The Borrego twins— Juan and Marco. These fifteen-year-old, rising sophomores are the founders of Vaping Attention to Prevention, a nonprofit organization.

Twin brothers Juan and Marco Borrego are upcoming sophomores at Buford High School. Last year, they participated in NPR’s high school podcast challenge, and along the way, they’ve founded a nonprofit organization “Vaping Attention to Prevention.”

Even before the podcast challenge, the boys had noticed a growing problem at school. In the hallways, in the bathrooms and even in class, kids their age and younger were inhaling vaporized nicotine like it was candy. And many of the teachers and administrators had no idea. 
 
“It’s a big issue in our high school, Juan, age 15, said of the habit which requires a battery run E-cigarette device often referred to as the leading brand name, “Juul” or just a “Vape”. “No one seems to know how bad vaping really is, so we researched it and decided to make that our podcast topic for the challenge.” 
 
The Georgia Department of Health (GDH) conducted a survey showing the number of high school students in Georgia who have used E-cigarettes at least once has increased by 66 percent from 2012 to 2017.  Consequently, the GDH now considers electronic cigarette use among youth is “a major health concern.” 
 
And yet, Marco and Juan find that many of their peers and even teachers aren’t aware that vaping is a huge problem at their school. They formed the non-profit Vaping Attention to Prevention (VATP) for that very reason.
 
“Our purpose is to educate and prevent future use of E-cigarettes amongst teenagers and adolescents,” Juan said.
 
To get started, the boys connected with Dr. Ellis from Tennessee and Dr. Halpern-Felsher, the creator of the Stanford Tobacco Prevention Toolkit which provides a wealth of information and research on tobacco, E-cigarettes, and other addictive behaviors. 
 
From there, they were able to address one of their first goals – education.
 
Marco and Juan working with mealworms for their upcoming Science Fair where they will test the effects of "e-juice", the liquid used in E-Cigarettes.Marco and Juan working with mealworms for their upcoming Science Fair where they will test the effects of "e-juice", the liquid used in E-Cigarettes.Utilizing their research, the boys have designed both middle school and high school curriculum with PowerPoint slides about vaping, its harmful effects as well as prevention strategies. They hope the curriculum will be integrated into health classes in both middle schools and high schools.
 
Rome wasn’t built in a day, and the boys know that the best strategy is to start small at their own high school. With the help of their teacher sponsor, Mr. Gillis, they’re working on getting a club formalized for fall 2019 to attract more students to become VATP ambassadors and start hosting school-wide meetings.
 
“We think teens are more likely to listen to other teens than if it were an adult telling them not to vape,” said Marco who is fully invested in training their growing ranks of student ambassadors. 
 
Kids from their soccer team were among the first to join the club. Other ambassadors got involved online connecting from other states through social media, and they now have a total of five student ambassadors.
 
Each of these youth ambassadors will be required to complete a “Train the Trainer” Toolkit which condenses their curriculum into four engaging modules for ambassadors to pick one every nine weeks and create their own marketing campaign to make vaping “not cool.” The program should be ready by fall 2019.
Consulting with their mom, Justine Henao, who is a physician at a local hospital, the boys realized it’s important to also educate parents and teachers. As Dr. Henao points out, “Some don’t even know what these things look like.”
 
E-cigarettes are battery-run, smoking devices operated by heat and use a liquid called “e-juice” to create their distinctive vapor. The devices are particularly convenient for teenagers to use because they are produced to look like common objects including USB’s, pens and sharpeners.
 
“A lot of our friends vape. Some kids do it in the bathroom, and it doesn’t leave a smell like cigarettes do. Some kids even do it in the back of the classroom because they have vapes that hardly put out any smoke,” Marco said.
 
To educate youth, parents, and anyone interested in learning more about what vaping does to the human and teen body, Juan and Marco are now planning the first VATP town hall to take place sometime this summer. The meeting will be hosted alongside Truth Initiative, a nonprofit dedicated to inspiring individuals to live tobacco-free lives.

L-R: Twin brothers Marco (in blue) and Juan (in red) during a meeting with Truth Initiative.L-R: Twin brothers Marco (in blue) and Juan (in red) during a meeting with Truth Initiative.At their initial meeting, Juan and Marco proposed several partnership opportunities with Truth. Vincent Irving, who works for the nonprofit, was highly impressed with the boys’ initiative. “It takes teens like Marco and Juan to notice issues, learn about the impact those issues are having, and then gather resources, to create positive generational change. The fact that they have taken the initiative to mobilize teens across the country around this issue is extremely motivating.”

The Borrego twins are optimistic about the possibilities the new partnership could bring. They hope Truth can provide additional training for their ambassadors in becoming public spokespersons.
 
As fifteen-year-old sophomores, Juan and Marco aren’t sure where all this will lead them. They’ve loaded their schedule with AP courses and study vigilantly, hoping to be accepted into an Ivy League college after they graduate. What they will study and do for their careers thereafter remains a mystery. For now, their goal is to ensure VATP takes root. And one day in the not too distant future, they hope to see legislation passed that will deter teens from picking up the habit.

“We have already met with a few local representatives, and with some coaching, we hope to formally address our local legislators in hopes of raising the age for vaping to 21,” Marco said.
 
Banning flavors is another legislation they hope to see passed. Without a wide variety of sweet flavors like mango and cotton candy, Juan and Marco believe vaping wouldn’t have the same appeal.
 
“A lot of people our age think cigarettes are gross, and there’s been so much education on cigarettes it’s not as cool as it used to be. But E-cigarettes come in all these different flavors — some people just think of it as inhaling flavored vapor that tastes like candy,” Juan said.
 
To the contrary, a 2017 study from Stanford’s School of Medicine showed certain flavors to be toxic. The researchers studied a variety of flavors, finding two flavors in particular — cinnamon and menthol — decreased the viability of bacteria cells used in their study. The finding suggests that the cinnamon and menthol flavors can cause DNA damage and are carcinogens, even in the absence of nicotine.

To build the case, the boys plan to do their own research.  They are working on a Science Fair project to test the effects of e-juice on mealworms for the upcoming school year. Through the project, they hope to shed light on the effects vaping has on human cells.

As a health professional, Dr. Henao is particularly curious about the long-term effects of vaping and how it remains largely undocumented and enshrouded in myth. She’s proud her sons are working to change that.
 
“I’m glad, but not exactly surprised the boys have gotten so involved with this. I wouldn’t expect anything less because they’re always very motivated and hard working. They always put 110 percent into something,” Dr. Henao said. 
 
Research and politics aside, if the Borrego twins can make vaping seem less cool, maybe they have a chance of reversing the trend and preventing younger generations from following the fad altogether.
 
Those interested in learning more or becoming a peer ambassador, regardless of the school they go to, can reach the boys through their website contact page (www.vaping-attentiontoprevention.org) or message them on facebook: @vapingAttentionToPrevention