Volkow, director of National Institutes of Health's (NIH) National Institute on Drug Abuse, attributes the reversal of the decline to the fact that teens may be attracted to the flavorings and the technology of vaping devices. Vaping of nicotine, flavored liquids, marijuana, and hash oil all demonstrated an increase. Using the 2018 National Survey on Drug Use and Health data for 12th graders' use of drugs, alcohol, and cigarettes, it was noted that about 37% reported vaping in 2018 as compared with 28% in 2017. This brought more attention to the growing use of vapor devices by adolescents that seems to have reversed the decreasing trend for smoking. One of the first cases to be highlighted by the media was a male adolescent. Virgin Islands were reporting possible cases of vaping-associated lung disease and the states of California, Illinois, Indiana, Minnesota, and Oregon were confirming they had related deaths. The Centers for Disease Control and Prevention (CDC) issued a warning once it determined that 33 states (Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Iowa, Illinois, Indiana, Kansan, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Montana, North Carolina, Nebraska, New Jersey, New Mexico, New York, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, West Virginia) and the U.S. A commonality in the group was a history of using e-cigarette devices or vaping. Over 450 potential cases of severe pulmonary disease had been identified as of September 6, 2019. Frequently referred to as e-cigarettes, vapes, and electronic nicotine delivery systems, these devices consist of a heating unit and a liquid or wax pod that can deliver an aerosol mixture of nicotine, flavorings, marijuana, and other substances and chemicals. In late August, early September of 2019, the media was blowing up with reports of illness and death related to the use of vapor devices. Facing Ethical Challenges with Strength and Compassion.Establishing Yourself as a Professional and Developing Leadership Skills.
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