“E-cigarettes are branded as alternatives to cigarettes that can help people stop smoking. But teenagers are using these devices to start smoking. Schools across Summit County have seen an increase in vaping, and local health officials are working to combat the issue that’s now considered a national epidemic.
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Vaping as a gateway
“Research is showing youth that start this, it’s a one way street to not only long term vaping addiction, but also traditional tobacco use,” said Cory Kendrick, director of population health at the Summit County health department. He said principals and superintendents across the county have identified this as a problem in their schools.
“It’s almost like a cool thing to do to show hey, I’m vaping in class,” he said. “There’s techniques on how to do this in class like blowing the vapor in your shirt and those sorts of things.”
Eighteen-year-old Ashlee Barnett told me she tried vaping once when she was in the car with her friends.
“I was just like, ‘Eh, like I don’t know.’ They were like ‘it’s not a big deal, it doesn’t have nicotine in it, like, it’s fine. You can just do it once and you don’t have to do it ever again,” she said. “I was just like, ‘okay.’”
. . .
Barnett said the vape was green apple flavored.
Lack of regulation cause for concern
While some vapor fluids are nicotine-free, Kendrick from Summit County Public Health says there is little government regulation on the devices, especially ones that are purchased online coming from overseas.
The fluid, or “juice,” comes in many different flavors, which Kendrick suspects is one of the reasons vaping has become so popular among kids. According to a report from the U.S. Surgeon General, that juice contains cancer-causing substances.
North High School resource officer Evans said kids might not be informed of the health risks of these flavored e-cigarettes.
“If you’ve ever been around someone who’s vaping or e-cigarettes, you get that sweet smell, and I’m not sure kids understand the harmful effects of it,” he said.
A suburban problem
While vaping is a problem for Officer Evans, he says there are bigger concerns in the district, particularly with illegal drugs. According to Kendrick’s research at the county health department, vaping seems to be more prevalent in the suburbs.
“The schools that have a higher socioeconomic status, students can afford more,” he said. “Juuls aren’t cheap…whereas you can get a two pack of black and mild cigarellos for a dollar.”
At Green High School just south of Akron, Principal Cindy Brown has seen an increase in students vaping over the past three years. She said principals at similar schools are seeing the uptick as well.
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One way officials nationwide are trying to combat the teen vaping epidemic is through Tobacco 21, an initiative focused on raising the legal age to purchase tobacco from 18 to 21. In Summit County, six of the 33 municipalities have already passed this ordinance, including Akron and Green.
But Green principal Cindy Brown said kids can still find ways to vape. Some have told her adults have bought the devices for them. She’s also seen other ways.
“I think a lot of people get around that doing it through some online purchases and buying loadable credit cards, you know, like a visa gift card or something like that, and then kids can use that to purchase them online.”
Brown said the health classes at Green teach a whole unit on vaping in order to inform students of the health risks. Districts across the county have adopted stricter punishments for vaping in their codes of conduct. Kendrick says the county needs to take steps to inform both parents and kids about the dangers of vaping.
“It’s something we’re going to have to look at as a community – how do we solve this issue, especially for those who are already addicted,” he said.
The Tobacco 21 ordinance was recently introduced to Stow City Council. If passed, Stow would become the seventh municipality to raise the tobacco buying age to 21 in Summit County.
“ORANGE, Ohio — Ahmed Abouelsoud “hit a Juul” last year when a friend offered it to him. He was hooked from the start.
You may not be familiar with the lingo here. “Hitting a Juul” meansinhaling nicotine-laced, flavored vapor from a vaping device made by a company called Juul Labs. The device looks like a computer thumb drive. It’s easy to conceal. And it’s the vaping device of choice for many teens, available at the corner gas station, for sale to 18-year-olds who then sell them to younger friends.
Ahmed is hardly alone. Vaping, according to Dr. Scott Gottleib, commissioner of the U.S. Food and Drug Administration, is now epidemic among teens.
“I’ve seen it everywhere,” said Edie Ungar-Shafron, the psychologist at Orange High School, where Ahmed is a senior. “It’s pervasive.”
It is everywhere, said Ahmed: “All of my friends and everyone I see and everyone at any social event all have jewels. Everyone our age.”
Ahmed would never consider lighting up a cigarette. They’re nasty, he said. But he loved the feeling when he hit the Juul. The soothing vapor, the mint flavor, the high.
“When I actually started being able to breathe in the smoke and get a buzz, I, like, loved it. It was something unlike I’ve ever done before because I’ve never smoked or done anything,” he said.
And like many teens, he found himself addicted, blowing money on the replacement “pods” and sneaking off to vape in secret at school. When he resolved to quite, he threw his Juul from the balcony of his high-rise apartment. A short time later, having turned 18 and of legal age to purchase, he simply bought another one.
“I’ve been trying to quit for I don’t even know how long but I’ve never been able to set my mind to it ‘til recently,” he said. “I’ve been trying to do it, but I always end up, like, setting myself back and hitting it again.”
What changed recently was that Ahmed joined a weekly vaping addiction support group at Orange High School and began sharing his successes and setbacks with fellow students trying to kick the vaping habit.
It’s a surreal experience seeing high school students as young as 15 gather in a small conference room to share addiction stories as if they’re at a 12-step meeting. Vaping has become that pervasive.
Juul says it targets smokers, that vaping is a healthier alternative and perhaps a way to quit. Young people provide evidence that there’s another market, the kind who go for mango and mint flavors. The kind who, like smokers of their parents’ generation, just can’t quit.
And it turns out the path to recovery may lie with the teens themselves.
The Orange High School program, called ABC, (For About Change), was the brainchild of Senior Mark Pristash, 18, who was the first to open up to school Ungar-Shafron about his addiction.
“After multiple times of trying to quit by myself, I just didn’t know what to do. I didn’t think it was possible. I just thought I was way too addicted,” he said.
He and the school psychologist walked the school track and talked about coping strategies, about how the first three days are the hardest, about the dangers to Pristash’s brain posed by Juuling. “Their brains are under construction and they can’t handle it. It’s such a horrible chemical,” she said.
The sessions motivated him. Months ago, he quit. And then he looked to help the legions of other kids attached to their Juuls.
“Once I got through it, I knew it was possible, and I just wanted to give other students the opportunity to learn how to quit something if they’re going through the same thing that I was going through,” he said.
So he brought a friend, and then another, and then he and Ungar-Shafron, along with Jessica Venditti, a social worker assigned to the school from the Bellfaire JCB social service agency, created the ABC support group. Students meet on Thursdays — no administration or other teachers allowed.
Venditti said students tell her that being suspended doesn’t help. It just gives them more time at home to vape.
The administration of the school is on board. Students caught vaping at school still face punishment, but the hope is they’d get help before they get in trouble. And those caught with devices are referred to Venditti.
“It’s a way that we can get the problem addressed without hammering the students with being out of school and, obviously, the more you’re out of school, the more your academics are affected,” said Assistant Principal Steve Hardaway.
The ABC group wrote a grant proposal and got $500 from the PTA for treats and gadgets to occupy fidgety hands. In their sessions, they learn facts about addiction, eat Ungar-Shafron’s homemade brownies, plates of assorted cheeses and plenty of fresh fruit. And they share what they’re going through.
Abouelsoud laid it bare during one session, after several students talked about how well their recovery was going.. He’d had a good stretch of avoiding the Juul, then got tempted (“because everyone is doing it and it’s all around you”) and was back at it again. He said he hoped to get another new vape-free streak going.
“Peer to peer is so much more impactful than them hearing it from us,” said Venditti, who noted that Ahmed’s situation is one all of the vaping students will face.
“They’re going to have to commit themselves over and over and over again to their goal, even if they’ve been successful or for a period of time. They’re going to walk into a social setting and be faced with a choice. And so they have to keep working at it,” she said.
It’s amazing to see these young people working at it, and daunting when you consider the small size of the group — maybe two dozen kids — relative to the size of the student body, north of 700.
Parents, there’s a good chance your child is Juuling, or has close friends — tempting friends — who do. It would be great if every school started a peer-to-peer group like Orange did. But even without it, an honest conversation with your child and some old-fashioned parental snooping is in order. This isn’t about imposing authority, this is about protecting the health of our kids.
“We had been talking about it and for years he said. ‘It’s stupid. Anybody that does that is stupid. I don’t know why anyone would do that.’,” said Laura Kochis, whose son, Jared, a 17-year-old junior is in the group. “And then I found it in his room.”
Jared said he hasn’t vaped since November after struggling to quit, and blowing his savings, over the summer. He told his mom he’d quit long before he really had.
In a 5-3 vote, Cincinnati City Council voted to increase the minimum legal sales age for tobacco products, including e-cigarettes and vape products, to 21. One Councilmember was absent. Tamaya Dennard, the councilmember who sponsored the legislation, made clear that this ordinance would not criminalize 18-20 year olds for smoking or obtaining tobacco products. “The disease and illness that smoking causes are 100 percent preventable. Without a doubt, this ordinance will help curb the rate of unnecessary and preventable health issues in our area,” said Dennard.
CLEVELAND HEIGHTS, Ohio — In voting to raise the minimum age for purchasing tobacco products, “e-cigs” and “vapes” from 18 to 21, City Council received personal thanks on Monday from Cuyahoga County Health Commissioner Terry Allan.
Allan and his department will be handling enforcement of the new “Tobacco 21” law in Cleveland Heights, which takes effect on Jan. 1 and involves civil penalties for underage sales by vendors, as well as possible permit revocations for multiple offenses.
Allan pointed to statistics showing that only 5 percent of smokers start the habit after age 21. At the same time, e-cigarettes and vapes seem to be targeting a younger crowd, with flavors like “bubble gum.”
And while vapes are promoted as an alternative to smoking, a single Juul pod has the nicotine content of a pack of cigarettes.
“This is about protecting our kids from dual use,” Allan said, “because it’s not one or the other — it’s both.”
The measure passed 6-0, only because Councilman Mike Ungar, who brought it to Committee-of-the-Whole in April, was advised to recuse himself since his daughter serves as the executive director of Tobacco 21 in Columbus.