Title: Orbs, Snus, Sticks and Strips: New Tobacco Products
1Orbs, Snus, Sticks and StripsNew Tobacco
Products
- Linda Hancock, FNP, PhD
- Virginia Commonwealth University
- quit_at_vcu.edu (804) 828-7815
2Consider getting your own clickers
- Fun
- Increase Active Learning
- BREAK the spiral of silence
- Instantaneous Data
- useful for
- Positive norms
- Policy attitudes
- Grant reports
- www.Turningtechnologies.com
3Video Clip Instructionsviscog video or go
totake the awareness test at YouTube
- This video is very short 30 seconds
- You will see a team of players
- One wearing white shirts one wearing black
shirts - Try to count the total number of times someone
wearing a white shirt passes the ball.
4What you focus on expands!
5The tobacco epidemic, like the flu is always
mutating. -Jack Henningfield, PhD NIDA
- Tobacco Companies and others out to make money on
nicotine are always changing- - What they market
- How they market
- To whom they market
6As no-smoking laws sweep the nation and
cigarette sales continue to fall, Big Tobacco is
alarming the public health community by devising
other ways to try to make tobacco appealing.
7We need to work with, listen to and collaborate
with the YOUNG!Middle schoolHigh
SchoolCollegeYoung adults in the work
forceMilitaryAnd ESPECIALLY any who use tobacco
- Not only are they very bright creative
- They are the target market for new products!
- They see things we miss.
8Purpose of the viscog.com video Clip
- Perception is NOT reality
- We must be Humble
- We will both over-estimate things totally miss
things - Work in TEAMS Others, especially the young,
will see things you do not. -
- Use all 3 TYPES of TRUTH in your work
- Counting Truth (Quantitative)
- Listening Truth (Qualitative)
- Universal Truth - people want health to be
addiction free
9BE EVER VIGILANT
- NEW PRODUCTS have the SAME OLD ADDICTIVE NICOTINE
10Monitoring the Future DataTrends in 30 day use
8th, 10th and 12th graders
11Brilliance in marketing
12But the health community is brilliant too!The
story of Flavored Cigarettes
13Do your research!Be organized!Be persistent!
14Virginia Slims introduces Purse Packs
- In October 2008 Phillip Morris introduced "Purse
Packs" for select Virginia Slims brandsĀ - The Purse Pack is pink, sleek rectangular
packaging with square ends. It holds 20 sticks
that are smaller in diameter than a typical smoke.
15To look for MUTATIONS follow the
- 10 million less American smoke than did in 1983
- That translates into lost sales revenue in the
U.S.
- However, the sales of moist snuff in the USA more
than doubled in volume from 1986 to 2005 - 6.1 million Americans used moist snuff in 2006,
up from 4.7 million in 2001. Most of the new
users are smokers, some of whom still light up.
16Traditional Tobacco Product Categories
- SMOKE PRODUCING
- Cigarettes
- Cigars
- Blunts
- Bidis
- Kreteks (cloves)
- Pipes
- Hookah
- PREPS (potential reduced exposure products)
- E-Cigarettes E-cigars
- SMOKELESS
- Chewing tobacco
- Dry Snuff
- Moist Snuff
- Swedish Snus
- Spitless Snus
- Dissolvable Tobacco
- Hard snuff
- Lozenges - Ariva
17Whats in tobacco products?
- CAUTION
- No body really knows everything!
- (Example-- worms)
- Thousands of chemicals exist in organic matter.
- Flavorings and preservatives are added.
- Combustion/Vaporizing complicates things
- NEW chemicals are created when you light a
product on fire.
18What is Snus?
- Rhymes with "goose"
- Cynics might say "noose
- Type of spitless-smokeless tobacco
- Comes in teabag-like pouches
- User sticks between the upper lip and gum
- Use 30 minutes
- Then discards without spitting
19SnusA form of Swedish smokeless tobaccoUsually
placed in upper lip
20Where is Snus most popular?
- Snus is the Swedish word for moist snuff.
- It is manufactured and mainly consumed in Sweden
and Norway. - Snus is subjected to a heating treatment process
that sharply reduces microorganism content no
fermentation has been used in its production - This processing method and refrigerated storage
reduce the formation of nitrates and
nitrosamines, resulting in a product low in TSNAs.
21The verdict is out about the safety of snus
- The long-term health effects of snus use starting
early in life are also unclear. This has become a
concern. - New types of smokeless snus are introduced to
North America (e.g., Camel Snus, Marlboro Snus). - Some of these products are clearly aimed at youth
(e.g., Marlboro packaging resembles a cell phone).
22Advertising tagline pleasure for wherever"
23(No Transcript)
24The Snus Guide to Bars
25Workplace Boredom Causes, Manifestations
Solutions Includes 8 Pranks to Play in the
Workplace
Currently 4 Camel Snus Guides
26www.whitelies.tv/ Indianapolis community
organizers
27An alternative when you cant smoke inside so
you dont quit smoking
28Nicogel
29New smokeless, dissolvable tobacco products from
R.J. Reynolds
Test marketing in Columbus, OH, Portland, OR, and
Indianapolis, IN starting in January 2009
30Camel Orbs
-
- Columbus, OH
- Portland, OR
- Indianapolis, IN
- Test Market Dates
- January 09- Now
- Sticks Next
31Best tobacco you never smoked Camel Orb Website
32Appealing and Potentially LETHAL for Children
and Adolescents
33Social Marketing? YouTube Videos
- I wonder how many it takes to overdose.
- All Im saying is that if youre going to have a
nicotine habit, smokeless is better. - You can keep them hidden and theyre great for
school. Sometimes I need more than one for a
buzz.
34e-cigarettes, e-cigars
35Njoy
- a rechargeable battery-powered microelectronic
device that, when used in conjunction with
replaceable cartridges, mimics the process of
smoking. - The cartridges are offered without (Zero) and
with (Light, Medium and Full) nicotine - Njoy is currently being market tested in select
U.S. regions with plans to roll out nationally
this fall through a fully-integrated and
cross-platform marketing program.
36E-cigs or Electronic Cigarettes
- A battery operated Art Deco styled tube which
contains a cartridge and rechargeable battery. - Contains water, propylene glycol, nicotine, and a
tobacco flavor. - One Crown7 cartridge is the equivalent to about
two packs of cigarettes
37Thoughts about products here and on the horizon
38PREPsPotential Reduced Exposure Products(snus,
dissolvables, e-cigs)
- "It's like setting up a methadone program next to
a drug house, then keeping your fingers crossed
and hoping it all works out."
39Whats this?
Not..
Hookah
40History of Hookahs
- 16th century
- Use declined, almost died out by 1980s
- 1990s Maassel came on the market
- Maassel is Arabic for honey
- Maassel is a moist tobacco fermented with
molasses/honey and fruit - Easier to use with more pleasant taste and aroma
41(No Transcript)
42Hookah Materials
Maassel or muessel (assal means honey in
Arabic) Moist paste like mixture 30 crude cut
tobacco Fermented with approximately 70 honey,
molasses and pulp of different fruits.
43Toxin Content of smoke(single hookah session
compared to a single cigarette)
44Does Hookah tobacco have tar?Yes, but nothing
has tar until you light it on fire.
45Lindas Clicker findings about hookah
- Straight A students who would NEVER smoke
cigarettes do smoke hookah - Some groups have a higher ever tried hookah
than ever tried cigarettes. - Up to 20-30 may have used in the past month.
- Daily hookah use rates of 3-4
- One group had 8 daily use
- Most recent study -10 own a hookah
462005 study of HS students in Arizona
47Feel free to adapt this pdf for local
use quit_at_vcu.edu
48What will hookah use do to nicotine use and
tobacco addiction?No one yet knows the answer
to that question.
492005 Study by Ward, et al
- Study of 268 water pipe users, sampling frame
constructed, random sample - 28.4 said they wanted to quit
- (Most reported health concerns as the reason for
wanting to quit) - 59.7 had made an unsuccessful attempt to quit in
the past year.
50Tom Eissenberg, PhDVCU psychology professorand
internationally recognized hookah expert
- His thoughts on the relative risk of tobacco in
cigarettes vs. hookah - While we dont yet have the necessary data to
make an empirically based statement, there is no
reason a priori to expect that the risk of a
hookah would be any less than cigarettes, and
several reasons to think that it might be as high
or higher than cigarettes.
51- To beat this epidemic,we must simultaneously
address - prevention,
- cessation
- policy!
- - Jack Henningfield
52The 3 Ds of tobacco prevention
- DEGLAMORIZE
- DELEGITIMIZE
- DENORMALIZE
53Toto, I dont think we are in Kansas anymore.
Social Norms Challenge
Perception versus Reality
Becoming a Scientist Seeker of the Truth
54Health MISPERCEPTIONSwww.socialnorms.org
Overestimate Unhealthy visible behaviors
-smokers, drunks, violence, goofing off,
credit card debt, etc. Underestimate
Healthy less visible behaviors
-non-smokers, moderate drinkers academic
seriousness, prayer
Perception REALITY
GAP
55EXAMPLE OF FRESHMEN SEMINARCan this class agree
to tell the TRUTH about the following 3 health
behaviors?-Past month cigarette smoking-Past
month alcohol use-Past year number of sex
partners
- If you dont feel comfortable
- telling the truth with these clickers
- just play Air-Clicker
- and dont press a button
56Clicker Data College freshmens perception n337
Fall 2009
57Clicker Data - VA College Freshmens behavior
n337 Fall 2009
58Most VCU students (7 of 10) didnt smoke at all
in the past month.Only about 8-12 smoke
daily.FREE Quit Kits at OHPsmoking cessation
pills Chantix
59We need to stop making healthy teens feel like
they are the minority!
60How Do Misperceptions Occur?
- OVER Estimations of Unhealthy Behavior
- We notice the difference not pattern.
- Out of the Ordinary gets the attention.
- Over-time, focusing on the unusual makes it
appear the Norm. - UNDER Estimations of Healthy Behavior
- When we focus too hard we miss things.
- Our brains fill-in the meaning we expect.
- Because of Media we expect the worst
61What Stands Out?
62Majority versusVisibility
63Conclusion
- We have come a long way!
- We deserve to celebrate, but
- WE CAN NEVER REST!
- Integration Framework for ALL addiction
- Session tomorrow on
- The greed and money are too powerful.
- Be Vigilant - Listen to young people.
- Please talk to and LISTEN to the young people at
this conference tomorrow. - Thanks for inviting me to Iowa Im proud of the
great work you have done here.