Flavored ENDS

According to the Centers for Disease Control and Prevention (CDC), nearly all vapes, also referred to as Electronic Nicotine Delivery Systems (ENDS) contain nicotine. Nicotine is highly addictive and can harm the developing adolescent brain. Because the brain is still developing until about age 25, youth and young adult exposure to nicotine can lead to addiction and disrupt attention and learning. No amount of nicotine is safe for youth.

Although the original intention of these products may have been to help adult smokers quit, youth use of these devices, both locally as well as nationally, has dramatically spiked in the past several years. According to the CDC’s 2018 data, more than 3.6 million U.S. middle and high school students surveyed had used e-cigarettes in the past 30 days, including 4.9% of middle school students and 20.8% of high school students.

These numbers are expected to exponentially increase over the years unless youth advocates, schools, parents, legislators, and other local community and national leaders can take action to end the epidemic. This can be done, in part, by utilizing the resources below to share information, educate students and parents and craft and strengthen existing policy changes.

General Information About ENDS

Michigan Profile for Healthy Youth (MiPHY) Data This website provides results from an online student health survey offered by the Michigan Departments of Education and Health and Human Services to support local and regional needs assessment.

Michigan Department of Health and Human Services (MDHHS) This website provides general information and links to resources about ENDS and other tobacco products for Michigan residents.

Know the Risks: Surgeon General Advisory  This website provides facts, information about how vapes work, risks associated with use, a parent tip sheet and flyers for use; all from the surgeon general’s office.

CDC The Centers for Disease Control and Prevention (CDC) provides the most up-to-date, evidence-based information about e-cigarettes and provides many resources for all readers.

JUUL and the Guinea Pig Generation Factsheet  This factsheet cites research studies to answer popular questions about JUUL and vapes such as how much they cost, and where youth are getting them.

Campaign for Tobacco-Free Kids This global health resource offers materials relating to policy and advocacy to protect kids from tobacco products and organizations.

National Institute on Drug Abuse (NIDA) This resource provides basic information about vapes, including how they work and how it affects the brain, and answers frequently asked questions about vapes.

FDA The FDA has the most up-to-date, evidence-based information about vapes, health effects associated with use and links to other resources.

Quit Resources for Teens

My Life My Quit This is the first comprehensive program designed just for teens utilizing teen-focused messaging. The teen will go through five real time coaching sessions via live text messaging, online chat or phone. The coaching sessions are led by specially trained coaches. Each teen will receive a certificate upon completion. TOLL FREE:  1-855-891-9989 

This is Quitting This is a free mobile program from Truth Initiative designed to help 13-24 year olds quit vaping. The program incorporates texts from other youth who have quit or are attempting to quit and utilizes evidence based tips & tricks.Access the program by texting DITCHJUUL to 88709

teen.smokefree.gov This link provides tips and tricks to help teens quit vaping including: understanding why they’re quitting, how to quit tobacco completely, setting a quit date, understanding the challenges of quitting, imagining themselves vape free and building a support team.

Michigan Tobacco Quitline Tobacco and vape quitline for adults who use tobacco products, including vapes. Phone: 1-800-QUIT-NOW

Resources for Parents

Health Issues – Tobacco This website was crafted by The American Academy of Pediatrics and provides links to many different articles about general tobacco and e-cigarettes including information about third hand smoke, facts for parents about e-cigarettes and vaping and articles such as, “smoking hurts everyone”. 

Talk Sooner This resource is intended for utilization by parents or caregivers who are looking for information about starting conversations with kids and teens about drugs; this includes nicotine products such as vapes.

Know the Risks: Talk with your Teen about e-cigarettes- A tip sheet for Parents Located on the surgeon general’s page, this 4-page document is a great resource to provide to parents to provide an overview of the risks associated with teen e-cigarette use.

Office of Population Affairs This resource offers tips and tricks for parents and caregivers when communicating the risks of using tobacco products with kids and teens.

Resources for Educators

The Stanford Medical School Tobacco Prevention Toolkit module on E-Cigs/Vapes and Pods According to the website, “This module provides an understanding of the inner workings of e-cigarettes, the content of the aerosols they produce, and thirdhand smoke. It’s broken down into 5 units, each of which explore e-cigarettes in-depth.”

The American Lung Association INDEPTH™ According to the website, “Instead of solely focusing on punitive measures, INDEPTH is an interactive program that teaches students about nicotine dependence, establishing healthy alternatives and how to kick the unhealthy addiction that got them in trouble in the first place.”

Catch My Breath Youth E-Cigarette and JUUL Prevention Program According to the website, “CATCH collaborated with researchers at Michael & Susan Dell Center for Healthy Living at The University of Texas Health Science Center at Houston (UTHealth) School of Public Health to create CATCH My Breath™, a youth e-cigarette, JUUL, and vape prevention program specific to grades 5-12.”

Cigarette Picture

Smoking is the leading cause of preventable death, leads to disease and disability and harms nearly every organ of the body. According to Tobacco Free Kids, 16,200 adults die each year from their own smoking and 213,000 kids now under 18 and alive in Michigan will ultimately die prematurely from smoking.

Smoking kills more people than alcohol, AIDS, car crashes, illegal drugs, murders, and suicides combined — and thousands more die from other tobacco-related causes — such as fires caused by smoking (more than 1,000 deaths/year nationwide) and smokeless tobacco use.

In 2018, 13.7% of all adults (34.2 million people) currently smoked cigarettes: 15.6% of men, 12.0% of women. Many adult cigarette smokers want to quit smoking, and it takes, on average, 11 quit attempts before someone quits for good.

Despite the harms associated with tobacco use, the tobacco industry spends billions of dollars each year on marketing cigarettes. In order to reduce the death and mortality associated with use of tobacco products, key stakeholders and public health professionals must work to strengthen policies and advocate for proper use of tobacco prevention funding.

Tobacco and Nicotine Resources

Michigan Tobacco Quitline Tobacco and vape quitline for adults who use tobacco products, including vapes. Phone: 1-800-QUIT-NOW

CDC The Centers for Disease Control and Prevention (CDC) provides the most up-to-date, evidence-based information about tobacco and nicotine products and provides many resources for all readers.

women.smokefree.gov This website provides tobacco and nicotine product information specifically for women, including those who are or may become pregnant.

Tobacco and Nicotine Policies

Public Health Law CenterThis resource provides information about tobacco policies relating to commercial tobacco control that can be implemented at the local, state and federal levels.

Tobacco 21 Michigan For information about tobacco 21 law as it pertains to Michigan.

Master Settlement Agreement (MSA)

In 1998 there was a legal settlement between states and the major tobacco companies. This was called The Master Settlement Agreement (MSA), which, “…required the companies to compensate the states for tobacco related health care costs, restricted some forms of tobacco marketing and provided funding for a national public education campaign to prevent youth tobacco use” (www.tobaccofreekids.org).

Unfortunately, the MSA funds, which were to be allocated toward programs and services that prevent kids from smoking and help current smokers quit, historically and currently, are not being spent on such services. Currently, Michigan is only spending $1.6 million of the recommended $110.6 million in funds on prevention and cessation services, leaving the state at only 1.5% of CDC-recommended spending. BEDHD encourages local leaders to speak with state representatives to re-allocate these funds to be spent on what their intention was originally for: protecting the people from the leading cause of preventable death. Contact Lauren Metcalfe, Community Health Promotion Specialist at BEDHD, for more information about the MSA. 

Youth Access to Tobacco and Synar Information

Reducing and eliminating youth access to tobacco and nicotine products is one of the most effective ways to reduce the rate of adults who use these products. According to the CDC, nearly 9 out of 10 cigarette smokers first try cigarette smoking by age 18, and 98% first try smoking by age 26. Each day in the U.S. about 1,600 youth under 18 years of age smoke their first cigarette and nearly 200 youth under 18 years of age become daily cigarette smokers.

In July 1992, Congress enacted the Alcohol, Drug Abuse, and Mental Health Administration Reorganization Act (PL 102-321). This included an amendment (section 1926) aimed at decreasing youth access to tobacco.

Part of this amendment includes performing annual checks to assure tobacco retailers are not selling to minors. Each county has a Designated Youth Tobacco Use Representative (DYTUR) who coordinates these efforts. In Eaton County, the DYTUR is Lauren Metcalfe with the Barry-Eaton District Health Department. If you have any questions about Synar checks in Eaton County, contact her via email at Lmetcalfe@bedhd.org or 517-541-2624. For questions about Synar checks in Barry County, contact the Barry County Substance Abuse Task Force.

Youth Access to Tobacco and Synar Resources

MDHHS Michigan Youth Access to Tobacco and Synar Resources.

SAMHSA For more information about the Synar Amendment, data, and compliance requirements.

CDC For more information about youth use of tobacco and nicotine products.


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