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THE DAILY ASTORIAN • THURSDAY, JANUARY 17, 2019
The best Rx for teens addicted to vaping? No one knows
About 3.6 million
underage users
By MATTHEW
PERRONE
Associated Press
WASHINGTON — The
nation’s top health author-
ities agree: Teen vaping is
an epidemic that now affects
some 3.6 million underage
users of Juul and other e-cig-
arettes. But no one seems
to know the best way to
help teenagers who may be
addicted to nicotine.
E-cigarettes are now
the top high-risk substance
used by teenagers, accord-
ing to the latest U.S. fi g-
ures, which show that Juul
and similar products have
quickly outpaced cigarettes,
alcohol, marijuana and other
substances that have been
tracked over more than four
decades.
The hand-held devices
heat a liquid solution that
usually contains nicotine into
an inhalable vapor. Federal
law prohibits sales to those
under 18, though many high
schoolers report getting them
from older students or online.
In recent months, govern-
ment offi cials have rolled out
a series of proposals aimed
at keeping the products away
from youngsters, includ-
ing tightening sales in con-
venience stores and online.
In November, vaping giant
Juul voluntarily shut down
its Facebook and Instagram
accounts and pulled several
fl avors out of retail stores.
But there’s been little dis-
cussion of how to treat nico-
tine addiction in children as
young as 11 years old. While
some adolescents should be
AP Photo/Steven Senne
A high school student uses a vaping device near a school campus in Cambridge, Mass.
able to quit unaided, experts
say many will be hampered
by withdrawal symptoms,
including anxiety, irritability,
diffi culty concentrating and
loss of appetite.
Physicians who treat
young people now face a
series of dilemmas: The
anti-smoking therapies on
the market — such as nic-
otine patches and gums —
are not approved for chil-
dren, due to lack of testing
or ineffective results. And
young people view the habit
as far less risky, which poses
another hurdle to quitting.
The harshness of cig-
arette smoke often lim-
its how much teenagers
inhale, sometimes discour-
aging them from picking up
the habit altogether. That
deterrent doesn’t exist with
e-cigarette vapor, which is
typically much smoother,
according to experts.
Kicking any addiction
requires discipline, patience
and a willingness to follow a
treatment plan — something
that doesn’t come easily to
many young people, experts
said.
“Teenagers have their own
ideas of what might work for
them, and they’re going to do
what they do,” said Susanne
Tanski, a tobacco prevention
expert with the American
Academy of Pediatrics. “But
we desperately need studies
to fi gure out what’s going to
work with this population.”
Since debuting in the
U.S. in 2007, e-cigarettes
and other vaping devices
have grown into a $6.6 bil-
lion business. Driving the
recent surge in underage
use are small, easy-to-con-
ceal devices like Juul, which
vaporizes a high-nicotine
solution sold in fl avors such
as creme, mango and cucum-
ber. Despite industry worries
of a crackdown on fl avors,
the FDA has taken no steps
to ban the array of candy and
fruit varieties that compa-
nies use to differentiate their
offerings.
E-cigarettes have become
a scourge in U.S. schools,
with students often vaping
in the bathroom or between
classes. One in 5 fi ve high
schoolers reported vaping in
the last month, according to
2018 federal survey fi gures.
Juul and other brands are
pitched to adult smokers as
a way to quit smoking, but
there’s been little research on
that claim or their long-term
health effects, particularly
in young people. Nicotine
can affect learning, memory
and attention in the teenage
brain, but there’s virtually no
research on how e-cigarette
vapor affects lungs, which do
not fully mature until the 20s.
“It’s frightening for me
as a pediatrician because I
really feel like there’s this
uncontrolled
experiment
happening with our young
people,” Tanski said. “They
don’t perceive the harm, and
we can’t show them what it’s
going to be.”
Tanski and other experts
will meet this Friday at the
Food and Drug Administra-
tion to discuss the potential
role for pharmaceutical ther-
apies and nonprescription
medications such as nicotine
gums and patches.
Regulators acknowledge
they are starting from square
one: The FDA “is not aware
of any research examining
either drug or behavioral
interventions” to help e-cig-
arette users quit, the agency
noted in its announcement.
The FDA will also hear
from researchers, vap-
ing executives, parents and
teenagers.
“We want to make sure
our voices are heard and that
— most importantly — our
kids’ voices are heard,” said
Meredith Berkman, who
plans to speak at the meeting
with her 10th-grade son.
Berkman said she fi rst
realized her son and his
friends were “Juuling” last
year when she heard them
repeatedly opening and clos-
ing his bedroom window.
With two other New York
City mothers, she formed
the group Parents Against
Vaping E-cigarettes, which
is asking the FDA to ban all
e-cigarette fl avors.
“Unless the fl avors are off
the market, kids are going to
continue to be seduced by
these highly addictive nic-
otine-delivery systems like
Juul,” Berkman said.
Quitting smoking is noto-
riously diffi cult, even for
adults with access to vari-
ous aids and programs. More
than 55 percent of adult
smokers try to quit each year,
yet only about 7 percent suc-
ceed, according to govern-
ment fi gures.
Nicotine gums, patches
and lozenges are available
over the counter for those 18
and older, and are occasion-
ally prescribed “off-label”
for younger patients. They
provide low levels of nico-
tine to help control cravings.
Prescription drugs include
Zyban, an antidepressant,
and Chantix, which blocks
the effects of nicotine on the
brain. But neither has shown
positive results in teenagers,
and both carry worrisome
side effects, including sui-
cidal thinking for Zyban and
nausea and abnormal dreams
for Chantix.
That leaves counseling as
the go-to option for teenag-
ers trying to quit cigarettes.
But even counseling has
shown only “limited evi-
dence” in helping teenagers,
according to an exhaustive
review of the medical litera-
ture published in 2017.
Still, addiction specialists
see growing demand for such
programs, particularly group
sessions that often have the
most promising results.
Addiction
psychiatrist
Jonathan Avery says he gets
four to fi ve calls a week
from pediatricians refer-
ring patients or asking about
treatment options. One of the
biggest problems is an edu-
cation gap — many doc-
tors haven’t heard of Juul
and don’t even recognize the
vaping devices brought in by
parents.
CL ASSIF IE D M ARK ETPL A CE
P lace classified ad s o n lin e at w w w .d ailyasto rian .co m o r call 503-325-3211
107 Public Notices
604 Apartments
651 Help Wanted
651 Help Wanted
Occasionally other
companies make
telemarketing calls off
classified ads. These
companies are not affiliated
with The Daily Astorian and
customers are under no
obligation to participate.
If you would like to contact
the attorney general or be put
on the do not call list, here
are the links to both of them
Complaint form link:
http://www.doj.state.or.us/
finfraud/
160 Columbia
Near bridge.
One large bedroom,
Top floor w/stairs.
All utilities paid.
No smoking or pets.
References.
$900-$950
PIANIST OR ORGANIST
WANTED FOR
SUNDAY WORSHIP
AT OCEAN BEACH
PRESBYTERIAN CHURCH
11 A.M.
IMMEDIATE OPENING
Accounting and income tax
firm in the Astoria Area seek-
ing seasonal or part-time
experienced accountant or
bookkeeper. Flexible
hours available.
Please send resume to
Blind Box 78 and send replies
to c/o The Daily Astorian,
P.O. Box 210, Astoria,
OR 97103
181 Lost & Found
FOUND
AT PETER PAN MARKET
CASH IN ENVELOPE
COME IN PERSON
TO IDENTIFY.
501 Open Houses
Ward
503-680-4210
Paid position.
651 Help Wanted
Call 360-244-5178
SPECIALTY
SERVICES
W E URGE YOU TO PATRONIZE THE LOCAL
PROFESSIONALS ADVERTISING IN
T HE D AILY A STORIAN S PECIALTY
S ERVICES . T O PLACE YOUR S PECIALTY
S ERVICES AD , CALL 325-3211.
OPEN HOUSE
Suzanne Elise Assisted
Living Community would
like to invite you to our
monthly open house.
Thursday January 24th
1:30 to 3:30
Come see for yourself
why we say
Your Life is Our
Commitment.
503.738.0307
101 Forest Drive
Seaside OR 97138
www.suzanneelise.com
A small town
newspaper
with a global
outlook
Seeking a dental assistant
to join our team at a dental
office in Seaside. Must have
X-Ray certification.
Our office is open Mon-Thurs,
position is approx 32-35 hrs a
week and includes a
great benefit package.
Please email your resume
and cover letter to
ssdentist@hotmail.com
Contact office for questions.
360-665-4111
Apply in person.
Gil & Trish Landscape
Based in Cannon Beach.
Assist w/landscaping and
maintenance. Looking for
reliable hard worker. Some
experience and ability to drive
preferred. Starts at $15.00/
hour. Full-time through
October or beyond.
Contact:
triciagatesbrown
@iinet.com
One of the Pacific
Northwest’s great
small newspapers
T HE
D AILY
A STORIAN
Full-Time Employment
Condo/Hotel need dependable
Hskpr & Maint ASAP! Wages
DOE-Highest in Area-Great
place to work-come join us!
Seaside, OR. 503-738-9468
info@seaside-tradewinds.com
www.dailyastorian.com
Classified Ads work hard for you!
McCall Tire Center
Accepting Expert
House Cleaners
Starting at $17.50/hour
or $15/hr Base plus
Benefits
Immediate Openings
Full-Time
Brake/Alignment Techs
Min. 2 yrs. verifiable
experience
Starting wage DOE
Join our flock!
WE’RE HIRING
for SEVERAL POSITIONS
at Pelican Brewing - Cannon
Beach.
Apply today at
pelicanbrewing.com/join-
our-team!
General Manager
needed for Surfside
Homeowners Association
which provides water to
most of its
2,000+ members at a
beach community.
Pay starts at 80k DOQ. See
www.surfsideonline.org
for cover letter
and full job description.
Submit resume to:
office@surfsideonline.org.
Jolly Roger Oysters
Looking for Seed Bag
Loaders.
$16 p/hr
40hrs p/week
7am -3:30pm
651 Help Wanted
Sales & Service Techs
Experience preferred
but not required
JEWELL SCHOOL
DISTRICT
Announcing Principal
Vacancy
For more information contact:
allycec@jewellk12.org
or visit our website
http://www.jewell.k12.or.us
651 Help Wanted
Warren House Pub
in Cannon Beach
needs kitchen help. We
are seeking staff able to
perform a variety of duties.
We offer competitive
wages, health insurance,
bonuses, vacation, and
other benefits.
Please send app or
stop by the pub at
3301 S Hemlock
Cannon Beach 97110
or call 503-436-1130 for
more info.
The City of Astoria is now
accepting applications for
the full-time position of Utility
Worker I or II. Pay range is
19.91-24.19 (Utility Worker I)
or 22.05-26.81 (Utility Worker
II) with excellent benefits.
To apply and obtain further
information, please go to the
City’s application website at
https://astoria.applicantpool.
com/jobs/.
If you need assistance,
please contact Human
Resources at 503-298-2434
or hr@astoria.or.us.
APPLICATION DEADLINE:
January 18, 2019.
CASH buyers are reading
your classified ad.
Englund Marine seeks an
Office/Marketing Assistant.
Must be able to multi-task
and have excellent
attention to detail skills.
Visit our website at
https://www.englundmarine.
com/pages/employment.
html for more details. Send
resume to hr@englundma-
rine.com.
Generous benefits
Medical, Dental, Vision,
401K, Vacation, Sick Pay,
Profit Share
Uniforms provided
Join a team focused on
creating an excellent
customer experience in a
professional office
environment. Our customer
service / inside sales reps
work together to meet
customer’s needs by
answering inquiries and
providing solutions in
person, by phone and email,
plus actively solicit sales of
advertising and products
through calls and emails.
To be considered for this
position, you’ll need to have
the ability to manage your
time wisely, embrace
our proprietary software
programs, speak and write
well, and truly enjoy helping
our valued customers and
advertisers.
This position is located
at The Daily Astorian
in Astoria, Ore. but serves
the customers of EO
Media Group throughout the
region.
Pre-employment
background check
required.
Send resume
and letter of interest to
Daily Astorian, c/o Jeremy
Feldman, PO Box 210,
Astoria, OR, 97103
or email to
jfeldman@dailyastorian.
com .
Benefits; Health Insurance,
Bonuses, 2 weeks
Vacation/Sick, Mileage, Tips,
Cell Phone, IRA
Background Check
503.828.9889
www.KukuiHouse.com
Apply in person
1167 SE Marlin Ave
Warrenton
*** N O W H I R I N G ***
Events Content
Coordinator
Customer Service
and Inside Sales
Representative
Eco-friendly Cleaning
Solutions
Quality Cleaning Equipment
35+ hrs & 2 days off/wk
or Part-Time
Do you want to know what’s
going on in your community?
Do you want to help others
learn about the great events
and activities in the Lower
Columbia area? If so, you
might be our Events Content
Coordinator!
OurCoastThisWeek.com
needs someone to collect,
write, organize, and maintain
event calendars for multiple
publications, using a central
online calendar database
system. To do this job well,
you will need excellent
writing and grammar skills,
knowledge of CMS systems
and basic graphic design
skills. Knowledge of events
within the area communities
is helpful. You should also
be comfortable making calls
to be verify accuracy of data
received or offer additional
products. Creativity in
presenting this information
in a fun, informative way
is prized and accuracy is
essential.
This position, based in either
Long Beach, Wash. or
Astoria, Ore., will also
provide clerical back-up to
other departments as
needed. You’ll work 30-32
hours per week and be
eligible for benefits including
healthcare, 401(k) retirement
plan and Paid Time Off.
To apply, send your
resume and cover letter to
EO Media Group, PO Box
2048, Salem, OR
97308-2048 or
hr@eomediagroup.com.
Field Technicians
Astoria & Long
Beach
We are a growing and dynamic
$37 billion, Fortune 500 com-
pany with nearly 100,000 em-
ployees in 41 states. Join us and
be connected to a collaborative
workplace where everyone plays
an important role and where you
can make an impact – on your
career, our company, and our
customers.
We have an exciting opportunity
for Field Technicians, whether
just starting out or with experi-
ence.
You will perform basic instal-
lations and service changes
for residential cable, internet
and telephone services, trou-
bleshooting and repair. Train-
ing and resources provided to
help you be successful in this
position. Position offers great
opportunities to self-promote.
Full job description online. Re-
quires: valid driver’s license
with satisfactory driving record;
High School diploma or equiva-
lent; strong computer, commu-
nication, customer service, and
technical skills; mechanical ap-
titude; ability to: work and travel
in all kinds of weather; work in
confined spaces; climb ladders
and poles; and work near power
lines.
Excellent compensation and
benefits package.
Apply online at
jobs.spectrum.com
EOE Race/Sex/Vet/Disability
Charter is an equal opportunity employer.
Diversity and inclusion are embedded
in and vital to our culture and
how we do business.
http://www.dol.gov/ofccp/regs/
compliance/posters/pdf/eeopost.pdf