Tobacco and Vaping

There are two kinds of vaping devices:

• Open, which means they can be refilled.
• Closed, which means either the whole product, or the part that holds the vaping substances, can’t be refilled.

Open vaping devices are used to vape everything from e-juices to cannabis. E-juices can contain nicotine with different levels of nicotine strength in addition it also contains a number of chemicals with known toxicity (e.g. formaldehyde and acrolein).

Although the health effects of e-cigarettes are uncertain, long term exposure to e-cigarette vapour may be harmful to health.

• Chemicals found in many e-juices have been linked to severe respiratory disease including coughing, wheezing and worsening of asthma, heart disease and eye irritation.
• Many e-juices contain nicotine and youth using them are at risk of becoming addicted.
• Nicotine can alter teen brain development and can affect memory and concentration.

In some cases, vaping liquid containers have enough nicotine to be poisonous and toxic.

Benefits of quitting smoking

Quitting smoking has short- and long-term benefits to your health:

• Within 20 minutes of quitting blood pressure decreases; your pulse returns to normal.
• After eight hours carbon monoxide levels decrease in your body.
• After 24 hours, your chances of having a heart attack decrease.
• After 48 hours, your sense of smell and taste will improve.
• After four days, your lung capacity will increase.
• Within two weeks to three months, your blood circulation will increase.
• In one to nine months your coughing, fatigue and shortness of breath will decrease.
• After one year, your risk of having a heart attack is cut in half.

In addition to your health, there are even more benefits to you when you quit smoking.

Making a quit plan

Making a quit smoking plan helps you increase your chances of staying quit. You can plan ahead to deal with cravings and avoid trigger situations.

Managing cravings

When cravings happen remember the four D's:

• Drink water.
• Delay smoking for 10 minutes.
  • A craving only lasts as long as it takes to smoke one cigarette.
• Do something else. Distract yourself from the craving.
• Deep breathe.
  • Breathe in through the abdomen. Pull up into the lungs. Repeat.

You may have a stronger addiction to nicotine if you "need" a cigarette within the first 30 minutes of waking up, and if it is very hard to go more than an hour without a cigarette.

Talk to your health care provider or pharmacist about nicotine replacement therapies such as nicotine patches, gum, lozenges or an inhaler.

Plan for triggers

Some common danger zones to plan for:

Alcohol

• Alcohol is a big trigger for many people.
• Try to avoid alcohol. It lowers your chances of quitting.

Other smokers

• Being around other people who smoke can tempt you to smoke.
• Consider a temporary vacation from other smokers while you are quitting. Ask them not to smoke around you.

Environment

• Get rid of all cigarettes, ashtrays, matches or lighters and things that remind you of smoking.
• Clean your car and home.
• Consider keeping them both smoke-free.

Weight gain

• Some weight gain is normal when quitting smoking.
• Eat a healthy diet, stay active and do not let weight gain distract you from your main goal.
• Talk to your doctor if you have concerns about weight.

Stress and coping

Smoking does not reduce stress as many people think. It actually increases your stress response. It increases your pulse and blood pressure. When quitting it is important to reduce stress and choose healthy coping to help you quit:

• Make sure you are not under more stress than usual when you pick your quit date.
• Practice different coping mechanisms, like deep breathing, walking and yoga.
• Try using a healthy alternative to cigarettes, like eating carrot sticks, chewing sugar-free gum or exercising.

Positive thinking and celebrating

• Find alternative activities that give you pleasure, such as spending time with family or friends.
• Put encouraging and positive sticky notes in places where you used to smoke.
• Plan to reward yourself for each goal you reach (e.g. save the money you would have used for cigarettes and put it in a jar to save for something to reward yourself).

8 Tips to help you quit smoking

Community supports and resources

Resources and services available in the community to help you successfully quit smoking

STOP on the Net

STOP on the Net is an online program from the Centre for Addiction and Mental Health (CAMH) designed to help adults quit smoking. You can receive free nicotine patches and gum/lozenges mailed right to your door!

Learn more and see if you are eligible.

Individual counselling

A trained therapist provides individual counselling. They often work in one or more face-to-face sessions to help smokers quit. Contact your health care provider or pharmacist and make an appointment to discuss your options.

Telephone counselling

Counselling is provided by telephone to help people stop smoking. Multiple sessions have been found to be most effective.

Kids Help Phone is free, anonymous and confidential counselling services for youth aged 20 and under. It is available 24 hours a day, seven days a week by phone and online. Call 1-800-668-6868.

Smokers Helpline

• SmokersHelpline.ca community of quitters, moderated by Smokers’ Helpline quit coaches
• Email support - register through SmokersHelpline.ca
• Text messaging and Live CHAT with a Smokers’ Helpline quit coach
  Text the word iQuit to the number 123456

Nicotine replacement therapy (NRT)

NRT helps reduce cravings and withdrawal symptoms. NRT is available as a patch, gum, inhaler, lozenges and spray, which are available over-the-counter. Speak to your pharmacist or health care provider for more information.

Medications for quitting smoking

Medications such as bupropion and varenicline can increase your chances of quitting. Talk to your healthcare provider to see if these options are right for you.

Quit smoking group program

Group programs help people in their attempt to stop smoking and increase chances of quitting by double.

More information and services

• Call the Durham Health Connection Line to talk to a public health nurse for support with quitting.
• Receive support at Carea Community Health Centre from health care professionals with quitting smoking through support groups.
• Pinewood Addiction Support Services (PASS) offers community support for addictions. Residential Withdrawal Management Services (RWMS) offers short-term, residential support to individuals withdrawing from substances. The services are for people who are 18 and older. Located at 300 Centre Street South, Oshawa. Call 905-721-4747 or 1-888-881-8878 (toll free).
• Smoke Free Curious is a program providing tobacco cessation tools, resources and live chat support. Individuals can register for a free trial offer of Nicotine Replacement Therapy (NRT) and register for a chance to win a cash prize. Call 1-866-366-3667.

The dangers of second-hand smoke

Second-hand smoke is dangerous. Each year in Canada 300 non-smokers will die from lung cancer because of second-hand smoke. There is no safe level of exposure:

• There are more than 7,000 chemicals in second-hand smoke.
• At least 70 of these can cause cancer.
• Going into another room or opening the window will not protect your family from its harmful effects.
• Outdoor levels of second-hand smoke within one to two metres of a lit cigarette can be as high as indoor levels.

Exposure to second-hand smoke can cause heart disease and lung cancer in adults.

It has also been linked to:

• Breast cancer
• Stroke
• Nasal sinus cancer
• Chronic obstructive pulmonary disease (COPD)
• Acute respiratory symptoms (cough, wheeze, chest tightness, difficulty breathing)
• Onset and worsening of asthma

In children, exposure to second-hand smoke can cause:

• Decreased lung function
• Low birth weight
• Bronchitis, pneumonia and other lower respiratory diseases
• Worsening of asthma
• Middle ear disease

It has also been linked to childhood cancer (leukemias, lymphomas, brain tumours), onset of asthma, and Sudden Infant Death Syndrome (SIDS).

Third-hand smoke

Third-hand smoke contains all the chemicals of second-hand smoke and it also clings to all surfaces like:

• Furniture
• Carpeting
• Walls
• Food
• Clothing
• Skin and hair

Third-hand smoke builds up on these surfaces over time and puts children, infants and pets at a greater risk for exposure than adults.

Youth

A majority of smokers begin smoking and vaping in their teen years. Youth are targeted by the media through movies and new products and packaging. The tobacco and vaping industry uses creative marketing strategies like adding flavours and introducing new products. These may appeal to youth and attract them to start using tobacco and vapour products. This is so they can continue to make money.

Young adults

Young adulthood can be a stressful time which can increase your chances of starting to smoke or increase the amount you smoke. Getting support early on can help prevent or reduce the harmful effects of smoking on your body. We have information to help you quit smoking or reduce the number of cigarettes you smoke.

More information and support is available through:

Smokers' Helpline

Pregnant women

Quitting smoking is one of the best things you can do for yourself and your baby. Smoking and second-hand smoke are harmful to you and your baby because when a women smokes or breathes in second-hand smoke, the baby does also.

This causes negative health effects on the baby and increased risks such as:

• Possibility of miscarriage.
• Complications during pregnancy.
• Premature labour and birth.
• Baby having a low birth weight.
• Possibility of your baby being born with cleft lip or cleft palate (it has been linked to mothers who smoke during pregnancy).
• Sudden Infant Death Syndrome (SIDS).

Breastfeeding and smoking

The breast milk of smoking mothers and non-smoking mothers who are exposed to second-hand smoke has been found to have nicotine and other dangerous chemicals in cigarette smoke. If you continue to smoke, you should not smoke around your baby or have a cigarette before breastfeeding your baby. Breastfeeding is still best for your baby even if you continue to smoke.

For more information:

• Pregnets
• Centre for Addiction and Mental Health

Parents

Tips for parents for talking with your child or teen about vaping and smoking:

Stay connected

Talk with your child about their thoughts about vaping and smoking.

Be positive

Build trust by listening with an open mind: try not to frighten or lecture your child when talking about vaping and smoking.

Focus on safety

Be prepared with facts about vaping and smoking so that you can answer their questions.

Be supportive

Youth may vape or smoke for different reasons; to fit in or to cope with stress. Be ready to help your child find healthier coping strategies and ways to deal with peer pressure.

Set a positive example

If you smoke or vape be open and honest about why you started and how it affects your health.  It’s never too late to quit! Find supports to quit in your community.

Schools

Smoking and vaping is not allowed on public areas within 20 metres from the perimeter of the grounds of elementary and secondary schools.

Teachers have one of the most influential roles in a student's life and are able to support students in quitting smoking.

We have information and supports to help you.

Workplaces

Tobacco-free workplaces save lives and money.

Bystanders can also be exposed to vapour that is exhaled by users. The health effects to non-users from exposure to second-hand vapour are still unknown. Vaping products should be used with caution around non-users and youth. (Health Canada).

Your workplace can:

• Support employees who are trying to quit smoking.
• Motivate current smokers to think about quitting or smoking less.
• Prevent non-smokers from starting to smoke.
• Attract non-smokers to your workplace.
• Protect the health of all of your workers.
• Reduce your maintenance and insurance costs.

Where you can’t smoke or vape in Ontario

You cannot smoke or vape on and within 20 metres of school grounds of any school.

You cannot smoke or vape on children’s playgrounds or public areas within 20 metres of children’s playgrounds.

You cannot smoke or vape on a patio of any bar or restaurant, including the public areas within 9 metres of the patio.

You cannot smoke or vape on publicly owned sporting areas, their fan/viewing areas, and public areas within 20 metres of these places.

You cannot smoke or vape in any common indoor areas of condos, apartment buildings or college and university residences.

You cannot smoke or vape on the outdoor grounds of a community recreational facility and any public areas within 20 metres of its grounds.

A specialty vape store is a business registered with the local Board of Health that primarily sells vapour products.

A retailer can register as a specialty vape store with the Durham Region Health Department if the following criteria are met:

• A specialty vape store must have vapour products account for at least 85 per cent of its total sales in the previous year.
• If the retailer has been in operation for less than one year, at least 85 per cent of the retailer's total inventory purchases or sales for that time period must be vapour products.
• The remaining up to 15 per cent of the store's revenues or inventory would have to be dedicated to other items associated with a vapour product or branded with the name of the specialty vape store or a brand of vapour products.

Guidelines for registration as a specialty vape store Application form

Tobacconist registration

A tobacconist is a business registered with the local board of health that primarily sells specialty tobacco products.

This includes tobacco products and accessories (e.g. cigars, pipes, humidors), but does not include cigarettes.

A retailer can register as a tobacconist with the Durham Region Health Department if the following criteria are met:

• Specialty tobacco products account for at least 85 per cent of its total sales in the previous year.
• If the retailer has been in operation for less than one year at least 85 per cent of the retailer's total inventory, purchases or sales during this time period must relate to speciality tobacco products.
• The remaining up to 15 per cent of the store's revenues or inventory would have to be from cigarettes or other items reasonably associated with a tobacco product and branded with the name of the tobacconist or a brand of tobacco.

Guidelines for registration as a tobacconist Application form

No smoking, no vaping signs for businesses and retailers

Durham Region businesses and retailers can request signs from the Health Department by contacting the Durham Health Connection Line.