Electronic (e) cigarettes ntpc march 2014

Editor's Notes

• #7: On July 22, 2009 the U.S. Food and Drug Administration’s (FDA) Division of Pharmaceutical Analysis analyzed the ingredients in a small sample of cartridges from two leading brands of e-cigarettes and found that the tested products contained detectable levels of known carcinogens and toxic chemicals. Diethylene glycol, a potentially lethal organic compound,9 was found in one cartridge, while nitrosamines were detected in several cartridges.10 Other important findings from the FDA include the following: The quality control processes used to manufacture e-cigarettes seem to be inconsistent or non-existent. Three different e-cigarette cartridges with the same label were tested and each emitted a distinct amount of nicotine with each puff.In all but one, the e-cigarette cartridges that were labeled as containing no nicotine had low levels of nicotine. The vapor from one high-nicotine cartridge delivered twice as much nicotine when inhaled than was delivered by the control, a sample of FDA-approved nicotine inhalation products. Studies suggest adverse effects associated with e-cigarettes, but additional non-biased national and international research is needed to understand the effects of both short- and long-term use E-cigarettes and nicotine containers can be deadly to children or pets, who risk nicotine poisoning from ingesting the liquid nicotine. Some refill bottles contain over 1,000 mg of nicotine, and the fatal dose for children is estimated at only 10 mg and for adults 30-60 mg.
• #9: Many vape shop and e-cig vendors will tell you that propylene glycol is harmless because it is found in many foods and products, but heating PG produces propylene oxide a known cancer causing agent
• #20: Perceptionthat using hookah is safer than smoking cigarettes so e-cig companies have used that same thought pattern to promote e-hookah which is an essence an e-cigarette made in fruity flavors.
• #22: LA County ad LBC recently banned e-cig use indoors. Minnesota is taxing e-cigs. Chicago banned indoors. In mid 2008, the Food and Drug Administration (FDA) tried to establish authority over e-cigarettes as drug delivery devices and stopped all shipments of e-cigarettes from entering the US. FDA was sued by e-cigarette manufacturers and sellers to allow them to enter the country. In 2010, the court ruled that the FDA may not regulate e-cigarettes as drugs or drug delivery devices if they are not marketed as tobacco cessation aids. Shipments of e-cigarettes were allowed into the US. The court found that the FDA does have the ability to regulate e-cigarettes as tobacco products. Federal regulation development is a lengthy process with many limitations including the inability to regulate where e-cigarettes are used. Many state and local governments have passed laws to prohibit sale to minors. In April 2011, the FDA issued a statement announcing that they intend to regulate e-cigarettes as “tobacco products.” This includes: (1) marketing restrictions, (2) mandated ingredient listing, and (3) pre-market review. However, to date, FDA has not asserted its authority over e-cigarettes and they remain unregulated. Several state and local governments, including New Jersey and King County, Washington, have included or are in the process of adding e-cigarettes to their smoking bans. Additionally, the U.S. Department of Transportation banned the use of e-cigarettes on planes. California, Minnesota, New Hampshire, New Jersey, and Utah have prohibited the sale of e-cigarettes to minors since March 2011.
• #23: As a result of 2013 Nevada legislative session, Altria aka Philip Morris introduced an amendment to a youth tobacco possession bill. The amendment resulted in preemption being reinstituted in the Nevada Clean Indoor Air Act. This means that local governments in Nevada can not create stricter-rules as it relates to e-cigarettes.Additionally, as currently written the Nevada Clean Indoor Air Act does not prohibit the use of electronic cigarettes indoors.E-cigarettes are heavily advertised in Nevada (TV, radio, print, web, billboards, kiosks in malls, store fronts )Developed free dpo
• #24: A nationally-representative survey found that 40.2% of Americans have heard of e-cigarettes and more than 70.0% of smokers believe that e-cigarettes are less harmful than regular cigarettes.The most commonly cited reasons for use by e-cigarette users include: the perception that they are healthier/less toxic than traditional cigarettes, aid in tobacco craving/withdrawal symptoms, smoking cessation facilitator, and relapse avoidance.In addition to the health concerns cited above, recent studies suggest that e-cigarettes could be worrisome regarding relapse of former smokers, the “re-normalization” of tobacco, and a gateway for cigarettes. It is also thought that e-cigarettes can contribute to tobacco use by allowing smokers to use nicotine despite ever-increasing smoking bans (dual use). Since they recently emerged on the market, however, more research must be done to fully understand the consequences. The World Health Organization (WHO) expressed concern with e-cigarettes, stating they may undermine tobacco control efforts, such as smoking bans and FDA-approved NRTs. Several countries, including Australia, China, and Brazil have banned the sale and marketing of e-cigarettes.