Orange County NC Website
<br /> 22 <br /> <br /> While cigarette use is decreasing <br />among NC youth, overall tobacco <br />use is increasing, driven in large <br />part by use of e-cigarettes and <br />hookah (shown in figure 18). <br /> <br /> Almost 4 out of 10 high school <br />students in Orange County have <br />tried an e-cigarette, and about 2 <br />out of 10 high school students <br />currently use them.37 <br />In 2014, more than two thirds of <br />middle and high school students were <br />exposed to e-cigarette ads in retail stores, on the Internet, in magazines or newspapers, and on TV or in <br />the movies.38 The tobacco industry spends almost $10 billion each year on advertising, which is more <br />than $1 million per hour.39 <br /> <br />The research is still evolving on the public health implications of e-cigarettes and other vapor products. <br />The health risks from inhalation of nicotine, certain ingredients (such as flavors using diacetyls), and <br />some by-products have been established in the scientific literature.40,41 The nicotine poses dangers to <br />pregnant women and fetuses, children, and adolescents. Nicotine use among adolescents can actually <br />disrupt the formation of brain circuits that control attention, learning, and susceptibility to addiction.42 <br />Research is sparse, however, on the acute and chronic impacts of inhaling common aerosol and vapor <br />components with as of yet unknown toxicity. Data suggest that e-cigarette use within a room could <br />cause secondhand exposures.43,44 <br /> <br /> <br /> <br /> <br /> <br />The following Substance Abuse and Mental Health, and Tobacco and Respiratory population health <br />dashboards provides county level data specific to mental health and substance abuse. Data on <br />poisonings can be found on the Injury and Violence population health dashboard. <br /> <br />Unless we can dramatically reduce current <br />smoking rates, one out of 13 children alive <br />today will die a smoking-related death <br />- U. S. Surgeon General <br />Figure 18: