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NATIVE STRONG.

VAPE-FREE.

We are Next Legends. We represent Native (American Indian and Alaska Native)
teens who are proud of our heritage and protective of where we come from. We
have seen the harms of smoking cigarettes firsthand and refuse to let vaping
hold us back from a healthy mind, body, and spirit. Scroll down to get the facts
and find out what makes vapes so harmful.


DON'T BE FOOLED. THE FACT IS:
VAPING ISN’T HARMLESS

Inside are potentially dangerous metals and chemicals that do not belong in your
lungs.

Swipe Click the arrows for details.


METAL PARTICLES

Vaping can deliver toxic metals like lead, chromium, and nickel into your lungs.


CADMIUM

Negative energy only. Vaping may expose you to cadmium, the metal used to power
batteries. 


LEAD

Get this. A toxic metal once used in paint, lead has been found in vape
aerosols. 


PYRENE

Unnatural to inhale. Pyrene is a chemical used to make pesticides. Those who
vape may be exposed to pyrene.


FORMALDEHYDE

You may recognize this one from science class. Formaldehyde is a chemical that
causes cancer and is used to embalm dead bodies. People who vape may be exposed
to formaldehyde.


CANCER-CAUSING CHEMICALS

“Harmless vapor”? No way. Vape aerosol (sometimes called “vapor” or “vape
smoke”) might look different than cigarette smoke, but chemicals like acrolein
and acetaldehyde (which can cause irreversible lung damage) have been found in
cigarette smoke AND vape aerosol. 


NICOTINE

This chemical is the reason vaping is addictive. It can change the way your
brain works, causing you to crave more nicotine. Scroll down to learn more about
the harms of vaping nicotine.

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DECEPTIVE, DANGEROUS, & FULL OF REGRETS

The harmful chemicals lurking inside vapes don’t just harm you. They threaten
our communities and environment too.

Swipe Click the arrows to find out how.




VAPING NICOTINE IS ADDICTIVE

Getting addicted to nicotine is a lot easier than people think. This chemical
changes the way your brain works, causing you to crave more nicotine and making
it hard to think about anything else. Addiction keeps you vaping even when you
want to quit.


VAPING CAN AFFECT YOUR FAMILY

If you lose control to nicotine, your family can get trapped too. In fact, teens
with family members who vape are more likely to try vaping.


VAPES CAN HARM THE ENVIRONMENT

Our land is feeling the impact of vaping too, since trashed vapes can pile up in
landfills and can leak dangerous chemicals into the environment.

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OTHER DANGEROUS TOBACCO PRODUCTS

The fact is, commercial tobacco products—cigarettes, dip, chew, and vapes—may
contain the addictive drug nicotine and other harmful chemicals. These highly
addictive products contain chemicals that can cause short- and long-term health
problems. See how tobacco products can weaken your ability to achieve your goals
and persevere in life.

Swipe Click the arrows to learn more.




CIGARETTES & YOUR LUNGS

Teens who smoke cigarettes are at risk for health problems like stunted lungs.
Their lungs may NEVER grow to be full size or be able to perform at maximum
capacity. 


CIGARETTES, CIGARS, & CIGARILLOS

While the size of the products, and the way they are made, may be different, the
bottom line is they’re all tobacco products and can cause serious health
consequences, including death. 


SMOKELESS TOBACCO

It’s not just cigarette smoke and vape aerosol that are harmful. Smokeless
tobacco products like dip and chew contain a toxic mix of 4,000 chemicals, and
30+ of them are linked to cancer. 

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THERE'S NO 'I' IN TEAM


VAPING CAN EXPOSE YOU TO TOXIC CHEMICALS THAT CAN DAMAGE YOUR LUNGS. AND THE
TEAM.

Canoe
Lacrosse
Rez Ball
Canoe
Lacrosse
Rez ball


DON’T BE FOOLED, VAPES CAN DAMAGE OUR MIND, BODY, AND SPIRIT

Check out these videos to see why vaping is a harmful decision.

Trickster
Out of Your Control


DON’T BE FOOLED BY VAPING
BECOME A NEXT LEGEND.
NATIVE STRONG.
VAPE-FREE.

Now is the time to break the cycle of lung damage, death, and disease in
American Indian and Alaska Native communities. Part of being resilient is
respecting your well-being, relationships, and surroundings.

Join us in creating a future free from smoking cigarettes and vaping.

Get Help Quitting



SOURCES


VAPING CAN DELIVER METAL PARTICLES INTO YOUR LUNGS. NICKEL, LEAD, CHROMIUM, TIN,
AND ALUMINUM HAVE ALL BEEN FOUND IN VAPE AEROSOLS.

 * Williams M, Villarreal A, Bozhilov K, Lin S, Talbot P. Metal and silicate
   particles including nanoparticles are present in electronic cigarette
   cartomizer fluid and aerosol. PLoS One. 2013; 8(3):e57987.
 * Olmedo P, Goessler W, Tanda S, et al. Metal concentrations in e-cigarette
   liquid and aerosol samples: the contribution of metallic coils. Environmental
   Health Perspectives (Online). 2018; 126(2).
 * #TF0442: Vaping can deliver metal particles, like nickel, lead, chromium,
   tin, and aluminum, into your lungs.


CHROMIUM IS THE SAME METAL USED TO MAKE STEEL, AND IF YOU VAPE, IT CAN END UP IN
YOUR LUNGS.

 * Williams M, Villarreal A, Bozhilov K, Lin S, Talbot P. Metal and silicate
   particles including nanoparticles are present in electronic cigarette
   cartomizer fluid and aerosol. PLoS One. 2013; 8(3):e57987.
 * Olmedo P, Goessler W, Tanda S, et al. Metal concentrations in e-cigarette
   liquid and aerosol samples: the contribution of metallic coils. Environmental
   Health Perspectives (Online). 2018; 126(2).
 * U.S. Department of Health and Human Services (USDHHS). A Report of the
   Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You
   (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human
   Services, Centers for Disease Control and Prevention, National Center for
   Chronic Disease Prevention and Health Promotion, Office on Smoking and
   Health; 2010.
 * #TF0442: Vaping can deliver metal particles, like nickel, lead, chromium,
   tin, and aluminum, into your lungs.
 * #TF0103: Chromium is a chemical [or, a toxic metal] found in cigarette smoke.
   It is also used to make steel.


VAPING CAN DELIVER CADMIUM, THE METAL USED TO POWER BATTERIES, INTO YOUR LUNGS.

 * Williams M, Villarreal A, Bozhilov K, Lin S, Talbot P. Metal and silicate
   particles including nanoparticles are present in electronic cigarette
   cartomizer fluid and aerosol. PLoS One. 2013; 8(3):e57987.
 * Olmedo P, Goessler W, Tanda S, et al. Metal concentrations in e-cigarette
   liquid and aerosol samples: the contribution of metallic coils. Environmental
   Health Perspectives (Online). 2018; 126(2).
 * U.S. Department of Health and Human Services (USDHHS). A Report of the
   Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You
   (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human
   Services, Centers for Disease Control and Prevention, National Center for
   Chronic Disease Prevention and Health Promotion, Office on Smoking and
   Health; 2010.
 * #TF0442: Vaping can deliver metal particles, like nickel, lead, chromium,
   tin, and aluminum, into your lungs.
 * #TF0046:Cadmium is a chemical [or, a toxic metal] found in batteries and
   cigarette smoke.


LEAD, THE TOXIC METAL ONCE USED IN PAINT THAT’S NOW BANNED BECAUSE IT’S SO
TOXIC, HAS BEEN FOUND IN SOME VAPE AEROSOLS.

 * Williams M, Villarreal A, Bozhilov K, Lin S, Talbot P. Metal and silicate
   particles including nanoparticles are present in electronic cigarette
   cartomizer fluid and aerosol. PLoS One. 2013; 8(3):e57987.
 * Olmedo P, Goessler W, Tanda S, et al. Metal concentrations in e-cigarette
   liquid and aerosol samples: the contribution of metallic coils. Environmental
   Health Perspectives (Online). 2018; 126(2).
 * U.S. Department of Health and Human Services (USDHHS). A Report of the
   Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You
   (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human
   Services, Centers for Disease Control and Prevention, National Center for
   Chronic Disease Prevention and Health Promotion, Office on Smoking and
   Health; 2010.
 * #TF0442: Vaping can deliver metal particles, like nickel, lead, chromium,
   tin, and aluminum, into your lungs.
 * #TF0049: Lead, a chemical [or, a toxic metal] once used in paint, is found in
   tobacco smoke.


PYRENE IS A CHEMICAL USED TO MAKE PESTICIDES. PEOPLE WHO VAPE MAY BE EXPOSED TO
PYRENE.

 * Goniewicz ML, Smith DM, Edwards KC, et al. Comparison of nicotine and
   toxicant exposure in users of electronic cigarettes and combustible
   cigarettes. JAMA Network Open. 2018;1(8):e185937. Accessed December 19, 2018.
 * #TF0471: People who vape may be exposed to Pyrene.


FORMALDEHYDE IS A PUNGENT CHEMICAL THAT CAUSES CANCER AND IS USED TO EMBALM DEAD
BODIES.

 * Goniewicz ML, Knysak J, Gawron M, et al. Levels of selected carcinogens and
   toxicants in vapour from electronic cigarettes. Tobacco Control. 2014;
   23(2):133-139.
 * Cheng T. Chemical evaluation of electronic cigarettes. Tobacco Control. 2014;
   23:ii11–ii17.
 * U.S. Department of Health and Human Services (USDHHS). A Report of the
   Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You
   (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human
   Services, Centers for Disease Control and Prevention, National Center for
   Chronic Disease Prevention and Health Promotion, Office on Smoking and
   Health; 2010.
 * #TF0047: Formaldehyde is a chemical [or, a carcinogen] found in cigarette
   smoke. It is also used to embalm dead bodies.
 * #TF0245: Known and suspected carcinogens such as formaldehyde and
   acetaldehyde have been identified in some e-cigarette aerosols. Formaldehyde
   can cause irritation of the skin, eyes, and throat.


VAPES ARE NOT A SAFE ALTERNATIVE TO CIGARETTES. CHEMICALS, LIKE ACROLEIN AND
ACETALDEHYDE, HAVE BEEN FOUND IN VAPE AEROSOL AND ARE ALSO FOUND IN CIGARETTE
SMOKE.

 * Goniewicz ML, Knysak J, Gawron M, et al. Levels of selected carcinogens and
   toxicants in vapour from electronic cigarettes. Tobacco Control. 2014;
   23(2):133-139.
 * Cheng T. Chemical evaluation of electronic cigarettes. Tobacco Control. 2014;
   23:ii11–ii17.
 * Bein K, Leikauf GD. Acrolein–a pulmonary hazard. Molecular Nutrition & Food
   Research. 2011;55(9):1342-1360.
 * Occupational Safety and Health Administration (OSHA). Occupational Safety and
   Health Standards. Medical surveillance – Formaldehyde. Washington, DC: U.S.
   Department of Labor, Occupational Safety and Health Administration.
   https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10078.
   Accessed May 8, 2018.
 * #TF0268: Some of the chemicals found in cigarette smoke, like nicotine,
   formaldehyde, acrolein, and acetaldehyde are also found in some e-cigarette
   aerosols. Inhaling formaldehyde, acrolein, and acetaldehyde can cause
   irreversible lung damage.


NICOTINE IS THE REASON VAPING IS ADDICTIVE.

 * Goniewicz ML, Knysak J, Gawron M, et al. Levels of selected carcinogens and
   toxicants in vapour from electronic cigarettes. Tobacco Control. 2014;
   23(2):133-139.
 * Cheng T. Chemical evaluation of electronic cigarettes. Tobacco Control. 2014;
   23:ii11–ii17.
 * Bein K, Leikauf GD. Acrolein–a pulmonary hazard. Molecular Nutrition & Food
   Research. 2011;55(9):1342-1360.
 * Occupational Safety and Health Administration (OSHA). Occupational Safety and
   Health Standards. Medical surveillance – Formaldehyde. Washington, DC: U.S.
   Department of Labor, Occupational Safety and Health Administration.
   https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10078.
   Accessed May 8, 2018.
 * Hiler M, Breland A, Spindle T, et al. Electronic cigarette user plasma
   nicotine concentration, puff topography, heart rate, and subjective effects:
   Influence of liquid nicotine concentration and user experience. Experimental
   and clinical psychopharmacology. 2017; 25(5), 380.
 * #TF0268: Some of the chemicals found in cigarette smoke, like nicotine,
   formaldehyde, acrolein, and acetaldehyde are also found in some e-cigarette
   aerosols. Inhaling formaldehyde, acrolein, and acetaldehyde can cause
   irreversible lung damage.
 * #TF0237: Like other tobacco products, use of e-cigarettes that contain
   nicotine may lead to addiction


NICOTINE IS ADDICTIVE BECAUSE IT CAN CHANGE THE WAY YOUR BRAIN WORKS.

 * U.S Department of Health and Human Services (USDHHS). A Report of the Surgeon
   General: How Tobacco Smoke Causes Disease: What It Means to You (Consumer
   Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers
   for Disease Control and Prevention, National Center for Chronic Disease
   Prevention and Health Promotion, Office on Smoking and Health; 2010.
 * #TF0014: Nicotine can change the way your brain works, causing you to crave
   more nicotine.


TEENS WITH FAMILY MEMBERS WHO VAPE ARE MORE LIKELY TO TRY VAPING.

 * U.S. Department of Health and Human Services (USDHHS). E-Cigarette Use Among
   Youth and Young Adults: A Report of the Surgeon General. Atlanta, GA: U.S.
   Department of Health and Human Services, Centers for Disease Control and
   Prevention, National Center for Chronic Disease Prevention and Health
   Promotion, Office on Smoking and Health, 2016.
 * Alexander JP, Williams P, Lee YO. Youth Who Use E-cigarettes Regularly: A
   Qualitative Study of Behavior, Attitudes, and Familial Norms. Preventive
   Medicine Reports. 2019; 13, 93-97.
 * #TF0500: Teens are more likely to try e-cigarettes if a family member uses
   e-cigarettes.


TRASHED VAPES CAN PILE UP IN LANDFILLS AND CAN LEAK DANGEROUS CHEMICALS INTO THE
ENVIRONMENT.

 * Mock J, Hendlin YH. Notes from the Field: Environmental Contamination from
   E-cigarette, Cigarette, Cigar, and Cannabis Products at 12 High Schools — San
   Francisco Bay Area, 2018–2019. MMWR Morb Mortal Wkly Rep 2019;68:897–899.
 * Hendlin YH. Alert: public health implications of electronic cigarette waste.
   Am J Public Health. 2018;108:1489–90.
 * #TF0501: Discarded e-cigarettes can leak harmful chemicals into the
   environment.


ALL COMMERCIAL TOBACCO PRODUCTS, LIKE CIGARETTES, DIP, AND CHEW, CAN LEAD TO
NICOTINE ADDICTION.

 * U.S. Department of Health and Human Services (USDHHS). How Tobacco Smoke
   Causes Disease. The Biology and Behavioral Basis for Smoking-Attributable
   Disease (Executive Summary). Atlanta, GA: U.S. Department of Health and Human
   Services, Centers for Disease Control and Prevention, National Center for
   Chronic Disease Prevention and Health Promotion, Office on Smoking and
   Health; 2010.
 * U.S. Department of Health and Human Services (USDHHS). The Health
   Consequences of Smoking: Nicotine Addiction. A Report of the Surgeon General.
   Atlanta, GA: U.S. Department of Health and Human Services, Centers for
   Disease Control and Prevention, National Center for Chronic Disease
   Prevention and Health Promotion, Office on Smoking and Health; 1988.
 * U.S. Department of Health and Human Services (USDHHS). The Health
   Consequences of Smoking - 50 Years of Progress. A Report of the Surgeon
   General. Atlanta, GA: U.S. Department of Health and Human Services, Centers
   for Disease Control and Prevention, National Center for Chronic Disease
   Prevention and Health Promotion, Office on Smoking and Health; 2014.
 * Food and Drug Administration (FDA). Harmful and potentially harmful
   constituents in tobacco products and tobacco smoke: established list. Federal
   Register. 2012; 77(64): 20034-20037.
 * #TF0031: There’s no such thing as safe tobacco. Smoke, dip,
   roll-your-own—every single one is harmful to your health…. All tobacco
   products can lead to nicotine addiction and contain toxic, cancer-causing
   chemicals that can cause serious health problems.


TEEN CIGARETTE SMOKERS ARE AT RISK FOR HEALTH PROBLEMS LIKE STUNTED LUNGS. THEIR
LUNGS MAY NOT EVER GROW TO BE FULL SIZE OR BE ABLE TO PERFORM AT MAXIMUM
CAPACITY.

 * U.S. Department of Health and Human Services (USDHHS). A Report of the
   Surgeon General: Preventing Tobacco Use among Youth and Young Adults. We Can
   Make the Next Generation Tobacco-Free (Consumer Booklet). Atlanta, GA: U.S.
   Department of Health and Human Services, Centers for Disease Control and
   Prevention, National Center for Chronic Disease Prevention and Health
   Promotion, Office on Smoking and Health; 2012.
 * U.S. Department of Health and Human Services (USDHHS). A Report of the
   Surgeon General: Preventing Tobacco Use Among Youth and Young Adults.
   Atlanta, GA: U.S. Department of Health and Human Services, Centers for
   Disease Control and Prevention, National Center for Chronic Disease
   Prevention and Health Promotion, Office on Smoking and Health; 2012.
 * #TF0026: Teens who smoke cigarettes can develop smaller, weaker lungs that
   never grow to their potential size and never perform at maximum capacity.
 * #TF0229: Smoking cigarettes can cause both immediate and long-term damage.


CIGARS AND CIGARILLOS HAVE BEEN LINKED TO CANCER IN THE PANCREAS, BLADDER, AND
EVEN THE STOMACH.

 * International Agency for Research on Cancer (IARC). Tobacco smoke and
   involuntary smoking. In: IARC Monographs on the Evaluation of Carcinogenic
   Risks to Humans. Vol. 83. Lyon, France: International Agency for Research on
   Cancer; 2004.
 * Bertuccio P, La VC, Silverman DT, et al. Cigar and pipe smoking, smokeless
   tobacco use and pancreatic cancer: an analysis from the International
   Pancreatic Cancer Case- Control Consortium (PanC4). Annals of Oncology. 2011;
   22 (6):1420–1426.
 * #TF0260: Cigar smoking causes cancers of the lung, oral cavity, esophagus,
   larynx, pancreas, stomach and bladder.


SMOKELESS TOBACCO PRODUCTS LIKE DIP AND CHEW CONTAIN A TOXIC MIX OF 4,000
CHEMICALS, AND 30+ OF THEM ARE LINKED TO CANCER.

 * National Cancer Institute (NCI), Centers for Disease Control and Prevention
   (CDC). Smokeless Tobacco and Public Health: A Global Perspective. Bethesda,
   MD: U.S. Department of Health and Human Services, Centers for Disease Control
   and Prevention and National Institutes of Health, National Cancer Institute.
   NIH Publication No. 14-7983; 2014.
 * Food and Drug Administration (FDA). Harmful and potentially harmful
   constituents in tobacco products and tobacco smoke: established list. Federal
   Register. 2012; 77(64): 20034-20037.
 * #TF0037: Smokeless tobacco products contain a toxic mix of 4,000 chemicals,
   including as many as 30 [or more] chemicals that are linked to cancer.
 * #TF0298: Smokeless tobacco products [contain/have] cancer-causing chemicals
   such as: Arsenic, Benzo[a]pyrene, Cadmium, Crotonaldehyde,
   N-Nitrosonornicotine (NNN), 4-(Methylnitrosamino)-1-(3-pyridyl)-1-butanone
   (NNK), Chromium, Nickel, Chrysene, Ethyl carbamate (urethane)

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