Health
Severe health risks of vaping and e-cigarettes, especially for youth, say experts
Vaping, the practice of inhaling and exhaling aerosol from an e-cigarette, has emerged as a trend, especially among teenagers and young adults.
While the full impact of e-cigarettes on mental and physical health is still to be determined, current research indicates potential health risks.
What exactly is vaping?
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Vaping devices, which include e-cigarettes, e-vaporizers and electronic nicotine delivery systems, are battery-operated devices originally designed as an alternative to the experience of traditional smoking.
Users inhale an aerosol mist — often containing nicotine, various flavorings and other chemicals — produced when the liquid inside the device is heated. These devices come in various forms, sometimes resembling everyday items such as pens, traditional cigarettes, USB memory sticks or even juice boxes.
The term “vaping” arises from transforming liquid to vapor when the user puffs on the device.
Other terms associated with vaping include “dripping,” manually applying e-liquid to the heated coils, and “JUULing,” a term referring to the JUUL brand of e-cigarettes.
Fox News Digital reached out to JUUL, based in San Francisco, for comment for this article. While the company responded, it opted not to provide a statement at this time.
Initially designed as tools to pursue smoking cessation and to act as an alternative, e-cigarettes began to grow in popularity as an enjoyable experience, especially with the flavorings available and the concealability.
Appeal of e-cigarettes for adolescents
In 2018, the U.S. Food and Drug Administration (FDA) noted an e-cigarette epidemic among youth, based on a 78% increase in use from the previous year among high school students recorded by the National Youth Tobacco Survey.
A primary reason that e-cigarettes appeal to the younger generations is their accessibility.
Young adults aged 18 to 24 are the most frequent users of e-cigarettes. Data also shows that among the 11- to 15-year-old age group, 9% reported having tried vaping, according to the U.S. Centers for Disease Control and Prevention (CDC).
A primary reason that e-cigarettes appeal to the younger generations is their accessibility, according to the Rehabilitation Nursing Journal.
Other reasons listed for their appeal include the targeted marketing, enticing flavors, social media influence and the belief that they are safer than the traditional alternative of regular cigarettes.
Health risks of vaping
The adolescent years are a critical time for brain development, which continues until about the age of 25, according to physiological studies.
During this time, the prefrontal cortex — a part of the brain responsible for decision-making and impulse control — is particularly vulnerable to external influences.
Introducing nicotine through vaping can disrupt the development of neuronal circuits, which could lead to changes in brain function. In particular, nicotine exposure can desensitize the brain’s receptors, which would make it more difficult for an individual to experience pleasure without increased nicotine use.
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Nicotine’s effect on the brain also impacts the reward system, because it increases dopamine release, a neurotransmitter associated with pleasure and reward. This change can be particularly harmful during the developmental stage, as the ongoing maturation of the brain is essential to establishing healthy cognitive and behavioral patterns for adulthood.
Other negative effects of nicotine use, especially in youth, as has been widely reported, include:
Respiratory issues
The use of e-cigarettes has been correlated with lung injury, according to a CDC update providing guidance to health care providers.
A specific and severe lung condition, E-cigarette or Vaping Product Use-Associated Lung Injury (EVALI), has been directly linked to the use of vapes.
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The flavors added to the cartridge have been implicated as a possible factor related to respiratory issues, according to the Journal of the American Medical Association (JAMA).
Chemicals such as benzaldehyde and diacetyl are especially concerning due to their association with lung damage, according to the Journal of the American Academy of PAs (JAAPA).
Cardiovascular health
A study conducted by JAMA Cardiology found that the same negative impacts on the cardiovascular health of traditional cigarette smokers were seen in habitual e-cigarette users as well.
Additionally, those who “used e-cigarettes at any point” had a 19% higher risk of developing heart failure, according to a study by the American College of Cardiology.
Chemical exposure
Inhalation of chemicals found in e-cigarette liquids is known to be especially harmful to adolescents, according to the American Lung Association.
Propylene glycol, a key ingredient in many vaping products, has been associated with several health issues.
Exposure to propylene glycol may be a contributing root cause of conditions such as rhinitis, asthma and dry mouth, according to JAAPA.
Moreover, when vaporized, propylene glycol can decompose into formaldehyde and acetaldehyde, irritating the eyes, nose, throat, upper respiratory tract and skin.
Concerns about the safety of these substances are manifested by a lack of regulation in the vaping industry.
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“The pharmacologically active components of vaping products are not regulated, and the methods by which they are extracted and suspended in solution vary greatly … The risk profiles of these inhaled chemical mixtures change significantly depending upon the method by which they are vaporized or heated,” cautions the Journal of the Missouri State Medical Association.
How do e-cigarettes compare to traditional cigarettes?
It was not until 2016 that the Food and Drug Administration began to regulate e-cigarettes, as reported by the Rehabilitation Nursing Journal.
With this regulatory shift, the items became subject to similar restrictions as tobacco products, including the age requirement for purchase of 18 years old.
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Highlighting the consequences of vaping, 22-year-old Jackson Allard shared his experience as a caution to youth who are considering vaping, as Fox News previously reported.
Likely as a result of his vaping habit, Allard developed parainfluenza, which led to pneumonia and then acute respiratory distress syndrome; he nearly lost his life.
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His grandmother, Doreen Hurlburt, frequently warned him against the habit, she said.
“Multiple doctors said, ‘If you smoke cigarettes for 50 years, we’ll see you with lung cancer, and if you vape for five years, we’ll see you with permanent lung damage,’” Hurlburt told Fox News.
Mills Hays of Fox News contributed reporting.
Health
In Colorado, plague case confirmed in human, health officials say: ‘Must be treated promptly’
A human case of the plague has been confirmed in Pueblo County, Colorado, according to health officials.
The Pueblo Department of Public Health and Environment (PDPHE) is working with the Colorado Department of Public Health and Environment to investigate, according to a press release.
No specific information was provided about the person who contracted the plague.
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“We advise all individuals to protect themselves and their pets from plague,” Alicia Solis, program manager of the Office of Communicable Disease and Emergency Preparedness at PDPHE, stated in the release.
What is the plague?
The bubonic plague is caused by Yersinia pestis, a bacterium that was likely first introduced in North America around 1900 from rats on ships coming from South Asia, according to Timothy Brewer, M.D., professor of medicine and epidemiology at UCLA.
“Since its introduction 120 years ago, it has become endemic in ground squirrels and rodents in the rural Southwestern U.S.,” he told Fox News Digital.
Although the disease can affect people of all ages, half the cases involve patients between the ages of 12 and 45, as stated on the Centers for Disease Control and Prevention (CDC) website.
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Globally, between 1,000 and 2,000 cases of plague are reported to the World Health Organization each year — although only an average of seven annual cases are in the U.S.
If left untreated, the plague has a fatality rate of 30% to 60%.
With antibiotics, that drops to below 5%.
Symptoms and spread
Symptoms of the plague typically include severe headache, fever and chills, muscle aches, nausea, vomiting and swollen lymph nodes, the health department listed.
The plague can spread by droplets from one person infected with Y. pestis to another, according to Erica Susky, a certified infection control practitioner based in Canada.
“The more common risk of exposure in the U.S. is from pets, rodents and fleas,” she told Fox News Digital.
“Pets can sometimes be infected when encountering an infected flea or rodent and may pass it along to their pet owners from a bite or if the pet is ill.”
Another possible source is from hunting, she said — “skinning animals is also a risk, as the bacterium can spread via infected body fluids.”
“Treat pets promptly if they have a flea infestation and seek veterinary treatment if a pet becomes ill.”
Breathing in dust contaminated by dried rodent urine or feces with the bacteria can also spread the infection, according to Brewer.
Preventing the plague
The best means of prevention is to avoid rodents and fleas whenever possible, including dead rodents, Susky said.
“One way to do this is to ensure the home is rodent-proof by eliminating places where rodents may enter and hide,” she told Fox News Digital.
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Whenever possible, pets should be kept indoors, Susky recommended.
If pets are outdoors, they should be leashed.
“Treat pets promptly if they have a flea infestation and seek veterinary treatment if a pet becomes ill,” Susky advised.
Hunters should wear gloves and wash their hands after skinning animals, and should change and wash their clothes afterward, she added.
The PDPHE also recommends keeping pet food in rodent-proof containers and not allowing pets to sleep in bed.
“If spending time outdoors where one may be bitten by fleas and other insects, repellent should be applied to minimize potential bites, which are a portal of entry for the bacterium if one is bitten by an infected flea,” Susky said.
Anyone who develops symptoms of plague should see a health care provider immediately, Solis advised in the PDPHE alert.
“Plague can be treated successfully with antibiotics, but an infected person must be treated promptly to avoid serious complications or death.”
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Fox News Digital reached out to the Pueblo Department of Public Health and Environment and the Colorado Department of Public Health and Environment for comment.
Health
Potassium chloride medications recalled due to failure that could cause heart attacks: FDA
Two brands of potassium chloride capsules are being recalled because they may not dissolve as they should, which could cause a person to have a heart attack, according to the Food and Drug Administration (FDA).
In a press release published on June 25, the FDA explained that Glenmark Pharmaceuticals Inc. is recalling 114 batches of a product called Potassium Chloride Extended-Release Capsules, USP (750 mg) 10 mEq K. The reason is because of “failed dissolution” in the pills.
The product is intended for patients who suffer from low potassium levels, or hypokalemia.
According to the FDA, the failed dissolution could elevate consumers’ potassium to the point where a heart attack is possible.
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American Health Packaging issued a similar recall of 21 batches of the same capsules. The capsules were also made by Glenmark but distributed by BluePoint Laboratories.
“The failed dissolution of potassium chloride extended release capsules may cause high potassium levels, also known as hyperkalemia, which can result in irregular heart beat that can lead to cardiac arrest,” the FDA’s statement read.
“For patients who require chronic use of potassium chloride extended-release oral capsules… there is a reasonable probability of developing hyperkalemia that may lead to a range of severity of adverse events from being asymptomatic to more severe potential life-threatening adverse events of hyperkalemia such as cardiac arrythmias, severe muscle weakness, and death,” the agency added.
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The FDA also noted that there have not been any hyperkalemia cases or “serious adverse events” reported related to the product yet. The statement noted that the capsules are sold in bottles of 100-count and 500-count.
“Glenmark is notifying its wholesale and distributor customers by written letters and is arranging for return of all recalled batches,” the FDA said. “Wholesalers, distributors, and retailers that have the recalled products should discontinue distribution of the recalled product lots immediately and follow the instructions provided in the written recall letter.”
“Wholesalers and distributors should conduct a sub-recall to retail or pharmacy customers.”
Fox News Digital reached out to Glenmark Pharmaceuticals Inc. for comment, but did not hear back.
Health
Is cord blood banking a worthwhile investment in your child’s future?
The umbilical cord — the lifeline between mother and baby — was historically discarded as medical waste after birth.
Today, an increasing number of parents are choosing to preserve the cord blood for its potential to safeguard their child’s future health.
The birth of a baby comes with an overwhelming number of decisions, one of which is whether to bank the newborn’s cord blood cells.
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Whether cord blood banking is worth it for a family hinges on various factors, including the present health of their child, the existence of twins in the family and many other individual considerations.
What is cord blood banking?
Cord blood banking involves the collection and storage of stem cells derived from the blood of a newborn’s umbilical cord immediately after birth.
The reason is its potential life-saving abilities, as the hematopoietic stem cells found in cord blood have the unique ability to differentiate into various types of blood cells.
Preserving the cord blood cells provides an option for future therapeutic use in treating a range of diseases for the child or siblings.
These stem cells are less likely to face rejection during transplant due to their immature nature. This widens the blood cells’ applicability in medical procedures for the donor or family members.
Cord blood banking process
Cord blood banking can be done from either a vaginal or surgical birth, and regardless of whether the labor was induced or occurred naturally.
Once the parents decide to store the blood, the doctor will clamp the umbilical cord in two places and cut the cord, separating the mother from the child.
Once the blood has been collected and sealed, it will be sent to a cord blood bank for storage.
The doctor will inject a needle into the cord and collect, in general, between 60 and 300 milliliters (mL) of cord blood. The collected volume can vary, however, and not all collections will be sufficient for future therapeutic use for the child or siblings.
Once the blood has been collected and sealed, it will be sent to a cord blood bank for storage.
Collecting fluid in this process is relatively easy and does not cause pain to the mother or baby, according to webmd.com.
The collection process generally takes around five minutes to complete.
The blood can be stored at several different sites, based on the family’s decisions and circumstances.
- Public cord banks. These are free to use, but donations made are available to anyone.
- Private cord banks. These blood banks will store the blood for use only by the donor and family members of the donor. This can be an expensive option as there is a processing fee and an annual storage fee.
- Direct-donation banks. These are a mixture of public and private banks. They store cord blood for public use but also accept donations to reserve the stem cells for the child.
When discussing the options, cord blood banking often refers to private banking, while cord blood donation generally refers to public banking.
Private cord banking may not be worth the financial expense for the family, according to the American College of Obstetricians and Gynecologists and the American Academy of Pediatrics. The reason is that the price is steep for the chance that the child will need to use the blood at some point in time.
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These organizations suggest that routine storage of cord blood for stem cells as a sort of insurance is unproven, and therefore they caution parents when considering it.
Donating to a public storage bank could benefit the community, however, according to these organizations.
What are the uses of cord blood banking?
Cord blood banking can be beneficial because the stem cells are hematopoietic stem cells, meaning they are immature but can become mature cells of different types within the body.
Not only do they require less matching, they also cause fewer infections.
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The stem cells within the umbilical cord can provide life-saving assistance for several conditions later in life.
Stem cells from the umbilical cord can treat a variety of conditions, including:
- Cancer
- Anemia
- Immune system disorders
A benefit of using cord blood stem cells is that they rarely result in infectious diseases.
They are also highly effective as they are half as likely to be rejected compared to other stem cells because they are immunogenic due to their immature nature.
What are the cons of cord blood banking?
There is only about an 8% usage rate of blood that has been stored through this process, according to a study cited by the National Library of Medicine.
Part of the reason for the low rate is that the blood is not always useful for a disease that develops later on in life.
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Many factors go into whether cord blood can be used, such as from a set of twins when one twin is healthy and the other is born with a genetic disorder.
The blood drawn from the ill child can not be used later on for the healthy child, but the reverse could be true if the blood is a good match.
There are many circumstances that the American Academy of Pediatrics lays out as not ideal conditions for cord blood banking.
Identical twins are not often the best match for each other because a slight genetic difference in the blood cells is recommended.
Additionally, public blood banks can only accept donations from umbilical cords from a mother carrying a single child. This is due to the possibility that the blood units could get mixed up during the collection with twins.
Another downside of using cord blood cells is that it takes longer for them to create the therapeutic effect desired because they are hematopoietic stem cells.
How much does cord blood banking cost?
Typically, there are two separate fees involved when preserving a child’s cord blood cells, according to the American Pregnancy Association. The initial fee covers the enrollment and collection.
Then, there is an annual storage fee.
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Those who go this route can expect to pay in the range of $1,350 and $2,350 for the initial collection, testing and registering, according to the American Academy of Pediatrics. Annual storage fees often range from $100 to $175, but the costs of individual storage banks will vary.
If the parents donate the blood cells from the umbilical cord, there is no cost.
The future of cord blood banking
The future trajectory of cord blood banking remains uncertain. Nonetheless, preserving cord blood cells today may have significant health benefits, offering new avenues for disease treatment as the field advances.
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Considering the first successful umbilical cord blood stem cell transplant was performed as recently as 1988, as documented by the National Library of Medicine, the science around this practice is relatively young.
With ongoing research, the scope and efficacy of cord blood use are bound to expand.
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