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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH February 22, 2017 S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ February Page 2 April Richard, Tobacco Prevention and Control Coordinator, provided a summary of the Surgeon General’s Report on e-cigarette use among youth and young adults. In advance, Ms. Richard provided background information on e-cigarettes as well as a fact sheet on the Surgeon General’s report entitled ‘’E-cigarette Use Among Youth and Young Adults‘’ that highlighted the public health issue of e-cigarettes and their impact on U.S. youth and young adults. Highlights of Ms. Richard’s presentation include: • Varied terminology presents challenges for assessing use and raising awareness about what these devices are and their health implications. Some common names are e-cigs, cigalikes, vape pens, and hookah pens. • Users refer to themselves as vapers rather than smokers. • The Surgeon General’s Report presented five public health concerns. 1. Considerable increase in usage. 2. Usage strongly associated with use of other tobacco products. 3. Nicotine has a detrimental affect on the developing brain and fetuses. An increased rate of SIDS is another harmful effect. 4. Aerosol and vapor produced is not harmless. 5. Product marketing mimics that of conventional cigarettes. • E-cigarettes can give as high or higher doses of nicotine than conventional cigarettes. • The aerosol, which is not water vapor, contains other toxicants that may be harmful, some of which are known carcinogens. Dual use (use of e-cigarettes and one or more other tobacco products) is common amongst youth and young adults. Amongst high schoolers, as the grade level increases, so does the prevalence of dual use. Dual use amongst young adults is more prevelant than exclusive use of e-cigarettes. Stategies to implement for prevention include: • Employ consistent and accurate messaging to parents, youth, young adults, healthcare providers, educators, and other stakeholders about the dangers of e-cigarette use. • Address point of sale and point of delivery ageverification to minimize the ability for youth to access these products. • Regulate marketing and advertising practices.. Many strategies have been found to target youth and young adults including ad placement and themes of rebellion, sex, and independence. • Restrict flavors as flavors are one of the leading reasons youth and young adults iniatite use of these products. There are more than 7000 flavors available. • Include e-cigarettes in smoke-free indoor air policies The BOH members had questions that were addressed by Ms. Richard and Dr. Bridger. B. Outside Agency Review Process La Toya Strange, Administrative Assistant II, summarized the Outside Agency Review process and the assignments required of Board of Health members for evaluating applications. The Health Department received nine applications to review. Board members are to review the applications assigned to them, record scores on the appropriate scoring cards and send the completed scoring cards back to Ms. Strange by March 17th.