Rural Health News Service E-cigarettes May Be Leading to Lung Disease Epidemic

Are e-cigarettes becoming the next public health hazard?

Increasingly, health officials seem to think so, and in early September the Centers for Disease Control and Prevention suggested that Americans stop vaping until health officials know more about an epidemic of lung disease that has made some 450 people sick and caused three deaths. A study just published found that more than 80 percent of the patients said they used THC, the psychoactive ingredient of marijuana, but more than half also used nicotine, the culprit in conventional cigarettes. 

Although no one device, product or substance has been linked to all these cases, CDC official Dana Meany-Delman warned, “While this investigation is ongoing, people should consider not using e-cigarette products” and should not buy products off the street or modify them in any way.  

There is still much that is not known about e-cigarettes.  The New York State Department of Health just identified Vitamin E acetate, an oil found in some marijuana-based vaping products, as the likely cause of the recent outbreak of vaping-related lung disease.  But many other questions remain.

Health agencies, regulators, and anti-smoking groups are worried that more Americans – especially teenagers – will be enticed into a long-term smoking habit by the thousands of flavors such as gummy bear, cherry, and cinnamon that make vaping so popular.

A study reported in the British Medical Journal noted that by early 2014 buyers could choose from 466 brands and more than 7,000 unique flavors of e-cigarettes.  The newer brands were more likely to claim they were healthier and cheaper than cigarettes and were good substitutes where smoking was banned.

If you tire of gummy bear and cherry, there are always new flavors to hook you to the smoking habit. And that may be what the e-cigarette industry is banking on.

With such a yummy edge, it’s not hard to see why these products have become a marketing success story, especially among young people trying tobacco for the first time.

In New York City, where I live, and in my neighborhood near the New York University campus, e-cigarette smoking is so prevalent on the sidewalks it reminds me of the old days when use of old-fashioned cigarettes was in vogue and smokers were everywhere.

“A long and tragic history has taught us that nicotine addiction often begins as a pediatric disease,” former FDA Commissioner David Kessler recently wrote in a New York Times op-ed.  Kessler was the commissioner in the 1990s and found deficiencies in America’s regulation of tobacco products. Congress eventually gave the FDA authority to regulate both traditional cigarettes and e-cigarettes.

Twenty-five years ago, Kessler’s FDA investigated the tobacco industry to better understand nicotine. He argues that if the co-founder of Juul Labs (the maker of e-cigarettes) is serious that the company has no incentive to see minors use its products as it claims, then it needs to change the e-cigarette’s design, and if it doesn’t, the FDA should reject it as a new product.

Whether the company will make any changes or whether the CDC’s warning will tamp down sales is anyone’s guess right now.

State and local governments are also pushing back. More than 200 jurisdictions have put limits on selling flavored e-cigarettes. Several states have raised the age at which tobacco products can be purchased. The aim, of course, is to discourage teen vaping. 

A newly enacted San Francisco city ordinance bans all sales of e-cigarettes, including online purchases delivered to city addresses, until the products go through an FDA review. 

Juul seems to want it both ways. It is supporting efforts to raise the minimum age to buy its products but is fighting local laws to curb the marketing of such products, including the flavored e-cigarettes. In San Francisco it is financing a proposed ballot initiative that would push back the city’s ban. It’s also proposing a new system that would continue to allow vaping products on the market.

It has been sponsoring full-page newspaper ads that present a good-                                guy image for the public – like the ad that says the company is cracking down on underage sales with its 2,000 secret shoppers keeping tabs on retailers.

In the meantime, let’s hope the CDC’s latest warning about e-cigarettes will carry the same weight as the warning from Dr. Luther Terry, the U.S. surgeon general in 1964, whose ground-breaking report linked tobacco use to lung cancer and heart disease and dissuaded millions of Americans from ever smoking.

How should e-cigarettes be regulated?  Write to Trudy at trudy.lieberman@gmail.com.

By Trudy Lieberman

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Synthetic marijuana is a deceptive and very poisonous substance that is affecting people everywhere in the U.S. Overdose symptoms included unexplained bruising, coughing up blood as well as blood in the urine and feces. In New Haven, more than 70 people overdosed in a single day and in Washington, D.C., 300 people overdosed in a two-week period. 

What is synthetic marijuana?

Synthetic marijuana (also known as Spice and K2) is an imitation cannabis created with man-made chemicals rather than cannabis. It is sold under more than 600 names, including Mojo, Scooby Snax and Black Mamba and can often be found in small, silvery plastic bags as “herbal incense” or “potpourri,” or in liquid form for use in vaporizers or edibles.

Synthetic marijuana is nothing like marijuana at all, but far more hazardous. It is a mixture of herbs and spices that are sprayed with extremely harmful chemicals intended to simulate THC (the mind-altering ingredient in marijuana)—some of which are 100 times stronger than actual THC. Furthermore, its potency can vary wildly. 

Synthetic marijuana falls into the category of “designer drugs”—versions of illegal drugs that have been chemically altered to avoid being classified as illegal. As law enforcement catches up with these substances and makes them illegal, manufacturers devise new alterations to steer clear of the law and the cycle repeats. 

Due to the constantly growing number of chemicals employed in them, users have no way of knowing what these experimental drugs consist of, nor can they predict the consequences. 

The disastrous effects of synthetic marijuana 

Short-term damage

The results of synthetic marijuana are many and varied—but none of them are good. A few of its effects on the mind and body include:

Loss of consciousness

Hallucinations, severe paranoia and psychosis

Uncontrolled/spastic body movements 

Convulsions, seizures and strokes

Synthetic marijuana has also been associated with violent and irrational behavior. One woman under the influence of Spice threw her four-year-old into a trash bin. When arrested by the police, she could not remember where her son was. The child was retrieved and turned over to Child Protective Services. Many deaths and even homicides have also been linked to its use.

Long-term damage

The harm of continued usage is not fully known, but poison center experts report that it can be life-threatening. Some users have reported experiencing paralysis. As one person relates, “After using Spice for several weeks, I woke up early one night, fell to the floor, couldn’t move my legs and couldn’t move my hips. All I could do was drag myself by my forearms and that wasn’t making it anyway so I laid on the floor for 13 hours, screaming, pounding the floor asking for help. Doctors say another two hours and I would have been dead…”—L.D.

Withdrawal symptoms include cravings, nightmares, heavy sweating, nausea, tremors, headaches, extreme tiredness, insomnia, diarrhea and vomiting.

An illusion that betrays

Often people who try synthetic marijuana are looking for a “harmless high” and are completely ignorant of its devastating effects. Falsely advertised as “safe,” “natural” and “legal,” synthetic marijuana is anything but these things. As one former user stated: “…I was just sitting there smoking [Spice] until it all hit me. I couldn’t see right or walk and then I threw up about 6 or 7 times. I woke up my mom and she laid me down on the couch and called the ambulance. About 10 minutes before the ambulance showed up, I started to have seizures. I woke up in a hospital bed on life support. I had gone into cardiac arrest for a few hours and they thought I wasn’t going to wake up, but I survived it and I have not been the same. I stutter a lot now and I can’t concentrate on anything. I’ll be telling a story and just go blank and not know what happened. I always see these dots and I am just not all there anymore.”—D.Y.

Whatever a person is searching for or seeking to solve by taking drugs; no “high” is more valuable than your life. Drugs not only destroy your body and mind, but in the final analysis, they can take everything.

THE SOLUTION

The real answer is to get the facts and safeguard yourself, and your future, by not taking drugs in the first place.

Drugs tear families and lives apart. Help us educate others and end their destructive grip on our society. 

For help or more information, visit us today at drugfreeworld.org or contact us at e-mail: info@drugfreeworld.org • phone: 1-888 NOTODRUGS (1-888-668-6378).

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