Vaping and Youth: What you need to know

Featuring guest lecturer Dr. Nicholas Chadi

Recorded by Natick Pegasus, on April 24, 2019

Dr. Nicholas Chadi, MD MPH discusses recent trends, health effects and prevention and treatment strategies related to adolescent e-cigarette use.  This event was presented to an assembly of youth, parents and community members at Wilson Middle School in Natick, MA.

Dr. Chadi’s presentation is followed by a panel of town, school and health officials to discuss the collective response to this emerging public health issue and the resources available to youth and their families.

Listen to the full recording here


Poor Mental Health Ups Risk for Teen E-Cigarette Use

By Elizabeth Hlavinka, MedPage Today, June 4, 2019

With Comments from Nicholas Chadi

Teens with mental health problems were more likely to take up cigarettes, both electronic and regular, according to a longitudinal study just published in Pediatrics.

[…] “We have to be careful when we think of e-cigarettes as substances because it falls in the bigger picture of substance use in general,” Chadi, who was not involved with the research, said. “This is a two-way highway, where people with mental health problems are more likely to start using these substances, but the reverse is also true — people who start using these substances also have increased chances of developing mental health symptoms.” Read more

Mass. Doctors Warn Of Public Health Crisis Due To State’s Marijuana Policy

WBUR 90.9 FM – Boston’s NPR News Station – Interview with Chris Citorik

Over three dozen Massachusetts doctors and researchers warn that the state could be headed toward a public health crisis because of its policy around recreational marijuana.

In a statement sent to state lawmakers, organized by the Massachusetts Prevention Alliance, signatories expressed worry over “how marijuana policy is being shaped” and concerns of “regulatory failure.” It was signed by doctors and researchers from organizations including Harvard Medical School, Massachusetts General Hospital and Boston Children’s Hospital.

Host Chris Citorik talks with Dr. Nicholas Chadi, MD MPH, one of the signatories of the Statement of Concern. Listen to the full interview here

Opening the Weedgates: Youth at risk

By Sheela Clary, The Berkshire Edge, April 2, 2019

With comments from Nicholas Chadi

Despite the official prohibitions on studying cannabis as well as the resulting lack of scientific evidence, it is by now understood well enough that the human brain continues to develop until the age of 25, and cannabis can alter that development, resulting in adverse life outcomes. […]

For clarification on why it makes sense to discourage youth from using marijuana, I contacted Dr. Nicholas Chadi, a pediatrician specializing in adolescent and addiction medicine and a pediatric addiction medicine fellow at Boston Children’s Hospital. […]

Dr. Chadi offered that one of the biggest hurdles he faces in treating teenagers who present with marijuana dependence problems is the widespread perception that marijuana is either harmless or beneficial. Read more

States Raising Smoking Age to Combat Teen Vaping

By Jennifer Clopton, WebMD, March 15, 2019

With comments from Nicholas Chadi

Nicholas Chadi, MD, has had a front-row seat to the high-speed growth of vaping among teens. Chadi, a pediatrician who specializes in adolescent and addiction medicine, says he didn’t have any kids coming to Boston Children’s Hospital for e-cigarette use 2 years ago. Now, they see someone in their clinic as often as once a week.

“For a lot of teens, it’s the main concern they or their parents have. It is becoming pretty center-stage,” he says.

Some of the teens “are completely addicted, and it’s taken over their lives,” Chadi says. “Teens who come to see us couldn’t even sit in class for an hour. They had to leave because they felt they were having withdrawal symptoms, and we’ve seen teens dropping out of sports teams because they are so focused on their e-cigarette use.” Read more

Medical marijuana: What’s all the buzz?

By Nicholas Chadi, Thriving Blog, March 14, 2019

Is medical marijuana safe for children and teens? Depending on who you ask, you may get very different answers.

On one side, pro-marijuana websites, marijuana companies and dispensaries are keen to promote the numerous (often unproven) benefits of using marijuana for medical reasons. On the other side, many public health agencies, community organizations and pediatric providers warn about the risks of marijuana use during childhood and adolescence, making it quite challenging to form an unbiased opinion. Read more

Methadone matters

By Nicholas Chadi and Paxton Bach, Public Health Post – March 7, 2019

More than 80% of Americans who qualify for life-saving medication treatment for opioid addiction do not actually receive it. Methadone maintenance therapy—which involves the daily use of a liquid or pill—is the oldest, most researched form of medication treatment for opioid addiction, and has been used in the US for fifty years, yet it remains prohibitively difficult to access, especially for those living in rural areas.

Many other developed countries have allowed community clinics and pharmacies to dispense methadone, but this is not usually an option in the US. In a recent article, we wrote with a group of addiction medicine providers from Canada and the US, we argue that it is time for the US to follow suit. Read more

What’s in Store for ‘Nico-Teens’? Pediatricians weigh in on the potential long-term hazards of adolescent vaping

By Elizabeth Hlavinka, MedPage Today, January 4, 2019

With comments from Nicholas Chadi

Vaping is no longer a passing fad among teenagers, and has turned into a national epidemic, said experts contacted by MedPage Today.

growing body of literature confirms these fears. Most recently, the large Monitoring the Future survey in 2018 found “the largest single-year increase in use of a monitored substance ever recorded” among high school students in the program’s four-decade history. […]

“There’s definitely been a clear movement by the FDA to restrict the sale of e-cigarette products in many places such as corner stores and gas stations, so I do think e-cigarettes will become harder to purchase for younger people,” Chadi told MedPage Today. “But will that lead to decreased use? I’m not sure about that.”

“I would have a hard time imagining seeing such a large increase in 2019 as in 2018, but, if anything, I’m hoping rates will stabilize and eventually fall back down as there is more awareness about the issue,” he said. (Read more)

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