What you should know about vaping and e-cigarettes
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0:01 - 0:03"It gets easier, right?"
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0:03 - 0:06These are the words
I often hear from young parents -
0:06 - 0:09who are new to the game
of worrying about their children. -
0:09 - 0:11I tell them that it doesn't.
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0:12 - 0:13It gets different,
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0:13 - 0:16but there's always something
to worry about as parents. -
0:17 - 0:20I remember how I would lie
half-awake at night -
0:20 - 0:22listening to my son breathe
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0:22 - 0:24when he was young and had asthma,
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0:24 - 0:26and then, when he was a teen,
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0:26 - 0:28until I heard the front door chime open,
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0:28 - 0:30and I knew that he was home safe.
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0:31 - 0:33Worrying about our kids
comes with the territory. -
0:34 - 0:38Now, many of these worries
are about basic issues, -
0:38 - 0:41like what they eat,
where they are, who they're with. -
0:41 - 0:45But we also need to keep an eye on
new behaviors and fads. -
0:46 - 0:51The latest craze is something
that may not yet be on everyone's radar -
0:51 - 0:53as a serious health concern,
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0:53 - 0:56and that is the newfound
popularity of vaping, -
0:56 - 0:58or inhaling sweet aerosols
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0:58 - 1:02produced by vaporizing
e-liquids in e-cigarettes. -
1:03 - 1:06E-cigarettes, or "vapes,"
as they are commonly called, -
1:06 - 1:08are flying off the shelves like candy.
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1:08 - 1:11This year, the e-cigarette
market is expected to drive -
1:11 - 1:1426 billion dollars in sales worldwide.
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1:15 - 1:16Over the next six years,
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1:16 - 1:18that volume is expected to double.
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1:20 - 1:23We have a lot of serious concerns
about the health impact of vaping, -
1:23 - 1:26and unfortunately,
not nearly enough answers. -
1:27 - 1:31This becomes even more concerning
when you think of who uses e-cigarettes. -
1:32 - 1:34E-cigarette use, at least in the US,
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1:34 - 1:38has grown rapidly among youth
and young adults -- -
1:38 - 1:39our kids,
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1:39 - 1:41our most vulnerable population.
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1:42 - 1:46There was a 900 percent growth
in the use of e-cigarettes by youth -
1:46 - 1:49between 2012 and 2015.
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1:49 - 1:52The most recent estimates suggest
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1:52 - 1:56that approximately 3.6 million
high school and middle school students -
1:56 - 1:58have used e-cigarettes in the US.
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2:00 - 2:02Now, e-cigarettes were originally created
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2:03 - 2:05to offer smokers a cleaner
form of nicotine -
2:05 - 2:07to help with their cigarette addiction.
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2:08 - 2:11In the US, these devices
come under the FDA's jurisdiction -
2:11 - 2:13as a tobacco product.
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2:13 - 2:17But the science on these devices
has not been able to keep up -
2:17 - 2:19with the rapid market growth,
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2:19 - 2:23so regulations on the components
of these devices and e-liquids -
2:23 - 2:25are lagging.
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2:26 - 2:29Current regulations do restrict
sales of these devices -
2:29 - 2:32to anyone under the age of 18,
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2:32 - 2:35but these do not seem
to have had much of an impact -
2:35 - 2:38on the explosion in the use
of these devices by teens. -
2:39 - 2:42You know, the first time
I heard of and saw an e-cigarette, -
2:42 - 2:45I knew right away
that teens would love it. -
2:45 - 2:48These devices are technology on a stick,
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2:48 - 2:51a perfect fit for
the smartphone generation -- -
2:51 - 2:57small, rechargeable, easy to use,
easy to modify, nice smelling -- -
2:57 - 3:01some even sync with your smartphone
to let you know how much you have vaped. -
3:01 - 3:04Even I was very drawn
to these very clever devices. -
3:05 - 3:10And since I had spent a long time
researching teen and adult addictions, -
3:10 - 3:15I immediately realized that these devices
fit perfectly into the teen psyche. -
3:17 - 3:20Teens are impulsive,
and they love to try new things. -
3:21 - 3:24They're also craving independence,
and they love to make things their own. -
3:25 - 3:28E-cigarettes meet these needs perfectly
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3:28 - 3:31by allowing them the chance
to both innovate and personalize -
3:32 - 3:33their vape experience.
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3:34 - 3:39They can choose from over 15,000
different e-liquid flavors -
3:39 - 3:41and multiple nicotine concentrations.
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3:41 - 3:45They can even create their own
nicotine flavor combination. -
3:46 - 3:50They can change how much vapor
is produced from these devices -
3:50 - 3:53by modifying the puff volume
and the constituents -
3:53 - 3:55and the power and temperature
of the devices. -
3:56 - 3:59They can even use these devices
for "cloud chasing." -
4:00 - 4:03Cloud chasing, also called vape tricks
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4:03 - 4:04or smoke tricks,
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4:04 - 4:09involves producing large vape clouds
with quirky shapes and names, -
4:09 - 4:11like rings, dragons, ghosts ...
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4:11 - 4:15Cloud chasers can even participate
in cloud competitions -
4:15 - 4:18and win prizes for creating
the most innovative shaped clouds. -
4:20 - 4:24Teens can also change the strength
and throat hit from the vapor -
4:24 - 4:27by either vaporizing the e-liquid
at higher temperatures -
4:27 - 4:30or dripping the e-liquid
directly onto a heated coil. -
4:31 - 4:34They can even use these devices
for marijuana vaping. -
4:35 - 4:37And since the devices
use lower temperatures -
4:37 - 4:40and do not combust or burn the marijuana,
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4:40 - 4:42they can do this very discreetly,
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4:42 - 4:45without the distinctive smell
of burnt marijuana. -
4:46 - 4:49So they can really make these vape
experiences their own, -
4:49 - 4:53which may explain the astounding rise
in the use of these devices by youth. -
4:55 - 4:58E-cigarettes are technically
a very simple device. -
4:58 - 5:04There is a receptacle for the e-liquid
which can be a tank, a pod or a plug. -
5:04 - 5:09There is a battery that charges the coil,
which then vaporizes the e-liquid. -
5:09 - 5:10And then there is a mouthpiece,
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5:10 - 5:13where the user can actually draw
from the e-cigarette. -
5:14 - 5:20In 2017, there were 466 e-cigarette
devices in the marketplace. -
5:21 - 5:25These range from cigarette-like devices
which are also called "cigalikes" -
5:25 - 5:29to tank systems,
which are also called "pens." -
5:29 - 5:33And then there are modified devices,
which are also called "mods." -
5:33 - 5:35Mods look nothing like a cigarette,
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5:35 - 5:38and they come in various shapes and sizes,
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5:38 - 5:42with different kinds of attachments
and user adjustments. -
5:42 - 5:44They're very popular for cloud chasing.
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5:45 - 5:47The most recent entrance
into the marketplace -
5:47 - 5:49are the pod devices,
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5:49 - 5:51which contain the e-liquid in a pod.
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5:52 - 5:54These are very popular,
by the way, among teens. -
5:54 - 5:56An example of this is the Juul,
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5:56 - 5:59which not only looks like a USB device
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5:59 - 6:02but can also be plugged
into a USB outlet to charge. -
6:03 - 6:06Many teens do not even think
that these are e-cigarettes, -
6:06 - 6:10which has led to the use of terms
like "juuling" instead of "vaping." -
6:11 - 6:15Many of these devices are so discreet
and produce so little vapor -
6:15 - 6:17that teens are using them in classrooms
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6:17 - 6:21and hiding them in objects
like Sharpie pens, their clothes, -
6:21 - 6:22their books.
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6:22 - 6:25Now, many teens think
that these devices produce water vapor, -
6:25 - 6:27and therefore, they are safe to use.
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6:27 - 6:30But this could not be
further from the truth. -
6:30 - 6:32What is produced is not even a vapor,
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6:33 - 6:34it's an aerosol,
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6:34 - 6:37and let me tell you, the difference
is quite pronounced. -
6:37 - 6:42Aerosols contain many finely suspended
particles of liquids and gases -
6:42 - 6:45that are created
from whatever is in the e-liquid. -
6:45 - 6:49So an aerosol could contain
propylene glycol and glycerin, -
6:49 - 6:50which are solvents in the e-liquid.
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6:51 - 6:54Now, these solvents are known
to be safe for edible use, -
6:54 - 6:57so for use in products that you eat,
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6:57 - 7:02but we know very little about their safety
following long-term inhalational exposure. -
7:03 - 7:05The e-liquids can also contain alcohol,
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7:05 - 7:07sometimes in high levels,
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7:07 - 7:11and inhaling alcohol is known
to have toxic effects on the brain. -
7:12 - 7:16I told you earlier that the e-liquids
contain over 15,000 different flavors. -
7:16 - 7:18Here are some examples,
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7:18 - 7:23some with very catchy but familiar names
like "Skittles" and "Fruit Loops," -
7:23 - 7:28and others with more exotic names
like "Dragon's Milk" and "Tiger's Blood" -
7:28 - 7:29and "Unicorn Puke."
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7:30 - 7:34The e-liquid or the aerosol
can also contain metallic particles -
7:34 - 7:36like chromium, cadmium and lead.
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7:37 - 7:40These are generated
from the heating coil in the devices -
7:40 - 7:43and are also known to have
many toxic effects on vital organs. -
7:44 - 7:47So no, let me make this very clear:
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7:47 - 7:50what is produced is definitely
not water vapor. -
7:52 - 7:55Exposure of the teen brain to nicotine
through e-cigarettes -
7:55 - 7:57is also very concerning.
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7:58 - 8:01The teen brain is very sensitive
to even low levels of nicotine -
8:01 - 8:03and gets very easily addicted.
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8:03 - 8:06In fact, we have known for a long time
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8:06 - 8:11that 90 percent of smokers start smoking
cigarettes prior to the age of 18. -
8:11 - 8:16Those who start early are more addicted
and have a harder time quitting smoking. -
8:16 - 8:20In other words, and to quote
a past FDA commissioner, -
8:20 - 8:23"Nicotine addiction ...
is a pediatric disease." -
8:24 - 8:28E-cigarettes can expose teens
to a lot of nicotine. -
8:28 - 8:31Many of these devices contain
the amount of nicotine -
8:31 - 8:32that is in a full pack of cigarettes.
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8:33 - 8:37The more recent pod devices
contain a nicotine salt, -
8:37 - 8:40which has a smoother taste
and is much easier to use -
8:40 - 8:43and can produce rapid increases
in brain nicotine levels. -
8:44 - 8:48Teens who use e-cigarettes regularly
report symptoms of craving -- -
8:48 - 8:51feeling anxious when they don't
have their e-cigarettes. -
8:51 - 8:54All these are hallmarks
of a behavioral addiction. -
8:55 - 9:00E-cigarettes are not only addictive
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9:00 - 9:03but they also affect
many other organs in the body. -
9:03 - 9:06So nicotine, which is
in e-cigarettes, for example, -
9:06 - 9:10binds to a receptor called
the nicotinic acetylcholine receptor, -
9:10 - 9:14which plays a key role in the functioning
of almost all organ systems -
9:14 - 9:15in the human body.
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9:15 - 9:20And chronic exposure to nicotine
changes the functioning of these systems. -
9:20 - 9:22So as an example,
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9:22 - 9:26chronic exposure to nicotine decreases
the flexibility of the blood vessels -
9:26 - 9:30and changes how the heart responds
to acute challenges like stress. -
9:31 - 9:35The teen brain is not only sensitive
to the addictive effects of nicotine -
9:35 - 9:37but also to its toxic effects.
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9:38 - 9:42In adolescent animals, nicotine
is a very well-established neurotoxin, -
9:42 - 9:45and it decreases learning,
memory and attention processes -
9:45 - 9:48and increases hyperactivity symptoms.
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9:48 - 9:51Teens who use tobacco products
are more likely to use -
9:51 - 9:52marijuana and alcohol
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9:52 - 9:57and also develop depression and anxiety
as a teen or as an adult. -
9:59 - 10:03So nicotine addiction through e-cigarettes
could be leading them down the path -
10:03 - 10:06of other addictions
and other mental health problems. -
10:07 - 10:12Now, in adolescent animals, nicotine
also produces epigenetic changes, -
10:12 - 10:14or heritable changes in gene expression,
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10:14 - 10:17for example, in the genes
involved in asthma. -
10:17 - 10:21So teens who use nicotine may not only
be harming themselves -
10:21 - 10:24but they could be harming
their future generations. -
10:25 - 10:28You know, the very existence
of e-cigarettes -
10:28 - 10:32could have led to an entire generation
of nicotine-addicted youth. -
10:33 - 10:36Easy access to these devices
could have led to more experimentation -
10:36 - 10:40with marijuana and many other
vaporizable substances by youth. -
10:41 - 10:46While there is no doubt that providing
smokers with a cleaner form of nicotine -
10:46 - 10:49is and should continue
to be a critical goal, -
10:49 - 10:53we still do not know if these devices
help smokers quit smoking, -
10:53 - 10:57and we know very little about
the long-term effects of these devices. -
10:58 - 11:03What we do know is that youth --
lots of youth -- are using these devices. -
11:03 - 11:07In fact, the FDA commissioner
recently used the term "epidemic" -
11:08 - 11:10to describe e-cigarette use in the US.
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11:11 - 11:16While trying to solve one huge
public health problem, cigarette smoking, -
11:16 - 11:18we may have created another colossal one.
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11:19 - 11:22Our lack of vigilance in the earlier years
around cigarette smoking -
11:22 - 11:26led to a cigarette epidemic and many,
many cigarette-related diseases. -
11:27 - 11:30We do not want to repeat
the same mistakes with e-cigarettes. -
11:31 - 11:34So now is the time for action,
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11:34 - 11:39for regulations that address the appeal
and access of these devices to youth. -
11:40 - 11:46Do smokers really need 15,000
kid-friendly flavors to quit smoking? -
11:47 - 11:50Do they need so many different
kinds of devices? -
11:50 - 11:54Is it a good idea to have devices
which are so easy to hide -
11:54 - 11:56and so easy to use?
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11:57 - 12:02We recently heard that the FDA plans
to introduce stricter regulations -
12:02 - 12:06on sales of these devices
that contain e-liquid flavors -
12:06 - 12:09in retail locations like convenience
stores and gas stations, -
12:09 - 12:11and also introduce stricter regulations
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12:11 - 12:14on sales of devices
to minors over the internet. -
12:15 - 12:19Is this going to be sufficient to change
this rapid increase in youth uptake? -
12:20 - 12:23We need to ask and answer
such critical questions. -
12:25 - 12:28Now is also the time for a serious
public education campaign. -
12:29 - 12:31Teens and their parents need to know
-
12:31 - 12:35that while e-cigarettes may contain
less toxins than cigarettes, -
12:35 - 12:37they're certainly not benign.
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12:38 - 12:41Exposure of their bodies to the chemicals
produced by these devices -
12:41 - 12:44could be changing them in ways
they may not like -
12:44 - 12:48and setting them up for future
unknown toxicities and health problems. -
12:50 - 12:51You know, when I said earlier
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12:51 - 12:54that e-cigarettes were a perfect fit
for the smartphone generation, -
12:54 - 12:55I was not kidding.
-
12:56 - 12:59We live in a technology-crazed world,
-
12:59 - 13:03where the latest device
and technology gets a lot of attention -
13:03 - 13:07just because it is technology
and because it is the latest thing. -
13:07 - 13:11More and more over the next few years
and for the rest of our lives, -
13:11 - 13:14we are going to see technologies
coming into the marketplace -
13:14 - 13:17that may not raise
any health flags at first, -
13:17 - 13:19simply because they don't look unhealthy
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13:19 - 13:21or they're not a medical device.
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13:22 - 13:24For example, we could see devices
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13:24 - 13:27that may make it easier
to go longer without sleep -
13:27 - 13:29or help us lose weight --
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13:29 - 13:30a personal goal of mine --
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13:30 - 13:32or achieve any number of other goals
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13:33 - 13:36that we as consumers
are very, very interested in. -
13:37 - 13:42But many of these devices may come
with unacceptable risks to our own health. -
13:43 - 13:47So if we want to protect our health
and the health of our children, -
13:47 - 13:49perhaps we should get out of the habit
-
13:49 - 13:53of automatically celebrating
such new technology -
13:53 - 13:57and get into the habit of looking
at them with a critical eye, -
13:57 - 13:59perhaps even through a medical lens.
-
13:59 - 14:01Because, you know something?
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14:01 - 14:05Our health, the health of our children
and our future generations -
14:05 - 14:09is far too valuable
to let it go up in smoke -- -
14:09 - 14:11or even in aerosol.
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14:11 - 14:13Thank you.
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14:13 - 14:15(Applause)
- Title:
- What you should know about vaping and e-cigarettes
- Speaker:
- Suchitra Krishnan-Sarin
- Description:
-
E-cigarettes and vapes have exploded in popularity in the last decade, especially among youth and young adults -- from 2011 to 2015, e-cigarette use among high school students in the US increased by 900 percent. Biobehavioral scientist Suchitra Krishnan-Sarin explains what you're actually inhaling when you vape (hint: it's definitely not water vapor) and explores the disturbing marketing tactics being used to target kids. "Our health, the health of our children and our future generations is far too valuable to let it go up in smoke -- or even in aerosol," she says.
- Video Language:
- English
- Team:
- closed TED
- Project:
- TEDTalks
- Duration:
- 14:29
Brian Greene edited English subtitles for What you should know about vaping and e-cigarettes | ||
Brian Greene approved English subtitles for What you should know about vaping and e-cigarettes | ||
Brian Greene edited English subtitles for What you should know about vaping and e-cigarettes | ||
Camille Martínez accepted English subtitles for What you should know about vaping and e-cigarettes | ||
Camille Martínez edited English subtitles for What you should know about vaping and e-cigarettes | ||
Camille Martínez edited English subtitles for What you should know about vaping and e-cigarettes | ||
Leslie Gauthier edited English subtitles for What you should know about vaping and e-cigarettes | ||
Leslie Gauthier edited English subtitles for What you should know about vaping and e-cigarettes |