The use of tobacco products among Florida’s youth is at an all-time low, but that good news is offset by significant increases in the number of children who vape, a state advisory panel was told Thursday.
The results of the 2019 Florida Youth Tobacco survey of 10,844 high-school and middle-school students showed that 1.5 percent reported smoking tobacco cigarettes in the previous 30 days. But 16.6 percent reported using electronic-cigarette products in the previous 30 days, which was more than a 5 percent increase over the prior year, and an all-time high.
In Flagler, 15.1 percent of students in middle and high school reported using a vaping product in the past 30 days, up from 13.8 percent in 2016 and 7.8 percent in 2014. Overwhelmingly, those who use vaping products have tried cigarette smoking before. In 2018, 75.2 percent of middle and high school students in Flagler who reported using vaping products had used cigarettes before. Just 8.1 percent had gone straight to vaping. The proportion among Florida students as a whole is 69.7 percent and 10.8 percent.
The survey also showed that the electronic-cigarette use was growing faster among middle school students than among their high school counterparts.
In 2019, 9.1 percent of middle school students who were surveyed had vaped, compared to 7.8 percent the previous year. By comparison, 25.6 percent of high school students in 2019 reported having used vaping products, compared to 24.8 percent the previous year.
In Flagler, 18 percent of middle school students reported using vaping products at some point in their life, up from 17.3 percent two years ago, compared to 14.7 percent across the state. In 2012, just 4.6 percent of Flagler middle schoolers reported ever using a vaping product. For Flagler high school students, the proportion is 36 percent, compared to 37.9 percent across the state.
“Vaping is a public health crisis nationally, in the state and in our community,” Robert Snyder, director of the Flagler Health Department, said. “The fact that vaping is introducing nicotine products to children as early as middle school is disturbing, particularly since 35 percent of our middle and high school students vape or have tried vaping. Fortunately for us, there are active student groups like SWAT (Students Working Against Tobacco) and Juuls are for Fools in Flagler County that are active in raising awareness about the harmful effects of nicotine and other unknown ingredients that are causing illnesses and deaths. Peer-to-peer information sharing like this will be a key element in addressing this crisis.”
Of those who reported vaping, 60 percent in the 2019 survey said they vaped nicotine products, while almost half reported vaping marijuana or hash oil, according to a presentation shared with the 23 members of the Tobacco Education and Use Prevention Advisory Council who met in Tallahassee on Thursday. The council is created in state law as an advisory board to the state surgeon general. It does not have authority to make legislative recommendations.
“I’m almost distraught looking at this information,” Jim Howell, a former Department of Health secretary who is a member of the Tobacco Education and Use Prevention Advisory Council, said Thursday after hearing the survey results.
In Flagler, just 15.3 percent of middle and high school students think electronic vapor products are not addictive, down by half from 2014, when 30.8 percent of students thought vaping was not addictive.
Among middle and high school student users of vaping products in Flagler, 3 percent report using at school in 2018, more than double the proportion from two years ago. Just 1 percent reported using cigarettes on campus.
The survey included the responses of children enrolled in 175 schools across the state, according to Florida Youth Survey Coordinator Tera Anderson. It did not include responses from 18-year-olds who may still be in high school but aren’t legally minors.
Some of the data underscored what appeared to be a misunderstanding among youth regarding vaping. For instance, 87.9 percent of the children surveyed said they would never smoke, but 11.4 percent of the “never smokers” reported vaping in the previous 30 days, Anderson said.
In Florida, it is illegal to sell tobacco or electronic vaping products to people under 18. Whether they were vaping or smoking tobacco, children in the 2019 study reported they had stolen the products, either from stores or from someone they knew.
The release of the data comes as scrutiny over vaping products is on the rise, mostly due to a multistate outbreak of lung illnesses.
Florida had 68 reported vaping-related illnesses as of Saturday, with the number increasing by 16 cases last week, according to the state Department of Health. Florida has reported one death linked to vaping.
The nation had 1,299 lung-injury cases associated with the use of e-cigarettes or vaping as of Oct. 8, the federal Centers for Disease Control and Prevention reported last week. The cases came from 49 states, the District of Columbia, and a U.S. territory.
While there’s no definitive cause behind the illnesses, information suggests that vaping products containing THC, “particularly those obtained off the street or from other informal sources are linked to most of the cases and play a major role in the outbreak,” according to the Centers for Disease Control and Prevention website. THC, or tetrahydrocannabinol, is the euphoria-causing chemical in marijuana.
Florida Attorney General Ashley Moody on Wednesday said her office will investigate more than 20 companies, including industry giant JUUL Labs, to look at how they are marketing and selling electronic cigarettes.
Moody’s office released the names of 22 companies that will be part of the investigation, with the list including a mixture of Florida-based and out-of-state firms. Among others, the list includes vaping-industry giant JUUL Labs.
The industry has drawn heavy scrutiny this year, in part because of widespread use by minors of nicotine-delivering electronic cigarettes. A report released in April by the Florida Department of Health indicated that about 25 percent of high-school students in 2018 said they vaped.
Florida lawmakers and then-Gov. Rick Scott in 2014 approved a law that banned the sale of electronic cigarettes to minors, similar to the longstanding ban on sales of tobacco products to people under 18.
But Moody said Wednesday that the investigation will delve into whether companies are marketing the products to teens.
Meanwhile, members of the advisory council also were provided an update Thursday from Erik Crankshaw, a researcher with the firm RTI, about tobacco use among Florida adults in 2018.
Similar to the results with youth, there was a decrease in the percentage of tobacco smokers and an increase in the number of people using electronic cigarettes.
Crankshaw’s data shows that 14.5 percent of Florida adults smoked in 2018, a drop from 16.1 percent the previous year. And the percentage of e-cigarette adult users jumped to 5.9 percent in 2018, up from 4.3 percent the previous year.
Crankshaw told members of the advisory council that JUUL Labs accounted for 76 percent of the total e-cigarette sales in the second quarter of 2019, a 21 percent increase over the prior year’s sales for the quarter.
“My blood is boiling,” Penny Taylor, a long-serving member of the advisory council, said following the presentations.
State Surgeon General Scott Rivkees, who chaired the meeting and is secretary of the Department of Health, told the panel that the increase in vaping is a “complex problem that is going to require complex solutions.”
–FlaglerLive and News Service of Florida