Vaping, JUUL and E-Cigarettes: A Public Health Crisis

James Latronica, D.O.Anthony Dekker, D.O.

American Osteopathic Association of Addiction Medicine

Disclosure

• Neither presenter has any conflicts of interest

or disclosures to address

JUUL is not alone…

What’s In a JUUL Pod?

Lung Injury

Lung Injury

E-Cigarettes As Smoking Cessation

The “Harm Reduction” Aspect

SUD and Tobacco

SUD and Tobacco

• Juul

• $1.2 Billion sales

(Jan – Jun 2019)

• 2016-- 2.2 million

units

• 2017-- 16.2 million

units

Profit Incentive

Profit Incentive

• James Monsees (39)

and Adam Bowen

(44)

• Stanford University --

smoke break 2005

• Cessation?

• Ploom 2007

• Pax Labs cannabis

Tobacco Advertising

Tobacco Advertising

Point of Care Actions

Screening

Brief Intervention

Referral

Treatment

• Risa Turetsky, MPH, FNP-C, PHN

Resources

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

• Hajek P, Phillips-Waller A, Przulj D, et al. A randomized trial of e-cigarettes versus nicotine-replacement therapy. N Engl J Med. 2019;380(7):629-637. doi:10.1056/NEJMoa1808779

• Changing Perceptions of Harm of e-Cigarette vs Cigarette Use Among Adults in 2 US National Surveys From 2012 to 2017; Jidong Huang, PhD1; Bo Feng, PhD2,3; Scott R. Weaver, PhD4; et al

• National Survey on Drug Use and Health (2016) – accessed via samhsa.gov

• Remainder of sources are cited on the slides themselves