dads and from everyone else. So we will talk a lot more after a short break. And if you could also, Patricia, just add a note about the addictive nature, because the health consequences that Lena mentions are so severe, so dire in these cases that it makes me think this must be a pretty powerful addiction. Over time, it can lead to the skin becoming flaky and dry. So by 12th grade, by your senior year, especially if you're a boy, we're inching towards their, you know, a third of high school students using these products. 1 Is it bad if your vape crackles? What's helped you quit? ; 10 Is getting vape juice in . Is Toronto the most expensive city in the world? Even as someone who thinks that they are effective for helping adults. What also strikes me about Jonathan's Colin, I'm so glad to call Jonathan is as he said, it's complicated. They're small. Patricia Tilley: Absolutely. You're saying, Patricia, the numbers do show given levels of traditional cigarette smoking among middle school and high schoolers versus cigarette use a middle schoolers in high school as it's out of the park out different. Analysts have linked these lung conditions and breathing problems with vaping. Question: What Are The Side Effects Of Smoking? They have said that these problems that the CDC is tracking are likely due to, you know, on the street non authorized homebrew type products. Just remind us how much that might be a factor in terms of these illnesses that the CDC is tracking. And he was telling me that this is the kind of thing that he would have used back in the day if it was around. The Medical Minute: Hazards of juuling or vaping. I buy only natural flavoring. Lena, this has been a big issue and the big company JUUL that dominates this market has been sort of pulling back on the flavors. And in a moment, Lena, maybe you can help us figure out sort of how the CDC investigates these clusters and the interaction there. So what is the impact of nicotine on the body? So not only these devices come in all different shapes and sizes, some of them look like regular cigarettes. The rate of use is really exponential. And they were so sick in some cases that they had to be on ventilators. Thank you for being here. What is the latest with efforts to raise that statewide age to 21 across the state? Few things are as dangerous as smoking a traditional combustible cigarette. ' John Clubbe, author of Beethoven: The Relentless Revolutionary 'This book is really wonderful! ... However many books on Beethoven you own, find the space for one more. Patricia Tilley: We understood it was a regulated market. 1: Vaping Is Less Harmful Than Smoking, but It’s Still Not Safe. And it seems more expensive because I had to make an initial investment. The CDC, I guess I'm just wanting what's next for you after you did this story about the CDC? Caller: There is an international scientific panel in 2014 that rated nicotine containing products on a scale from zero to 100, with 100 being the most harmful combustible cigarettes, of course, get 100 e-cigarettes got a 4, which is the same as a nicotine patch. So it's really a convergence of all the wrong things together. And, you know, we've been lucky with lots of policy interventions and education that we've seen regular cigarette use really go down. I ended up getting one of the salt nicotine vapes. And so this is another really important thing for parents who may be using these products because perhaps they were a lifetime smoker, but they really need to be kept far away out of the hands of kids, especially those products that are not fully contained. Go ahead, Patricia. So around 17 or so. Lena Sun: Some health departments have sent out advisories to all the health care providers in their state. Quick Answer: How Do You Deal With A Toxic Mother? Laura Knoy: Well, it does. of Health and Human Services. You know, that's a flavor that you're adding to your regular cigarette. So what's the latest in terms of the regulatory landscape, especially here in New Hampshire, for sure. Michael says, What role does THC vaping products play in vape popularity with adolescents? Can animals get high? And JUUL, again, the big company and there's other companies besides Jill, but they dominate. No, I am really glad you called. This young man who I was talking to yesterday sent me a video of how he would use his system and the the product that he used. … Shortness of breath. So the first video of the new year, and we vaporized alcohol and inhaled it! But their popularity among children is undeniable. I just want to also note that we've seen that defective e-cigarettes, batteries have caused fires, they've caused little explosions and a few of which have resulted in really serious industrial injuries. Like Sarah said, for more harmful traditional cigarettes. As reported in The New York Times, doctors in several states suspected the emergency admissions were related to vaping certain cannabis products, even illegal street drugs or contaminated liquids laced with T.H.C., the ingredient that produces marijuana's high. And to be honest, it's sometimes a little cheaper to just go back and start using the combustible cigarettes again. Eric? On the one hand, it does find that e-cigarettes do help adults switch. I agree that they should not be used with young people, that we shouldn't be encouraging young people to use and we should be discouraging them. If you don't know, it's totally fine. And a lot of people are reluctant to start regulating online sales, especially in New Hampshire. Somebody who's been smoking their whole life and has been desperate to quit versus a 13 year old who, again, picks it up because it smells like bubblegum. Caller: What's helped me is a product that's similar to JUUL, but it's produced by a camel called an Alto, and I came to that because I went into the hospital to have a surgery and they gave me a nicotine inhaler. Hi, Trish. And Lena, you, too. I think your policymakers are right on track with restricting the amount of nicotine that's available in these tapes. Patricia Tilley: So, absolutely. Interesting that 6 people have died from vaping cartridges illegally made and sold on the black market in 18 years of the industry, and there is a ban incoming for vapes. Patricia Tilley: Absolutely. And when they talk about public benefit and public harm, this is what they they have to put into the pictures. ; 6 How do you know when your vape is about to explode? And she's kind of... her attitude. Laura Knoy: And I have heard from young people that they would never dream of picking up regular cigarettes. Laura Knoy: Wow. That's it. Tilley. So thank you very much. What are they able to do for these folks? You're going to get very sick and puffing on it all day. Just a couple compounds. Since e-cigarettes or vapes do not create smoke, they generally do not stain teeth. Laura Knoy: Well, Erica was really interesting to hear your story. The other thing that I just want to underscore is while we certainly could use more resources in the state for prevention and helping folks quit. Save my name, email, and website in this browser for the next time I comment. We're also seeing certainly the use of illicit THC or cannabis vapes that has also become ubiquitous among a young adult population. There's some products, as Jonathan said, or I won't use the word pure, but simple. And they can use this device to wean themselves off of cigarettes and then eventually off nicotine. Huge punch. A cargo ship heads out to the ocean. Lena Sun: Well, this is still an ongoing investigation. Quick Answer: Why Is Toronto So Expensive? There are all kinds of adventures waiting on your doorstep, any day of the year, all you need is Wonderland. Lena Sun: Well, they are there. And that one seem to not be good in the same way that menthol is much worse in regular cigarette. Everything you're waiting for is in these containers. And in talking to some of the patients who have been using this, they say that, you know, that's what appeals to them. Generally speaking. NAMED ONE OF THE TEN BEST BOOKS OF THE YEAR BY SAN FRANCISCO CHRONICLE AND MAUREEN CORRIGAN, NPR’S FRESH AIR AND NAMED ONE OF THE BEST BOOKS OF THE YEAR BY The New York Times Book Review • NPR • The Washington Post • O: The Oprah ...

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