Script
FALSE START OPEN:
SLO MO ECU OF CIGARETTE LIGHTING, NAT SOUND only as we HEAR Glantz
INTERSPERCE WHITE ON BLACK OPEN CREDITS PG 1 AND 2 DURING:
STANTON GLANTZ, PHD
When you have a cigarette, what you do is you set the tobacco on fire and that generates an aerosol of ultra fine particles in nicotine that carries the nicotine deep into your lungs, it’s absorbed, it goes through your left heart, and to your brain within a few seconds. And you get a big nicotine blast.
SLO MO ECU OF VAPING, NAT SOUND only as we HEAR Glantz
INTERSPERCE WHITE ON BLACK OPEN CREDITS PG 3 AND 4 DURING:
STANTON GLANTZ, PHD
The way an e-cigarette works, is you have a liquid that contains propylene glycol nicotine flavorance, and that’s absorbed onto a wick. And then you have a coil wrapped around the wick. And you turn the coil on and heat it up, like a toaster coil except smaller, and that generates an aerosol of ultra fine particles that carries the nicotine deep into your lungs.
SYNC SOUND and Name/Title
STANTON GLANTZ, PHD
The way that an e-cigarette delivers nicotine, and the way that a cigarette delivers nicotine, is fundamentally the same.
TITLE CARDVAPE (might move title to after the com clips below if it works better)
OPEN Old commercials very fast / just bits CHANNEL CHANGES PERHAPS?
Lucky StrikeSquare Dance “lucky strike means fine tobacco”
Newport commercial 1 “Newport tastes fresher, tastes better too”
Marlboro “come to where the flavor is”
Murial Cigars “Why don’t you pick me up and smoke me sometime”
CUT TO: Interior of library in SF, people reading, getting coffee, NAT SOUND coffee being made and steamed. WE ALSO HEAR;
STANTON GLANTZ, PHD
Well I was sitting in my office in the hospital, at about 11 o’clock in the morning, a box arrived. 1994, May 12, 1994, And I opened it up and there was several thousand pages of secret internal tobacco industry documents.
FLASHES OF PAGES FROM THE WALL PLAQUE SHOTS as we SEE GLANTZ WALKING THROUGH LOBBY.
STANTON GLANTZ, PHD
I had been battling the tobacco industry for years by then. And one thing that always struck me was how stupid the statements they would make publicly were. It would say, “Nicotine isn’t addictive, we don’t market to kids, we don’t know if smoking causes disease.”
FLASHES OLD COMMERCIALS:
Montclair “low in tar and nicotine”
Newport com 2 “real tobacco taste”
Kool “snow fresh filtered Kool”
WE SEE GLANTZ COMING INTO HIS OFFICE
STANTON GLANTZ, PHD
But these internal documents were high-level correspondence between the CEOs, their top management, their board, their top scientists, their PR people, their lawyers. And they were speaking very frankly about the risks of smoking, nicotine addiction. Probably the most quoted line in the documents was from 1963 when the … general council for Brown and Williamson tobacco, (SYNC SOUND) where he said, “We’re in the business of selling nicotine, an addictive drug.”
TS KID VAPING
LEAH NELSON, MD (V/O)
I think the perception is there’s this sort of harmless, flavored juice that people are inhaling
SYNC SOUND
LEAH NELSON, MD
It’s not just the nicotine, there’s the propellants and things in the juice that allow the person to get it aerosolized and breath it in. (GRAPHIC: YRRS 52% High School, 23% Middle School) The other things that surprised me about vaping were really just the proportion of teenagers that were doing it that shocked me. I’ve even talked to some juniors and seniors in high school who say they don’t know a single person who doesn’t
LEAH NELSON, MD
By 8th grade it is now the cool thing to do, so we’re seeing it going younger and younger.
SHAWN SINGH SIDHU, MD SYNC SOUND
It’s important to note that the FDA has been concerned about this to the point of labeling vaping as an official epidemic in kids. So, it’s not just a bunch of docs who are saying I’m worried about this. (COVER NEWSPAPER HEADLINE “EPIDEMIC”) Now the FDA has seen such a rise in teen vaping that they’ve labeled it as an epidemic.
DONA UPSON, MD (SYNC SOUND)
I think that with the skyrocketing number of youth who are using e-cigarettes, it doesn’t bode well for the future.
IMAGES OF Newspaper Ad JUUL “healthier living”
SHAWN SINGH SIDHU, MD
There’s this idea out there that vaping was started as a healthier alternative to smoking. Tobacco is awful in so many ways. But how do we really know what vaping does to the body? It’s been around since 2006. How long was tobacco around? And we’ve had a long time to study its effect on the body. Vaping has been around for 10 years, 12 years. So, how can we really say convincingly that vaping is so much better than tobacco smoke?
FLASHES OF MORE JUUL ADS FROM PAPER
STANTON GLANTZ, PHD
And it wasn’t until 1988, that the surgeon general said nicotine is an addictive drug. So while the tobacco industry had this whole public scientific PR campaign running, to try to question, or to challenge the evidence that nicotine was addictive (WE SEE UPSON GOING ONTO THE STAGE) for example, they were using their very sophisticated understanding of nicotine addiction, and nicotine pharmacology to design products that was addictive as possible, so they could maximize sales and profits.
DONA UPSON SPEECH
What’s really concerning is that just recently, Altria, the largest tobacco company in the U.S., the ones who make Marlborough, bought 35% of Juul. So they invested $12.8 billion in cash plus $2 billion in bonuses to acquire a third of Juul.
FLASHES OF NEWSPAPER HEADLINE ALTRIA BUYS JUUL $8 BILLION
DONA UPSON SPEECH
E-cigarettes typically deliver nicotine, and youth nicotine exposure can cause addiction and harm the developing brain.
SHAWN SINGH SIDHU, MD
I think one of the things that’s tough about this is you might not even know if your kid is vaping. (COVERWITH MARLBORO COMMERCIAL) So back in the old school days, using a classic Marlboro cigarette, you can smell it for a mile, right? But with this, vaping some of the vaping aerosols are odorless and some smell like sort of benign things, pineapple. Some of the vaping devices don’t even look like cigarettes. They might look like a USB stick. They might look like a little metal canister. You wouldn’t even know that it’s a vaping device.
STANTON GLANTZ, PHD
if you look at total tobacco product use among kids, it’s up above where it was five or 10 years ago. (SYNC SOUND) Again, we know there’s a very, very consistent evidence that kids who start with E-cigarettes are much more likely to go on and add cigarettes
SHAWN SINGH SIDHU, MD
So, the United States Surgeon General came out with a report, and the National Academies of Sciences, came out with a report, both independently showing that kids who vape go on to use regular tobacco cigarettes at much higher ratesthan kids who don’t vape.
DONA UPSON SPEECH
kids who we would have thought would have been protected from smoking, based on their demographics, their social standing, their academic prowess, those kids are more likely to use e-cigarettes and progress on to combusted cigarettes.
STANTON GLANTZ, PHD STANTON (SYNC SOUND)
The tobacco companies have shifted people over from cigarettes to e-cigarettes.
NY TIMES “Bait and Switch” HEADLINE TO VAPE SMOKING as we HEAR while we see the GRAPHIC:
Addicting a New Generation
DONA UPSON, MD
I think the real danger of vaping is that we are addicting a new generation of kids to nicotine. And we know of the dangers of nicotine and of tobacco. We know it. And we should have been on top of this and doing things to protect kids.
FADE TO BLACK
We SEE students working at computers at Sandia Prep as we HEAR:
JON TOMAN TEACHER
These classes are applied, digital design class, and they’ve been working on creating anti-vaping posters. They did some research, they got online, I had a few websites that I suggested they take a look at.
CORDELIA BEZAR, STUDENT
We’ve been working on this for about a month now. We started out researching different facts and statistics about vaping.
JON TOMAN
It reminded me of big tobacco and just that real push to get young people hooked early.
That somehow the water vapor was healthier and it wasn’t as damaging to your lungs and things like that. And I think that’s how it’s been portrayed or presented and it seems like that’s not actually the truth.
STUDENTS GREEN/WHITE SCREEN
The smoke produced by e-cigarettes is NOT water vapor
And it isn’t harmless
STUDENT GREEN/WHITE SCREEN
The two primary ingredients found in e-cigarettes are
Propylene Glycol and vegetable glycerin
BOTH chemicals toxic to your cells
QUICK SHOTS OF POSTERS
CORDELIA BEZAR
Now that I’ve looked at everything, I would tell my friends that it’s really not good for you, and despite what all the big brands say, it’s not safer than smoking cigarettes.
FLASH TO POSTERS “Don’t be a Guinie Pig” “Don’t be a lab rat”
GRAPHIC NICOTINE
STANTON GLANTZ, PHD STANTON
There’s been several studies where kids actually don’t know if the products have nicotine in them or not. For example, all JUULS have nicotine. But a lot of kids think they’re just using mango or whatever the flavor happens to be.
SHELBY HORAN, STUDENT
I was surprised to learn that there’s 20 cigarettes is equivalent to one JUUL pod. You’re basically smoking an entire pack of cigarettes with just one JUUL pod.
LEAH NELSON, MD
What’s well known from the last 50 or 60 years is that you can get addicted to cigarettes in as few as 100 cigarettes. So a teenager starting smoking it only takes about 100 cigarettes to get a permanent addiction. That’s actually the equivalent of about five JUUL pods. It’s not very many pods to get to a full blown addiction in nicotine.
AIDEN
These pods are different from vape Mods, they’re not filled with e-juice, they’re filled with nicotine salt(GRAPHIC Nicotine Salt) which is why this is so much smaller than a Mod which you’d fill-up all the way with a big old thing
STANTON GLANTZ, PHD
In Juul they use the nicotine salt rather than freebased nicotine and that allows people to inhale much higher doses. If you are inhaling the same dose of nicotine from a cigarette as JUUL delivers out a puff, you would probably gag, but because the nicotine is in a different chemical form, you can breathe it in.
CORDELIA BEZAR
I learned that Nicotine is as addictive as cocaine and heroin…
POP IN POSTER FROM PREP RE: addiction
DONA UPSON, MD
Nicotine is the most addictive substance we know. I have patients who have quit everything else: Cocaine, heroin, meth; haven’t been able to quit smoking.
SMOKE GRAPHIC: NICOTINE ADDICTION
STANTON GLANTZ, PHD
The way nicotine works is that it mimics the chemical your nerve cells communicate with each other with.
USE OLD FOOTAGE FROM ENCYCOPEDIA BRITANNICA TO DEMONSTRATE
STANTON GLANTZ, PHD
When you put nicotine in your body, it binds to the acetylcholine receptor sites and stimulates them. That’s why people get a buzz when they use nicotine. It’s stimulating their nervous system.
SHAWN SINGH SIDHU, MD
So, teenagers, and a lot of times these are middle schoolers and high schoolers who are vaping, could be as young as 12, 13. They still have a lot of brain development to go. And so, what we know is that if your brain is insulted for any reason. And insulted, if your brain is harmed for any reason during critical periods of development, it can cause a lot of long-term effects.
STANTON GLANTZ, PHD
When you are using nicotine, especially if you’re a kid when your brain is still developing and you start screwing with the communication between nerves, your nerve cells say, “Oh, something is amuck.”
DONA UPSON SPEECH
Adolescent use of nicotine can harm brain areas that control attention, learning, mood and impulse control.
LEAH NELSON, MD
And what we’ve seen with cigarettes is when people try to quit that they have to try over and over again before they succeed. (INSERT VISUAL JUUL NEWSPAPER AD: “Make the Switch”) We’re actually finding the same thing is true with vaping products. People want to quit, but they start going into that nicotine withdrawal, they start feeling shaky, they start feeling that urge, and pretty soon they’re vaping again.
STANTON GLANTZ, PHD
This is a problem for everybody, but it’s particularly a problem for kids because your brain is still developing up until about age 26 and by bathing it in nicotine in this kind of faux neurotransmitter, you’re getting it all confused, so the way your brain develops is different. That’s why the younger kids are when they start using tobacco, the more addicted they tend to get and the longer they smoke and the harder time they have quitting is because their brain has become more remodeled because of the nicotine.
LEAH NELSON, MD
So even younger teens and adolescents and older, you know, 5th, 6th graders who aren’t teenagers yet, their brains are really primed for addiction. The patterns that they establish during that developmental stage tend to get really deeply ingrained in their brain. So when a teenager starts smoking, it’s much harder for them to quit than when a 20 or 30 year old start smoking.
AIDAN
I started around the age of 15,smoking cigarettes.
ALEXIS
I started smoking cigarettes in sixth grade.
LEAH NELSON, MD
And the same appears to be true for vaping products, so when somebody starts vaping when they’re 13, 15, 17, in that window, the more quickly they appear to get addicted to the nicotine.
AIDAN
You can really notice when that sets-on because it goes from, “Oh, my friends are smoking I’ll smoke with them, or I’ll just have a quick cigarette,” to even when you are not in the mood for a cigarette being like, “Well I need to have a cigarette.”
ALEXIS
I vape 24/7. So, like I wake up, just start vaping. As I’m driving, I’m vaping. I just vape whenever I’m able to.
AIDAN
So my plan was never to completely go off nicotine because I like it. But I was able to be like, “Oh, I’m gonna go down to 3mg versus the cigarette which I believe is around 12mg. With these little vape pens and stuff, you can’t control it, it’s all the same, and they don’t advertise on the packaging how much that is. So I don’t know how much I’m consuming.
STANTON GLANTZ, PHD
There’ve been many studies where people go out and they get some E-liquid from different products and then they go put it into a mass spectrometer and a very substantial fraction of the ones that say they don’t have nicotine in them, HAVE nicotine in them. The first thing you’ve got to know, is just as something SAYS it doesn’t have any nicotine, doesn’t mean it doesn’t have any nicotine and the quality control in these products is terrible.
SHAWN SINGH SIDHU, MD
One thing that’s very important to remember is that there are all kinds of toxic chemicals that can be in this aerosol.
KIDS GREEN/WHITE SCREEN:
Vape liquid WITHOUT nicotine DOES CONTAIN
Acroline, which can damage your lungs
Diethylene glycol, an ingredient in antifreeze
One study found that with vaping,
exposure to FORMALDEHYDE
is 5 to 15 times greater than from smoking cigarettes.
E-cigs produce dangerous chemicals
Acetaldehyde, acrolein and formaldehyde
These Aldehydes can cause lung disease
SMOKE BUMPER AS WE HEAR:
DONA UPSON, MD
Juul costs less per nicotine content than cigarettes. These are the little pods. One of those has as much nicotine as a pack of cigarettes. In New Mexico, we don’t have a tax on e-cigarettes, so the retail price of a package of four cartridges of Juul is about $15. For the same nicotine content in a pack of cigarettes, retail price is $32, and right now, we’re taxing cigarettes at $1.66 per pack. So the total would be about $39. So it makes it easier for people who don’t have as much money, kids, to buy Juul.
GRAPHIC: Coming Up: Second Hand Vape
END ACT 1
ACT 2
We SEE PARGAS feet walking to the car, getting in, starting to drive as we HEAR:
CAROLYN PARGAS
In the morning the first thing I do is I get up, go put the coffee on, put my E-Cigarette to charge. I get in the car. I take a couple of vapes. I give it about two or three puffs or whatever out of the vape cigarette. I drive in to work and then when I’m getting close into work I’ll take a couple more puffs and then I turn it off and leave it in car until I’m done for the day. When I’m on my way back home I’ll do the same thing. (SYNC SOUND) I started smoking when I was a teenager, so back in 17-18 years old I started smoking. I just … It was a cool thing to do back in the 80’s.
(FLIP AND FLOP VISUAL….OLD TO NEW)
CUT TO:
ALEXIS
Vaping is cool. Yeah.
NAT SOUND PARGAS DRIVING…B roll AS WE HEAR:
CAROLYN PARGAS
I was a smoker for 35 years, tried lots of various methods to try to quit smoking and nothing really was effective. I tried the patches. I tried the gum and nothing was really effective. My son bought me an E-cigarette, probably a couple years ago. I started off with a nicotine level of about…I think it was about 15 miligrams per bottle and I incrementally went down until I got to probably about … It’s probably been about six to eight months maybe that I got to zero nicotine level. Now I have it. I use it just on occasion. I don’t use it all the time. I’ve weaned myself basically off the nicotine.
I used flavored nicotine, the juice. They tasted sweet. They tasted pretty good. I did notice also in the car or around anybody you’re clothes after you’ve smoked a cigarette, that smell lingers on with you. You don’t have that effect with the vape either.
KIDS GREEN/WHITE SCREEN:
E-cigs may SMELL better than regular smoking
So you might think it’s OK to be around others when you do it.
The US surgeon General says
There are health risks of SECOND HAND e-cig emissions
Nicotine, ultrafine particles
Volatile organic compounds
Like benzene
Which is found in car exhaust
And heavy metals
Like nickel, tin and lead.
Are ALL in SECOND HAND e-cig emissions
CAROLYN PARGAS
Ultimately nothing is good for you, but the cigarettes for one is the cost and all the additives that they added to those cigarettes with the tar and everything else. I don’t know all the ingredients that they do use for the vape, but my theory or belief is that it’s less impactful than real cigarettes.
STANTON GLANTZ, PHD
And it is true that cigarettes probably generate a lot more cancer-causing chemicals than e-cigarettes do; at least for the chemicals people have looked at, that seems to be the case. But they still are generating those ultra fine particles, and those particles are themselves, dangerous. They’re very, very small. There are 50th or 100th the size of a human hair. And they go right into people’s blood, right into the cells in their body, they trigger inflammatory processes and other things. And they increase the risk of having a heart attack, of having lung problems.
LEAH NELSON, MD
So when the e-juice in the vape is heated, which is how all of these work in order to make that vapor. When these substances are it creates a chemical reaction that make formaldehyde and it gets then breathed deeply into the lungs which can cause, we think, long term lung damage.
KIDS GREEN/WHITE SCREEN:
E-cigs deliver LOWER LEVELS of carcinogins
than traditional cigarettes
BUT, E-cigs STILL expose you to HIGH LEVELS
of ultrafine particles
And other toxins
That INCREASE cardiovascular and lung disease risk
AND they affect your teeth too.
MUSIC and SEE Dr. Slayman coming around the corner and going into the room…we HEAR:
DR JIM SLAMAN
Well the concern with vaping is that vaping delivers nicotine, so the effect of nicotine is the same essentially as smoking or smokeless tobacco on the health of the gum tissue
because it decreases the blood supply to the tissue and increases your risk for gum disease.
TAKE FULL SYNC SOUND
What we have come to learn about vaping is that the carrier is propylene glycol and when that is broken down through the vaping process, the by-products, some of which are acidic, tend to dry the mouth tissues leading to dry mouth, which increases your risk for tooth decay. The other portion that E liquid is vegetable glycerin, (COVER INGREDIENTS) which when it’s broken down by itself doesn’t have any effect on the oral tissues, when you add the flavoring agent to the vegetable glycerin, (GRAPHIC SOFTENS ENAMEL 27%) it softens the enamel by about 27% which increases your risk for tooth decay.
SHAWN SINGH SIDHU, MD
what we know is that vaping in of itself is bad for your teeth. Any form of nicotine decreases blood flow to the gums, which causes tooth decay, causes bacterial overgrowth, persistent bad breath, and who would want to date you if your teeth are falling out and you have bad breath?
SMOKE BUMPERas we HEAR THE BITE BELOW (SEE the APOCOLYPSE NOW letter and SLYVESTER STALLONE letter as he talks about imagery and movies)
STANTON GLANTZ, PHD
They’re doing it because they get a buzz, because they think it makes them look grown up, because it’s a social thing with their friends, because they’ve been sucked into all the imagery that the tobacco companies have put in front of them because they’ve seen all the smoking in movies that the tobacco companies historically got placed. But they all think they’re going to quit when they’re around 21 or 22, but then when they get there they’re addicted.
GRAPHIC IN SMOKE: COMING UP: FLAVOR DANGERS
END OF ACT 2
ACT 3
WE SEE the SMOKE BUMPER as we HEAR and SEE GRAPHIC: FLAVORS
STANTON GLANTZ, PHD
the flavorance which are used at much higher levels in e-cigarettes, than in cigarettes, are themselves quite dangerous in terms of affecting people’s lungs and their cardio vascular system. And things which would be perfectly fine to eat, something like butter flavoring from butter flavored popcorn, or cinnamon oil, when you eat it, it’s fine, but if you take those oils and aerosolize them, and inhale them, they really tear up your lungs.
SEE Alexis smoke clouds as we HEAR:
ALEXIS
Yeah, I do enjoy vaping. It tastes good. It smells good. I don’t know, I like making clouds and stuff like that. There’s many, many, many different flavors of juice.
SYNC SOUND
So the one I’m vaping right now, it’s my favorite. It’s called Galaxy. Basically it’s strawberry, banana, and whipped cream. It’s not too strong either. So it’s pretty good. I really like probably the fruity flavors or like a mint one.
DONA UPSON SPEECH
Since smoking is not a natural behavior like eating or drinking, the manufacturers commonly add flavoring. Flavoring especially enhances the appeal to first-time users, especially teens.
PRISCILLA
I think it could be attractive just because of the flavor ’cause oh, it tastes good. Like candy. You want a candy because it tastes good.
WE SEE shots of the flavored vape juice EVENTUALLY GO TO SYNC SOUND AND TITLE
SHAWN SINGH SIDHU, MD
certain vaping aerosolized flavors, they prevent nitric oxide from being released in the cardiac endothelial cell. So, what does that mean? Nitric oxide is a compound that relaxes your arteries. It keeps them nice and open. It prevents them from being clogged. And so, some vaping aerosols have been linked with decreased nitric oxide production, meaning that this very valuable thing that dilates your arteries isn’t available. So, you may be more likely to have narrower arteries, which are more likely to get clogged, and plaques, and eventually could cause a heart attack
CAROLYN PARGAS
My favorite one was the “red bull” or the “pina colada”. Those are the two favorites.
FADE TO BLACK
We SEE Jordan Young and his father come into ABQ BBQ restaurant as we HEAR:
JORDAN YOUNG
I’m kind of like the night cook dude over here. I run the ship at night
COVER OF JORDAN COMING IN AND COOKING
JORDAN YOUNG
When I started smoking cigarettes I was like, 15, 16-ish. At first, I don’t know, I just did it at school one time and I shouldn’t have done that. Just ’cause it was kind of just down hill. I just got it because … unfortunately, my dad, he’s the same way. Cigarettes are his thing that snagged him up real quick, so kind of did the same thing with me. (SYNC SOUND OF JORDAN) The reason why I started vaping lately is ’cause I’ve been trying to get in shape and stuff like that and smoking cigarettes, you can’t run, you can’t do anything without hacking up a lung and stuff like that. Sometimes you go and you buy the juice. And it came with two different ones. The other one was a blueberry one and this is like strawberry jam on like buttered toast is what it says. I like it a lot. It’s like breakfast.
We SEE JORDAN GOING OUTSIDE TO VAPE and HEAR:
Like I maybe go outside maybe two or three times a night for like five minutes and just vape outside for a couple of minutes and then go back inside. If I had to do it over again, I definitely would not ever smoke cigarettes. It’s just a waste of my time and my energy and health.
SMOKE TRANSITION
STANTON GLANTZ, PHD
You can also manipulate the nicotine delivery and absorption and by things like varying the acidity of the smoke or the liquid, varying the presence of other chemicals that interact with the nicotine like acid Aldehyde, which is produced when you burn sugar or Menthol, which is in many cigarettes I said [inaudible 00:03:40] especially cigarettes used by kids and the menthol e-cigarettes and the menthol is a local anesthetic. (NEWPORT COM 3 “enough menthol to keep the smoke cool and fresh” THEN OLD FOOTAGE BOY IS COUGHING) That deadens your throat makes it easier to inhale and it also seems to interact with the nicotine in ways that where you get a bigger hit for the same level of exposure.
GRAPHIC MODS AND PODS
ALEXIS
It’s called, I don’t know, just a mod. Basically this is the tank and then this is the mod. It’s controlled with two batteries. And then you change the coils out as you use it, and then you just fill the juice in here.
AIDAN
And there’s just so much that goes into smoking a Mod, knowing the amperage and wattage of everything, being able to get the right pieces and parts together that it was just kinda annoying.
JORDAN YOUNG
So, I went and I bought the, it’s a Snow-wolf. I used to have the atomizer part for it too. It’s the top part, this part, but it was kind of like acting up. So I got a new one.
DONA UPSON SPEECH
There’s conclusive evidence that e-cigarette products contain and emit numerous potentially toxic substances. They contain more metals than combustive cigarettes, and that probably is from the heating of the coil and the other components of the devices.
CAROLYN PARGAS
This is a SUBVOD, it’s a Kangertech SUBVOD, that’s the design. Again I like it because it’s the pen. I know they have other devices that are a lot bigger, but this is small. It’s a little more feminine, I think, as opposed to these other, they have giant batteries and things.
AIDAN
You purchase this part, which is the actual pen, and it comes with a charger, it charges really quickly. And then what you refill are these little pods, and you buy them in packs of two for about $9
ALEXIS
so there’s a few different ways you could vape it. You could do wattage, temperature. Watch, wattage, temperature … And I don’t know, there’s another one, but I use wattage.
PARGAS IN CAR
Okay, so there is a button right here. To turn it on, or off, you click it five times. So I just turned it off. So to turn it on, I’m gonna click it five times, and then you’ll see it blinking. And you’ll know that it’s on when you press the button, it blinks.
PRISCILLA
I think what it is is just that like, they look cool. It’s just the mods just look fancy. Hey look cool. They have lights. So, it’s like, “Ooh, pretty, shiny.” You see something and it’s like, “Oh, that’s cool. I want it just to have it.”
TRANSITION TO
GRAPHIC: CANNIBUS AND VAPING
DONA UPSON, MD
And the other concern is that many people are using the e-cigarette devices with cannabis. It’s also shown that kids who start vaping are more likely to go on to use marijuana.
LEAH NELSON, MD
what a lot of people are doing is going out and buying e-juice and a vaporizing pen and putting them together and you can put anything you want in e-juice. So people put THC products, so marijuana products can be dissolved in this e-juice and then they can smoke or vape marijuana throughout the school day, throughout their home life without there being that classic marijuana odor.
SHAWN SINGH SIDHU, MD
I’ve seen actually as high as one in three kids are using their e-cigarette for some device other than the aerosol intended for it. (cover from pot farm in Colorado) And the highly concentrated form of THC, the wax, which is being melted into a liquid form and then being inhaled through these cigarettes, is way, way, way more concentrated than any marijuana was in the 60s 70s 80s.
TIM PHILLIPS, Extraction Manager, Mindful
This is live resin. The plant is cut and the daid is cut, it is frozen immediately and ran within 24 hours of its new life. So what that does to the THC levels it do… it just concentrates it from the actual flower. On average our flower in house tests anywhere from 20% THC to 25%. What that does is then breaks it down to about 75 to 85% when we extract all the THC and terrapins off the product. So basically just concentrating it from that flower, taking all the THC and terrapins off of the plant and creating a very, very high intoxicating product.
BEN IBARRA, Understanding Legal Marijuana
Now there’s a couple different concentrates. There’s uh wax. There’s uh shatter. And then there’s also going to be uh CO2 hash oil or honey oil because it parallels similar in look uh to honey basically.
LEAH NELSON, MD
A recent survey actually found that about nine percent of high schoolers had used a vaporizing pen to inhale a marijuana product.
DONA UPSON SPEECH
Altria also bought 45% of the Canadian cannabis company Cronos, and a lot of youth are using e-cigarette devices to vape cannabis.
LEAH NELSON, MD
So people are finding ways of using hard drugs using e-pens and one of the things I always caution my patients about is to (GRAPHIC) never share a vape at a party, because you actually don’t know what’s in it. You might think it’s a nicotine vape or you might think it’s a marijuana vape and next thing you know you’re high on methamphetamine.
SMOKE BUMPER as we HEAR and SEE
GRAPHIC: COMING UP: SMOKING CESSATION
STANTON GLANTZ, PHD
Another part of the scam of e-cigarettes is they’re promoted as a quit smoking device. Smokers, including kids, use them to try to quit smoking, but for most people they actually make it harder to quit smoking. You’re doing this thing which is actually reducing your odds of being able to stop smoking. Now again, they are some people who successfully quit. If you go around the vape shops and that, you’re going to find people who will swear up and down that e-cigarettes helped them get off cigarettes. There’s a distribution of effects and there are a few people out in that tale who do successfully quit. But if you look at the population of all e-cigarette users, it makes it harder to quit smoking.
END OF ACT 3
ACT 4
SMOKE BUMPER with GRAPHIC: SMOKING CESSATION
SARAH WOODS DRIVING AROUND
SARAH WOODS:
In my early teens, I started smoking. Everybody was smoking. I didn’t wanna be left out. I started thinking about not smoking probably in my mid 50s. I got more serious about it in my late 50s. I went directly from no cigarettes to vaping. And I liked the vaping with the liquid because I could control the amount of nicotine and I could graduate it down on my terms. I do vape in the car. So, there’s probably some association there.
Some at work, some at home. Not a huge amount. I don’t think. I’ve been on zero nicotine since September of 2017. So, I was able to go from whatever it was; the highest to the lowest, and none, in that amount of time. Occasionally I still vape with zero nicotine. I like it! I like it. I dunno. I dunno. I’ve tried to think of a really good reason for that, and I can’t think of anything other than I enjoy the act.
DONA UPSON SPEECH
Stanton Glantz’s group in California looked at, they also did a meta analysis a couple of years ago, and they looked at e-cigarettes and smoking cessation in real-world clinical settings, and what they found looking at, they looked at about 600 unique records, and this was up until June of 2015. And overall, they found that people were less likely to quit smoking if they used e-cigarettes than if they didn’t use e-cigarettes, that’s 28% lower.
STANTON GLANTZ, PHD
Now if you talkin’ the e-cigarette optimists, or even if you listen to the FDA, they talk about that, “Oh, it would be so much better if people switched from cigarettes to e-cigarettes.”(COVER JUUL AD “Make the Switch”) And that’s mostly based on the fact that you’re getting less cancer causing chemicals, but cancer only kills about a third of the smokers. Most smokers die from heart and lung disease, and the risk of e-cigarettes for those diseases seem to be around that of cigarettes, in fact, the lung disease risks may even be higher. And the reality is about two thirds of the people who use e-cigarettes, adults who use e-cigarettes continue to smoke cigarettes at the same time.
AIDAN
When vaping first started becoming a thing I would do both, I mean I didn’t really have a strong preference one way or the other.
STANTON GLANTZ, PHD
If you use e-cigarettes and continue to smoke cigarettes at the same time, which is what most e-cigarettes people do, the risks actually add. For example, (GRAPHIC: HEART ATTACK) for heart attacks, the risk of smoking cigarettes about doubles to triples the odds of having a heart attack. The risk of using e-cigarettes about doubles the risk of having a heart attack. If you’re a dual user, if you’re using them both at the same time, the risk goes up by about a factor of six. So, these risks compound and the same thing has been found for lung disease, that if you’re a smoker you have a certain risk, if you use e-cigarettes you have a certain risk. If you use both products at the same time, which is what most people do, then those risks compound and you’re actually worse off by using the e-cigarettes.
UPTON SPEECH
A new study just came out in the New England Journal, not even a month ago, a randomized trial of e-cigarettes versus nicotine replacement therapy. In the e-cigarette group, at one year, 18% had quit smoking, and in the nicotine replacement group, almost 9%. People in the e-cigarette group were almost twice as likely to have quit smoking at one year. I think there’s some good news that they did work for some people, 20% of people who wanted to quit smoking were able to quit smoking using the e-cigarettes. (GRAPHIC: 80% who quit smoking were still vaping after one year) 80% of them were still using them at a year.
TRANSITION TO:
NEX GEN SCHOOLPRESENTATION
Okay. My group members. So Eva’s go first with the intro.
I’m gonna hand it off to Eva- To vape or not to vape? By Eva… do you guys wanna say your own names or do I say it?
VISUALS OF TWO OR THREE NEX GEN GROUPS WORKING AS WE START TO HEAR:
DAVID LYNCH, PRINCIPAL
In this vaping project, the students are going to create an authentic product and they’re going to work collaboratively in teams to achieve their goal.
NEX GEN SONG KIDS
It’s a teen, from a teen’s perspective, and all their friends are vaping, and smoking these e-cigarettes, and they don’t know what to do about it.
DAVID LYNCH CONTINUED
But another important part of this particular project is that it is a real world problem, it is authentic. It’s not just something that is thrown at the students from a text book that they just need to fill out the blanks, they have to create something, there’s innovation, there’s creativity.
NEX GEN SONG KIDS
And then we could be like, “All my friends are ruining their lives, for that temporary high,
Yeah, “Search for artificial happiness”, which is what we want to name it.
NEX GEN PRESENTATION
The first presenter will be Molly.
Thank you. What is vaping? Vaping is a process of inhaling a substance such as marijuana, nicotine, tobacco and more. Over the years, products have lured people in but especially teens. They are making a lot of profit from that as well. Next up is Audrey.
Risks of vaping.
(fade NAT SOUND under)
SHOW THE PHOTOG GROUP AND THEIR FINAL POSTER AS WE HEAR:
DAVID LYNCH
This problem has increased exponentially over the last few years. I speak to a lot of my colleagues that are in larger comprehensive schools, it is everywhere, it is … We don’t have any real idea what it’s going to do to these students health wise in the long term.
NEX GEN PRESENTATION
So what exactly are you inhaling each time you hit your vape? You’re inhaling things such as water, chemicals, nicotine, flavoring, heavy metals. There’s heavy metals such as nickel and
(fade NAT SOUND under)
VISUALS OF THE LAST GROUP WORKING ON POSTER ON THEIR COMPUTER OVER LAST PART OF BITE ABOVE THEN HEAR AND FINALLY SEE:
NEX GEN PRESENTATION
So ask yourself this, do you think at a young age it is acceptable to vape? I personally don’t think it is, I want you guys to have good health, have a good life and live long. Thank you.
SMOKE TRANSITION TO ENDING SEQUENCE
OLD COMMERCIALS REPRISE
Your Hit Parade OPEN
Lucky Strike “so round, so firm, so fully packed”
Winston Tastes Good Like a Cigarette Should
FLIP TO VAPING SHOTS AUDIO ONLY UNDER VISUALS
CAROLYN PARGAS
It was a cool thing to do back in the 80’s
ALEXIS
Vaping is cool, yeah
STANTON GLANTZ
The cigarette consumption has continued to go down, but the vaping has increased so rapidly that the total product you use is up.
ALEXIS
I know they don’t really know the long term with vaping compared to they do with cigarettes because cigarettes have been around a lot more. So, if there’s a long term effect that might probably be bad.
SMOKE BUMPER with GRAPHIC: QUITTING
LEAH NELSON, MD
It’s really hard for teenagers to quit nicotine, but it can be made easier by having a lot of support. If you have a supportive friend, a family member, especially a close network of people who are all trying to quit together, that can help. Also, there are online resources and apps available so that you don’t have to do it alone. For teenagers especially, I want you know you might have to try a lot of times because nicotine is so addictive and if you fail once don’t give up, just keep trying and eventually you’ll kick the habit.
KIDS GREEN/WHITE SCREEN:
Think about it
Long Term
Check the Facts
Know the Facts
For your Health
For your Friends Health
SMOKE VISUAL GRAPHIC: VAPE