MCOSA, MPN, MISD, MCTFT, and CADCA sponsored HOUSEHOLD HIGHS: UNDERSTANDING INHALANTS June 14, 2013 What is an inhalant? Common household products can cause death when they are intentionally misused. Inhalant abuse has been around for centuries Why Inhalants? Availability Unknown to Adults Legal Cheap Portable Perception of Safety Instant, Brief Effects Mean Age of First Inhalant Abuse – 1999 -2005 YEAR MALE FEMALE 1999 16.0 16.9 2001 16.5 15.0 2003 16.5 15.5 2005 15.7 14.5 Youth Inhalant Abuse Age Range 6-24 Average Age 15.3 years Inhalants Can Cause Death Sudden Sniffing Death Cardiac Arrhythmia Toxic Effects and Overdose Asphyxiation Lack of O2 Choke on Vomit Choke on Plastic Bags Fires and Explosions Accidents There is very little treatment available for inhalant abuse. People can become addicted to inhalants. Long Term Effects of Inhalants Damage to: Brain Cells Hippocampus Myelin Sheath Liver Kidneys Lung Functions Organs Bone Marrow Heart Rhythm Hearing And Vision Muscles Sources of Inhalants: Aerosols Hair Sprays Deodorants Cooking Sprays Furniture Polish Solvent, Volatile Chemicals Gasoline Glue Shoe Polish Turpentine Correction Fluid Lacquer Insecticides Air Fresheners Computer Cleaner Spray Paint Markers Rubber Cement Household Cleaners Nail Polish many more . . . . Gases Nitrous Oxide Spray Whipped Cream Butane Helium “Whippets” Propane Freon Signs of Possible Inhalant Abuse: Severe Headaches Chemical Odor (even on breath) Paint or Chemical Stained Bags Empty Product Containers Watery, glassy, runny eyes Persistent Rash around Mouth Stains on face, nails, clothes Large Quantities of Products Aerosols with Loose Tops Brain Damage in a Toluene User (Toluene is Found in: Gasoline; some glues; some paints, thinners and paint removers; some nail polishes; typewriter correction fluid. Toluene is avidly absorbed by the lungs, brain, heart, liver, reproductive organs and other lipid-rich tissues.) Messages to Use with Kids: Inhalants are poisons, toxins, pollutants, and fire hazards - Products are designed for a specific purpose - Follow directions on label - Dangerous when used in unintended ways - They contain poisons, toxic chemicals, and gases - They pollute - They are a fire danger - They were never intended to go inside your body - They are created from petroleum Avoid using a “how to” primer for experimenters and substance abusers Messages to Avoid with Kids: Avoid discussing - Inhalants as a drug (unless you are working with a group where there are primarily inhalant abusers or children knowledgeable about inhalants) - Euphoric effects (avoid talking about the high or head rush) - What products may be abused - How to abuse these products What to do if someone is huffing: Don’t excite or upset person Do not leave person alone Call for help Call emergency medical services Ventilate room Check area for product(s) Call Poison Control Center Content Providers: Wayne Frith, Executive director of SAFE in Chesterfield County, Virginia SAFE's mission is to engage all sectors of the community in working together to prevent substance abuse. SAFE participated in CADCA's National Coalition Academy. At the 2007 CADCA Forum, SAFE received the Chairman's Award for its "exemplary application of core competencies and essential processes of effective community problem solving."SAFE has spearheaded a comprehensive inhalant abuse prevention initiative in Chesterfield County and initiated the formation of the Virginia Inhalant Abuse Prevention Coalition. Mr. Frith has worked in the field of juvenile justice and services to youth and families since 1971. Cynthia R. Lewis-Younger, MD, MPH, Florida Poison Information Center-Tampa Dr. Lewis-Younger currently is the Managing/Medical Director of the Florida Poison Information Center-Tampa. Prior to accepting the Managing/Medical Director position in May 2006, Dr. Lewis-Younger was the Associate Medical Director for the center, as well as the Medical Director of Comprehensive Occupational Medicine for Business and Industry (COMBI). Before completing her Medical Toxicology fellowship at the Oregon Health and Sciences University in 2002, she was an Assistant Professor of Occupational Medicine from 1995-2000 at the University of Utah. She served as Medical Officer in the Agency for Toxic Substances and Disease Registry from 1991 to 1995. Dr. Lewis-Younger graduated from the University of Alabama School of Medicine in 1979, and practiced Emergency Medicine and Occupational Medicine in the 1980s. Dr. Lewis-Younger is Board-certified in Occupational Medicine and Medical Toxicology. Harvey Weiss, President, SYNERGIES, Executive Director of the National Inhalant Prevention Coalition Mr. Weiss has been actively involved in developing and implementing successful community-based, statewide and national programs to reduce the instances of inhalant abuse and prenatal substance abuse for more than 15 years. Mr. Weiss established and coordinates National Inhalants & Poisons Awareness Week (NIPAW) every March, which assists communities, coalitions and organizations raise awareness and promote inhalant abuse prevention. He has also been Chair of the Tennessee Inhalant Prevention Initiative established in December 2004. In his professional capacity, Mr. Weiss has made over 150 presentations to international, national, state and local organizations, appeared on national television and radio programs such as National Public Radio's Morning Edition, Good Morning America, The View, ABC, NBC, CBS and CNN evening news broadcasts, been interviewed for publications such as the New York Times, USA TODAY, Good Housekeeping, Advertising Age, Teen Magazine, Ann Landers, Dear Abby and served on review panels for many publications and projects. He is the author of numerous articles on Howard C. Wolfe, Director, New England Inhalant Abuse Prevention Coalition, Member, Massachusetts Inhalant Abuse Task Force Howard C. Wolfe, MA, LMFT started working in the field of adolescent substance abuse in 1970 and is the former Associate Director of CASPAR Alcohol and Drug Education Program. In 1994 he help found the Massachusetts Inhalant Abuse Task Force and has completed a number of projects on inhalant abuse for the Massachusetts Department of Public Health including a statewide focus group research project on inhalant abuse as well as developing educational materials for health professionals, teachers, and parents. This broadcast may be viewed at: http://www.mctft.com; click on “Broadcasts/Videos”, Click on “Past Broadcasts” then look for the program you want to view. Links: Links from the June 14, 2013 Household Highs: Understanding Inhalants broadcast are listed below: New England Inhalant Abuse Prevention Coalition - http://www.inhalantabusetraining.org/ National Inhalant Prevention Coalition - http://www.inhalants.org/ Alliance for Consumer Education Inhalant Abuse Site - http://www.inhalant.org/