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Articles of Interest: Electronic Nicotine Delivery Systems

Adolescent cigarette smoking has been falling for many years, but the decline in e-cigarette and hookah use was more remarkable.
No longer the hot new thing? Teen vaping falls, study says
STAT

2018

Gov. John Hickenlooper took new steps Friday to curb the use of e-cigarettes by teenagers in Colorado, signing an executive order that, among other things, directs state regulators to increase checks of retailers to make sure they are not selling the devices to underage shoppers.

Agency seeks more information from companies as it continues to pursue its Youth Tobacco Prevention Plan amid evidence of sharply rising e-cigarette use among kids

Azar, Alex M. and Scott Gottlieb. "We cannot let e-cigarettes become an on-ramp for teenage addiction." Washington Post, October 11, 2018.

At the Department of Health and Human Services, we are deeply concerned about the risks that e-cigarettes pose for children, given how quickly teenage use of these products has accelerated. Using a small battery to heat a liquid that contains nicotine, e-cigarettes turn the liquid into an inhalable vapor. Since 2014, they have been the most popular nicotine product among American teenagers.

Ghosh, Tista. "Vaping is tobacco’s new guise to target Colorado kids." The Denver Post, August 3, 2018.

Think tobacco use has disappeared as a threat to our children’s health? It hasn’t. About one in three Colorado high school students are using nicotine. Most of them don’t smoke cigarettes or use chew tobacco, they’re doing something new. It’s called vaping.

Anna Edney and Olivia Zaleski. "Juul in FDA's Sights as U.S. Rethinks Position on E-Cigarettes." Bloomberg, October 2, 2018.

U.S. public health officials are changing their stance on the upstart e-cigarette industry.

The Food and Drug Administration is ramping up its teen tobacco-awareness campaign to include the dangers of vaping.

The agency has used its Real Cost campaign to dissuade teens from smoking cigarettes and chewing tobacco, but the latest iteration is focused on the dangers of vaping. It is educating teens that many of the same dangers of cigarettes, like nicotine addiction, lung damage, and cancer, are present in e-cigarettes or other vapes. 

FDA Commissioner Scott Gottlieb, MD, declared teen use of electronic cigarettes an "epidemic" and said the agency would be addressing the issue with "the largest coordinated tobacco compliance effort in FDA's history."

Actions being considered -- but not yet undertaken -- include the immediate removal of certain flavored e-cigarettes from the market and shortening the time to market review for most cigarettes now being sold.

Jayne O'Donnell, Ken Alltucker and Josephine Chu. "Teens hooked by vaping: FDA weighing a ban on flavored e-cigarette liquids." USA Today, August 13, 2018.

Teen vaping is reaching epidemic levels and FDA is considering regulation to curb it. One proposal would be banning flavoring of e-cigarette liquids. USA TODAY

"E-cigarettes may help adults quit but get teens hooked." Harvard T.H. Chan School of Public Health, August 10, 2018.

Makers of e-cigarettes say their products could save lives by helping adult smokers quit traditional cigarettes. But critics say that the electronic devices, which deliver nicotine via a heated aerosol and come in fruit flavors, are being marketed to teens and could put young people on the path to nicotine addiction.

"4 marketing tactics e-cigarette companies use to target youth." The Truth Initiative, August 9, 2018.

From introducing appealing flavors to offering college scholarships, manufacturers and sellers of e-cigarettes aggressively target young people.

Selig, Roni; Maddie Bender and Davide Cannaviccio. "Juul and the vape debate: Choosing between smokers and teens." CNN Health, August 9, 2018.

The teen vaping epidemic has made its mark in high schools.

McKay, Betsy. "Vaping Doesn’t Often Help Smokers Quit, New Study Finds." The Wall Street Journal, July 9, 2018.

Adult smokers who didn’t use electronic vaping devices were more than twice as likely to quit, according to the study.

Pearson, Anthony, MD. "E-Cigs: How Much Help vs How Much Harm? ." MedPage Today, May, 27, 2018.

Hooking kids on nicotine a steep price to pay for helping some smokers quit, says Skeptical Cardiologist.

Data on e-cigarettes show that they are the most popular tobacco products among youth, with more than 11 percent reporting in 2016 that they currently use the devices. If that sounds concerning, consider this: there is good reason to believe that the numbers are underestimating the problem.

"E-cigs pack a harmful punch." Harvard T.H. Chan School of Public Health, April 4, 2018.

Although e-cigarettes may be a useful tool for people trying to quit regular cigarettes, they also contain harmful chemicals, including formaldehyde and diacetyl, according to Harvard T.H. Chan School of Public Health’s Joseph Allen.

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