#e-cigarettes

Belgium is banning sales of e-cigarettes or vapes starting with the new year. Good for the Belgians!

Big tobacco is in a tailspin because of the decline of cigarette smoking. So they are trying to promote e-cigarettes which are being painted as a more trendy alternative. Getting teens hooked is a priority.

Though in addition to the health risks, disposable e-cigarettes have an environmental cost.

Health minister Frank Vandenbroucke said the inexpensive e-cigarettes had turned into a health threat since they are an easy way for teenagers to be drawn into smoking and get hooked on nicotine. "Disposable e-cigarettes is a new product simply designed to attract new consumers," he said in an interview. "E-cigarettes often contain nicotine. Nicotine makes you addicted to nicotine. Nicotine is bad for your health. These are fact," Vandenbroucke added. Because they are disposable, the plastic, battery and circuits are a burden on the environment. On top of that, "they create hazardous waste chemicals still present in what people throw away," Vandenbroucke said. The health minister said he also targeted the disposable e-cigarettes because reusable ones could be a tool to help people quit smoking if they cannot find another way.

So people in Belgium can still use reusable ones – particularly if it helps them quit regular cigarettes.

“Luka Kinard knew his vaping habit was out of control when it started costing him $150 a week.“I was selling my clothes,” Kinard, a 15-year-old high school sophomore, said. “I would get shoes, sell them, go out get cheap shoes, sell them. I was doing anything and everything to get money.”His parents noticed when his grades started plummeting.

“He went from being a straight-A student to an F student,” Luka’s mother, Kelly Kinard, said. “(It was) a very rapid decline in grades. His behavior became explosive. He was very angry and it just wasn’t him.” Luka stopped his boy scouting activities, stopped fishing and spent all his time locked away in his room. He was vaping. 

Luka is part of what the Food and Drug Administration and the Surgeon General call an epidemic of e-cigarette use. And, as with most teens who are taking up the habit, it was the slender, easy-to-conceal Juul device that really got him hooked. 

Luka was hooked in a way that doctors never noticed before with regular cigarettes. “The flavor was better than the taste of a cigarette. Also the buzz was a lot better,” he said. But it was a pricey habit. 

“When I started spending $17 every four days or every day it was getting to a problem,” he said. “I realized (I was spending) $150 on pods in a week, and I noticed like this was getting out of control.” 

What brought matters to a head was when he had a seizure. “He was at his girlfriend's house and an ambulance was called and he ended up in at the emergency room,” Kelly Kinard said. She knew it was the Juuling that had done it. 

“We followed up with the pediatrician, cardiologist and neurologist, and we couldn't get anyone to listen to us when we told them the seizure was preceded by Juuling,” she said. “I found on the internet that it should be treated like a substance abuse issue. That helped when I called the insurance company and told them we need a referral for a substance abuse treatment.” 

The High Point, N.C. teen ended up spending 40 days in an addiction rehabilitation program before he was able to kick his habit. 

This makes sense to Dr. Sharon Levy, director of the Adolescent Substance Use and Addiction Program at Harvard Medical School. 

“We've seen a real influx in the number of phone calls that we're getting for kids who need substance use evaluations and, remarkably, we're seeing a big increase in the number of kids who are coming in specifically to be evaluated for nicotine and Juuling problems,” Levy told NBC News. 

“We're seeing kids that seem to be getting a much higher nicotine level in their blood and that’s causing a completely different picture when they come in.” 

Other teams have found this, also, and the FDA is trying to crack down on sales of e-cigarettes to teens and young adults because they do deliver a much higher dose of nicotine than traditional burned cigarettes, Juul products, in particular, don’t offer a way to dial down the dose of nicotine-bearing vape fluid n the same way that other devices do. 

The extra hit of nicotine can have especially strong effects on young bodies, Levy said. 

“Kids are coming in with problems like difficulty in focusing, common symptoms of withdrawal, things like headaches, sometimes fatigue, stomach aches — which might be a symptom of nicotine toxicity or poisoning in some of them,” she said. 

“We've had kids who come in and say that they can’t concentrate in school, that they need to leave the classroom, they need to sneak out to the bathroom so that they can hit their Juul, or that they need to go to the nurse's office because they just need to lie down,” Levy added. 

“That's something we didn't see in use of cigarettes. This is very concerning. This is really uncharted territory and we don't know what use of nicotine in this way is doing to the developing adolescent brain.””

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