“Be Patriotic. Vape.”

Brought

- Brent Taylor, MD, Premiere Dermatology and Mohs Surgery of Atlanta

Yes, you read that correctly. Those were the only words written in what must have been size 20 million font on a billboard near Greenville, South Carolina. A beautiful United States flag was proudly portrayed on the billboard behind those words. And, oddly, no company name, logo or other identifying information was present to connect this billboard to a specific business or corporation. From what I could see as I drove by, nothing was on the billboard except an American flag and the words “Be Patriotic. Vape.”

This billboard had me puzzled. Was it a joke? Was it actually trying to convince people that vaping is an act of patriotism? Does it assume that the general population and particularly our young people are so impressionable as to believe this billboard and start vaping because they love our country?

I laughed as I drove by, but the billboard did have me worried. The US military included cigarettes in soldiers’ rations from World War II through 1975, and as a result, nicotine addiction and tobacco use has long been a plight of our veterans. Many adult smokers have attempted to use e-cigarettes and vaping as a way of avoiding regular cigarettes. But the fastest growth of vaping has been among young people. Approximately 20% of those aged 18 to 29 report vaping – the highest for any age group.

Since young people seem to be most strongly prone to vaping, it’s important to spread the word on the negative health effects of vaping to our youth. As a dermatologist, I can attest to negative skin effects of vaping, some of which should grab one’s attention:

1. Black, hairy tongue. Multiple oral problems can occur from vaping. The most newsworthy from a teen’s perspective is probably black hairy tongue. The exact reason vaping can cause this condition is not known, but it’s well-established that some individuals will develop a black, hairy-appearing tongue when they vape. Skin cells on the tongue build up, and certain types of bacteria can overgrow. Go to Google Image and type in “black hairy tongue” to scare any teens you know out of vaping.

2. Genital burns. Many e-cigarettes use lithium batteries that were manufactured poorly and are prone to exploding. Between 2015 and 2017, more than 2000 people went to the emergency room for burn injuries from e-cigarettes. Explosions were often spontaneous while the device was simply in the person’s pocket. Pockets are close to one’s private parts, and genitals were commonly burned. Scare your teen with this one!

3. Acne and aging skin. Nothing seems to motivate a social-media era individual like aesthetics. Cigarettes are known to cause acne, premature aging of skin, enlarged pores and oil glands. Nicotine causes many of these changes, and nicotine is present whether one is using traditional cigarettes or e-cigarettes.

Finally, the question of patriotism. In case you were worried that you need to starting vaping to prove that you are a patriot, the answer is that you do not. Patriotism and vaping have NOT been linked. An article in the journal Tobacco Use Insights entitled “The Vaping Teenager” found that teens who identify themselves as “patriotic” are actually less likely to vape than those with other peer crowd identifications. Teens who selfidentified as patriotic were more likely to report valuing hard work and enjoying the outdoors. The billboard would have been more accurate had it said “Want to risk burnt genitals, hairy tongue, acne, cardiovascular side effects and a lighter wallet? – Vape.” I guess they ran out of room?