Fall SY19 Tobacco News

Tobacco Prevention Training News

The Florida Tobacco Prevention Training for Educators is off to a terrific start for SY19.  With the increase in eCigarette use in schools we now offer a new 10-point ENDS (Electronic Nicotine Deliver Systems) course for Palm Beach County, as a pilot course with hopes to move it state-wide for SY20.  We also opened, for the first time this year, a 20-CEU state-wide course for school nurses, which includes the ENDS content.  Together with the original 60 and 30-point courses for Florida teachers, anyone taking one of these courses will get an understanding of the eCigarette epidemic now taking hold in middle and high schools across the country.  We hope to make our educators aware of this problem and give them tools to use in preparing our students to make better decisions on using tobacco products, including eCigarettes.


Federal Court Orders FDA to Quickly Implement Graphic Cigarette Warnings as Mandated by Law

Image result for graphic cigarette warning labelWASHINGTON, D.C. – In a major victory for the nation’s health and the fight against tobacco, a federal court today ordered the U.S. Food and Drug Administration (FDA) to expeditiously issue a final rule requiring graphic health warnings on cigarette packs and advertising, as mandated by a 2009 federal law.

The ruling by U.S. District Judge Indira Talwani of the U.S. District Court for the District of Massachusetts was in response to a lawsuit filed in October 2016 by eight public health and medical groups and several individual pediatricians. Judge Talwani agreed with the health groups that the FDA has both “unlawfully withheld” and “unreasonably delayed” agency action to require the graphic warnings.

click here for more information

Upcoming Events - Where we'll be...

  • The Broward "Breakfast of Champions" will meet at the Holy Cross Hospital in Fort Lauderdale - 9/20/18
  • The Florida Association for Staff Development (FASD) Fall 2018 Leadership Conference will take place at the TradeWinds Island Grand Resort St. Pete - 9/24-26/18
  • The Florida Charter School Conference (FCSC) will take place at the Caribe Royale in Orlando - 10/16-18/18
  • SHAPE Florida will hold their 2018 annual convention "Educating Today for an Active Tomorrow" at the Embassy Suites Lake Buena Vista - 10/28-30/18
  • The Florida School Counselor Association will hold their 2018 Convention at the Rosen Plaza Hotel in Orlando - 11/1-3/18


FDA News Release

FDA takes new steps to address epidemic of youth e-cigarette use, including a historic action against more than 1,300 retailers and 5 major manufacturers for their roles perpetuating youth access

Warning letters and civil money penalty complaints to retailers are largest coordinated enforcement effort in agency history; FDA requests manufacturers provide plan for mitigating youth sales within 60 days; warns it may restrict flavored e-cigarettes to address youth epidemic.

The U.S. Food and Drug Administration today announced a series of critical and historic enforcement actions related to the sale and marketing of e-cigarettes to kids. In the largest coordinated enforcement effort in the FDA’s history, the agency issued more than 1,300 warning letters and civil money penalty complaints (fines) to retailers who illegally sold JUUL and other e-cigarette products to minors during a nationwide, undercover blitz of brick-and-mortar and online stores this summer. As a result of these violations of the law – and other indications that e-cigarette use among youth has hit epidemic proportions – FDA Commissioner Scott Gottlieb, M.D., signaled that the agency intends to take new and significant steps to address this challenge in a speech at the agency’s headquarters.

click here for more information

Juul, E-Cigarette Popular Among Teens, Being Investigated By FDA

Image result for juulThe Food and Drug Administration says it is preparing to launch a campaign to discourage teens from using e-cigarettes, also known as vaping. The FDA is also investigating the marketing strategies and impact of several vaping products, including the most popular e-cigarette, Juul, which is estimated to make up 72 percent of the e-cigarette market.

The agency says its new campaign is just part of its effort to find out why e-cigarette use is rampant among teenagers, and how to stop it. At the same time, parents are launching their own effort and asking why the government isn’t doing more, reports CBS News’ Anna Werner.

Meredith Berkman, a mother of four, says she couldn’t sit and wait for the government to stop kids from using Juul. So she and two other moms recently launched the grassroots group Parents Against Vaping E-cigarettes to educate about the dangers of e-cigarettes, advocate against their use and lobby for legislative action.

“This is coming to epidemic proportions and it’s dangerous,” Berkman said. “I know what these teens are doing and I don’t want my 11-year-old to get caught up in that either, and we have to act about that now.”

click here for more information

FDA declares youth vaping an epidemic, announces investigation, new enforcement

Food and Drug Administration Commissioner Scott Gottlieb on Wednesday declared youth vaping an "epidemic," and said the agency will halt sales of flavored electronic cigarettes if the major manufacturers can't prove they are doing enough to keep them out of the hands of children and teens.

The FDA says it's giving manufacturers of Juul, Vuse, MarkTen XL, Blu and Logic 60 days to submit “robust” plans to prevent youth vaping. If the agency doesn’t think their plans go far enough, it could order their products off the market. Those five brands make up more than 97 percent of the U.S. market for e-cigarettes, FDA says.

The FDA is "reconsidering our overall approach" after a review of preliminary data on youth vaping, Gottlieb told USA TODAY.

"Teenagers are becoming regular users, and the proportion of regular users is increasing," says Gottlieb, a physician. "We’re going to have to take action.

"No one can look at the data and say there’s no problem," he says.

More: To juul or not to juul? That's what you should be talking to your teen about

More than 2 million middle school, high school and college students use the battery-powered devices to heat liquid-based nicotine into an inhalable vapor. E-cigarettes are by far the most popular tobacco product among teens: Nearly 12 percent of high school students and 3 percent of middle school students used the device in the past 30 days, according to the 2017 National Youth Tobacco Survey, released in June.

click here for more information

Teen Vaping Has Hit 'Epidemic Proportions,' FDA Leader Says in Enforcement Call

By Evie Blad on September 12, 2018 12:19 PM

Youth use of electronic cigarettes "has reached an epidemic proportion," the leader of the Food and Drug Administration said Wednesday.

He gave the manufacturers of popular vaping devices, like Juul, 60 days to make plans to limit their sales to minors or risk seeing their products pulled from the market pending new regulations. He also announced new enforcement actions against retailers who sell the products.

"We're committed to the comprehensive approach to address addiction to nicotine that we announced last year," FDA Commissioner Scott Gottlieb said. But at the same time, we see clear signs that youth use of electronic cigarettes has reached an epidemic proportion, and we must adjust certain aspects of our comprehensive strategy to stem this clear and present danger.

Vaping products are popular among adults who use them as an off-ramp to quit smoking traditional cigarettes. But public health experts warn they have a thriving secondary market among young people, who may become addicted to the nicotine devices even if they have never smoked a traditional cigarette.

As Education Week has reported, schools have struggled to detect small vaping devices, like the Juul, and to keep students from carrying them—or even using them—in their hallways, bathrooms, and classrooms.

Among the concerns Gottlieb highlighted: Some e-cigarette flavors seem targeted at young people, and e-cigarette companies that sell their products online may be prone to "straw purchases," in which one person buys a large quantity of devices to offer them for resale to underage users.


click here for more information

How do cigarettes affect the body? by Krishna Sudhir

"The tobacco epidemic is one of the biggest public health threats the world has ever faced.." - The World Health Organization

This TEDED animated video goes into some detail as how cigarettes damage the body, and how quickly a smoker can recover after quitting.  Published on September 13, 2018, it had over 14,000 views by noon.

Here’s how many U.S. kids are vaping marijuana


1 in 11 HS students use vapes to smoke pot

Vaping Devices

Nearly 1 in 11 middle and high school students have used pot in e-cigs, researchers say

More than 2 million U.S. middle and high school students — or nearly 1 in 11 — have vaped marijuana, a new study suggests.

Based on reports of teens’ e-cigarette use in 2016, researchers estimate that nearly 1 in 3 high school students, or roughly 1.7 million, have used pot in the devices. Nearly 1 in 4 middle school students, or 425,000, have done the same, the team reports online September 17 in JAMA Pediatrics. The numbers are the first nationwide estimates of teens’ and preteens’ use of marijuana in e-cigs, based on data from 20,675 sixth- to 12th-graders who participated in the 2016 National Youth Tobacco Survey.

The most widely used tobacco products among U.S. youth, e-cigarettes are battery-powered devices that heat and vaporize liquids that usually contain nicotine (SN: 5/28/16, p. 4). But the devices can also vaporize dried marijuana leaves or buds as well as oils or waxes made from the plant’s primary active ingredient, tetrahydrocannabinol, or THC.

The number of youth using marijuana in e-cigarettes isn’t surprising, says Bonnie Halpern-Felsher, a developmental psychologist at Stanford University School of Medicine who was not involved in the study. “It’s easy; it’s accessible; they can be stealthy in using it.” Vaping marijuana can be done more discretely than smoking a joint because there isn’t as much of the telltale odor, if any. And legalization of marijuana in some states has led to increased access to the drug, she says, and a change in social norms regarding the drug’s use.

click here for more information

E-cigarette warnings to arrive in high school bathrooms nationwide

Vaping in Schools

Girl Vaping

(CNN)The US Food and Drug Administration will stage a massive education campaign aimed at the nearly 10.7 million teens at risk for e-cigarette use and potential addiction, the agency said Tuesday.

For the first time, the agency will take the message that vaping is dangerous into high school bathrooms and social media feeds of those at-risk youth to stop what the FDA calls an epidemic of e-cigarette use by minors.

The trend was flagged in a 2016 report from the US surgeon general, which cited a 900% increase in e-cigarette use by high school students between 2011 to 2015.
More than 2 million middle and high school students used e-cigarettes in 2017, the FDA said.
"We're in possession of data that shows a disturbingly sharp rise in the number of teens using e-cigarettes in just the last year," FDA Commissioner Dr. Scott Gottlieb said. "In short, there's no good news."
While applauding the FDA's move, Linda Richter, director of policy research and analysis for the nonprofit Center on Addiction, said that if the agency had taken action when the trend was first identified, "we probably could have avoided the surge in the use of child-friendly, high-dose nicotine products that we're now seeing among kids as young as 12 years old."

E-cigarettes becoming an epidemic in many Tenn. schools


The FDA says e-cigarette use among American teenagers has reached epidemic proportions.
Now the agency is taking aim at manufacturers, requiring them to change their packaging in some cases, so they don’t appear so attractive to underage users.
The Tennessee Department of Health is working with Mid-state school districts on ways to fight the problem.

“We have 40 percent of kids in our high schools that have used one of these devices and a large percentage of those are using them on a daily basis,” said Dr. Michelle Fiscus, deputy medical director for the State Division of Family Health and Wellness.
Fiscus also admits that many students don’t view e-cigarettes as harmful or dangerous. Fiscus is most concerned with an e-cigarette product called Juul, because it’s easily concealed and often goes undetected, even when students are puffing them in the classroom.

click here for more information

Teenagers who use e-cigarettes more likely to start smoking, study finds

Woman Juuling

Woman Juuling

Adolescents who start vaping are also more likely use e-cigarettes and cigarettes more frequently, according to Rand Corporation

Teens who use electronic cigarettes are more likely to start smoking regular cigarettes – and they are likely to use both products more often over time, a new study found.

The Rand Corporation study looked at more than 2,000 youths in California, starting when they were teenagers and continuing until they were young adults.

The researchers found that youth who reported vaping were more likely to also report smoking cigarettes.

When they were surveyed around age 17, more of the teens said they used e-cigarettes in the last month – 8% – than regular cigarettes, at 6%. By around age 19, 9% of the young adults surveyed were using e-cigarettes, but cigarette smoking had jumped to 12%.

“Not only are adolescents who start vaping more likely to start smoking in the future, but they’re also likely to go on and use e-cigarettes and cigarettes more frequently,” said Michael Dunbar, the study’s lead author and a behavioral scientist at Rand.

“Our work provides more evidence that young people who use e-cigarettes progress to smoking cigarettes in the future,” he said. “This study also suggests that teens don’t substitute vaping products for cigarettes. Instead, they go on to use both products more frequently as they get older.”

It’s the latest research to suggest a link for young people between electronic cigarettes and smoking the more dangerous, traditional tobacco-based variety.

For adults who already smoke, e-cigarettes have been promoted as a safer alternative to help them quit.

click here for more information

Where are kids getting juul?

How Kids Are Getting Juul

Click to enlarge

The e-cigarette JUUL is marketed as a smoking alternative for adults, but has been making headlines and prompting crackdowns from the Food and Drug Administration for the large number of kids who use the product.

The popularity of JUUL among youth has helped the product capture more than half of the entire e-cigarette market share in just two years. Many are attributing the product’s rise to its sleek design that could be mistaken for a flash drive — which makes it easy to disguise — and array of available youth-appealing flavors, such as fruit medley, mango, cool cucumber and creme brulee.

By law, people under the age of 18 (or 21 in some areas) should not be able to purchase any tobacco products, including JUUL. So, how are so many young people getting their hands on JUUL? Truth Initiative® surveyed a national sample of more than 1,000 12- to 17-year-olds in April 2018 to find out.

The FDA crackdown on JUUL also includes asking the maker, JUUL Labs, to turn over documents related to marketing, health effects and use among youth. While recent FDA action is encouraging, problems with tobacco products like JUUL won’t be addressed until the FDA fully regulates e-cigarettes and establishes a strong pre-market review process to prevent these kinds of products from being sold in the first place.

Truth Initiative and five other public health and medical groups called on the FDA to take action on JUUL in April. The groups specified five actions, including removing certain JUUL flavors, suspending internet sales and prohibiting branded merchandise.

click here for the whole story

Thanks to e-cigarettes, students are smoking in class. Miami Beach wants it to stop.

September 11, 2018 06:45 AM - Updated September 11, 2018 10:53 AM

IMG_E_CIGARETTES_YOUTH_8_3_1_50EBHUJ2_L413668534.JPGAt Miami Beach Senior High, electronic cigarettes have become almost as ubiquitous as Instagram and Snapchat.

Teens skip class to inhale liquid nicotine in the bathroom, vape at lunch, and even sneak puffs in class while the teacher’s back is turned, according to students and parents.

“It’s very common,” said one sophomore e-cigarette user, who spoke on the condition of anonymity. “Every class I like to rip it a couple times.”

“They’ll be sneaky,” said another sophomore, who said his peers smoke e-cigarettes in the back of class, in bathrooms, and “anywhere” else you could think of at school. E-cigarettes don’t emit a strong odor, so it can be hard for teachers to know when students are using the devices.

E-cigarettes aren’t a problem only at Beach High. With their sleek design and appealing flavors — one popular brand, Juul, resembles a flash drive and offers mango and cucumber flavored nicotine cartridges — e-cigarettes have become a fad for teenagers across the country, alarming public health officials. The use of e-cigarettes among high school students has grown by 900 percent in recent years, according to a 2016 report from the U.S. Surgeon General.

Experts say the trend is threatening to erode decades of hard-fought progress in curbing smoking among youths. In addition to the risks associated with using e-cigarettes, which typically contain nicotine and other harmful substances, there’s strong evidence that e-cigarette use increases the risk that a teen will start smoking conventional cigarettes.

Although federal law prohibits the sale of e-cigarettes to anyone under 18, Miami Beach teens say the devices and nicotine cartridges are easy to get. Students order them online, get an unscrupulous adult to buy them, or find a smoke shop that doesn’t ask for ID. They also use delivery apps that send someone else to buy the product, enabling the teens to avoid age restrictions, according to city officials.

“They’re being used in class, they’re being used in lunch ... it’s very prevalent,” said Miami-Dade County School Board member Martin Karp, whose district includes Miami Beach, describing what he hears from students.

All of this has alarmed Miami Beach Mayor Dan Gelber, a former federal prosecutor with high school and college-aged children. “It’s clear these are being marketed with children in mind and that’s utterly unacceptable and anyone involved in the chain of commerce needs to be held accountable,” Gelber said. “Kids are ordering them through typical delivery services and other means where there’s really no accountability.”


Gelber wants Miami Beach to crack down on the sale of e-cigarettes to minors and has proposed new rules designed to keep the devices away from teens. The measures, which the City Commission will consider at a meeting on Wednesday, include requiring businesses to obtain proof that a customer is over 18 before mailing or delivering e-cigarettes. Businesses would be required to get a copy of a customer’s driver’s license and verify the customer’s information in a “commercially available database.”

Those rules would apply to online retailers, even if they’re based in another city or state, said Aleksandr Boksner, Miami Beach’s chief deputy city attorney. If a business sends an e-cigarette or nicotine cartridge without verifying the customer’s age, Miami Beach would have the jurisdiction to prosecute the business, Boksner said.

The city found that delivery of e-cigarettes was “the easiest mechanism” through which teens could obtain the devices, Boksner said, “so that’s why we decided we’re going to attack it on that front.”

The proposal would also beef up the penalties for businesses who violate the law. Selling e-cigarettes to a minor is currently a second-degree misdemeanor that is punishable by a fine of up to $500 and up to 60 days in jail. Under the proposed changes, businesses that break the law would also have their business license suspended for up to six months and could lose it altogether for a second violation.

And for teens, who can already be fined or sentenced to community service if they’re caught with e-cigarettes, the new rules would increase the fine to $100 for the first violation and boost the required number of community service hours.

Although it’s already illegal for minors to possess e-cigarettes in Miami Beach, the police department said it had no record of any citations issued last year for violating the city’s e-cigarette ordinance. It appears that enforcement more often takes the form of school discipline, rather than a police citation.

At Miami-Dade schools, students caught with tobacco or smoking devices, including vapes and e-cigarettes, are subject to a range of discipline, including a suspension of up to five days, participating in a counseling session or a referral to a diversion center. The district is currently reviewing the existing policies relating to vaping and will be taking recommendations on changes to the Code of Student Conduct to the school board for consideration, spokeswoman Daisy Gonzalez-Diego wrote in an email.

Discipline data specific to e-cigarette and vape usage in schools was not readily available, but tobacco-related incidents made up the largest portion of discipline incidents in schools during the 2016-17 school year — 21 percent of the 4,036 incidents reported by the Miami-Dade school district. At Beach High, 38 out of 71 reported offenses were tobacco-related.

click here for the whole story