Eighty Five Percent, Thirty Five Percent, Fifteen Percent discussed on Here & Now

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And marketplace the e cigarette maker Jew all said yesterday that it will stop selling flavored e cigarettes online the company has already pulled them from stores as the number of vaping related illnesses continues to rise is and now there's a new battle ahead for the industry lawmakers are trying to regulate the high level of nicotine in e cigarettes Dr Meltzer Tori physician and assistant professor of medicine at the University of Minnesota Dr Welcome thank you so much for having me and first year response to Jules decision to now suspend all sales of flavored e cigarettes is that a meaningful move I think it is I think there's a lot of evidence that the flavoring is a lot of what is drawing the youth into the market and the flavoring is likely to contribute to the long term health effects of e cigarettes so I think that is potentially a helpful move for our youth one of the other issues that public health officials are pointing to which also plays a role they say in getting kids addicted is a high level of nicotine that's in e cigarettes Is that is much of a problem as these flavors and can you explain how that works so they're both the problem the nicotine however is what makes them so addictive and e cigarettes are an extremely efficient way to deliver high doses of nicotine and one thing we do have to keep in mind is that the concentration of the nicotine is only part of how much nicotine gets into the user the devices themselves can be changed and tweaked and modified to deliver larger and larger quantities of vapor and so really it's the most concerning is how much nicotine is coming out per puff from these devices can we talk about that because there are some numbers out that are kind of remarkable typical jewel pod for instance has fifty nine milligrams per milliliter compare that to a traditional cigarette with an average of twelve milligrams so there's a huge difference there in a conventional cigarette a lot of that nicotine is burned away as the cigarette combust and so we think about one or two milligrams of nicotine actually make it into a smoker per cigarettes and that can vary with e cigarettes the user controls when the cigarette is on and the way the vapor gets delivered potentially more of that nicotine is actually absorbed by the user and so we zinc allowing for some losses a user vaping an entire jewel pod is probably exposed to the same amount of nicotine as a smoker are smoking a whole pack of cigarettes if you measure how much long term nicotine metabolite is present in someone who's vaping frequently it can be even higher than the levels we see someone who smokes say a pack of cigarettes a day okay so there's a new law that was proposed this month in the House of Representatives would cap nicotine content at twenty milligrams per milliliter and by the way the Europeans have this cap already It will this make a difference do you think is that a meaningful piece of legislation I think that piece of legislation is a good first step it's also worth keeping in mind that these high nicotine concentrations are pretty recent develop went in east cigarettes until recently most e cigarettes had significantly less than twenty milligrams per milliliter of course we're still popular and being used by adult smokers so I think next steps in terms of legislation need to consider the actual nicotine output of an individual device and an individual nicotine containing liquid will the President of the American vaping association about this law said that we should not forget his words about the lives of adult ex smokers who rely on high nicotine products to stay smoke free so that's the line from the Industry Dr Meltzer Pulmonary and critical care physician and assistant professor of medicine at the University of Minnesota thanks for speaking with US thank you so much for having me so nicotine can be hard to quit but marijuana it can be to nick MMA city was a proud pothead for decades that is until he tried to stop and couldn't here's his story This is Drummers Grove in prospect park in Brooklyn New York this right by my house I used to come here a lot until I quit smoking marijuana drum circles and pot are free companions but here's the thing about the city these days we'd is everywhere I smell it all the time sometimes it's no big deal and sometimes it's triggering because I'm an addict addicted to weed you might not take that seriously but I'm GonNa make the case that you should recap had a big heartbreak in high school we'd helped dropped out of college we'd helped arrested for dealing smoked before court got a slap on the wrist celebrated with a joint crashed my car broke my neck and toss the weed out the window none of that made me want to quit then one day years later I realized I was paranoid all the time rushing home every night after work to smoke alone I tried to stop I couldn't cold Turkey didn't work therapy didn't help neither anti-depressants and every time I thought about checking out a recovery program I think of half baked that cults donor flick starring Comedian Dave Chapelle his character is a pothead he tries to quit smoking to my name is Thurgood he's standing on a stage addressing all the other addicts okay because I'm addicted to marijuana you would hear marijuana marijuana's not a drug it's funny yeah some experts aren't laughing anymore climate and I'm a policy analyst by training I run the crime and justice program at the Nyu Maraniss Jute Mark Works at New York University he's written a few books on marijuana policy in the US many people like me are there how many people are there do we know that identify as potheads who want to stop something like four million and yeah looks like about a third of the people oh who use every day or almost every day meet the diagnostic criteria forget it was uses order the criteria according to climate trying to cut back and failing knowing marijuana has messing with your life goals and still getting high all the same climate says there's a growing number of people in the US like me people who want to cut down or stopped using pot altogether he thinks maybe it's because the weed itself is more potent now these days anything less than fifteen percent THC is considered low potency weed and it doesn't sell all back in the nineteen seventies it was three to six percent. THC THC is the chemical we associate with the head hi feeling that lower amount was harder to get addicted to climbing says about thirty years ago when researchers looked at people who had said they used marijuana in the past month eleven percent of them were daily users today mark says that number is around thirty five percent again about a third of them report the symptoms of cannabis user and those heavy users. account for about eighty five percent of the week consumes one of these things that I encounter all the time people who like to tell me that I can't be an addict what do I say to these people I mean nightside with him but I can't say on the Air I talked to Dr J. Michael Bostick he's a professor of psychiatry at the Mayo Clinic who specializes in addiction counseling I told him the same thing people say you can't get addicted to weed that that is complete garbage but again if you go with the definition that there's a problem as a result of you use whether you're meeting your goals is the family member or as a parent or as a spouse says an adult or whether potentially your substance uses interfering with your problem CBS Then it doesn't much matter what other people say so I tell him about how I started breaking promises to myself smoking earlier and earlier every day for apple since it is psychoactive I would say you probably liked the way that it made you feel and on one level wanted to feel that way all the time but on the other level may have Aalto you'll have to speak to this uncomfortable a when you weren't High when you got up in the morning I did feel that way and as it went on I began to feel more and more uncomfortable all the time and you probably increased your the amount that you were taking in I sure did which is almost ZAC description of any kind of addictive substance or practice anyway that's how smoking every day made me feel but I also wanted to know what using pot daily was doing to my brain so for that I reached out to Susan Rice a psychologist and senior science adviser at the National Institute drug abuse cannabis is a very interesting drug because there is an entire signaling system called the Endo Cabinet System Wise told me this system runs through different parts of your brain and body there's hit the campus which is an area of the brain that's important for memory and we know that marijuana impairs memory and there's also the cortisol areas which has to do with judgment and sensory areas so people may find that things taste different or better I didn't know it but I was fussing with this entire system multiple times a day and when you do that if you do it repeatedly then the system itself will start to down regulate which means it starts to become less sensitive and that's how it starts to develop so these experts all tell me the addiction can be real at the same time legalization on the march so he took my concerns to p people who argue for legalization I expected them to be like hey relax it's just a plant but what they said surprised me normal not here can make the case that cannabis is somehow harmless or innocuous because it isn't that's Paul Armand Tano he's the deputy director of normal Appro legalization group the fact is if we are going to acknowledge that cannabis poses some potential risks then it only follows that those risks are best mitigated by legalization regulation and Public Ed.

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