December 2023 - Celebration of Wellness

December 2023 - Celebration of Wellness

The E-cigarette Epidemic

A Summary of E-Cigarettes and Similar Devices, an article published in
the February 2019 issue of Pediatrics.

By Rayyan Anwer, MD, FAAP

The E-cigarette Epidemic: A Summary of E-Cigarettes and Similar Devices, an article published in the February 2019 issue of Pediatrics.

Several years ago, during the introduction of e-cigarettes to the marketplace, the general appeal was the possible reduction of negative health impacts in relationship to cigarette smoking, the “number one cause of preventable death in the United States, killing 480,000 people every year.” At the same time, e-cigarettes do not contain as many carcinogens as traditional cigarettes, but they still have harmful toxins and carcinogens. It can be so addictive that in a recent meta-analysis, “adolescents and young adults (14–30 years of age) who have used e-cigarettes are 3.6 times more likely to report using traditional cigarettes at follow-up compared with those who had not.”

The most concerning aspect of e-cigarettes is that their use has increased dramatically over the past decade, making them the most common tobacco product used among youth. “According to 2018 data, one in five high school students and one in 20 middle school students use e-cigarettes, a 75% increase from 2017. Increasing overall tobacco use and reversing a decline observed in recent years.” This is especially problematic as “Nicotine is a highly addictive drug that can have lasting damaging effects on adolescent brain development.”

“In early adolescence, executive function and neurocognitive processes in the brain have not fully developed or matured. Adolescents are more likely to engage in experimentation with substances such as cigarettes, and they are also physiologically more vulnerable to addiction.” “The earlier in childhood an individual uses nicotine-containing products, the stronger the addiction and the more difficult it is to quit.” “Furthermore, adolescents perceive that e-cigarettes with flavors are less harmful than those with tobacco flavors, creating a potential misperception that e-cigarettes with flavors do not contain nicotine.”

A point e-cigarette manufacturers exploit is targeting the youth with many enticing candy and fruit flavors and targeted ad campaigns. It is no surprise that in 2016, the “US Surgeon General’s Report on e-cigarette use among youth and young adults concluded that e-cigarettes are unsafe for children and adolescents.” Knowledge, education, and surveillance are key in battling this malignant epidemic. In this regard, much of the above information and some important key points below have been taken from an article published in the February 2019 issue of Pediatrics titled, E-Cigarettes and Similar Devices:

  • e-cigarettes are “handheld devices that produce an aerosol from a solution typically containing nicotine, flavoring chemicals, and other additives for inhalation through a mouthpiece by the user.
  • More recent e-cigarette products are more diverse in their design, sometimes resembling common items such as a pen, flashlight, or computer flash drive. (see image)
  • “Currently, there are no federal quality standards to ensure the accuracy of e-cigarette constituents as advertised or labeled.
  • “There are often wide discrepancies between the labeled amount and actual nicotine content within the solution. Reported nicotine concentration in e-cigarette solution ranges widely and, depending on how the product is used, can be comparable to or exceed the amount of nicotine in a single conventional cigarette.”
  • “Refillable cartridges allow the user to deliver other psychoactive substances, including marijuana.”
  • “Numerous toxicants and carcinogens have been found in e-cigarette solutions, including aldehydes, tobacco-specific nitrosamines, metals, tobacco alkaloids, and polycyclic aromatic hydrocarbons. E-cigarette solution has also been shown to be cytotoxic to human embryonic stem cells.”
  • “homes, cars, and places where children and adolescents live, learn, play, work, and visit should have comprehensive tobacco-free bans that include e-cigarettes as well as combustible tobacco products.
Expert Consultation for Adolescent Health with Dr. Anwer

Dr. Anwer is committed to improving adolescent health and is eager to meet with your family. For more information, visit our website at to read Dr. Anwer’s full article, or to schedule an appointment, call 866-595-5113.

Main article source | Source of the first quote only 
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Prioritizing Postpartum Self-Care with Celebration Aesthetics

At Celebration Aesthetics, we understand that being a mom is a fulltime job, and it can be hard to find time for self-care. However, we believe that it is important for postpartum moms to make time for their own needs, including their physical and emotional well-being. That’s
why we invite you to take a moment for yourself and visit Celebration Aesthetics.

Please take a moment for yourself and explore our offerings. For more information contact Spa Coordinator Angelina at 407-566-2255. **Mention this article, and you will receive a $50.00 credit towards any aesthetic treatment.

Meet & Greet - December 12, at 5:30 pm

Our free monthly Meet & Greet events offer new potential patients the opportunity to meet our providers and learn about our patient-centered medical home.

Please reserve your spot today by calling our office at 407-566-9700

Same Day Sick Appointments

Celebration Pediatrics offers SAME-DAY-SICK appointments.

To schedule an appointment, call us at 866.595-5113.

Happy Holidays

“The joy of brightening other lives becomes,
for us, the magic of the holidays.” – W. C. Jones

Celebration Pediatrics will be closed for the Christmas holiday on Monday, December 25, 2023. Regular business hours will resume on Tuesday, December 26, 2023.


Click here to download a PDF Copy of the December 2023 Celebration of Wellness Newsletter.



What clients are saying ...

Dr Bob has been seeing my twins since they got out of the NICU and we love him. Very attentive, very nice, knowledgeable and understanding.

We recently moved so now it takes us up to 45 minutes to get there when it used to take us 15 minutes but we’ll never change doctors.

The office is always clean and the staff is super nice, highly recommended
Erika Nani - Jun 28, 2022
I love Celebration Pediatrics. The office staff is so kind and always willing to accommodate me when I need a last minute appointment or to reschedule. The doctors and nurses are also incredible.

My family loves Dr. Anwer, he is a remarkable doctor. You can tell he is very passionate about his career and genuinely loves his patients which is so important. He doesn’t treat my kids like just another patient but instead takes his time to ask questions and really understand our concerns.

I really could not recommend this office and Doctor enough!
Paola Vecco - June 22, 2022
The entire staff as you walk in are AMAZING!!! They greet you with smiles answer all questions and treat your child like it was their own.

There was no wait time and super super friendly!!! I am so happy they took great care of us. Dr. C is Amazing too!! Super great listener and. Wonderful dr.

Although we are new there she seemed like she knew and understood very well my sons asthma conditions!! Thanks everyone!!! Lots of love for you all!❤️❤️❤️ Sincerely, Happy Mommy 😃😃😃💯💯💯💯
Linda Sosa - March 23, 2022
This was our first visit with this center, and it was incredible, the registration was fast, the waiting time to go to the room was short, and the best of all this was the wonderful treatment of Dr. Toma with our daughter was incredible

Our daughter said for the first time that she loved going to the doctor and that the doctor was very funny and kind to her, and like a parents made us feel safe, she explained everything to us, the treatment towards us was wonderful, recommended a thousand percent,

Dr. Toma is wonderful. Amazing ⭐️⭐️⭐️⭐️⭐️⭐️
Awilda Garcia - Feb 15, 2022
Fantastic doctors, nurses, and staff! Patient, listen, educate, answer every question, and spend adequate time with each patient.

I have found that the doctors at this location are intelligent and educated in a wide realm of topics which makes the experience much richer, especially when it is your first child!

Quick to get patients a visit when needed and we usually don’t wait more than 5-10 min to be seen.
Jordan McKinney - Jan 31, 2022
We are very happy and pleased to have found this place for our girls. We have recently moved from another state and the transition to this office was very smooth.

The staff was so helpful in making sure that the needed records for our girls were obtained from our prior provider. Our girls also loved the visit with NP Janil.

Would highly recommend this office.
K. Abegail Faleiros - March 28, 2022
We had our first newborn appointment at the practice and felt so comfortable. Monica was very easy to talk to and eased some of our little worries as first time parents.

She was patient, sweet, and very knowledgeable!

We left our appointment feeling very secure and with the practice that we chose!
Jenna Miles - April 11, 2022
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