Tag: smoking

Danger of Vaping Vitamin E Acetate Appears to Be Real

By Katie Mest

Chances are you’ve already seen your local news outlets covering a large number of people ending up in the hospital because of vaping.

Vaping consists of the user inhaling and exhaling “vapor,” which is actually aerosol, as well as substances like nicotine, according to the Center on Addiction. Vaping is your kid’s generation’s version of experimenting with cigarettes. It seems to them like a lot of people are doing it, but like smoking cigarettes, it can be harmful to their well-being.

How would you know if your kid is vaping? The American Lung Association says nosebleeds and increased thirst are two signs your child might be vaping.

Some other symptoms you should look for in your child if you suspect they are vaping: (from USA Today and the CDC)
  • Frequently leaving groups to go to a certain place (outside or the bathroom) to vape
  • Irritability
  • Coughing
  • Shortness of breath
  • Increasing intolerance to exercise

If you want to learn more about vaping, the American Lung Association website has guides for learning about and talking to your kid about vaping.

What else is in your child’s vape?

In addition to nicotine, kids might also be vaping THC (tetrahydrocannabinol), the chemical in marijuana that causes you to get high. Kids can just as easily put a THC cartridge in the same vape they would use for nicotine. (You can read more about THC here.)

Marijuana is recreationally legal in only a few states, but that doesn’t mean these cartridges are difficult to get in a state where it’s illegal. Odds are your kid knows someone who knows someone who has access to marijuana or THC cartridges.

Whether you’re for or against vaping, the most pressing issue is: some people are ending up in the hospital after using these products.

The CDC has named Vitamin E acetate as a “chemical of concern” in vaping products related to the recent string of deaths. It is used as an additive and a thickening agent in some black market THC products. Vitamin E acetate is usually harmless in the form of a supplement or when it is applied to the skin, according to the CDC, but when it is inhaled, it can disrupt lung function.  

As of Nov. 13, about 2,200 cases of e-cigarette or vaping product use associated lung injuries (EVALI) have been reported, including all states besides Alaska and including Puerto Rico and the U.S. Virgin Islands (source: CDC). The ages of the patients ranged from 17 to 79 with a median age of 52, so young smokers are not the only ones being affected.

The CDC documented symptoms that these EVALI patients came in with, many of which are similar to flu symptoms.

Here are symptoms you should be aware of, so you know when to ask for help (pulled from the charts of 339 EVALI patients):
  • Respiratory: cough, chest pain, shortness of breath
  • Gastrointestinal: abdominal pain, nausea and/or vomiting, diarrhea
  • Fever, chills, weight loss

If you find a vape, how do you know if it’s nicotine or THC?

The look of vapes can vary, so it can be difficult to tell if your teen is vaping nicotine or THC. A USA Today article said narrower cylinder vials are more likely to contain THC, while wider and larger ones generally have nicotine. THC oil is thick and wouldn’t seem to move in the cartridge if turned upside down. Nicotine would move more easily. You can purchase home drug tests for the vials, but they will tell you only the contents, not the percentage of substance. Some THC cartridges have been found to have as much as 80% pure THC. For reference, the joints from the 1960’s had about 1-2% THC.

How will you know if the cartridge your kid has is one of the bad ones?

The CDC is working on that. A cartridge with Vitamin E acetate is a cartridge that has been tainted.

When people buy cartridges from someone other than a dispensary, they don’t know what they’re getting. They won’t know what’s been added. Keep in mind, a few states have allowed full legalization of marijuana, so the market for cheap goods is in high demand. And that’s where problems come in.

Dealers on the street aren’t reliable. They can’t always get users exactly what they asked for. Also, some cartridges will have additives to make them last longer – like the Vitamin E acetate – and some might even have other unknown substances. They might seem cheap, especially to young people, especially in comparison to legal products that can only be used in certain states by those age 21 and up, but at what cost?

Numerous newspapers have reported that health officials have found Vitamin E acetate in some products by Dank Vapes, TKO, Off White, Moon Rocks, Chronic Carts and West Coast Carts. This doesn’t mean every cartridge by these brands will have the chemical, but of those cartridges associated with EVALI patients, these brands came up.

Here’s how you can spot a fake vape cartridge.

If your child starts to experience any symptoms related to EVALI, bring them to the doctor, along with the vape.

The CDC warned that other chemicals could be contributing to this outbreak, but for right now, Vitamin E acetate is the only known culprit.

Want to learn more?

https://www.fda.gov/consumers/consumer-updates/vaping-illness-update-fda-warns-public-stop-using-tetrahydrocannabinol-thc-containing-vaping

https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html

https://www.usatoday.com/story/news/health/2019/10/01/tips-parents-stop-teens-vaping-illness-thc/2429184001/

https://www.leafly.com/news/health/vape-pen-lung-disease-advice-consumers

I’m scared of my kids getting into marijuana. You should be too.

pic of Erick Lauber
By Erick Lauber

Let me start by saying I’m not a fan of marijuana. If you are, then simply don’t read any further. You don’t need to get yourself upset. And I don’t need your angry posts and emails.

If you’re still here, there are a few points I want to make.

First, “yes” there is such a thing as marijuana addiction. If you’re above 30 yrs of age, perhaps you’ve known someone who’s become addicted to marijuana. They might have any of several symptoms. The two worst, I think, are occasional psychosis (losing touch with reality) and “amotivational” syndrome (not wanting to do anything). These effects have been documented extensively and are accepted by the medical community. A percentage of long-term marijuana (THC) users will get these, but not all users. At least not with the doses that have been researched. We simply don’t know yet what the more potent marijuana available today will do.  (THC is the chemical in marijuana that gets you high. CBD is another chemical in marijuana that supposedly doesn’t get you high.)

Regular users can also find it hard to sleep without taking a “hit”. Sometimes they can’t eat without marijuana (THC). In these cases, the body has simply adapted to the outside chemical and expects (requires) the drug in order to function normally.

If you don’t think there is anything such as “marijuana addiction”, I suggest you check out these sources (NIDA and The Atlantic), or just call any doctor. By the way, the chance for dependence or addiction is much, much higher if you start as a teenager.   

My second point is marijuana (THC) use is far more widespread than when I was a kid – and it was around a lot even back then. This is not the world you grew up in. Maybe you smoked marijuana back then. But things have changed drastically. Oh, and by “spread” I also mean “it is socially accepted”.  May kids today don’t think there’s anything wrong with marijuana. 

And what happens when teenagers do or do not think something is harmful?  Below are two charts from a real, national survey called Monitoring the Future conducted every year. The graph on the left shows that as “perception of harm” from smoking goes up, actual smoking goes down.

pic of 12th grade perception of harm and use patterns

The chart on the right shows that the same relationship exists for marijuana. When perception of harm goes up, smoking marijuana goes down. Except that, for some reason, around 1992, teens turned a corner and started perceiving marijuana as less harmful. Notice how marijuana use jumped up after that? (The two scales do not exactly match, by the way. Marijuana use is generally higher than cigarette smoking through all of these years!)

In my state (PA) we have a survey that students do every two years. Most schools participate. It’s called the Pennsylvania Youth Survey or PaYS.  When I looked at that data, here is what I found…

(You can see some of this data yourself at http://www.bach-harrison.com/payswebtool/Categories.aspx )

This graph shows the percentage of 6th, 8th, 10th and 12th graders who self-reported using these substances sometime in their life. It shows, logically, that usage goes up from 6th to 12th grades. Marijuana use was relatively low, i.e. it was below cigarettes and about where smokeless tobacco was. However, I’m a little suspicious of this self-report data. Marijuana use might be under-reported because it is still illegal in PA, whereas the others are at least legal.

What surprised me about this graph was the height of the vaping bars. They are almost as tall as the alcohol lines. Recently I read that vaping has seen a 900% increase in teens in the last few years.

And then I recalled that my students have told me that you can vape THC. You can buy vape cartridges full of THC. They can be as much as 80%-90% THC. The marijuana you grew up, by the way, was between 1-10% THC.

They’ve also said you can put “dab” in a vaping device. Dab is a very pure form of marijuana (THC) that is in wax form. It will vaporize in the pen, I’m told. (Here is a bit more on dabbing.)

Now, I know the vape shops sell “flavored” juice in their vape cartridges. They also sell nicotine cartridges. (By the way, the amount of nicotine in vape cartridges can be scary high. But that’s for another day. I think we are making another generation addicted to nicotine.) My students tell me it is really easy to get cartridges with THC – even here in Pennsylvania where that is supposedly illegal.

And here’s another scary graph I found.  When do kids start trying illegal substances? 

graph of when kids try illicit drugs

This chart says by age 18 already 24% of students (nearly a quarter!) have already tried an illicit drug. Of course, that doesn’t jive with the PaYS data, where the numbers are even higher.

Ok. So, I don’t have a real answer for this. I think many kids are going to try this stuff and many are going to have a problem with it. My point is THC use is on the rise, and this may partly be because kids don’t see any harm in it.

Well, I can’t solve this, but at least I can sound the alarm. We’re not going to solve this overnight, parents. My message is simply “Stay vigilant! Do you want your teenager getting in to marijuana?”

(By the way, “marijuana” means “THC”. It’s the chemical that does the harm – even if your kid is no rolling a plant into a cigarette or smoking it in a bong.)

If you are a pro-marijuana or pro-vaping advocate, I know you’re all fired up to “set me straight”. But I’m simply trying to reach tween and teen parents. Maybe we need a more in-depth conversation about all this.

I don’t want my kids or ANY KIDS doing this stuff.

And that’s all I’m trying to say.

Other links:

Here’s a reaction to New York State’s push to legalize recreational marijuana  https://ncadd-ra.org/wp-content/uploads/2018/09/Marijuana-Separating-Fact-From-Fiction-in-NYS-SAM-NY.pdf

And for some quick fact sheets about marijuana try “Smart Approaches to Marijuana – preventing another big tobacco” at  https://learnaboutsam.org/toolkit/ 

NIDA

The Atlantic

Is Your Kid Vaping?

by Erick Lauber

Vaping: Part I

Ok. Here’s a startling statistic. Teen vaping increased 80% last year in high schools. Here’s another one. It increased 50% in middle schools. This is according to the U.S. FDA, so I’m going to believe those numbers.

Ironically, those two numbers don’t include my two boys (who are now in their twenties) who also started vaping in the last few years.

What’s going on here?  It’s quite simple. This is a new drug delivery system that has not yet been adequately regulated. By “drug” I don’t necessarily mean illegal drug. Some vaping devices put out something similar to vegetable oil. But that’s not what I’m hearing about. Most kids are not vaping vegetable oil. The ones I know are vaping nicotine and THC, the mood altering chemical from marijuana.

Is it legal to do this? No. Not if you’re under 18. And recreational THC is still illegal in many states.  But that hasn’t stopped anyone. Vaping has come on super-fast and its catching many parents off guard.

In fact, the FDA has gotten so frightened by the numbers that its recently imposed huge new restrictions on many e-cigarette/vaping manufacturers. But in my town, it’s too late. Vaping is everywhere. And though the chart below says 4.7% of teens vape, more recent data says 12% or higher. Oh, and what’s starting? Unlike smoking cigarettes, vaping is done more by the young!

What’s scary is young people are smoking these MORE than older people!

High school and middle school teachers and administrators are telling me they’re confiscating as many as a dozen vaping devices a day.  And they don’t know what’s in them! There is no testing device they can use to determine if their cigarette policy, their marijuana policy, or perhaps neither should apply!

And where are kids getting these devices? Well, until the FDA recently changed the law, they could be bought in gas stations, convenience stores, etc… They’re still available online. And at vape shops. It’s easy to get a vaping device. And also easy to get it with nicotine or THC.

Will you know if your kid is “smoking” one of these in their room? No. Probably not. The devices don’t have to give off a smell. One kid smoked a THC vape right in front of me and I had no idea. No smell whatsoever. And they don’t have to produce a big cloud of vapor either. Some kids can just blow the tiny vapor up their sleeve. In class! I know. I’ve seen it.

So, is it dangerous?

Yup. But I’ll get into that in another blog post. Look up “popcorn lung” while you’re waiting. And don’t get me started on addiction to nicotine or THC.

Hey parents. This was not around when you were growing up. Get informed. Get a household policy in place. Get with your kids.

Don’t let vaping get your kid.

Here’s some links if you want more information:

https://truthinitiative.org/news/e-cigarettes-facts-stats-and-regulations

https://www.cnn.com/2018/11/15/health/fda-vaping-ecigarette-regulation/index.html

https://www.bbc.com/news/business-44295336