AAP Policy Cites Harm of E-cigarettes

ENDS (electronic nicotine delivery system), including e-cigarettes, are becoming more and more popular. One reason people are starting to use e-cigarettes is because they are touted to help people quit smoking. Note: ENDS have been shown to pose harms for users and non-users and are not approved by the Food and Drug Administration (FDA) as smoking cessation devices. They are considered a less harmful option, in same cases they are considered totally harmless. ENDS are handheld devices that produce an aerosol from a solution typically containing nicotine, flavoring chemicals and propylene glycol and/or glycerin to be inhaled by the user. ENDS include the wide range of products that are known as electronic cigarettes, e-cigs, e-hookah, vaping devices, vape pens and mechanical mods.

The AAP (American Academy of Pediatrics) is publishing a new policy about these systems, addressing pediatricians’ and pediatric health care providers’ questions about these products and the harms to youths. It is available here and will be published in the November issue of Pediatrics.

In 2014, more youths reported using ENDS than any other tobacco product. It has been found that ENDS contain numerous harmful toxicants and carcinogens. Nicotine is one such highly addictive toxicant. Use of nicotine-containing ENDS solution may lead adolescents to start smoking conventional cigarettes and other tobacco products. E-cigs and other devices normalize and make smoking acceptable culturally which can lead to other drug use.

ENDS secondhand vapor has been shown to contain nicotine, toxicants, metal and silicate particles, and carcinogens that can pose harm to non-users. The ENDS solution, or e-liquid, can contain very concentrated nicotine, which can be lethal when ingested even in small quantities. There has been an astronomical increase in calls to poison control centers from ENDS exposures, and one child died after ingesting concentrated nicotine solution.

Below are some FAQ’s about ENDS (source):

Common questions

How many children and adolescents are using electronic nicotine delivery systems (ENDS)?
Surveys of youths show an 890% increase in ENDS use over the past four years. In 2013, as many as 29% of high school students had tried (ever used) e-cigarettes, with use in the past month (current use) of 18%. In contrast, 8.5% of U.S. adults reported having tried an e-cigarette in 2013.

Why am I seeing ENDS commercials on television?
Unlike conventional cigarettes, there are no current regulations on ENDS advertisements on television, print media or point-of-sale (advertisements where ENDS are sold). ENDS are being marketed heavily; in 2013, 80% of U.S. youths ages 12-17 years were exposed to 13 television advertisements for ENDS.

What is in the ENDS solution (also known as e-juice or e-liquid)?
ENDS solutions are advertised to contain concentrated nicotine, flavoring chemicals and propylene glycol and/or glycerin. There are 7,760 flavors of ENDS solutions advertised, many of which are candy and dessert flavored and appealing to children. In addition to what is advertised, however, ENDS solution has been shown to contain numerous toxicants and carcinogens. The ENDS refillable cartridges also allow for addition of other substances to the solution, including marijuana.

What should I say when someone asks if I recommend ENDS?
ENDS have been shown to pose harms for users and non-users and are not approved by the Food and Drug Administration (FDA) as smoking cessation devices. ENDS should not be recommended to youths or their parents/caregivers. Parents and youths who are interested in tobacco dependence treatment should be directed to evidence-based smoking cessation counseling and FDA-approved tobacco dependence treatments (see resources).

Tips for Fun in the Sun and Water

This summer, make sure to keep your family safe by following some tips recommended by the American Academy of Pediatrics (AAP).

The best way to protect yourself and your children from harmful ultraviolet radiation (UVR) exposure is to cover up. It is best to limit exposure during hours of intense sun, which are between 10 a.m. to 4 p.m.

Use a sunscreen with an SPF of at least 15 to protect against UVA and UVB rays on both sunny and cloudy days. Reapply sunscreen every two hours or after sweating or any activity in the water, such as swimming.

To prevent heat stress in exercising, children should choose light-colored and lightweight clothing. Dress in one layer of absorbent material to help with the evaporation of sweat. Ensure that your children take a break to drink every 20 minutes while active in the heat.

The best way to prevent drowning in children is to closely supervise your children while near water. Avoid inflatable swimming aids, such as “floaties,” as they can give a false sense of security. Instead, use approved life vests if your children need help in the waters.

Related Articles:

http://www.cmc-pa.com/school-age/water-safety-pool/
http://www.cmc-pa.com/2014/06/vacation-2/
http://www.cmc-pa.com/school-age/how-to-choose-the-right-sunscreen/
http://www.cmc-pa.com/school-age/is-it-too-hot-for-my-child-to-play-outside/
http://www.cmc-pa.com/school-age/how-to-treat-sunburn/
http://www.cmc-pa.com/school-age/water-safety-for-children/

For more tips on sun and water safety, visit healthychildren.org.

Pediatricians Play a Role in Children’s Oral Health

In a revised statement, “Maintaining and Improving the Oral Health of Young Children,” which is featured in the December 2014 issue of Pediatrics, the AAP notes that pediatricians play an important role in improving oral health for young children. Younger children often see a pediatrician more frequently than a dentist, putting pediatricians in a unique position to provide oral health counseling. 

– See more at: http://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/Pediatricians-Play-a-Role-in-Children’s-Oral-Health.aspx

AAP Recommends Flu Vaccine for All Children Six Months and Older

A recent report by the AAP proposes that children ages six months and older should be immunized against influenza once the vaccination is available. The report, published September 22, 2014, states that although the vaccine strains have not changed since last season, another dose of the vaccine is essential.

To learn more about this news, read the American Academy of Pediatrics article here.

AAP Recommends Fluoride to Prevent Tooth Decay

A recent report by the AAP suggests that fluoride is effective in cavity prevention in children. According to the report published on August 25, 2014, the AAP recommends fluoridated toothpaste in appropriate amounts for children, under the supervision of an adult. For example, a grain of rice sized dab of toothpaste should be used up to the age of three once teeth have erupted and after age three a pea-sized amount is recommended. The AAP also cautions against over-the-counter fluoridated products for children younger than 6 as there is a risk of swallowing high levels of fluoride.

To learn more about this news, read the American Academy of Pediatrics article here:

http://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/AAP-Recommends-Fluoride-to-Prevent-Dental-Caries.aspx