Hartford Courant (Sunday)

How youths conceal vaping Amid health alarm, tools aid teens’ secrecy

- By Anna Maria Barry-Jester Kaiser Health

In yet another twist for worried parents: Meet the vaping hoodie.

This high school fashion mainstay — defined by a hood with drawstring­s — is now available as a vaping device, ready to deliver a puff of nicotine (or marijuana) anywhere, anytime, including in the classroom.

It marks an addition to the fleet of discreet — some would say camouflage­d — vaping devices that have teachers and parents struggling to monitor the usage of a product that has surged in popularity among high school-aged kids in the past two years.

A computer mouse, a phone case, backpacks, USB jump drives — the vaping kit options colorfully advertised online are fashionabl­e and many.

Juul, the San Franciscob­ased company that dominates the e-cigarette trade, and other manufactur­ers publicly tout their devices as tools for adults looking to get a nicotine fix without the toxins associated with burning tobacco. But the crowded market of devices and accessorie­s that has sprung up around vaping is filled with products that seem tailored to teenagers who want to keep their use secret — and, according to parents and teachers, are all but impossible to keep out of kids’ hands.

Recently released preliminar­y federal data show more than one-quarter of the nation’s high schoolers had reported vaping in the previous 30 days, up from 11.7% in 2017. As the teen vaping scene has exploded, adults have had a hard time keeping up.

In a 2018 survey, the Truth Initiative, an antitobacc­o advocacy group, surveyed middle and high school teachers on vaping and found that fewer than half recognized a photo of a Juul, the most commonly used device. A palm-size stick that charges via USB, it’s easily mistaken for a flash drive.

Sven-Eric Jordt has seen the challenge in his kid’s school. By day, Jordt is an associate professor at Duke University, studying the health effects of inhaling various chemicals. By night, he educates his children on the potential risks of vaping.

Recently, one of his daughters told him about the “Apple-like” watch manufactur­ed by Uwell that is one of the more popular devices at her high school. With a touch of the finger, the face offers the time. But when removed from the wristband, it is a vaping device.

“The teachers have learned to recognize Juul,” Jordt said, “but this just looks like a watch.”

The Centers for Disease Control and Prevention continues to investigat­e a spurt of vaping-related lung illnesses, mostly affecting young people. Some have resulted in death. It’s unclear whether a single device or agent is causing those illnesses.

Most of the patients reported vaping cannabis, but some said they had vaped only nicotine or vaped both. The outbreak has focused attention on what federal officials characteri­ze as an epidemic of youth vaping. Two states — Michigan and New York — have moved to ban sales of most flavored e-cigarette products, which are popular among young people. And President Trump said he would launch a similar effort at the federal level.

While research continues into the long-term prospects of e-cigarettes as a tool to help people quit smoking, experts say there is clear evidence that teens should not vape. Nicotine can cause changes in the developing brain that make lifelong addiction more likely. And the liquids in vaping devices contain a range of chemicals that can harm the lungs.

Some schools have banned flash drives in an effort to keep vaping devices off campuses. But new stealth devices offer ways around these prohibitio­ns. Some of the devices likely aren’t legal.

When vaping devices first hit the market a decade ago, it wasn’t clear who had the authority to regulate them. Numerous court cases and regulatory shifts later, they fall under the Food and Drug Administra­tion’s purview and are considered a tobacco product.

Devices marketed before Feb. 15, 2007, are exempt from regulation. Products sold after that but before Aug. 8, 2016, have until

May 2020 to submit applicatio­ns to the FDA for market authorizat­ion and can be sold in the interim. Anything that was not marketed by Aug. 8, 2016, needs FDA approval to be sold in the U.S.

For example, the vape watch, which appears to have become available this July, seemingly would require authorizat­ion from the FDA to be sold in the U.S. California Healthline was able to purchase it online for $34.95.

The FDA has sent warning letters to six companies about dozens of products being sold without the required approval, and less severe notices to a few others. All but a handful pertain to the liquids used in vaping devices.

The FDA did not return a request for comment on how it determines which products are a priority for enforcemen­t. Representa­tives with Uwell, which manufactur­es the vaping watch, also did not return a request for comment.

Enforcemen­t of age restrictio­ns varies, and the FDA has sent dozens of warning letters to companies for selling products to underage buyers. Websites take different approaches to age verificati­on.

Until recently, Amazon sold the components of products that allowed people to build their own marijuana vapes. Some of these products have been linked to the current deadly outbreak. The online giant removed them after Minnesota Public Radio inquired about their sale.

In a statement, Tony Abboud, executive director of the Vapor Technology Associatio­n, one of the industry’s largest trade groups, blamed a few bad actors and illegal sales to ineligible customers, saying the group “does not approve of youth use of any nicotine products, including these accessorie­s.”

In absence of more aggressive federal efforts to keep these devices off the market, parents and teachers are left with the Sisyphean task of trying to keep them out of kids’ hands.

Ira Sachnoff has been a youth tobacco educator in the San Francisco Bay Area for decades. He says the skyrocketi­ng popularity of the Juul-era pod systems has made this new generation of nicotine products tough to combat.

“Schools are freaked out,” he said. “They don’t know what to do because they are busting kids like crazy with these devices.”

Some schools are installing vape detectors in bathrooms. Others are sending students caught vaping to counseling. The most important first step for parents and school staff, Sachnoff said, is to learn what the devices look like.

With a group at Stanford University, Sachnoff created the Tobacco Prevention Toolkit, a widely used collection of resources aimed at preventing middle and high school students from using nicotine products. One section includes links for parents and guardians to familiariz­e themselves with the devices and learn to talk with their kids about nicotine.

But with newer and smaller devices hitting the market, kids motivated to vape will have the upper hand. That’s why Sachnoff and other tobacco educators train peer counselors, fellow students who can talk about the risks. They hope kids can be convinced that, like cigarettes, which have fallen out of favor in recent years, vaping isn’t cool or worth the gamble.

“I’ve been doing this for a long time,” Sachnoff said, “and I’ll be damned if after 25 years we’re going to let this happen again.”

 ?? ANNA MARIA BARRY-JESTER/KAISER HEALTH NEWS ?? This hoodie doubles as a vaping device. Users are able to take a puff of nicotine (or marijuana) through the drawstring.
ANNA MARIA BARRY-JESTER/KAISER HEALTH NEWS This hoodie doubles as a vaping device. Users are able to take a puff of nicotine (or marijuana) through the drawstring.

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