SUBJECT 1: Microcuvette and Analyzer - Response Requested
SUBJECT 2: Electronic Nicotine Delivery Systems (ENDS) a.k.a. Vapor, or Electronic cigarettes (e-cigarettes)


SUBJECT 1: Microcuvette and Analyzer - Response Requested
SUBJECT 2: Electronic Nicotine Delivery Systems (ENDS) a.k.a. Vapor, or Electronic cigarettes (e-cigarettes)


SUBJECT 1: Microcuvette and Analyzer - Response Requested. It’s time to order microcuvettes by completing the survey. Please follow the instructions below to ensure your agency receives an adequate supply of microcuvettes and/or analyzer.

  • Microcuvette Survey: Please complete and return the attached survey via e-mail to by Tuesday, February 6, 2018. This will ensure no interruption in the supply of microcuvettes. Please verify that you use the most recent survey.
  • Microcuvette Order: The information from the survey will be used to identify the current supply on hand at each agency and to estimate the needs of each agency for the next six (6) months. The microcuvette order will be shipped directly to your agency.
  • Analyzers: Analyzers are also available to agencies by completing the request and justification. Tell us why you need the analyzer: replace current analyzer; expand services in another room/satellite site; more efficient work flow; other: explain.

Local Agency Confirmation: When you receive the order please do the following:

  1. Verify the number of microcuvettes received with the number listed on the packing slip.
  2. If the number of microcuvettes in the package is the same as listed on the packing slip, sign and date the packing slip.
  3. Fax the packing slip to the WIC state agency (SA) within one (1) week of receiving the shipment. The fax number is 573-526-1470. Confirmation on the packing slip is required in order for the SA to pay for the microcuvettes.
  4. If the number of microcuvettes received is different from the packing slip, please call Beth Ott at 800-392-8209.

Thank you for your cooperation.

SUBJECT 2: Electronic Nicotine Delivery Systems (ENDS) a.k.a. Vapor, or Electronic cigarettes (e-cigarettes). Local agencies frequently ask questions about e-cigarettes, what should be done in MOWINS, and how they should educate. General information about e-cigarettes can be located here. The following information is provided so that local agency staff will have a better understanding of how to address ENDS usage and exposure with WIC participants:

  • If the participant reports not smoking traditional cigarettes, enter as non-smoking in MOWINS and do not assign the risk factor.
  • If the participant reports e-cigarette usage, do not enter as smoking, and do not enter a number of cigarettes per day, however, provide appropriate counseling and referrals.
  • Provide counseling regarding tobacco use and its effect on the WIC participant and family members.
  • Refer prenatal women and breastfeeding women who use e-cigarettes to their physician and utilize the resources listed below.

Tobacco use continues to be one of the few modifiable risk factors which affect the health and long term implications of women and babies. Tobacco products such as cigarettes, chew tobacco, cigars, cigarillos, hookah, and ENDS contain nicotine and other added chemicals. Nicotine is an addictive component in tobacco products and is a health danger for pregnant women and developing babies. It is toxic to fetal development. Nicotine and other contents in tobacco products have been causally linked to:

Risk of the mother having complications during pregnancy;
Babies being born at low birthweight;
Babies being born too early;
Other harmful effects on a developing baby’s growth and development, especially in the brain and lungs; and
An increased risk of cleft lip and palate birth defects.

The leading cause of preventable disease, disability, and death in the United States is tobacco use. The Centers for Disease Control and Prevention (CDC) has resources to help those who use, or are considering use of ENDS, including during pregnancy, at E-cigarettes and Pregnancy. Health care and public health providers can gain knowledge on health effects and other information, and find data and resources on how to assist tobacco users before, during, and after pregnancy. Women who quit smoking before or during pregnancy improve pregnancy and birth outcomes; and those who remain smoke or nicotine free after birth reduce a major risk factor of Sudden Infant Death Syndrome (SIDS) and other sleep-related deaths.

You can help! Ask about tobacco use. It is a public health issue. Health care providers and public health professionals should advise pregnant women and women of child bearing age on the use of all tobacco and nicotine containing products. Do this by having open, non-judgmental conversation about tobacco and nicotine use before and during pregnancy and the avoidance of use and secondhand smoke exposure before, during, and after pregnancy. The American College of Obstetricians and Gynecologists (ACOG)’ Committee on Health Care for Underserved Women and the Committee on Obstetric Practice’ shares their opinion onSmoking Cessation During Pregnancy and references the 5 A’s. Additional Resources are included in the attachment.

Let the start of this new year bring a new approach to addressing tobacco use by your WIC participants. Share what you learn and help someone on their road to becoming tobacco free today!

Please contact your assigned district nutritionist if you have questions.