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Data Centre Network (CRDCN) from the Social Science and Humanities Research Council (SSHRC), the Canadian Institute for Health Research (CIHR), the Canadian Foundation for Innovation (CFI) and Statistics Canada. Although the research and analysis are based on data from Statistics Canada, the opinions expressed do not represent the views of Statistics Canada or the Canadian Research Data Centre Network (CRDCN). Finally, the authors would also like to thank Dr. Hugh McCague from the Institute of Social Research at York University for providing statistical assistance on this project. The rapid uptake of e-cigarettes and other vaping devices has suddenly reversed a trend of declining teen tobacco use in South Dakota. In 2015, nearly one in five (17.3%) high school students used e-cigarettes, while about one in ten (10.1%) of high school students smoked traditional cigarettes.[1] This toolkit provides tools and resources to help South Dakota communities, schools, and healthcare professionals who are working to address the use of e-cigarettes and other vaping products. Infographic courtesy of Truth Initiative[1] E-CIGARETTES AND OTHER VAPING PRODUCTS E-cigarettes are battery-operated devices that heat a liquid and convert it into an aerosol, which is then inhaled and delivers nicotine, flavors, and other chemicals to its user.[2] E-cigarettes go by many different names— “e-cigs”, “e-hookahs”, “mods”, “vape pens”, “vapes”, and “electronic nicotine delivery systems (ENDS)”—just to name a few. The aerosol produced by e-cigarettes almost always contains nicotine, which is the highly addictive drug found in traditional tobacco products like cigarettes, cigars, and other tobacco products. Some e-cigarettes are being marketed as containing no nicotine have still been found to contain nicotine.[3] The use of products containing nicotine poses a threat to youth, pregnant women, and unborn babies.[2] Not only is nicotine addictive, but it is also harmful to adolescent brain development, dangerous for pregnant women’s health, and toxic to developing fetuses.[3] Infographic courtesy of Truth Initiative[1] Tobacco-free spaces are a proven way to prevent youth tobacco use and protect students, faculty, and visitors from secondhand smoke. Tobacco-free school policies are one way to address increasing popularity of e-cigarettes and other vaping devices among youth. WHAT CAN YOU DO? Strengthen and review current policy. • K-12 Tobacco Prevention Toolkit – South Dakota Tobacco Control Program • Model Tobacco-Free School Policy (PDF) – Associated School Boards of South Dakota Promote health messaging throughout school. • Create Tobacco-Free Schools – American Lung Association • E-Cigarettes, “vapes”, and JUULS: What Schools Should Know (PDF) – American Lung Association • E-Cigarettes, “vapes”, and JUULS, What Teens Should Know (PDF) – American Lung Association • Addressing Student Tobacco Use in Schools: Alternative Measures (PDF) – Public Health Law Center • CTP’S Exchange Lab – Free print and digital materials, such as posters – U.S. FDA • Be Tobacco Free SD – Tobacco Free Campuses & Schools • Teachers and Parents: That USB Stick Might Be an E-Cigarette Poster (PDF) – CDC • E-Cigarettes Shaped Like USB Flash Drives: Information for Parents, Educators, and HealthCare Providers (PDF) – CDC Provide educational materials and lesson plans that address e-cigarette products. • Know the Risks: A Youth Guide to E-cigarettes (PDF) – CDC • Tobacco Industry-Sponsored Youth Prevention Program in Schools (PDF) – CDC • Tobacco Use Prevention Through Schools: Guidelines and Strategies – CDC • HECAT: Module T (Tobacco-Use Prevention Curriculum) (PDF) – CDC • The Tobacco Prevention Toolkit – Stanford Medicine • E-cigarette Prevention: Catch My breath – CATCH (Coordinated Approach to Child Health) • smokeSCREEN: A smoking Prevention Videogame – play2PREVENT • Lesson Plan: Vaping and JUULing – Twin Cities Medical Society • Taking Down Tobacco – Campaign for Tobacco-Free Kids • The Real Cost of Vaping (grades 9-12) – Scholastic and FDA • Get Smart about Tobacco: Health and Science Education Program (grades 3-7) – Scholastic Share resources for quitting tobacco. • See Quitting Resources section Issue an advisory to parents. • See Parents & Adults section SCHOOLS & EDUCATORS Addressing the Use of E-cigarettes and other Vaping Products Parents and adults don’t always have the answers and sometimes we need to help start the conversation about health topics we’re not familiar with, like e-cigarettes. Use the resources found below, if you need a little help. WHAT CAN YOU DO? Provide a smoke-free environment, including e-cigarettes. • Going Smoke-Free Matters (PDF) – CDC Educate yourself, then