Health Promotion

Central Coast Local Health District NSW

Tobacco

Say No to Vaping

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The use of e-cigarettes among young people is becoming a growing concern on the Central Coast and indeed across all of Australia. That’s why we’ve launched our Say No to Vaping campaign. The campaign aims to raise awareness of the health risks young people are exposing themselves to by using electronic cigarettes (e-cigarettes).

E-cigarettes are not only addictive, but also contain or produce harmful chemicals and toxins that can cause some of the same serious health problems as smoking tobacco. The nicotine found in them is highly addictive and can affect brain development in teens, impacting their learning, concentration and mood, causing anxiety and depression. Despite this, data on teenage vaping in Australia in 2017 indicated one in five students aged 16 to 17 had used an e-cigarette, while nearly one in 10 students aged 12 to 15 had used one. Our work with schools and community groups across the Central Coast tells us that this is a growing concern for them.

Say No to Vaping aims to debunk some of the myths around vaping and empower teens to make informed decisions about whether they should vape. We have produced a number of materials you can use, including animations, social media tiles and printable posters, as well as FAQs and mythbusters. You can download the resources below.

Read the launch media release here.

Say no to addiction, say no to anxiety and depression, say no to being exploited, and say no to the serious health risks. Say No to Vaping.

Downloadable resources
Mythbusters
FAQs



Downloadable resources




 


Say No to Vaping infographic


social tile | poster




Health risks social tile | poster | animation


Addiction social tile | poster | animation


Anxiety and depression social tile | poster | animation


Smoking social tile | poster | animation


Pollution social tile | poster | animation


Exploitation social tile | poster




Mythbusters


MYTH: Vaping is not bad for your health. 


FACT: Despite their appealing flavours, many e-cigarettes contain or produce chemicals and toxins such as formaldehyde and heavy metals that can cause DNA damage, serious lung damage and cancer. They also contain other chemicals not found in tobacco smoke, and it is not yet known what effects these will have on your health in the long-term – so why take the risk?


What’s more, they can cause physical harm too; there are now thousands of cases of people being injured by faulty e-cigarette batteries exploding.


MYTH: You can’t get addicted to vaping like you can to smoking.


FACT: Most e-cigarettes contain nicotine – the same highly-addictive chemical that’s in regular cigarettes. What’s more, because you can buy extra-strength cartridges or increase the e-cigarette’s voltage to get a greater hit, many e-cigarette users get even more nicotine than they would from a tobacco product.


This is not good for you. Nicotine can affect brain development in teens, impacting their learning, concentration and mood, causing anxiety and depression. Putting nicotine into your body also increases your risk of other types of addiction in later life. Emerging evidence suggests non-smokers who vape are three times more likely to take up tobacco smoking than those who do not vape.


MYTH: E-cigarettes contain less nicotine than regular cigarettes.


FACT: Depending on the size and type of e-cigarette, they can contain as much nicotine as up to three entire packs of cigarettes!


MYTH: Using a STIG or Cuvie is not as bad for you as using traditional e-cigarettes.


FACT: Using a STIG or Cuvie to vape is just as bad for you as using any other size or shape e-cigarette.


MYTH: Vaping will help you stop smoking.


FACT: There is not enough evidence to prove e-cigarettes are effective at helping smokers quit. That is why they are not an approved product for helping people to quit. Worse, studies have shown high school students who start using e-cigarettes are much more likely to begin smoking regular cigarettes as well.


If you are trying to quit smoking, nicotine replacement therapy (NRT) is a better choice. If you would like help to quit, call the Quitline on 13 7848, visit the I Can Quit website or talk to your parent or guardian, or a health professional.


MYTH: E-cigarettes are not bad for the environment like regular cigarettes.


FACT: Vapes waste is especially bad for the environment for three reasons.


    

  • Many vape devices, pods and cartridges are made of single-use plastic.
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  • They introduce hazardous and toxic chemicals like nicotine into the environment when used and discarded.
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  • They produce electronic waste as they contain lithium-ion batteries and a heating element.
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MYTH: All vaping is legal.


FACT: In NSW, it is illegal to sell e-cigarettes or e-cigarette accessories to a person under 18 years of age, while it is illegal to sell e-cigarettes containing nicotine to all ages. It is also illegal to use e-cigarettes in places where smoking is illegal, including:


    

  • Within 10 metres of children’s play equipment in outdoor public places
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  • Public swimming pools
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  • Spectator areas at sports grounds or other recreational areas used for organised sporting events
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  • Public transport stops and platforms, including ferry wharves and taxi ranks
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  • Within 4 metres of a pedestrian access point to a public building
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  • Commercial outdoor dining areas
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From October 2021, you will need a doctor’s prescription to access liquid nicotine for use in e-cigarettes.




FAQs


What is vaping? 


Vaping is inhaling a vapour produced by an electronic cigarette (e-cigarette).


E-cigarettes are battery-powered and may look like traditional cigarettes, cigars or pipes, as well as everyday items like pens, highlighters or USB memory sticks. They have cartridges filled with a liquid that typically contains nicotine, flavourings and chemicals. This liquid is heated by the battery, producing a vapour that the user inhales, hence the term “vaping”.


Is vaping safe?


No. Despite their appealing flavours, many e-cigarettes contain or produce chemicals and toxins such as formaldehyde and heavy metals that can cause DNA damage, serious lung damage and cancer. They also contain other chemicals not found in tobacco smoke, and it is not yet known what effects these will have on your health in the long-term – so why take the risk?


What’s more, they can cause physical harm too; there are now thousands of cases of people being injured by faulty e-cigarette batteries exploding.


What’s in an e-cigarette?


Hazardous substances have been found in e-cigarette liquids and in the vapour produced by e-cigarettes, including formaldehyde, acetaldehyde and acrolein, which are known to cause cancer.


The vapour could also be delivering metal particles like chromium, nickel, lead, tin and aluminium into your lungs, and some of these metals are toxic.


I’ve heard the terms STIG and Cuvie. Is this different from an e-cigarette?


No, a STIG or HQD Cuvie refers to vaping using a particular brand of e-cigarette. Both STIGs and Cuvies are shaped like USB sticks and do not look like a traditional e-cigarette. Unlike traditional e-cigarettes that require a battery or charger, many STIGs and Cuvies can be charged by being plugged into a USB drive or any electronic device.


Can I get addicted to vaping?


Yes. Most e-cigarettes contain nicotine – the same highly-addictive chemical that’s in regular cigarettes. In fact, dependent on the size and type of e-cigarette, they can contain as much nicotine as up to three entire packs of cigarettes!


This is not good for you. Nicotine can affect brain development in teens, impacting their learning, concentration and mood, causing anxiety and depression. Putting nicotine into your body also increases your risk of other types of addiction in later life. Emerging evidence suggests non-smokers who vape are three times more likely to take up tobacco smoking than those who do not vape.


Can e-cigarettes help you quit smoking?


When e-cigarettes were first available, it was thought they could be used to help smokers cut down and eventually quit smoking regular cigarettes. Since then, evidence has shown they are not more effective, and that is why they are not an approved product for helping people to quit. Even more concerning, studies have shown high school students who start using e-cigarettes are much more likely to begin smoking regular cigarettes as well.


If you are trying to quit smoking, nicotine replacement therapy (NRT) is a better choice. If you would like help to quit, call the Quitline on 13 7848, visit the I Can Quit website or talk to your parent or guardian, or a health professional.


If they’re not safe, why is vaping legal?


The sale of e-cigarettes containing nicotine is illegal in NSW. It is also illegal to use e-cigarettes in places where smoking is illegal, including:


    

  • Within 10 metres of children’s play equipment in outdoor public places
    • 

  • Public swimming pools
    • 

  • Spectator areas at sports grounds or other recreational areas used for organised sporting events
    • 

  • Public transport stops and platforms, including ferry wharves and taxi ranks
    • 

  • Within 4 metres of a pedestrian access point to a public building
    • 

  • Commercial outdoor dining areas
    • 



Additionally, it is illegal to sell e-cigarettes or e-cigarette accessories to a person under 18 years of age whether the device contains nicotine or not. There is a reason for this: they’re not safe.


Read more about e-cigarettes – the major trends, research and hot topics – on our e-cigarettes page.


E-cigarettes


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Electronic cigarettes (e-cigarettes) are devices that produce a vapour which is breathed in. The process, also known as vaping, is similar to smoking, except you don’t have to burn the tobacco.


E-cigarettes are often promoted as a healthier option, but this may not be the case. Many e-cigarettes still contain nicotine as well as other potentially harmful chemicals such as ammonia that are breathed into your lungs and very quickly absorbed into your body. Smokers inhale so much and so frequently that we just don’t know what the impacts of these chemicals will be. However, we do know e-cigarettes containing nicotine are addictive, just like tobacco.


Smoking e-cigarettes is not recommended as a means to quit tobacco smoking. If you are trying to quit smoking, nicotine replacement therapy (NRT) is a better choice. NRT is designed to gradually release nicotine into your body to help relieve symptoms you may get when you are trying to quit. However, NRT avoids the surge of nicotine that enhances addiction. It’s that surge of nicotine from a cigarette or an e-cigarette that provides the reward and keeps you addicted. NRT avoids this, while buffering withdrawal symptoms.


Quitting smoking can improve your quality of life by having a positive impact on your physical health. What’s more, research shows that, after the nicotine withdrawal has been overcome, there are substantial long-lasting improvements to your mental health with reduced levels of anxiety and depression. Swapping to e-cigarettes won’t give you the same result.


If you would like help to quit, or you would like to refer someone to get help, call the Quitline on 13 7848, or talk to a health professional.


Watch this short video in which Dr Lyndon Bauer, a GP on the Central Coast and the Health Promotion Service’s research and evaluation officer, answers the burning questions around e-cigarettes and vaping – including the risks associated with COVID-19 – and debunks some myths along the way.






E-cigarettes – the top 5 issues




1. Availability and take-up is increasing


The rate of e-cigarette use in Australia is growing. In 2019, more than one in 10 Australians aged 14 or over reported having used an e-cigarette, an increase of more than a quarter since 2016, and 2.5 times the rate in 2013.  The highest usage is amongst young adults aged 18–24, where more than a quarter had used an e-cigarette, an increase of more than a third since 2016.


2. They are a gateway to smoking tobacco and other drugs


Studies around the world (such as these from the USA, Canada and Germany) have found high school students who have never smoked, but start using e-cigarettes, are much more likely to end up smoking tobacco.


3. No one can be sure they’re safe


E-cigarettes have the potential to be addictive, which means people are at risk of exposure to large amounts of nicotine and other potentially harmful chemicals. Some of these chemicals are not in tobacco smoke, so it is unknown what long-term health consequences they will have. However, evidence is growing, and some studies have linked them to issues such as blood pressure, heart rate and arterial stiffness. Both the Australian Government and World Health Organization have recently issued warnings on the health implications of inhaling harmful toxics in e-cigarettes.


4. They don’t help people quit


When e-cigarettes were first available, it was thought they could be used to help smokers cut down and eventually quit smoking tobacco. Since then, more evidence has come to light. E-cigarettes aren’t any more effective at helping people quit. Worse, they often result in smokers using both e-cigarettes and tobacco.


5. They are not regulated in many countries


Even though restrictions on tobacco advertising and product placement have been in place for many years, e-cigarettes are not as tightly governed… yet. Like tobacco companies before them, e-cigarettes have snuck their way into Hollywood movies because it’s a tried and tested way of getting people to smoke.


NSW Health has been careful in regulating the use of e-cigarettes. Click here to read more about the regulations in place.


On World No Tobacco Day 2021, we launched our Say No to Vaping campaign to help raise awareness of the health risks young people are exposing themselves to by using e-cigarettes. You can read more about the campaign and download resources including posters, social media tiles and animations from our Say No to Vaping campaign webpage.


Smoke-free outdoor public places


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Smoking bans protect from the harms of second-hand smoke. There is no safe level of exposure to second-hand smoke. Smoking bans in outdoor public areas have been have made because:


    

  • they are often visited by children and families and they can be crowded
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  • they allow limited opportunity for people to avoid second-hand smoke
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  • this approach will achieve an important reduction in many people’s exposure to second-hand smoke and;
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  • this approach will create a more supportive environment for those who have quit.
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If you think a smoking ban has been broken, please advise the NSW Ministry of Health by completing the online reporting form.


Find out more …


Tobacco Sales to Minors


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Central Coast Health Promotion Service conducts compliance testing of tobacco retailers as a means of enforcing the ban on sales of cigarettes to under eighteen year olds.


Teen volunteers were first engaged in testing retailer-selling behaviour in 1994. A unique feature of the Central Coast where big reductions in teen smoking occurred between 1996 and 1999 was the emphasis on direct intervention in supply. through conducting sales to minors operations.


Publications
Publications


 


Smoking cessation in financial counselling organisations


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Smoking rates are higher in socioeconomically disadvantaged communities. To address this health inequity, Central Coast Health Promotion is in the early stages of working with local financial counsellors to explore ways we can support them in helping their clients stop smoking.


Our aim is to provide training and resources to embed smoking cessation support in financial counsellors’ practice. Given the high cost of cigarettes, supporting financial counselling clients to quit smoking will not only have benefits for their health, but will also reduce financial stress too.