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E-Cigarettes, Vaping Products and Flavoured Tobacco
 

Introduction - The Tobacco Industry Is Constantly Finding New Ways to Attract People to Use Tobacco Products.
 
The tobacco industry is constantly finding new ways to attract people to use tobacco products. Up until 2016, flavoured tobacco products were available for purchase in New Brunswick and were particularly attractive to young people, as well as non-smokers, trying out tobacco for the first time. New Brunswick banned flavoured tobacco products in 2016 to help lower smoking initiation rates and, especially, protect its young people from the harmful effects of a lifelong addiction to nicotine. 
 
E-cigarettes and vaping products have now saturated the market. "Vaping is the act of inhaling and exhaling an aerosol produced by a vaping product, such as an electronic cigarette. Vaping doesn’t require burning like cigarette smoking. The device heats a liquid into a vapour, which then turns into aerosol. This vapour is often flavoured and can contain nicotine." (Health Canada - Canada.ca/vaping)
 

Dangers of E-Cigarettes and Vaping Products
 
While e-cigarettes and vaping devices are less harmful than smoking cigarettes, according to Health Canada, vaping still exposes a person to chemicals that can harm their health. The Health Canada Consider the consequences of vaping website warns that "vaping can expose you to harmful chemicals like formaldehyde and acrolein, and metals and contaminants like nickel, tin, and aluminum. You don't want any of these in your lungs!" Furthermore, vaping can efficiently deliver nicotine to the body, causing one to crave it more and more, which can lead to an addiction and physical dependence.
 
For many non-smokers, especially youth, vaping can become a gateway towards smoking cigarettes, and using other tobacco products or cannabis.
 
Go the Canada.ca/vaping for useful information on all the risks associated with e-cigaretttes and vaping products. 

Warnings and Statements from Health Canada on the dangers and risks of e-cigarettes and vaping products: 

Declaration from the Council of Chief Medical Officers of Health: 

 
 
Vaping as a Smoking Cessation Aid
 
Some Canadians report having had success in quitting smoking by using vaping products. Health Canada recognizes that vaping products "may reduce health risks for smokers who can't or don't want to quit using nicotine:
  • on their own
  • by using counselling services
  • by using medication or approved nicotine replacement therapies like:
    • gums
    • patches
    • lozenges"

It is clear that for smokers, quitting smoking is the best thing they can do to improve their health. For smokers thinking of using vaping products to quit smoking or switching completely to vaping products, Health Canada says: 

  • "completely replacing cigarette smoking with vaping will reduce your exposure to harmful chemicals.
  • there are short-term general health improvements if you completely switch from smoking cigarettes to vaping products."
One should be careful and seek professional advice, however, when considering vaping products to quit smoking. Vaping is not officially recognized nor endorsed as a smoking cessation aid, since many less harmful therapies exist and have been proven effective. 
 

Rise in popularity of vaping products

The rise in popularity of vaping products among non-smokers, especially young people, is alarming.

According to Health Canada*:
  • 15% of Canadians have tried a vaping product. Youth (15 to 19 years) and young adults (20 to 24 years) have the highest rates of trying vaping.
  • Among Canadians who used a vaping product in the past 30 days, 65% are current smokers and 20% are former smokers. 15% reported having never smoked cigarettes.
  • 32% of current or former cigarette smokers who had ever used vaping products reported using it as a quit-smoking aid.
  • 23% of students in grades 7-12 have tried a vaping product
  • Most students who had tried a vaping product had also tried a cigarette.
  • 53% of all students thought it would be “fairly easy” or “very easy” to get a vaping product such as e-cigarettes if they wanted one.

A study published in June 2019 in the British Medical Journal found a dramatic 74% increase in vaping among youth aged 16-19 in Canada from Aug/Sept 2017 to Aug/Sept 2018, with vaping increasing from 8.4% to 14.6% in the past 30 days. **

(*Source: Health Canada statistics sources: Canadian Tobacco, Alcohol and Drugs Survey 2017, Canadian Student Tobacco, Alcohol and Drugs Survey 2016-17. Newer statistics should be available in the fall of 2019). 

(** Source: Hammond, David et al, Prevalence of vaping and smoking among adolescents in Canada, England, and the United States: repeat national cross sectional surveys, BMJ, 2019)


 
 
Legislation: E-Cigarettes, Vaping Products, Flavoured Tobacco

Since January 1, 2016, New Brunswick's Tobacco and Electronic Cigarette Sales Act prohibits the sale of all flavoured tobacco products, including menthol, in the province. The sale of e-cigarettes, vaping products, and e-juices to persons under 19 years of age is also prohibited.
 
The Canadian market for vaping is evolving rapidly, and youth uptake of vaping products is on the rise. Health Canada is taking action to address this troublesome trend. Bill S-5 (An Act to amend the Tobacco Act and the Non-smokers’ Health Act and to make consequential amendments to other Acts) - adopted on May 23, 2018, aims to formally legalize (and heavily regulate) vaping and give Health Canada the powers it needs to mandate plain and standard packaging for cigarettes.
 
Bill S-5:
  • Gives Health Canada the power to implement plain and standardized tobacco packaging.
  • Applies many of the existing tobacco regulations to vaping products.
  • Prohibits the sale of vaping products to minors.
  • Restricts "lifestyle" advertising for vaping products, the use of testimonials, or any reference to e-cigarettes as healthier than standard tobacco products.
  • Bans certain flavours — like "confectionery" and cannabis — for vaping products.

Read all Health Canada news releases and notices regarding vaping product legislation:

Provincial Working Group on Youth and Young Adult Vaping

Many in New Brunswick have been working independently to address the increasing number of youth and young adults that are trying and using vaping products.  As this trend continues and more evidence about the harms of vaping for youth becomes available, now is the time for collaborative action. 

Everyone has a role to play. We have an opportunity to align our work, coordinate our efforts to use our expertise and resources effectively, avoid duplication and collectively move forward to create a tobacco and smoke-free province for all.

To help achieve these objectives, the New Brunswick Anti-Tobacco Coalition (NBATC) - in partnership with Vitalité Health Network - is leading a Working Group on Youth and Young Adult Vaping. Everyone with an interest in the topic is welcome to join. If you would like to participate, please contact the NBATC. 

Provincial Vaping Working Group Meeting Minutes:

June 2019
September 2019

Resources: Electronic Cigarettes and Vaping Products
 

Micro-Grants for Cannabis or Vaping Public Education
Health Canada (2019)
New micro-grants program to support public education about the health effects of cannabis and/or the risks of vaping. These micro-grants are offered up to $1,000 to support smaller public education projects. 


Health Canada website - Vaping 
Health Canada (2018-2019)
Health Canada continues to add information and guidelines for Canadians concerning vaping products on its website and is thus one of the best sources to consult for current information on the topic. The vaping section includes the following subjects: 

1. About vaping

2. Vaping in Canada - What we know

3. Vaping and quitting smoking

4. Vaping product regulation

5. Risks of vaping

6. Vaping and youth - Consider the consequences of vaping

Vaping - The mechanics (infographic) 
Health Canada - 2018 
Download it here.

 

Consider the consequences of vaping campaign 
Health Canada - 2019
www.considertheconsequences.ca

 

 

 

 

 

Consider the consequences of vaping (video aimed at youth)
Health Canada - 2019
View it here.

 

 

 

 

 

 

 

 

 

Consider the Consequences Poster: Vaping can alter teen brain development
Health Canada - 2019
Download it here

 

 

 

 

 

 

 

 

 

Consider the Consequences Poster: Vaping can cause lung damage
Health Canada - 2019
Download it here

 

 

 

 

 

 

 

 

 

Consider the Consequences Poster: The long term health impacts of vaping are unknown
Health Canada - 2019
Download it here 

 

 

 

 

 

 

 

 

Consider the Consequences: Online Activity Sheet
Health Canada - 2019
Download it here. 

 

 

Consider the Consequences School Kit
Health Canada - 2019
Order here.

The kit includes:

  • Consider the Consequences posters (two copies of each bilingual poster)
  • Consider the Consequences mirror clings (two English and two French)
  • Talking with teens about vaping tip sheet (for teachers)
  • Student Activity Sheet

 

 

 

 

 

 

 

 

Talking with your teen about vaping: a tip sheet for parents (fact sheet)
Health Canada - 2019
Download it here.

 

Digital Influencers - Consider the Consequences of Vaping
Influencers targeting teens will use YouTube and Instagram to engage their followers on the topic of preventing vaping. 

  • Andrew Huang (@AndrewIsMusic) has 128,000 Instagram followers
  • Sabrina Cruz (@nerdyandquirky) has 10,100 Instagram followers
  • PL Cloutier (@PLCloutier) has 103,000 Instagram followers
  • Florence Lavoie (@florennce99) has 85,600 YouTube followers
  • Cath & Jay Machalani (@Technofou) has 53,100 Instagram followers
  • Alex Maclean (@AlexMaclean) has 465,000 Instagram followers

 

Smoke Is Smoke!
New Brunswick Anti-Tobacco Coalition (2019)
This fact sheet sheds light on the dangers of second-hand smoke from tobacco as well as cannabis. The fact sheet also addresses vaping and reminds people to respect smoke-free environments in New Brunswick, which prohibit smoking and vaping. We all win when we can live, work and play in 100% smoke-environments! 

Vaping - Know the Risks
NB Lung Association (2019)
Public information brochure developed by the New Brunswick Lung Association. Very useful for parents to share with their children/teens and for teachers to share with their students.

Also available: 

Vaping - Know the Risks (PowerPoint Presentation)
NB Lung Association (2019)
For teachers to share with students in their class or community groups to share in a public health setting to educated on the risks of vaping. Contact Barbara Walls at barbara.walls@nb.lung.ca for more information on this presentation.

 

Why You Don’t Want to Become a Drug Addict by Smoking Cigarettes or Vaping Nicotine (PowerPoint Presentation)
NB Lung Association
Topics covered in this presentation include: nicotine addiction, cancer/COPD/ other conditions, chemicals in tobacco and e-cigarettes/vape juice, history of cigarettes and the role big tobacco plays in the push to get more people addicted, contraband cigarettes, vaping risks, practising breathing as if you have COPD, role-playing to say no when offered cigarettes or e-cigarettes/vape pens, and taking a no-smoking / no vaping / no using drugs pledge. Contact Barbara Walls at barbara.walls@nb.lung.ca for more information on this presentation.

 

Interventions to Prevent Harms from Vaping
Ontario Tobacco Research Unit (2019)
The use of e-cigarettes—particularly among youth and young adults—has become a growing concern in Ontario. Local health units have a strong interest in implementing evidence-based interventions to counter the uptake of e-cigarette use. For this report, OTRU conducted a review of vaping interventions that could be implemented at a local level. With a focus on prevention, our search found several promising practices but little evaluative evidence on their effectiveness. Most interventions observed were public education and school-based efforts. Other interventions included community-based interventions, health-care provider interventions, aerosol-free policies, age restrictions and advertising and promotion restrictions. A vaping path logic model is presented to help organize possible interventions and expected outcomes.

E-Cigarette Use for Smoking Cessation: Scientific Evidence and Smokers' Experience. 
Ontario Tobacco Research Unit (2019)
Knowledge synthesis of reviews regarding the effectiveness of e-cigarettes for smoking cessation. We also conducted a study of experiences among Ontario smokers who have tried vaping to quit smoking cigarettes. Preliminary findings from these initiatives are highlighted in this report.

Prevalence of vaping and smoking among adolescents in Canada, England, and the United States: repeat national cross sectional surveys
British Medical Journal (June 2019)
A study published in the British Medical Journal has found a dramatic 74% increase in vaping among youth aged 16-19 in Canada from Aug/Sept 2017 to Aug/Sept 2018, with vaping increasing from 8.4% to 14.6% in the past 30 days.

News Releases:

Media Coverage:


Monitoring the Future - National Adolescent Drug Trends in 2018  - Vaping Surges Largest Year-to-Year Increase in Substance Use Ever Recorded in the U.S. for 10th and 12th Grade Students 
University of Michigan Institute for Social Research Report - USA (2019)

Sales of JUUL e-cigarette skyrocket, posing danger to youth
Centre for Disease Control and Prevention - USA (2018)

Youth and Young Adult Vaping in Canada
Ontario Tobacco Research Unit Project Newsletter (2018)

The Tobacco and Vaping Products Act: Implications for E-Cigarette Point-of-Sale Promotion
Ontario Tobacco Research Unite Update (2018)

Public Health Consequences of E-Cigarettes
National Academies of Sciences, Engineering, and Medicine - USA (2018)

E-Cigarettes in Canada (2018)
Heart and Stroke Foundation of Canada (2018)

Electronic cigarette use and smoking initiation among youth, a longitudinal cohort study
David Hammond, Jessica L. Reid, Adam G. Cole and Scott T. Leatherdale, published in the Canadian Medical Association Journal (2017)

Electronic Cigarette Fact Sheet
New Brunswick Anti-Tobacco Coalition (2015)

Tobacco Use in Canada: Special Supplement: E-Cigarettes in Canada
Propel Centre for Population Impact - University of Waterloo (2015)

Questions and answers on electronic cigarettes or electronic nicotine delivery systems
World Health Organization (2015)

Media Coverage (2019) - Vaping Issue 

Resources: Flavoured Tobacco

Leading From Up North: How Canada Is Solving the Menthol Tobacco Problem
Public Health Law Centre (2017)

Menthol Cigarettes Linked to Increased Smoking Amongst Teens
Propel Centre for Population Impact - University of Waterloo (2014)

Flavoured Tobacco Use Among Canadian Youth: Evidence from Canada's 2010/2011 Youth Smoking Survey
Propel Centre for Population Impact - University of Waterloo (2013)

Cigarillos: Cigarettes in Disguise 
Non-Smokers' Rights Association (2009)

Cigarillo Smoking in Canada: A Review of CTUMS Results, 2007-2010 
Physicians for a Smoke-Free Canada (2011)

Smokeless Tobacco: Candy-Coating Carcinogens 
Physicians for a Smoke-Free Canada (2009)

Flavoured Tobacco: How the Industry Baits its Prey
Physicians for a Smoke-Free Canada (2009)

Backgrounder: Cigarillo Smoking in Canada 
Physicians for a Smoke-Free Canada (2008)

 

Resources: Waterpipes/Hoohak/Sisha 

 
National Forum on Waterpipe Use- Final Report 
Non-Smokers' Rights Association (2012)
 
 
Waterpipe Smoking in Canada: New Trend, Old Tradition 
Non-Smokers' Rights Association (2012)


Waterpipe Smoking in Alberta
Chief Medical Officer of Health (2012) 

Hooked on Hookah: Issue Analysis & Policy Options for Waterpipe Smoking in Ontario
Non-Smokers' Rights Association (2011)



Waterpipe Tobacco Smoking: Health Effects, Research Needs and Recommended Actions by Regulators
 
World Health Organization (2005)