INSIGHTS ON PBS HAWAIʻI: Vaping (Electronic Cigarettes) | Program


>>VAPING, OR THE USE OF ELECTRONIC CIGARETTES
BY TEENAGERS, HAVE REACHED AN EPIDEMIC PROPORTION ACCORDING TO THE FDA,
A LEADING MANUFACTURE SAYS ITS PRODUCTS FUNCTION AS AN ALTERNATIVE TO
REAL CIGARETTES AND WERE NOT INTENDED FOR MINORS BUT, MINORS ARE VAPING. STUDIES SHOW HAWAIʻI TEENS VAPE TWICE AS
MUCH AS THEIR MAINLAND COUNTERPARTS, ESPECIALLY ON THE NEIGHBOR ISLANDS. NEARLY 30% OF MIDDLE
SCHOOL STUDENTS HERE SAY THEY HAVE TRIED IT. TONIGHT’S LIVE BROADCAST AND LIVE STREAM OF INSIGHTS ON PBS HAWAIʻI START NOW. [INTRO MUSIC]>>YUNJI: ALOHA AND WELCOME TO INSIGHTS ON
PBS HAWAIʻI. I’M YUNJI DE NIES. HEALTH OFFICIALS SAY VAPING IS THREATENING
TO CREATE A NEW GENERATION OF YOUTH ADDICTED TO NICOTINE. A VAPING INDUSTRY LEADER TOLD CONGRESS THIS
SUMMER THAT E CIGARETTES ARE INTENDED FOR ADULTS WHO WANT AN ALTERNATIVE
TO THE HARMFUL EFFECTS OF TOBACCO CIGARETTES. HE SAID THEY ARE NOT INTENDED FOR MINORS. CRITICS AREN’T BUYING THAT ARGUMENT, SAYING
FRUITY FLAVORS AND CLEVER ADVERTISING LURE YOUNGER CLIENTS INCLUDING
MIDDLE AND HIGH SCHOOL AGE STUDENTS. WHAT, IF ANYTHING, SHOULD THE GOVERNMENT DO? OUR PANELISTS TONIGHT REPRESENT THE HEALTH
INDUSTRY, THE VAPING INDUSTRY AND THOSE WHO ADVOCATE FOR LESS GOVERNMENT
REGULATION. WE LOOK FORWARD TO YOUR PARTICIPATION IN TONIGHT’S
SHOW. YOU CAN EMAIL,
CALL OR TWEET YOUR QUESTIONS. AND YOU’LL FIND A LIVE STREAM OF THIS
PROGRAM AT PBSHAWAII.ORG AND THE PBS HAWAIʻI FACEBOOK PAGE. NOW, TO OUR GUESTS. TRISH LA CHICA IS THE POLICY AND ADVOCACY
DIRECTOR OF THE HAWAIʻI PUBLIC HEALTH INSTITUTE. SHE HAS LED SUCCESSFUL CAMPAIGNS TO PASS LAWS
FOR SMOKE-FREE CARS FOR KEIKI, CREATE A STATEWIDE
PROGRAM TO IMPROVE HEALTHY FOOD ACCESS FOR LOW-INCOME RESIDENTS,
AND MAKE CHILDREN’S MEALS IN RESTAURANTS HEALTHIER. DR. BRYAN MIH IS A PEDIATRICIAN IN PRIVATE PRACTICE
AND DIRECTOR OF THE SMOKE-FREE FAMILIES PROGRAM AT KAPIOLANI MEDICAL
CENTER. HE IS AN
ASSISTANT PROFESSOR OF PEDIATRICS AT THE UH MEDICAL SCHOOL AND HAS BEEN
AWARDED FOR HIS EFFORTS AT TOBACCO PREVENTION AND CONTROL. MICHAEL ZEHNER IS THE CO-CHAIR OF THE HAWAIʻI
SMOKER’S ALLIANCE. THE GROUP
WAS FOUNDED IN 2006 TO FIGHT BACK AGAINST ANTI-SMOKING AND ANTI-VAPING
LEGISLATION WHICH THE GROUP SAYS TARGETED CIVIL RIGHTS AND LIBERTIES. AND SEAN ANDERSON IS THE OWNER OF BLACK LAVA
VAPE. HE OWNS TWO STORES
ON HAWAIʻI ISLAND. HE HAD QUIT USING TOBACCO PRODUCTS SEVERAL
TIMES USING TRADITIONAL CESSATION DEVICES, BUT VAPING
WAS THE ONLY THING THAT ACTUALLY KEPT HIM FROM GOING BACK. WELCOME TO ALL OF YOU. THANK YOU FOR BEING HERE. DOCTOR, THERE IS NOT A LOT KNOWN ABOUT THE
LONG-TERM EFFECTS. HOW IT THEY COMPARE TO TRADITIONAL CIGARETTES?>>WE KNOW THAT THERE’S NICOTINE CONTAINED
IN E CIGARETTE. THERE ARE
CHEMICALS AND SOLVENTS THAT THEY USE TO HOLD THAT TOGETHER. THEY
COMPARE TO REGULAR COMBUSTIBLE CIGARETTES IS NOT 100% KNOWN AT THIS
TIME. BUT WE SEE THAT THERE ARE HEALTH EFFECTS FROM
USING E CIGARETTES INCLUDING RISK OF ADDICTION FROM THE NICOTINE
ITSELF. LUNG DAMAGE OR
IRRITATION FROM THE CHEMICALS USED IN THE LIQUID. AND SIDE EFFECTS FROM
THE CHEMICALS THAT ARE USED IN THE PRODUCTION WHICH ARE INCLUDED THERE. INCLUDING HEAVY METALS AND VARIOUS OTHER TOXINS.>>YOU’VE BEEN ON THE OTHER SIDE, HAVING BEEN
A SMOKER AND USING DEVICES TO QUIT SMOKING. TELL US HOW YOU FEEL AS SOMEONE WHO USES THESE
DEVICE IN TERMS OF YOUR HEALTH.>>THERE’S A HUGE MISCONCEPTION. 90% OF WHAT PEOPLE DIE ARE GOING TO BE BOTTLED. SUCH AS JUUL AND STUFF. YOU’RE RIGHT. WHO KNOWS WHAT THEY’RE PUTTING IN
THERE. 90% OF WHAT IS PURCHASED IS INGREDIENTS LISTED
RIGHT ON THE PACKAGING. AND THEY’RE ALL, LIKE I MENTIONED EARLIER,
APPROVED FOR HUMAN CONSUMPTION BY THE FDA. PROPYLENE AND SOME CASES NICOTINE. THERE’S A LOT
OF PEOPLE THAT DON’T WANT NICOTINE. YOU KNOW WHAT I MEAN? OR THEY’VE CUT
DOWN FROM SIX MILLIGRAM TO THREE TO NO NICOTINE. THEY ENJOY THE FLAVORS.>>Y UNJI : TELL US ABOUT WHAT THIS DOES FOR
YOUNG PEOPLE. WHAT ARE YOUR
CONCERNS BOTH AS SOMEONE WHO IS USING THEM AND IS THERE A SECONDHAND
SMOKING ISSUE?>>WE’VE BEEN SEEING A LOT OF THIS HAPPENING. IT’S RAMPANT ACROSS OUR
SCHOOLS. WE HAVE STAFF ACROSS THE STATE THAT HEAR FROM
THE KIDS. WE STARTED
REALLY DOING THIS FIVE YEARS AGO, WE WOULD ASK THE KIDS, HOW MANY OF YOU
HAVE BEEN ASKED TO VAPE? IT WOULD PROBABLY BE A THIRD OF THE CLASS. NOW
IT’S EVERY SINGLE HAND GOES UP. AND WE’RE RECEIVING REQUEST AT THE
ELEMENTARY SCHOOL LEVEL TO DO VAPING PREVENTION AND EDUCATION
PRESENTATIONS BECAUSE KIDS AT THE ELEMENTARY LEVEL ARE GETTING
ADDICTED. THEY’RE TREATING THIS AS A PUBLIC HEALTH EMERGENCY. LIKE YOU
SAID EARLIER, THE LONG-TERM EFFECTS ARE STILL UNKNOWN. WE’RE SEEING A LOT
OF ACUTE CASES COMING UP IN THE EMERGENCY ROOM. WE’RE HEARING THERE’S A
LOT HAPPENING HERE IN HAWAIʻI AS WELL WHEN IT COMES TO E.R. ADMISSION AND
SOME POISON RELATED CASES FROM INFANT TO YOUNG KIDS ACCIDENTLY
INGESTING THESE PRODUCTS.>>Y UNJI : WHAT ABOUT SECONDHAND SMOKE? DOES VAPING CREATE THE SAME
ISSUES AS CIGARETTES?>>NOT THE SAME. LIKE DOCTOR MIH MENTIONED, THERE ARE METALS. WHEN IT GOES INTO THE VAPE CLOUDS, IT PRODUCES
TOXIC COMPOUNDS. WHAT
WE’RE CONCERNED BY IS THE NICOTINE ADDICTION THAT IS HAPPENING WHEN THE
KIDS INHALE AND CONTINUE TO USE THE PRODUCTS.>>Y UNJI : I KNOW YOUR AGENCY ADVOCATES FOR
LITTLE TO NO REGULATION. GIVEN THAT THERE COULD BE HARMFUL EFFECTS,
WHY NOT HAVE THESE PRODUCTS REGULATED?>>THERE ALREADY IS REGULATION AT THE STATE
LEVEL. WITH THE AGE
RESTRICTION. THERE’S FAIR MARKETING. THEY TELL YOU WHAT’S IN IT. IF THEY TELL YOU THERE’S
LEAD, THAT’S ALWAYS ADVERTISING. THAT GOES FOR A WHOLE RANGE OF PRODUCTS. APPLIANCES TO CARS, THERE’S
RECALLS, THERE’S PROBLEMS. NO ONE IS SCREAMING TO BAN CARS. TEENAGERS HAVE ACCIDENTS. THEY DRINK
UNDERAGE. WHERE IS THE OUTCRY FOR BANNING ALCOHOL? THERE ISN’T ANY
MONEY TO SUPPORT THAT. AND THAT’S WHY THERE’S NO OUTCRY.>>Y UNJI : ON A PERSONAL LEVEL, YOU USE THESE
PRODUCTS. TELL US ABOUT THE UP SIDE.>>THEY’RE GREAT. THEY RELAX ME. MY MENTAL ACUITY GOES UP. IT’S GREAT.>>Y UNJI : DOCTOR, WHEN YOU HEAR SOMETHING
LIKE THAT, WHAT ARE THE DOWN SIDES? WHAT ARE YOU APPEARING FROM PATIENTS AND PARENTS?>>THEY SAY ITS VAPING AND PEOPLE BELIEVE
IT’S WATER VAPOR. IT’S AEROSOL
CHEMICALS. PROPYLENE IS FDA APPROVED, BUT THEY’RE FDA
APPROVED FOR INGESTION. BUT THEY’RE NOT FDA APPROVED FOR INHALATION. YOU CAN EAT A LOT OF THINGS, BUT YOU WOULD
NOT WANT TO BREATHE THOSE THINGS. I LOVE PIZZA BUT I WOULD NOT WANT TO VAPORIZE
PIZZA.>>Y UNJI : WHEN THEY’RE GOING INTO YOUR LUNGS
IT SEEMS SO SEVERE. SOMETIMES YOU SEE PEOPLE IN A CAR, IT ALMOST
LOOKS LIKE THE CAR IS ON FIRE. WHAT IS THAT DOING TO YOU PHYSICALLY?>>THERE’S A LOT OF THINGS THAT ARE HAPPENING. THE PROPYLENE. YOU GET EXPOSED TO NICOTINE. THE DISTINCTION WITH E CIGARETTES AS
OPPOSED TO TRADITIONAL COMBUSTIBLE CIGARETTES IS NICOTINE USED TO GIVE
YOU THROAT BURN BECAUSE IT’S A VAPE. IF YOU REMEMBER FROM CHEMISTRY, THERE’S ACIDS. WHAT E CIGARETTE
COMPANIES HAVE DONE, THEY MADE IT MORE NEUTRAL. WHAT HAPPENS IS THEY’RE ABLE TO TAKE A VERY
DEEP BREATH, AND YOU GET A BIGGER NICOTINE HIT. YOU GET A HIGHER DOSE MORE QUICKLY, AND YOU
GET AFFECTED MUCH MORE RAPIDLY. THAT IS ONE OF THE MORE SIGNIFICANT EFFECT. ESPECIALLY YOUNGER PEOPLE. THEY CAN GET THINGS LIKE HEADACHES, NAUSEA,
VOMITING. WE’RE HAVING REPORTS OF PEOPLE WITH SEIZURES
AND CHEST PAIN, DIFFICULTY BREATHING. AND THAT’S HAPPENING WITH RECENT CDC REPORT
WHERE THEY’VE HAD 157 CASES ACROSS THE U.S. JUST IN THE
PAST TWO MONTHS OF THIS LUNG IRRITATION. IT LOOKS LIKE A LUNG INFECTION.>>Y UNJI : LET’S TALK ABOUT MANY STUDENTS
IN HAWAIʻI ARE USING THESE PRODUCTS. WE HAVE TWO GRAPHICS TO ILLUSTRATE HOW MUCH
HAVE TRIED THIS HERE IN HAWAIʻI, THESE ARE PEOPLE WHO HAVE
TRIED OR CURRENTLY USING. 47% OF HIGH SCHOOL STUDENTS AND 27% OF MIDDLE
SCHOOL. MIDDLE SCHOOL IS
6TH, 7TH AND 8TH GRADE. IF YOU LOOK AT IT BY COUNTIES, HAWAIʻI COUNTY
AND MAUI COUNTY AT 50 AND 51% HIGH SCHOOL STUDENTS TRY OR CURRENTLY
USING THESE PRODUCTS. STATEWIDE AVERAGE 42%. HAWAIʻI IS MORE THAN DOUBLE THE NATIONAL
AVERAGE. TRISH, WHY DO YOU THINK SO MANY PEOPLE IN
HAWAIʻI ARE USING THIS AS OPPOSED TO NATIONWIDE?>>SEVERAL THINGS. HAWAIʻI DOES HAVE MUCH — OUR RATES ARE HIGHER
THAN THE MAINLAND. DOUBLE
IN HIGH SCHOOL AND TRIPLE WITH OUR MIDDLE SCHOOL. AND THAT’S CONCERNING. BUT I THINK YOUTH ARE REALLY — THEY’RE SUSCEPTIBLE
TO THE ADVERTISING AND MARKETING. AND HOW THEY’RE EXPOSED TO THESE PRODUCTS. THE E CIGARETTE INDUSTRY HAS REALLY USED ALSO
THINGS, TOOLS LIKE SOCIAL MEDIA TO PROMOTE THEIR PRODUCTS. WHEN JUUL FIRST CAME OUT, A LOT OF
IMAGES USED WERE YOUTH ORIENTED. WHEN WE ASK OUR KIDS, IT’S THE NUMBER ONE
REASON THEY’RE STARTING IS IT’S THE FLAVORS THAT ARE ATTRACTING KIDS. THEY’LL TELL US THAT CIGARETTES ARE DISGUSTING,
BUT E CIGARETTE FLAVORS ARE DELICIOUS. THEY SMELL AND LOOK LIKE SKITTLES. BUT IT’S THE NICOTINE COMPONENT THAT KEEPS
THEM COMING BACK FOR MORE.>>Y UNJI : YOU SELL THESE PRODUCTS. ARE THESE DESIGNED FOR ADULTS?>>100%. IF I CAN GO BACK JUST A LITTLE BIT. JUST TO HIS COMMENT. I DID A LITTLE
RESEARCH, GOOGLED. PROPYLENE IS IN A LOT. BYPRODUCT, VEGETABLE GLYCERIN
WHEN HEATED IS WATER VAPOR. THAT’S A BIG MISUNDERSTANDING. IT’S A HALF TRUTH AND HALF TRUTHS ARE NOT
REALLY WHAT — IT’S ABOUT EDUCATING PEOPLE. AS FAR AS YOUR QUESTION, 100%, THEY ARE MADE
FOR ADULTS. WE STOP SELLING JUUL BECAUSE THEY SOLD OUT
TO TOBACCO. WE’VE ALWAYS BEEN ABLE TO SAY SINCE WE OPENED,
AND 90% OF VAPE IS SMALL LOCAL BUSINESSES. IT IS NOT R.J. REYNOLDS OR THIS. WHEN JUUL SOLD OUT, A LOT OF VAPE SHOPS
STOPPED SELLING. MAJORITY OF PEOPLE DON’T USE JUUL. ONLY REASON WE HEARER ABOUT THAT IS BECAUSE
OF CONVENIENT TAPING. WHICH WE’RE 100%, I’M IN AGREEMENT WITH ALL
OF YOU. WE REACHED OUT TO SCHOOLS TO TRY TO SEE IF
WE CAN TALK. THIS IS A BAD THING. AND IT’S MAKING IT HARDER FOR RESPONSIBLE
ADULTS WHO HAVE FINALLY SUCCESSFULLY QUIT THE USE OF COMBUSTIBLE TOBACCOS
AND STAYED OFF. IT’S ALWAYS FOR THAT. WE TRIED TO REACH BEFORE THE LEGISLATORS. LET’S DO SOMETHING TOGETHER. THERE’S GOT TO BE SOMETHING TO BE DONE. WHETHER THEY’RE GETTING IT FROM PARENTS, WHICH
HAPPENS A LOT MORE THAN YOU MAY THINK, OR IT’S AN ONLINE PURCHASE. IT’S REALLY EASY FOR THEM TO GET
IT.>>THERE ARE PLENTY OF WAYS WE CAN USE TO
COMBAT. THESE ARE MADE FOR RESPONSIBLE ADULTS WHO
WANT TO QUIT SMOKING. I LIKE
CHOCOLATE AND GUMMY BEARS. WHEN I TURNED 18 OR 21, I DIDN’T STOP LIKING
THOSE. THE ALCOHOL INDUSTRY, YOU GOT BLUEBERRY THIS. MANGO THAT. JUST BECAUSE A KID LIKES SOMETHING THAT AN
ADULT HAS, THAT SHOULDN’T BE A PUNISHMENT. WE SHOULD WORK ON THE PROBLEM.>>YUNJI: WHO, IN YOUR STORE, IS BUYING GUMMY
BEAR OR COTTON CANDY OR THOSE FLAVORS? ADULTS?>>YEAH. WE DON’T LET ANYBODY IN THAT’S UNDER 21. YOU CAN’T GET INTO OUR STORE.>>YUNJI: WHAT THERE IS, IS A MOVE BY THE
LEGISLATURE, WHAT DO YOU THINK ABOUT BANNING FLAVORS?>>TOTALLY OPPOSED. PEOPLE STRONGEST IN ADVOCATING THAT, THEY
MAY BE FINANCIALLY INCENTIVIZED. THEY TAKE MONEY FROM THE FINANCIAL INDUSTRY. WHEN WE BROUGHT TO THE ATTENTION OF THE LEGISLATURE,
YOU DON’T SEE ANYONE TALKING ABOUT THAT. THEIR PRODUCT IS IN DIRECT COMPETITION. THEY HAVE GUM AND CHANCES. I’M SEE HUNDREDS OF PEOPLE HAVE DIED. LAWSUIT SETTLEMENTS BECAUSE THE DRUG IS DANGEROUS. HER GROUP NEVER SAYS A BAD THINGS. THEY’RE SO TERRIBLE.>>WE REACHED OUT TO TRY TO BRING IN THE PATCH
AND GUM BECAUSE WE WANT PEOPLE TO STOP THE USE OF TRADITIONAL TOBACCO. WE COULDN’T GET ANYWHERE. WE COULDN’T GET THEM IN OUR STORE. WE’RE TRYING TO GET PEOPLE OFF
CIGARETTES. IT’S LIKE WE HAVE LITERALLY THE SAME GOAL. STOP SMOKING CIGARETTES. WE
BUTT HEADS. THEY DON’T WANT TO WORK WITH US.>>YUNJI: AREN’T THEY CUSTOMERS WHEN THEY
BECOME OF AGE?>>WHEN YOU BECOME OF ABLE, YOU SHOULD BE
ABLE TO DO WHATEVER YOU LIKE. IF SOMEBODY COMES IN AND THEY DON’T SMOKE,
THEY’RE NOT A SMOKER, WE DON’T SELL TO THEM.>>YUNJI: ON A PRACTICAL LEVEL, HOW DO YOU
DO THAT?>>THERE’S NO REASON.>>YUNJI: I WANT TO GIVE YOU A CHANCE TO RESPOND?>>MR.~ZEHNER LIKES TO BRING THIS UP DURING
PUBLIC HEARINGS AND THINGS. FROM A PUBLIC HEALTH PERSPECTIVE, WE BELIEVE
THAT ALL PEOPLE DESERVE TO BE FREE FROM A LIFETIME OF ADDICTION. WE HEAR FOR THE TOBACCO END GAME. E CIGARETTES ARE TOBACCO PRODUCTS. THEY’RE DEFINED AS TOBACCO
PRODUCTS BECAUSE OF THE NICOTINE. AND FDA IS SAYING THEY ARE TOBACCO PRODUCTS
AND HOW THEY’RE REGULATED. E CIGARETTES ARE THE ONLY PRODUCTS THAT DO
NOT FALL UNDER THE SAME REGULATIONS AS CIGARETTES. THERE’S NO TOBACCO TAX ATTACHED TO THESE PRODUCTS. THEY CAN COME AND
REALLY COME IN INEXPENSIVE PRICES. THERE’S NO PERMITTING AND LICENSING. SIMILAR TO ALCOHOL, YOU NEED TO HAVE
A LIQUOR LICENSE.>>WE DO HAVE TO HAVE A LICENSE.>>IN STATE STATUTE, ONLY A G.E. LICENSE IS REQUIRED. WE WANT THAT TO FALL INTO THAT CATEGORIES. IF YOU LOOK AT CIGARETTE, THERE ARE NO CANDY
FLAVORS. SO IF WE WANT TO BE ABLE TO SUPPORT SOMEBODY
TO GET OFF THIS PRODUCT, WHAT WE’RE LOSING IS A COMPLETE GENERATION. WE’RE LOSING A GENERATION TO NICOTINE ADDICTION
BY OFFERING AND HAVING CANDY FRUIT FLAVORS AND PRODUCTS ON THE MARKET.>>I —
>>YUNJI: I WANT YOU TO JUMP IN?>>THERE’S ADDICTION. ALCOHOL KILLS MORE PEOPLE THAN — I MEAN,
IT’S A MASSIVE AMOUNT OF PEOPLE. CAFFEINE CAN BE CONSIDERED AN ADDICTION. BEING ADDICTED TO SOMETHING
AND TRYING TO PREVENT THEM, YOU HAVE TO GO ACROSS THE BOARD. NICOTINE PATCH AND THE NICOTINE GUM ARE NOT
CONSIDERED TOBACCO PRODUCTS. HOWEVER, THEY DO HAVE NICOTINE DERIVED FROM
TOBACCO. SO THERE’S ALL THESE CONTRADICTIONS.>>YUNJI: DOCTOR, I WANT TO GIVE YOU A CHANCE.>>WE WANT TO BE CLEAR, NICOTINE IS HIGHLY
ADDICTIVE. THAT’S A FACT. ALSO 90% OF PEOPLE WHO SMOKE, THEY START WHEN
THEY’RE UNDER 18. IF YOU
HOOK THEM WHEN THEY’RE YOUNG, THEY WILL USE NICOTINE FOR THE REST OF
THEIR LIFE. IF SOMEONE STARTS WITH AN E CIGARETTE, THEY’RE
MORE FOUR TIMES LIKELY TO PICK UP A COMBUSTIBLE CIGARETTE LATER IN TIME. THEY’LL BECOME A CUSTOMER OF THE INDUSTRY. WHO HAS A LOT OF MONEY TO THROW AWAY? THE TOBACCO INDUSTRY. THEIR
MONEY IS ALL OVER THE PLACE. KEY THING I WANT TO POINT OUT, IF THEY TALK
ABOUT IT AS A CESSATION AID, E CIGARETTES WERE NEVER INTRODUCED TO THE
FDA AS A CESSATION DEVICE. THEY INTRODUCED IT TO THE MARKET. IF THEY
WANTED IT AS A CESSATION DEVICE, THEY WOULD HAVE GONE THROUGH THE
PROPER CHANNEL. THE OTHER THING IS FOR EVERY PERSON THAT MAY
BE ABLE TO QUIT WHEN THEY’RE OLDER, ABOUT 80 YOUNG PEOPLE TAKE UP E CIGARETTES
AND BECOME ADDICTED. THAT’S YOUR TRADEOFF. YOU CAN GET SOMEONE OFF, BUT YOU WILL HOOK
ANOTHER GENERATION ON NICOTINE.>>THAT’S WHAT I’M TRYING TO SAY. WE NEED TO COMBAT THE TEENAGE, PEOPLE WHO
ARE NOT SMOKERS WITHOUT VILIFYING. RESPONSIBLE ADULTS THAT ARE TRYING TO STOP.>>YUNJI: LET’S GO TO SOME VIEWER QUESTIONS. GREG IN KAKAAKO WANTS TO
KNOW, WHAT ARE THE SCHOOLS DOING TO STOP STUDENTS FROM BRINGING VAPING
MATERIALS ON TO CAMPUS? AND ANOTHER VIEWER ASKING, WHAT CAN THE D.O.E. DO TO PREVENT STUDENTS WERE VAPING ON SCHOOL
GROUNDS?>>IT’S IN THEIR ADMINISTRATIVE RULES. NO BRINGING AND USING THEM ON
CAMPUS. THAT HASN’T BEEN THE CASE. D.O.E. MOUNTED A STATEWIDE CAMPAIGN TO INFORM THEM
ABOUT E CIGARETTES AND WHAT THE CURRENT LAWS ARE. IF YOU’RE UNDER 21, YOU SHOULDN’T BE PURCHASING
OR USING THESE PRODUCTS. WE TALK TO THE TEACHERS EVERY DAY AND PRINCIPALS. WE SEE THAT IT’S — THE
PROBLEM HAS GOTTEN SO ENORMOUS, THEY DON’T KNOW WHAT TO DO. I
MENTIONED BEFORE THE SHOW WE HAD TO GO — WE’VE BEEN GOING TO ALL THE
SCHOOLS. WE TRY TO GO AFTER SCHOOL HOURS TO EDUCATE
THE PARENTS. TEACHERS ARE BURDENED WITH HAVING TO FOCUS
ON ADDRESSING THIS BEHAVIOR. AND THAT SHOULDN’T JUST BE THE CASE ALONE. IT’S NOT ENOUGH IN THE EDUCATIONAL SETTING. WE NEED POLICIES BECAUSE THE INDUSTRY STILL
HAS NOT BEEN — STILL IS LEFT UNREGULATED. AND YOU’RE LOOKING AT A GENERATION THAT ARE
ALREADY ADDICTED TO THE PRODUCT THAT ARE FALLING PREY TO THE INDUSTRY. WE WANT TO BE ABLE TO SEE THE LAW BE EFFECTIVE
AS WE PASS IN THE LAST DECADES AROUND CIGARETTES.>>YUNJI: WHAT DO YOU THINK WOULD BE EFFECTIVE? WHAT LEGISLATION WOULD
YOU SUPPORT?>>ANYTHING THAT WOULD ADDRESS THE PREVENTION
AND PROTECTION FROM YOUTH FROM EVER HAVING TO START THESE PRODUCTS. AS DR. MIH MENTIONED,
BECAUSE THEY DIDN’T COME FROM MEDICINE, IT CAME FROM THE BUSINESS SIDE OF
THINGS, VAPING WAS A NONEXISTENT HABIT TEN YEARS AGO.
AND WE ARE SEEING IT AT AN EPIDEMIC LEVEL. WHAT WE’RE SEEING, OUR YOUTH THAT ARE PICKING
THEM UP, WE’RE SEEING THAT ADULTS WHO ARE INSTEAD OF QUITTING COMPLETELY,
USING THEM TO PERPETUATE THEIR HAND. WHAT WE FIND IS BEING ABLE TO LOOK AT THE
LAWS THAT HAVE BEEN PAST FOR THE LAST DECADE. REMOVING THE FLAVORS THAT MAKE THEM ATTRACTIVE
IN THE FIRST PLACE. THEY HAVE BEEN PROVEN TO REDUCE RATES. AND BEING ABLE TO LICENSE AND
PERMIT THEM SO THE STATE AGENCIES HAVE DATABASE TO EDUCATE RETAILERS TO
THOSE ISSUES.>>DO THOSE SOUND LIKE REASONABLE CONTROL?>>NO, SHE JUST WANTS TO TRASH THE COMPETITION. SHE’S BEING WHAT THE PIPER
PAID HER TO DO.>>SEVERAL THINGS, IF I CAN REAL QUICK. THE PATHWAY TO TRADITIONAL
CIGARETTES, I’D LIKE TO SEE THAT STUDY. VAPING HASN’T BEEN AROUND LONG ENOUGH TO STUDY
WHETHER OR NOT A TEEN STARTS SMOKING A CIGARETTE. A CIGARETTE IS ABOUT 6 TO 10 TIMES MORE THAN
WHAT VAPING COSTS. WHY WOULD THEY GO FROM THERE TO VAPING? IF THEY TAX IT, YOU’RE TAXING THE
ADULTS. KIDS ARE STILL GOING TO GET WHATEVER KIDS
WANT TO GET. AND WE WANT IT FIGURE OUT A WAY TO DO IT WITHOUT
VILIFYING PEOPLE WHO ARE ADULTS. TO DR. MIH, HE MENTIONED ABOUT NOT CALLING IT A CESSATION. WE’RE NOT ALLOWS TO. HOWEVER, THERE ARE STUDIES COMING OUT WITHIN
THE LAST FEW MONTHS THAT SHOW MORE PEOPLE HAVE STOPPED USING TOBACCO
THAN THE PATCH, GUM AND ANY OTHER CESSATION DEVICE COMBINED. PUBLIC HEALTH, OUR EQUIVALENT TO OUR FDA. THEY PROMOTE THE USE OF VAPING. THEY HAVE IT ON THEIR CIGARETTE PACKS, VAPE
INSTEAD. YOU CAN VAPE AT HOSPITALS. THEIR STUDIES CONTRADICT 100% STUDIES — IT’S
LIKE A MURDER TRIAL. YOU’VE GOT
TWO EXPERTS, INNOCENT AND GUILTY. PEOPLE WANT TO GET INFORMATION AND
WANT TO LEARN. YOU’VE GOT ONE SIDE SAYING THIS, AND THE OTHER
SIDE SAYING THE OTHER THING.>>YUNJI: DOCTOR, GIVE THAT OTHER SIDE.>>OKAY. IF YOU WANTED TO DESIGN THE PERFECT PRODUCT
FOR YOUNG PEOPLE, THIS WOULD BE IT. LOOKS COOL. TASTES GREAT. DOESN’T SMELL TOO BAD.
AND HAS A LITTLE BIT OF REBELLIOUSNESS. THIS IS THE PERFECT PRODUCT. AND IT’S ADDICTIVE. WE CAN QUOTE STUDIES TO THE
END OF THE DAY. A LOT OF STUDIES ARE INDUSTRY FUNDED. WHAT HAS BEEN SAID IS THERE’S NOT ENOUGH DATA
BECAUSE WE HAVEN’T SEEN THIS FOR TOO LONG. WE ARE START THE TO SEE DATA NOW. WE SEE THE DATA IN TERMS OF THE RISING RATES
OF YOUNG PEOPLE. WE SEE IT IN
THE FORMED OF ADVERSE HEALTH OUTCOMES. PEOPLE WITH NICOTINE POISONING. PEOPLE PRESENTING
SIGNS OF LUNG DISEASE. THE DATA IS STARTING TO COME OUT. EACH PIECE OF DATA WE GET, IT LOOKS LIKE
E CIGARETTES ARE NOT HEALTHY FOR YOU. THAT MUCH IS CLEAR.>>YUNJI: TO THAT POINT, THE CDC HAS A SERVICE
ANNOUNCEMENT ABOUT YOUNG PEOPLE AND VAPING. LET’S TAKE A LOOK.>>SOME SAY E CIGARETTES AREN’T DANGEROUS.>>IT CAN HURT DEVELOPING BRAINS.>>HERE’S A TEEN WHO WON’T BE USING E CIGARETTE.>>WE NEED ONE TO RISK BRAIN DEVELOPMENT.>>ANYONE CARE TO VOLUNTEER YOUR KID?>>YOUR KIDS ARE NOT EXPERIENCED. PROTECT THEM FROM E CIGARETTES.>>THAT’S GREAT.>>YUNJI: SEAN, YOU HAVE THE SAME GOAL. WHAT DO YOU THINK WOULD BE AN
EFFECTIVE WAY TO KEEP IT OUT OF THE HANDS OF YOUNG PEOPLE?>>START A CONVERSATION. FIRST YEAR WE OPENED, WE TRIED TO WORK WITH
THE COALITION FOR TOBACCO HAWAIʻI. DO NOT WANT TO WORK WITH US. AND WE’VE TRIED TO REACH OUT TO SCHOOLS TO
SPEAK. THIS IS NOT WHAT YOU WANT TO BE DOING. WE’VE REACHED OUT TO LEGISLATORS TO WORK ON
SOMETHING THAT’S COMMON SENSE. I THINK THE FIRST THING WOULD BE TO START
AN ACTUAL CONVERSATIONS. WE
WANT THE SAME THING. THAT’S A GREAT COMMERCIAL. WE DON’T WANT TEENS TOUCHING THESE PRODUCTS. THEY’RE NOT FOR THEM. NICOTINE POISONING, IT’S A HORRIBLE THING. YOU WILL
GET IT IF YOU — I REMEMBER WHEN I WAS A KID, I STOLE ONE OF MY UNCLE’S
NICOTINE GUMS, AND IT MADE ME SICK. BECAUSE I NEVER HAD NICOTINE. BUT I KEEP REPEATING MYSELF. THAT IS NOT A REASON TO REGULATE ADULT USE.
AND I’LL GO BACK TO THE ALCOHOL THING. YOU CAN BUY A FLAVOR OF ANY ALCOHOL. KIDS ARE STILL GETTING THAT STUFF. IT’S EXACTLY WHAT THEY’RE BEING ADVERTISED
TO. DELICIOUS, WOMEN. COMMERCIAL, YOU SEE THOSE ALL THE TIME. YOU DON’T SEE VAPE ADVERTISING
LIKE THAT. IT WASN’T DESIGNED FOR KIDS. IF A KID LIKES IT, THAT’S NOT THE INTENSE.>>YUNJI: WHAT’S YOUR RESPONSE? DO YOU THINK THERE SHOULD BE ANY
REGULATIONS ON THESE PRODUCTS? WHAT’S YOUR ORGANIZATION’S POLICY ON
THAT?>>WE DON’T EVEN PUT IT TO MIND. THERE’S PLENTY OF LOUD VOICES ABOUT THAT. WE ARE MORE FOCUSED ON THE CIVIL RIGHTS. AND THE GUMS, WHAT’S MORE APPEALING TO KIDS
THAN CANDY FLAVORED GUMS? THERE’S NO OUTRAGE ABOUT THOSE PRODUCTS. IT’S JUST THEY HAVE A DIFFERENT
MANUFACTURER.>>THEY’RE PHARMACEUTICAL.>>I WANTED TO CLARIFY. IT’S NOT AN ADULT ISSUE. WHAT WE’RE DEALING WITH THE VAPING EPIDEMIC. THESE WILL NOT SEEK TO BAN THESE PRODUCTS. IF YOU REMOVE THE CANDY
FLAVOR, FRUIT FLAVOR, TOBACCO FLAVORED, E LIQUID WILL BE ABLE TO STAY ON
THE MARKET. AND DOLL WHO HAS BEEN USING NONFLAVORED CIGARETTES
SHOULD BE ABLE TO TRANSITION TO THESE PRODUCTS. BUT AS DR. MIH SAYS, WE WANT TO SEE THE FDA. REGULATE THESE PRODUCTS. AND ALSO, IF YOU LOOK, IT’S GOING TO ONLY
APPLY TO THE HAWAIʻI MARKET. WE’RE LOOKING TO REGULATION ONLINE SALES. THE COMPANIES THAT SELL HERE ALSO SELL TO
THE MAINLAND. IT’S NOT TRUE ABOUT BEING ABLE TO CLOSE SHOP,
BUT WE WANT TO BE ABLE TO AT LEAST START SOMEWHERE. THERE’S NO REGULATION ON THE SALE OF THESE
PRODUCTS.>>YUNJI: LET’S GET TO MORE VIEWER QUESTIONS. ONE CALLER ASKING, AND THIS IS
A GOOD QUESTION, DOCTOR. WHAT IS THE IMPACT ON CHILDREN’S DENTAL HEALTH? DO WE KNOW WHAT THESE PRODUCTS WOULD DO?>>I DON’T KNOW IF THERE’S A LOT OF DATA ON
DENTAL HEALTH. I WOULD SAY SIMILAR TO OTHER THINGS THAT YOU’RE
EXPOSED TO, IF THEY USE IT OR IF THEY ARE EXPOSED TO IT, I THINK WE DO
NEED TO TAKE A LOOK INTO IT. I’M NOT SURE IS THE ANSWER FOR THAT.>>YUNJI: SEAN, AND THIS IS AN INTERESTING
QUESTION. WHERE ARE E CIGARETTES MADE? IF THEY’RE MADE IN CHINA, IS THERE POSSIBLY
SECONDHAND LEAD?>>ALL THE JUICES ARE MADE IN THE STATES. THEY’RE ALL HIGHLY — FDA, A FEW
YEARS AGO, MADE REGULATIONS THAT JUUL COMPANIES HAVE TO FOLLOW. REALLY
SMART LABELING. WHATEVER COMMON SENSE STUFF. THAT’S MADE IN THE U.S. A LOT OF THE HARDWARE IS MADE OUTSIDE, IN
CHINA. NOT ALL CHINA BUT
MAJORITY IS MADE IN CHINA. CERAMIC, THERE’S NOT A LOT OF METAL INTO IT.>>YUNJI: AND ANOTHER PERSON WANTED TO KNOW,
DO THEY HAVE IN FORMALDEHYDE?>>THEY STARTED A DIFFERENT OF EJUICES. THERE’S NO FDA REGULATION OF IT YET. THEY DON’T HAVE TO MEET ANY CERTAIN STANDARD. THEY ONLY PUT THE
CHILDPROOF CAPS AFTER SEVERAL INCIDENTS OF TODDLERS GETTING NICOTINE
OVERDOSE.>>WE’RE A NEW INDUSTRY. WE’RE LEARNING AS WE GO. WE’RE TRYING TO STAY AHEAD AND BE PROACTIVE. AND, YEAH. AND I HAVE TO DISAGREE. IT WOULD BE REALLY, REALLY STUPID FOR ANY
COMPANY, WHETHER IT’S BETTY CROCKER OR BUDWEISER. LET’S PUT SOME FORMALDEHYDE. IN IT. STUFF MADE IN THE UNITED STATES, WHICH I KNOW
IF THEY TESTED OR PEOPLE HAVE SEEN THE TEST THEY DO NOT HAVE
IT.>>WHY BRINGS THINGS TO MARKET IF IT HASN’T
BEEN RIGOROUSLY VETTED BY THE
FDA?>>FDA CAME OUT WITH THE REGULATION SAID THAT
ANY JUICES THAT ARE MADE, THEY HAVE TO HAVE A GCC COMPLIANCE AND THEY
HAVE TO BE SENT IN. IF YOU’RE
SELLING JUICE FROM CHINA, I’VE GOT NOTHING TO SAY ABOUT THAT. THAT DOESN’T MAKE SENSE. WHY WOULD ANYBODY DO THAT?>>YUNJI: CALLER WANTS TO KNOW, CAN YOU ADD
ANY ADDITIONAL DRUGS AT HOME?>>APART FROM THE POD-BASED SYSTEM, YOU CAN. FOR SOME OF THESE — THEY CALL THEM MOD. YOU CAN MIX ANYTHING INTO THE LIQUID AND ADD
IT IN. FOLKS ARE UPLOADING VIDEOS. AND ANECDOTALLY, IT’S A GATEWAY.>>SAME PEOPLE TRYING TO REGULATE VAPING,
ARE THE ONCE THAT ARE TRYING TO MAKE MARIJUANA LEGAL RECREATIONALLY. THAT’S GOING TO BE A WHOLE OTHER PROBLEM FOR
YOU. KIDS ARE GOING TO BE ABLE TO GET THEIR HANDS
MORE EASILY ON TO THAT. YOU CAN BUY PREFILLS AND USE THEM WITH VAPING
DEVICES BUT THERE’S NO COMBUSTION ON THOSE.>>DOCTOR, IF A PARENT IS WATCHING THIS AND
ARE CONCERNED ABOUT THEIR KIDS STARTING THIS, WHAT DO YOU TELL THEM? WHAT ARE YOU TELLING YOUR
PATIENTS?>>I ASK THEM AT EACH VISIT, ARE YOU USING
E CIGARETTES OR JUULING OR VAPING? THERE’S A BUNCH OF DIFFERENT TERMS. SO SOME KIDS WILL SAY YES, I’VE TRIED IT. SOME WILL SAY, I USE IT ALL THE TIME. AND THE OTHER QUESTION IS, HAVE YOU
TOLD YOUR PARENTS? ANSWER VARIES. PARENTS, KEEP AN OPEN CHANNEL OF
COMMUNICATION. A LOT OF TIMES, THEY TRY IT AND ARE HOOKED. YOU WANT TO HELP THEN. YOU WANT TO UNDERSTAND THEY’RE ADDICTED. THEY
WILL START TO CRAVE THAT AND LET THINGS GO BY THE WAY SIDE. THEY’RE
THINKING ABOUT, WHERE CAN I GET MY NICOTINE FIX? THAT’S ONE OF THE SIGNS OF
ADDICTION. FOR PARENTS, TALK TO YOUR CHILDREN. ASK THEM MAYBE, I’VE SEEN
THIS IN THE NEWS. DO YOUR FRIENDS USE IT? WHAT DO YOU THINK ABOUT IT? DON’T BE JUDGMENTAL. IF YOU FIND OUT THEY ARE VAPING, ASK THEM,
HOW DO YOU FEEL ABOUT IT? DO YOU ENJOY IT? WHY DO YOU USE IT? A LOT OF TIMES
TEENAGERS WILL SAY, I DON’T ENJOY IT, BUT I USE IT BECAUSE I HAVE TO NOW. AT THAT POINT, TALK TO YOUR PEDIATRICIAN OR
PHYSICIAN.>>YUNJI: HOW DIFFICULT IS IT TO STOP? AND HOW EASY IS IT TO GET ADDICTED?>>BECAUSE YOU’RE GETTING THAT BIG NICOTINE
HIT, IT IS EASIER GET ADDICTED. ONE JUUL POD IS EQUAL TO 20 TO 40 REGULAR
CIGARETTES OF NICOTINE. YOU CAN GET THAT MUCH MORE NICOTINE INTO YOUR
SYSTEM. THERE HAVE BEEN
REPORTS OF ADOLESCENTS BEING SO ADDICTED, THEY WANTED TO CHECK
THEMSELVES INTO AN ADDICTION CENTER. THEY’RE DESPERATE TO GET OFF. JUST GETTING — MAIN POINT IS PREVENTION. HOWEVER, WE KEEP RUNNING INTO ISSUES BECAUSE
WE DON’T HAVE THE LEGISLATION IN PLACE YET. THEY’RE ABLE TO ACCESS IT ONLINE. IF YOU GO ONLINE, ARE YOU THIS AGE? AND YOU CLICK THE BUTTON AND YOU CAN
GET IT ONLINE. THAT IS A BIG ISSUE. SO WE DO NEED TO RESTRICT ACCESS. WE FOUND THAT YOUNG PEOPLE HAVE DEVELOPING
BRAINS UP TO AGE 25. AND THEY’RE MUCH MORE SUSCEPTIBLE TO NICOTINE. MUCH MORE LIKELY TO
BECOME ADDICTED AT A YOUNGER AGE.>>YUNJI: WHY ISN’T IT REGULATED?>>BECAUSE IT’S INTENDED FOR ADULTS. THERE ARE 15-YEAR-OLDS WHO ARE HARDCORE ALCOHOLICS. SHOULD WE PUNISH
ALL ADULTS FOR THAT? IT’S NOT ABOUT ARGUMENT, IN MY OPINION.>>THE WORLD HEALTH ORGANIZATION THE SURGEON
GENERAL VISITED OUR ISLAND. CDC, FDA, THEY HAVE PUT OUT A CALL TO ACTION
FOR THE STATES. FEDERAL ACTION HAS BEEN SLOW. THE E CIGARETTE INDUSTRY, THEY’RE SUING
THE FDA TO DELAY THE REVIEW OF THESE PRODUCTS. AND I THINK FROM THE
ADVOCACY SIDE, WE WOULD LIKE TO ASK PARENTS TO HELP US FIGHT WHAT’S
HAPPENING TO OUR KIDS. WE WANT TO HEAR YOUR STORIES. WE WANT PARENTS TO TALK TO THEIR ELECTED OFFICIALS
AND LET THEM KNOW THAT MY CHILD HAS BEEN ADDICTED TO THESE PRODUCTS. AND WE’VE BEEN TRYING TO REGULATE THEM FOR
THE LAST FIVE, SIX YEARS, BUT THE TOBACCO AND E CIGARETTE INDUSTRY ARE STILL
A LOT OF INFLUENCE THERE.>>HAWAIʻI SMOKERS LINE.>>YUNJI: ARE THESE DEVICES EASIER TO CONCEAL? TELL US ABOUT THAT. WOULD
THERE BE A WAY THAT PARENTS WOULDN’T KNOW?>>SOME DEVICES.>>YUNJI: I WOULD THINK SOMEONE SMOKING CIGARETTES,
IT’S PRETTY OBVIOUS. YOU CAN SMELL THE SMOKE. WHAT ABOUT THESE PRODUCTS?>>>THEY’VE GOTTEN INNOVATIVE IN THE DESIGN. THEY’RE SLEEK. IN THE SCHOOLS IT’S NOT JUUL. ALTHOUGH JUUL HAS GOTTEN POPULAR. IT CAN BE CONCEALED IN THE PALM OF
YOUR HAND. EJUICE HAS LESS THAN
A MILLIMETER. SO THEY’VE BEEN ABLE TO DESIGN THESE
DEVICES SO THEY ARE EASILY CONCEALABLE, BUT TO MAKE THE CLOUD LESS
VISIBLE. SO WE’RE SEEING AND HEARING FROM THE CLASSROOMS
THAT KIDS CAN EASILY VAPE WHEN THE TEACHER’S BACK IS TURNED. ON THE WAY TO CLASS,
THEY’LL PUT THE BACKPACK IN FRONT AND VAPE INTO THE BACKPACK. WE DON’T WANT TO FOCUS ON YOUTH BEHAVIOR BECAUSE
THEY HAVE FALLEN PREY TO THE MARKETING PRACTICES OF COMING OUT WITH
SUCH A SLEEK PRODUCT.>>IF I CAN — AN ADULT — NOBODY MADE THIS
THINKING, GET THE KIDDIES STARTED. IT’S A COOL DESIGN. BEING OPEN AND LOOKING AT SOMETHING GOING,
THAT’S COOL. LAMBORGHINI, THAT’S COOL. A KID THINKS THAT’S COOL. THEY’RE NOT MARKETED TOWARDS KIDS. THEY’RE MARKETED TOWARDS ADULT
SMOKERS. IF A KID IS SEEING SOMETHING COOL, THE VAPE
INDUSTRY ISN’T TARGETING CHILDREN. THERE ARE MILLIONS, MILLIONS OF SMOKERS THAT
WANT TO STOP. THAT IS WHO WE TARGET. WE LOSE CUSTOMERS EVERY MONTH BECAUSE THEY
STARTED WITH A 55 FOR THE POD OR SOMETHING. AND WENT DOWN TO A 35. JUMPED BACK DOWN INTO THE MORE CLOUD, THEY
GO TO A ZERO AND THEY STOP. THE BUSINESS MODEL DOESN’T MAKE SENSE. WE DON’T MIND LOSING CUSTOMERS BECAUSE THERE
ARE SO MANY SMOKERS TO MAKE THEM STOP. TO SAY THEY’RE MAKING IT TO GET KIDS. THAT’S CRAZY. ADULTS
ENJOY CANDY, SKITTLES. THEY ENJOY THESE THINGS. KIDS DO TOO.>>WE’VE GOT TO WORK ON GETTING THEM OUT OF
THE KIDS’ HAND.>>YUNJI: WHO ARE YOUR BIGGEST CUSTOMERS?>>COOL THING ABOUT OUR INDUSTRY IS THERE
ARE SMOKERS THAT ARE 18 — WELL, EVEN YOUNGER. AND EVEN 90 S . STATE OF HAWAIʻI, IT’S A
21 AND OVER STATE. DOESN’T MATTER IF YOU’RE UNDER 21. WE’RE NOT GOING TO BE ABLE TO DO ANYTHING. OUR DEMOGRAPHIC IS WIDE OPEN. WE HAVE 21 TO 80 S , 90 S . THEY WANT TO QUIT
SMOKING AND ARE SUCCESSFUL FOR THE MOST PART.>>YUNJI: IN TERMS OF THE FLAVOR, THAT PROBABLY
WOULD BE MORE APPEALING TO A YOUNG PERSON?>>ABSOLUTELY. BUT THAT DOESN’T MEAN THAT ADULTS HAVE TO
BE PUNISHED.>>HOW MUCH OF YOUR BUSINESS ARE THE FLAVORS? IF THAT WERE TAKEN AWAY,
WOULD THAT PUT YOU OUT OF BUSINESS?>>SHE MENTIONED SOMETHING EARLIER ABOUT TOBACCO
FLAVORS. NOBODY BUYS THEM. THERE’S A REASON. IF YOU NEVER SMOKED A CIGARETTE, IT’S DISGUSTING. NOBODY LIKES THAT FLAVOR. YOU COULD BUY BEER, BUDWEISER, BUD LIGHT,
AND THEY STARTED COMING OUT WITH BUD MARGARITA. THEY DIDN’T DO THAT BECAUSE THEY WERE TRYING
TO TARGET CHILDREN. THEY WANTED TO GIVE THEIR BASE DIFFERENT OPTIONS,
DIFFERENT FLAVORS. AND THEY SELL REALLY WELL. THEY’RE DELICIOUS.>>YUNJI: MICHAEL, YOU LOOK READY TO JUMP
IN.>>ONE POINT SHE MADE, WE WANT TO TAKE AWAY
THE FLAVOR. WE’VE BEEN WATCHING GROUPS LIKE THIS FOR 14
YEARS. AS SOON AS THEY GET
LEGISLATION PASS, THEY WANT MORE. JUST THE RESTAURANTS AND BARS. YOU CAN
STILL SMOKE AT HOME. THEY WANT TO DESTROY IT. THEY HAVE A TRACK RECORD FOR THAT.>>YUNJI: I WOULD THINK YOU WOULD WELCOME
THE VAPE INDUSTRY. IT’S NOT ABOUT DESTROYING SOMEBODY’S BUSINESS. IT’S ABOUT PREVENTING PEOPLE FROM EVER HAVING
TO START A DEADLY HABIT. TOBACCO USE, SINGLE NUMBER ONE CAUSE OF DEATH.>>YOU’RE ABSOLUTELY RIGHT.>>AND YOU LOOK AT IT FROM THE PERSPECTIVE,
THERE’S CURRENTLY 4% ADULT VAPORS. 26% YOUTH REGULARLY USE THE PRODUCTS, AND
42 THAT ARE TRYING THESE PRODUCTS. AS MUCH AS 50% AT THE RISK OF CONTINUING TO
KEEP THESE UNREGULATED. YOU ARE LOSING AND PUTTING OUR KID AT RISK.>>IF THEY TOOK THE FLAVORS OUT, WHAT DIFFERENCE
WOULD IT MAKE?>>IT WOULD MAKE A HUGE DIFFERENCE. LIKE ANY POLICY THAT HAS PASSED, WE
WON’T SEE THE PUBLIC IMPACT, BUT YOU’LL SEE IT’S FROM A TEENAGE’S
PERSPECTIVE, THEY’RE NOT TREATED AS CIGARETTES. THEY’RE ALLOWED TO BE LOWER PRICED. THEY’RE ALLOWED TO MARKET. YOU CAN’T MARKET CIGARETTES OR ADULT TIES
ON TVS RADIO OR PRINT. WHEN YOU SEE THEY’RE TREATED IN THE SAME WAY
AS CIGARETTE, THAT WON’T MAKE A DIFFERENCE FROM THE EYES OF A CHILD.>>THERE’S A REASON WHY. THERE’S NO TOBACCO.>>YUNJI: BUT THERE IS NICOTINE.>>NICOTINE COMES FROM TOBACCO.>>>RIGHT. SAME AS WITH THE PATCH AND GUM. HIGHLY REGULATED.>>YES. AND THEY’RE DOSE DEPENDENT.>>SO IS VAPING. AND IT’S SPECIFIC TO HOW MANY MILLIGRAMS ARE
IN THERE.>>YUNJI: WHAT DIFFERENCE WOULD IT MAKE IF
WE TOOK AWAY FLAVORS.>>HUGE DIFFERENCE. ONCE THEY START VAPING, THEY’RE HOOKED. IF YOU TAKE THE FLAVORS OUT, WE WILL HAVE
A LOT LESS INITIATION FROM THE YOUNG PEOPLE.>>YUNJI: TAKING THE FLAVORS OUT, DO YOU THINK
IT WOULD KILL YOUR BUSINESS?>>>IT’S NOT ABOUT KILLING OUR BUSINESS. THERE’S NOT GOING TO BE ANY
ARGUMENT. IF YOU SMOKE CIGARETTES, YOU WILL DIE. TAKING AWAY THE FLAVORS WILL — PEOPLE WILL
GO BACK TO SMOKING CIGARETTES.>>IT WILL HELP THE CHILDREN.>>WE CAN WORK ON — WHAT ABOUT THE ADULTS
WHO ARE TRYING TO QUIT SMOKING?>>SAME ARGUMENT. WHAT ABOUT THE ADULTS, BUT WHAT ABOUT THE
YOUNG PEOPLE?>>DO SOMETHING ABOUT THAT WITHOUT HAVING
TO VILIFY RESPONSIBLE ADULTS THAT HAVE USED IT SUCCESSFULLY. WE CAN’T SAY CESSATION. HOWEVER, MORE PEOPLE STOPPED SMOKING. JUST A
QUESTION, HOW MUCH HAS THE TAX REVENUE FROM THE TOBACCO TAX DROPPED IN
THE PAST FOUR, FIVE YEARS? ENOUGH TO WHERE THE U.H. CANCER CENTER AT
MANOA, THAT BUSINESS MODEL IS NO LONGER SUFFICIENT. THAT SHOULD BE A GREAT THING. AND IT’S BECAUSE OF PEOPLE WHO ARE ADULTS
THAT USE VAPING TO STOP. LET’S GET KIDS TO STOP. I’M NOT TRYING TO MAKE IT TO WHERE ADULTS
WHO SUCCESSFULLY QUIT WILL START AGAIN.>>YUNJI: WHAT ABOUT ADDING SOME TAXES? BECAUSE THERE IS STILL A PUBLIC
HEALTH ISSUE. IF THERE IS NICOTINE, THERE IS SOME HEALTH
EFFECTS.>>IF THEY WANTED TO TAX THAT BECAUSE OF THE
NICOTINE, THEY WOULD HAVE TO TAX THE PATCH AND GUM. THAT ALSO HAS NICOTINE. YOU CAN GET IT OVER-THE-COUNTER. YOU CAN WALK DOWN AN AISLE, IT’S NOT BEHIND
THE COUNTER. ANYBODY CAN
REACH AND GRAB THAT. THE REASON FOR THE TOBACCO TAX IS BECAUSE
OF WHAT CIGARETTES DO TO PEOPLE. YOU’RE GOING TO DIE. THAT IS NOT HAPPENING WITH VAPE.>>YUNJI: WE DON’T KNOW.>>WE WOULD WE TAX SOMETHING UNTIL — AND
THAT’S THE THING. ENGLAND, THEIR
STUDY SHOWED IT’S 95% LESS HARMFUL THAN TOBACCO AND IS AN ALTERNATIVE TO
STOP A TRADITIONAL. THAT’S A GREAT RATIO.>>YUNJI: WHAT I’M HEARING, TOBACCO VERSUS
VAPING. AND WHAT YOU’RE SAYING IS VAPING VERSUS NOTHING. YOU’RE ADVOCATING USING THIS AS OPPOSED TO
E CIGARETTE.>>A FALSE ARGUMENT TO SAY THIS IS A GREAT
CESSATION AID. WHEN WE SEE ALL
THE DATA KIDS ARE PICKING IT UP AT AN ALARMING RATE. IF YOU LOOK AT THE
MARKETING THAT THE E CIGARETTE INDUSTRY DOES, IT’S NOT, USE THIS BECAUSE
IT’S A CESSATION AID. THEY’RE CONNECTING WITH A YOUNG CROWD AND
TRYING TO GET PEOPLE STARTED. GETING THE NEXT GENERATION FOR PEOPLE TO START
AND BECOME CUSTOMERS FOR LIFE.>>YUNJI: MICHAEL.>>ARGUMENT IS YOUNG PEOPLE ARE PICKING VAPING
OVER TRADITIONAL SMOKE. IF
THAT’S NOT AVAILABLE, YOU GOT TO GO BACK TO THE REAL THING. THEY’RE LIKELY
PICKING IT BECAUSE THEY KNOW IT’S CLOSE TO 100% SAFE.>>ISSUE IS NOT STARTING IN THE FIRST PLACE. WE WANT TO KEEP YOUNG PEOPLE
HEALTHY.>>LET’S DO THAT. BUT TO MAKE OLDER PEOPLE GO BACK TO SMOKING.>>YOU GET ONE PERSON TO QUIT, YOU GET 80
TO START.>>IF 15 ADULTS GO BACK TO SMOKING CIGARETTES,
YOU’RE NOT — YOU’RE STILL GOING TO GET TEENS THAT DO WHAT THEY WANT
TO DO. BEFORE VAPING, I CAN GET
A CIGARETTE. HEY, CAN YOU GIVE ME SOME BEER? HERE’S SOME MONEY. THEY’RE GOING TO THE PRODUCT. IF 15 ADULTS DIE, THAT’S OKAY? AS LONG AS A HUNDRED CHILDREN DON’T START? I
AGREE, BUT WE CAN WORK ON THAT WITHOUT HAVING TO VILIFY ADULTS.>>THIS IS JUUL. IN THE LAST THREE YEARS OF RISING THROUGH
POPULARITY. THEY’RE A $40 BILLION INDUSTRY. WHO BROUGHT JUUL? YOU’RE SEEING THE TOBACCO INDUSTRY PUSHING
A NEW INNOVATIVE PRODUCT THAT WILL HOOK ANOTHER
GENERATION. YOU LOOK AT THE PRICE, YOU CAN PURCHASE A
STARTER PRODUCT FOR 99-CENTS. COMPARE THAT TO A STICK OF CIGARETTE WHICH
IS — PACK ON THE TOBACCO TAX AND PACK OF CIGARETTES IS $3.20. SO YOU’RE LOOKING AT YOUTH THAT ARE PRICE
SENSITIVE. AND THE REGULATIONS THAT — WE WANT TO CLOSE
THAT LOOPHOLE AND HOW KIDS ARE GETTING THE PRODUCT. THERE’S NOTHING STOPPING A 21-YEAR-OLD TO
PURCHASE A BULK OF THESE PRODUCTS AND RESELL THEM. NOTHING FROM STOPPING THEM WITH THE FLAVORS
IN THE MARKET. POLICIES WE’RE
PUSHING IS NOT GOING TO STOP ADULTS. THE FDA REGULATIONS ARE GOING TO BEGIN COMING
UP SOON. IT’S BEEN DELAYED FIVE YEARS, AND WE’VE BEEN
CALLING FOR STATE ACTION. ACT
NOW.>>YUNJI: WE HAVE UNDER TWO MINUTES LEFT. MICHAEL, I WANT TO GIVE YOU A
CHANCE TO RESPOND. AND GO AROUND THE TABLE. PLEASE GO AHEAD.>>ANY PARTICULAR POINT?>>YUNJI: SHE’S PUSHING FOR REGULATION.>>FOR ALCOHOL, IT’S A CRIME TO PROVIDE ALCOHOL
TO A MINOR. THERE YOU GO.>>YUNJI: DOCTOR, LET’S LET YOU HAVE ONE CLOSING
THOUGHT AS WELL.>>AGAIN, OUR RATES IN HAWAIʻI OF YOUNG PEOPLE
USING E CIGARETTES ARE HIGHER THAN THE REST OF THE NATION. THAT’S SOMETHING TO KEEP IF MIND WHEN THE
HAWAIʻI VAPE INDUSTRY SAYS THEY’RE LOOKING OUT FOR OUR YOUTH. WE’RE LOOKING AT TWICE THE NUMBER OF HIGH
SCHOOL STUDENTS USING E CIGARETTES ON A REGULAR BASIS. THINK ABOUT THE HEALTH OUTCOME. PUSH FOR AS MUCH REGULATION AS POSSIBLE
TO IMPROVE THE HEALTH OF OUR KEIKI.>>YUNJI: A LITTLE BIT OF TIME LEFT. LAST WORD.>>REALLY AGREE. THERE’S NO REASON TO REGULATE AN INDUSTRY
BASED ON WHAT ADULTS ARE SUCCESSFULLY USING TO QUIT
SMOKING.>>THANK YOU ALL. WE APPRECIATE THE DEBATE. MAHALO TO YOU FOR JOINING US TONIGHT. AND WE THANK OUR GUESTS:
TRISH LA CHICA, POLICY AND ADVOCACY DIRECTOR OF THE HAWAIʻI PUBLIC HEALTH
INSTITUTE. MICHAEL ZEHNER, CO-CHAIR OF THE HAWAIʻI SMOKER’S
ALLIANCE. DR. BRYAN MIH, PEDIATRICIAN AND DIRECTOR OF THE
SMOKE-FREE FAMILIES PROGRAM AT KAPIOLANI HOSPITAL. AND SEAN ANDERSON, OWNER OF BLACK LAVA VAPE. NEXT WEEK ON INSIGHTS, THE HAIKU STAIRS. SHOULD THEY BE CLOSED ONCE AND
FOR ALL OR IS THERE A WAY TO SAVE THEM? JOIN THE DISCUSSION NEXT THURSDAY
NIGHT. I’M YUNJI DE NIES FOR INSIGHTS ON PBS HAWAIʻI
– A HUI HOU!

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