Vaping 101 Presentation

Download the Vaping 101 PowerPoint here (.pptx, 2.1 MB)

Slide 1: Title Slide (Vaping 101)

PowerPoint cover slide with pictures of various vaping devices

Slide 2: Discussion:

  • What do you know about e-cigarettes/vaping?

Slide 3: What is an E-Cigarette?

A battery-operated device that changes a liquid chemical (e-juice) into a vapour that can be inhaled.

E-cigarettes are also known as e-cigs, e-hookahs, vapes, vape pens, mods and tank systems.

4 main components:

  • Battery
  • Cartridge or tank
  • Liquid chemical (e-juice)
  • Atomizer with a heating element

E-juice = propylene glycol and/or glycerin, flavouring and often nicotine.

1000s of flavours like fruit, candy, mint, coffee, belgian waffle, strawberry daiquiri…

Slide 4: Types of E-cigarettes

Speaking notes: 

  • E-cigarettes are rapidly changing products that have evolved since first entering the market in 2006.
  • Advanced tank systems can produce more and hotter aerosol and may deliver nicotine more effectively and consistently than earlier generation e-cigarettes. They have removable, modifiable parts “mods” that allow users to change components of their device to alter the amount of aerosol produced.

Slide text/images:

Cigalike Disposables: one-time use, look like cigarettes

Cigalikes: look like cigarettes, use replaceable, pre-filled cartridges for e-juice

Cigalike device, that looks like a cigarette but is an e-cigarette

Vape Pens: pen-style devices, can be refilled with e-juice

3 colours of vape pens

Advanced Tank Systems: Box-like or tubular, can be refilled with e-juice, modifiable settings

Tank system looks like a small rectangular USB drive

Slide 5: Juul

 

  • A brand of e-cigarettes popular in the U.S. that are now sold in Canada
  • Look similar to a USB flash drive
  • 1 JUUL “pod” (e-juice cartridge) has as much nicotine as 1 pack of cigarettes

Slide 6: Other Electronic Devices

E-Hookahs: essentially the same as e-cigarettes, marketed with designs that reflect hookah culture.

Heated Tobacco Products (“heat-not-burn”): heat tobacco to high temperatures using battery-powered heating systems that create aerosols (e.g., IQOS, Glo, Ploom, Pax).

Cannabis Vaporizers: heat either leaf cannabis or cannabis oil to a temperature that creates aerosol. Not usually interchangeable with e-cigarettes, but some e-cigarettes can be modified to vape cannabis.

Slide 7: Discussion: Why do youth vape?

Slide 8: Why Do Youth Try E-cigarettes?

Icons that show the reasons youth try e-cigarettes (listed below graphic)

  • Alternative to smoking
  • To do vaping tricks
  • To quit smoking
  • Friends are doing it
  • To be cool
  • To reduce stress
  • For fun
  • Tastes good

Speaking notes:

In partnership with the UGDSB and WCDSB, WDGPH conducted student focus groups at all four WCDSB secondary schools and at four of the eleven UGDSB secondary schools. Focus groups were conducted in the spring of 2017 with over 680 students. The purpose of the focus groups was to gain a better understanding of students’ knowledge and perceptions of e-cigarettes to support the development of tailored curriculum resources.

Slide 9: Use of e-cigarettes by youth

In Canada:

  • 77% of youth in grades 7-12 had never tried an e-cigarette.
  • Use was higher among males and students in grades 10-12.

Source: Canadian Student Tobacco, Alcohol and Drugs Survey (CSTADS), 2016-17

In Ontario:

  • 89% of students in grades 7-12 reported not using an e-cigarette in the past year.
  • Use was higher among males and students in grades 11-12.

Source: Ontario Student Drug Use and Health Survey (OSDUHS), 2017

In WDG:

  • 80% of grade 7 and 10 students reported not using an e-cigarette in the past 12 months.
  • Grade 10 students were more likely to report use than grade 7 students.

Source: WDG Youth Survey, 2017-18

Slide 10: Sharing E-cigarettes & Spreading Illnesses

  • Even if people are not sick, they can still spread microorganisms (germs).
  • If sharing e-cigarettes, keep in mind that many germs exist in saliva, and illnesses can be spread through direct exposure to saliva.
  • It is recommended that e-cigarettes be cleaned with soap and water and sanitized with a bleach and water solution (½ teaspoon of bleach for every litre of water) for 45 seconds.

Slide 11: Discussion: What are the negative health effects of vaping?

Slide 12: What’s in E-Cigarette Vapour?

  • Flavouring: chemicals like diacetyl which can damage the lungs when inhaled have been found in many sweet e-juice flavours (e.g., vanilla).
  • Particles: sometimes at levels comparable to cigarette smoke. Can increase the risk of heart disease, lung cancer and asthma attacks and interfere with lung function.
  • Metals: like lead, chromium, nickel, copper, aluminum and mercury. Exposure can have a variety of negative health effects including brain damage and cancer.
  • Tobacco-specific nitrosamines: compounds found in cigarettes that cause cancer.
  • Carbonyls: like formaldehyde which potentially cause cancer.

Speaking notes: 

Overall, studies have found that different e-juices and devices produce aerosol that have different types and levels of toxic substances. There are no standards for determining safe levels of toxicants when inhaled into the lungs as vapour.

See Teardown video on the School Health web page in the “E-cigarettes” section: https://www.wdgpublichealth.ca/schools/curriculum-resources/substance-us…

Slide 13: Health Effects of E-Cigarettes

  • E-cigarette vapour can cause light-headedness, eye and throat irritation, headaches, dizziness and coughing. 
  • E-cigarettes can cause injuries. Defective batteries have caused fires and explosions.
  • Poisonings have been documented, with mostly minor toxic effects like vomiting and nausea.
  • The effects of long-term, frequent exposure to e-cigarette vapour are not yet known.

Speaking notes:

See E-cigarettes: To Vape or Not to Vape video on the School Health webpage in the “E-cigarettes” section: https://www.wdgpublichealth.ca/schools/curriculum-resources/substance-us…

Slide 14: What About E-Juice with Nicotine?

Nicotine…

  • Affects the developing adolescent brain
  • Is addictive
  • Is a poison
  • Affects immune function
  • Has risks for pregnant women and newborn babies

Speaking notes:

Nicotine exposure during adolescence causes long-term structural and functional changes in the brain. It can harm cognitive functions like working memory and attention span. Teenage brains are also much more sensitive to nicotine than adult brains and become addicted much faster.

See The DeNoble Files video on the School Health webpage in the “E-cigarettes” section: https://www.wdgpublichealth.ca/schools/curriculum-resources/substance-us…

Slide 15:  What About Second-Hand Exposure to Vapour?

  • Second-hand vapour is less toxic than cigarette smoke, but more testing is needed to determine levels of exposure that may be dangerous for some people (e.g., children, people with asthma).
  • Some ingredients in second-hand vapour can cause eye and throat irritation.
  • Flavouring chemicals can create odours that irritate people who are sensitive to smells.

Slide 16: Take Home Message. If You Don’t Smoke, Don’t Vape.

There is enough evidence to suggest that anybody who does not smoke cigarettes should not vape e-cigarettes.

Slide 17: What About Smokers?

  • Most smokers who try e-cigarettes don’t quit smoking. They are more likely to co-use or to switch for a short time and then go back to smoking cigarettes.
  • E-cigarettes are not proven to help people quit smoking.

Speaking notes:

E-cigarettes deliver nicotine in a less harmful way than smoking, and may reduce health risks for smokers who are unwilling or unable to:

  • Quit on their own
  • Quit using approved nicotine replacement therapies (such as gums, lozenges and patches) or medication
  • Quit using counselling

While evidence is still emerging, some research suggests that e-cigarette use is linked to improved rates of success when quitting. More research is needed to identify e-cigarette characteristics that deliver high enough nicotine levels to effectively help people quit smoking.

Slide 18: Vaping as a Gateway to Smoking

  • Current research shows that youth who vape are more likely to start smoking cigarettes.

Speaking notes:

But it is hard to know if youth who start smoking cigarettes after they try e-cigarettes would have started smoking if they had not used e-cigarettes. More research is needed.

Slide 19: Discussion

Discussion:

  1. Is e-juice with nicotine legal in Canada?
  2. Is it legal to use e-cigarettes on school property?
  3. Is it legal to buy an e-cigarette if you are 18?

Slide 20: E-Cigarettes & the Law

In Canada: 

On May 23, 2018, the Tobacco and Vaping Products Act (TVPA) took effect to regulate the manufacture, sale, labelling and promotion of tobacco and vaping products sold in Canada.

Under the TVPA, the sale of e-juice containing nicotine is legal in Canada

In Ontario:

On October 17, 2018, the Smoke-Free Ontario Act, 2017 (SFOA, 2017) took effect.

Under the SFOA, 2017, the smoking of tobacco, use of an e-cigarette and the smoking/vaping of cannabis is prohibited in many areas, such as:

  • Enclosed public places;
  • Enclosed workplaces;
  • Primary and secondary schools and their grounds; and
  • Public areas within 20m from the perimeter of the grounds of primary and secondary schools.

Under the SFOA, 2017, the sale and supply of e-cigarettes to anyone under 19 is prohibited.

Slide 21: Discussion: No way! I didn’t know that…

Speaking notes: 

Ask students what they learned from the presentation.

Slide 22: Testing Your Knowledge

1. E-juice contains…

a) Propylene glycol + flavouring + water

b) Tobacco + flavouring + nicotine

c) Propylene glycol + flavouring + nicotine

d) Corn syrup + flavouring + water

Speaking notes:

Testing Your Knowledge questions can be used to create a Kahoot!

Question #1 - Correct answer: c

Slide 23: Testing Your Knowledge

2. Why do youth try e-cigarettes?

a) Flavours taste good
b) To quit smoking
c) Friends are doing it
d) All of the above

Speaking notes: 

Testing Your Knowledge questions can be used to create a Kahoot!

Question #2 - Correct answer: d

Slide 24: Testing Your Knowledge

3. What’s in e-cigarette vapour?

a) Flavouring chemicals + water + metals
b) Flavouring chemicals + metals + chemicals that cause cancer
c) Flavouring chemicals + water
d) Just water

Speaking notes:

Testing Your Knowledge questions can be used to create a Kahoot!

Question #3 - Correct answer: b

Slide 25: Testing Your Knowledge

4. What are the negative health effects of e-cigarettes?

a) The long-term health effects of e-cigarettes are not yet known.
b) Tooth decay
c) Eye and throat irritation
d) Answers a & c

Speaking notes:

Testing Your Knowledge questions can be used to create a Kahoot!

Question #4 - Correct answer: d

Slide 26: Testing Your Knowledge

5. E-juice often contains nicotine. Nicotine…

a) Is addictive

b) Affects the developing adolescent brain

c) Has risks for pregnant women

d) All of the above

Speaking notes: 

Testing Your Knowledge questions can be used to create a Kahoot!

Question #5 - Correct answer: d

Slide 27: Testing Your Knowledge

6. When people try e-cigarettes to quit smoking, they often:

a) Quit smoking
b) Switch completely from cigarettes to e-cigarettes
c) Use both e-cigarettes and cigarettes
d) Switch to nicotine replacement therapy

Speaking notes:

Testing Your Knowledge questions can be used to create a Kahoot!

Question #6 - Correct answer: c

Slide 28: Testing Your Knowledge

7. On October 17, 2018, the Smoke-Free Ontario Act, 2017 took effect. Under the SFOA, 2017…

a) The sale of e-juice with nicotine is now legal in Canada.

b) The sale of e-cigarettes to anyone under 19 is prohibited.

c) The use of an e-cigarette on school property is prohibited.

d) Answers b &c

Speaking notes: 

Testing Your Knowledge questions can be used to create a Kahoot!

Question #7 - Correct answer: d