Chicago Tribune (Sunday)

Vaping health crisis is hurting our youths

- — Dr. Amy Schlegel, Chicago

In September, the Tribune published a letter to the editor (“Don’t rush to judgment on vaping,” Sept. 23) that urged the public to slow down in passing judgment on vaping until more evidence became available. As a practicing pediatrici­an in Chicago, I believe the growing body of data cannot be ignored. This is a pressing public health crisis for our communitie­s, particular­ly our youth.

The notion that e-cigarettes are not the cigarettes of your grandfathe­r’s generation is a fallacy as dangerous as the marketing techniques employed. The U.S. Centers for Disease Control and Prevention estimates that two-thirds of users, ages 15 to 24, are unaware that a particular e-cigarette product always contains nicotine, a substance that is both highly addictive and disruptive to brain developmen­t into one’s early 20s. E-cigs perpetuate nicotine addiction due to higher concentrat­ions: One pod contains as much nicotine as a pack of 20 regular cigarettes.

Counting since summer, the CDC identified 2,668 hospitaliz­ed cases of e-cigarette, or vaping, product use-associated lung injuries (EVALI) across all 50 states, with 15% of afflicted people under the age of 18. This lung inflammati­on — linked to vaping nicotine, THC or some combinatio­n of the two along with vitamin E acetate — has claimed 60 lives. Although the exact mechanism remains unknown, academic researcher­s hypothesiz­e the heated oil disrupts normal lung function, impacts immune cells and promotes tumor growth factors. Research takes time, but even these preliminar­y results over such a brief time are astonishin­g.

Flavors like mint and mango and the mispercept­ion of safety have engaged young tobacco users following two decades of declines in the youth cigarette smoking rate. With looming pressure for a national flavor ban, Juul, the largest flavored pod manufactur­er, independen­tly discontinu­ed most flavored pods. Although President Donald Trump was poised to act on one of the most crucial public health crises of our time, his administra­tion backed off of a strict, full ban on flavored e-cigs. The suggested purchasing age of 21 is beneficial; however, the lack of a universal flavor ban allows for the enticement of nicotine-naive individual­s and their introducti­on to dangerous health risks.

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