# data[].attributes.body
The "real cost" of vaping

# data[].attributes.headline
Teens Raising Awareness in Massachusetts 

# data[].attributes.subject
Teens Raising Awareness in Massachusetts 

# data[].attributes.attachment_link.readable_text
The 84 is a statewide movement of youth fighting tobacco in Massachusetts. The 84 represents the 84% of Massachusetts youth who did NOT smoke when the movement began. Now, 92% of youth do NOT smoke.

Youth groups in a high school or community organization who want to fight against Big Tobacco sign up to become an 84 Chapter and be a part of the movement.

What do The 84 Chapters do?

Educate their peers and adults about the tobacco industry's marketing tactics

Help to create change locally and statewide s to reduce the influence of tobacco in their communities

Survey youth and adults about their perception of the prices and availability of other tobacco products

Promote social norms messaging around youth tobacco use

Annually, The 84 Chapters actively engage in two important tobacco prevention events.

Great American Smokeout
The Great American Smokeout is an annual event on the third Thursday of November by the American Cancer Society and traditionally that's a day when smokers are encouraged to quit.

The 84 Chapters take this day as an opportunity to speak out against Big Tobacco and raise awareness of the tobacco industry's influence on their communities.
Kick Butts Day
Kick Butts Day is a national day sponsored by the Campaign for Tobacco Free Kids which promotes youth to take a stand against the tobacco industry, "Big Tobacco". On this important day, over 200 members of The 84 Movement get together from across the state and educate their legislators at the State House to have their voice heard. The 84 youth talk about the tobacco industry's tactics - through prices, packaging and availability of tobacco products.
The 84 is a program of the Massachusetts Department of Public Health's Tobacco Cessation and Prevention Program, developed and managed in partnership with Health Resources in Action.

# data[].attributes.attachment_link.description
The 84 is a statewide movement of youth fighting tobacco in Massachusetts. The 84 represents the 84% of Massachusetts youth who did NOT smoke when the movement began. Now, 92% of youth do NOT smoke.

# data[].attributes.body
Teens ask experts to explain the facts and stats related to vaping.

# data[].attributes.body
Stanford University published a fact sheet to understand the risks involved

# data[].attributes.attachment_link.readable_text
This module provides an understanding of the inner workings of e-cigarettes, the content of the aerosols they produce, and thirdhand smoke. It's broken down into 5 units, each of which explore e-cigarettes in-depth.
Please note: e-cigarettes, vape pens, etc. may be abbreviated as e-cigs or vapes, and refer to any device similar to an e-cigarette.
Goals

Increase knowledge about basic facts of e-cigarettes and the harm they cause

Gain awareness of strategies manufacturers and sellers of e-cigarettes employ to increase use among adolescents, such as deceptive and creative marketing strategies

Gain skills to refuse experimentation and use of e-cigarettes.

Scroll Down to View the E-Cigarette/Vape Pen Crash Course!

Teachers should orient themselves to the module with the E-Cig Module Crash Course. Teachers should go through each unit and download the PowerPoint for class presentation. Teachers should also download the accompanying activities for in-class activities. Instructions for each activity may be found in the activity's accordion. Activities are meant to be printed for students before class begins. We have developed a 'Crash Course' to orient teachers to the material covered in this module. See below.

"Download all Material" - Coming back soon!

A Quick Guide

Click on the "spin" icon to view our sources.

What is "Vaping?"

"Vaping" is a term introduced by the electronic nicotine delivery system (ENDS) industry to refer to any electronic vaporizer, such as E-cigs, Vapes, vape pens, vaporizers, and E-hookahs. The term can incorrectly lead people to believe that using electronic vaporizers produces a harmless water vapor, but in reality these devices produce potentially harmful aerosols that are inhaled into the lungs and exhaled into the environment. Although not covered in this toolkit, these products are also frequently used to consume cannabis. In this module, any electronic vaporizer will commonly be abbreviated as e-cigs/vapes. Keep in mind, with the market and products still evolving, the favored terminology used by young people changes quickly.

Quick Links

In-Depth Resources

Why do I need to learn about it?

While there have been declines in tobacco use among youth, E-cig & Vape use among middle and high school students have been on the rise. The popularity of e-cigs & vapes among youth is of concern for health professionals, educators, and parents, in part because of the common misconception that these products are harmless and also because long-term consequences of e-cig/vape use are still not known. Keeping yourself current on accurate information is worthwhile so that you can be a trusted source of information for youth.

How should I approach this subject?

Contrary to common assumptions, young people care about their health and are interested in talking about this subject. Remember that young people are adept at identifying and rejecting disingenuous lectures, so approach discussions as learning opportunities for both you and the class. Take a fact-based approach, otherwise, you may find students becoming defensive toward the activities, compromising the efficacy of the lessons.

Quick Links:

In-Depth Resources:

# data[].attributes.attachment_link.title
E-Cigs/Vape Pens & JUULs | Tobacco Prevention Toolkit | Stanford Medicine

# data[].attributes.attachment_link.description
This module provides an understanding of the inner workings of e-cigarettes, the content of the aerosols they produce, and thirdhand smoke. It's broken down into 5 units, each of which explore e-cigarettes in-depth. Please note: e-cigarettes, vape pens, etc. may be abbreviated as e-cigs or vapes, and refer to any device similar to an e-cigarette.

# data[].attributes.body
Video related to teens and vaping

# data[].attributes.attachment_link.title
What are the potential dangers of 'Juul'-ing?

# data[].attributes.body
Looking at both sides of the issue

# data[].attributes.attachment_link.title
Vaping Can Be Addictive and May Lure Teenagers to Smoking, Science Panel Concludes (Published 2018)

# data[].attributes.attachment_link.description
A report from the National Academy of Sciences said that e-cigarettes are safer than smoking, but not quite safe, and may cause teens to take up tobacco.

# data[].attributes.body
Why is "juu-ling" popular in schools?

# data[].attributes.attachment_link.readable_text
Sign up to receive breaking news alerts from the Globe http://bos.gl/2RQPbTu

A new front has opened in the never-ending game of cat and mouse between teenagers and adults - over Juuling, a discreet form of vaping that is the most widespread phenomenon you've likely never heard of.

In some high schools, the "Juuling in the bathroom" problem has gotten so intense that administrators are sending home e-mails warning parents about the dangers of e-cigarettes in general - and, in particular, about a brand called Juul, which makes sleek devices that are easily concealed and often mistaken for thumb drives.

In Newton, an Oct. 31 e-mail to parents showed a cop-show-style evidence photo with a dire caption: "Here is a Juul device disguised as a Sharpie Pen."

The e-mail also schooled parents who may be unfamiliar with the whole vaping trend. "Electronic cigarettes are devices that utilize stored electricity to heat a liquid into vapors, which are then inhaled by the user," the letter read. "The liquid can be anything from a flavored water-type mixture to liquid nicotine to THC, the principal active element of marijuana."

The letter warned that recent studies "suggest e-cigarettes are the latest 'gateway' to harder drug use."

A psychologist who sees patients in Boston's upscale western suburbs told the Globe that every teen he treats now uses a Juul. One patient, a student at a prestigious local private school, secretly used his parents' credit cards to buy thousands of dollars of Juuls online, and then turned around and sold the devices and flavored pods to other kids at a profit.

He was eventually expelled, said the therapist, who requested anonymity to protect his patients' privacy.

Beyond the fact it can get them in trouble, many kids think there's nothing wrong with vaping or using a Juul. But John Ross, a hospitalist at Brigham and Women's Hospital who contributes to the Harvard Health Blog, said long-term safety data on e-cigarettes do not yet exist.

On the positive side, he wrote in a 2016 post, "E-cigarettes are almost certainly less lethal than conventional cigarettes. Now the bad news. Nicotine in e-cigarettes may have several negative health effects. Chronic nicotine exposure may lead to insulin resistance and type 2 diabetes. . . . Inhaled nicotine increases heart rate and blood pressure. Nicotine is highly addictive in its own right, and it may lead to changes in the brain that increase the risk of addiction to other drugs, especially in young people."

A Juul "starter" kit costs $49.99 if you buy it online from the company. It includes a re-chargeable Juul device, a USB charger, a warranty, and a four-pack of the flavored Juul pods. On its website, the company promises a "powerful vapor experience" and says the nicotine in one pod is approximately equivalent to a whole pack of cigarettes, "or 200 puffs."

A banner across the top of the website clearly states that its products are for those 21 and older, and would-be purchasers are alerted that an adult must sign for delivery.

Juul pods come in kid-friendly flavors, but in a statement e-mailed to the Globe, the company emphasized its position that its products are intended for those 21 and older.

"JUUL Lab's mission is to eliminate cigarette smoking by offering existing adult smokers with a better alternative to combustible cigarettes," the statement read. "We strongly condemn the use of our product by minors, and it is in fact illegal to sell our product to minors. No student at any high school should be in the possession of a Juul product.

Even so, kids are managing to score what they need - one high schooler says Juul starter kits can be purchased on the resale market for around $80. Students are Juuling in the boys and girls rooms, hallways, and even in class, where they take a hit and then swallow the vapor or exhale it into their hoodies when the teacher isn't looking.

'The flavors are good. You can do tricks with it. You can ghost it.'

One high schooler described why teens like it: "It gives you a head rush," he said. "The flavors are good. You can do tricks with it. You can ghost it" - breathe the vapor out and then back in. "It looks cool."

Although many parents have never, or only recently, heard of Juuling, every student approached by a Globe reporter in multiple suburbs not only was familiar with the product, but had a story.

"In history class today, a kid pulled something out of his pocket and a Juul fell out," said a junior girl in Needham.

When you walk into the bathrooms, she added, you can hear the faint but distinct crackling sound the liquid makes. "It's usually fairly obvious."

It was the same deal in Newton. "People are [openly] charging them at school," said a freshman girl hanging out at Rancatore's ice cream after school.

"On Snapchat, I've seen people Juuling in class," said her friend.

In Needham, high school principal Aaron Sicotte said the devices are so benign-looking that "we've had situations where [a Juul] has fallen out of a bag and a teacher has handed it back to them not knowing what they were giving back."

He described the challenges of catching a student in the act: Because Juul pods come in flavors (including mango and crème brulee), the sweet odor "can almost be attributed to a light perfume," Sicotte said.

"It can happen so fast," he added. "A student can step in a bathroom stall or in a hallway and take a quick hit. It's opening up a whole new set of options that students haven't had in the past."

Wellesley High School catches about two kids a month vaping, most using Juuls, according to principal Jamie Chisum. "We have a lot of suspicions about students selling cartridges here too."

The school is planning an educational night in March for parents, and in the meantime, officials have increased monitoring of bathrooms.

In Braintree, Juuling has gotten so popular that two broadcast journalism students made a news-style video about it, complete with a female Juuler whose voice is changed to conceal her identity as she describes where she partakes.

"In the girls bathroom," she says in a strange techno-voice, "and sometimes in class,
and I blow it into my sweat shirt."

Like a lot of teenagers, Emily Linskey - the video's cocreator and on-screen reporter - was surprised to learn that Juuls contain so much nicotine.

"I thought it was a way healthier choice than cigarettes - it won't give you as much cancer," she told the Globe. "But finding out that one pod is equivalent to one pack of cigarettes was shocking."

Meanwhile, even as kids are Juuling to be cool, doing it the wrong way can backfire, at least that's the word from two Needham High athletes.

Seniors confident in their social rank, they sat parked outside the school and criticized freshmen who are so inexperienced they huddle around a Juul and then try to look innocent when someone walks in on the action.

"If you know what you're doing," one of the boys said, "you go in a stall."

Beth Teitell can be reached at beth.teitell@globe.com. Follow her on Twitter @BethTeitell.

# data[].attributes.attachment_link.title
'Juuling': The most widespread phenomenon you've never heard of - The Boston Globe

# data[].attributes.attachment_link.description
Sign up to receive breaking news alerts from the Globe http://bos.gl/2RQPbTu A new front has opened in the never-ending game of cat and mouse between teenagers and adults - over Juuling, a discreet form of vaping that is the most widespread phenomenon you've likely never heard of.

# data[].attributes.body
More basic facts on E-cigs

# data[].attributes.attachment_link.provider_name
Know the Risks: E-Cigarettes and Young People | U.S. Surgeon General's Report

# data[].attributes.attachment_link.readable_text
No matter how it's delivered, nicotine is harmful for youth and young adults. E-cigarettes typically contain nicotine as well as other chemicals that are known to damage health. For example, users risk exposing their respiratory systems to potentially harmful chemicals in e-cigarettes. Read about these and other risks young people face if they use e-cigarettes.

# data[].attributes.attachment_link.title
Know the Risks: E-cigarettes & Young People | U.S. Surgeon General's Report

# data[].attributes.attachment_link.description
Facts on e-cigarettes, addiction, and how nicotine can harm the developing brain from the U.S. Surgeon General. Risks of use along with resources and actions to help prevent harm to youth and young adults.