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E-Cigarettes: Policy Options and Legal Issues Amidst Uncertainty

Published online by Cambridge University Press:  01 January 2021

Extract

E-cigarettes, sometimes referred to as ENDS (Electronic Nicotine Delivery Systems), include a broad range of products that deliver nicotine via heating and aerosolization of the drug. ENDS come in a variety of forms, but regardless of form generally consist of a solution containing humectant (e.g., propylene glycol or glycerol), flavorings, and usually nicotine (some solutions do not contain nicotine); a battery-powered coil that heats the solution into an aerosol (usually referred to as vapor) in an atomizing chamber; and a mouthpiece through which the user draws the vapor into the mouth and lungs. The devices may be closed systems containing prefilled cartridges, or open systems, where the user manually refills a 1-2 ml. tank with solution. What started as closed-system cigarette-shaped devices marketed as an adjunct for smoking cessation, has transitioned rapidly to literally thousands of hip and funky-designed open-system hookah pens, vape pens, and modifiable devices. For younger people, these forms are the “in” thing, while traditional cigarette-shaped devices are “out.”

Type
JLME Supplement
Copyright
Copyright © American Society of Law, Medicine and Ethics 2015

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References

Herzog, B., U.S. Tobacco Trends: Disruptive Innovation Should Drive Outsized Growth, presentation at Electronic Cigarette Education Summit by Logic, March 20, 2014.Google Scholar
WHO, Electronic Nicotine Delivery Systems, FCTC/COP/6/10 21 July 2014, available at <http://apps.who.int/gb/fctc/PDF/cop6/FCTC_COP6_10-en.pdf> (last visited January 22, 2015).+(last+visited+January+22,+2015).>Google Scholar
Bullen, C. B. Howe, C. Laugeson, M. McRobbie, H. Parag, V. Williman, J. et al., “Electronic Cigarettes for Smoking Cessation: A Randomized Controlled Trial,” The Lancet 382, no. 9005 (2013): 16291637.CrossRefGoogle Scholar
Borderud, S. P. Li, Y. Burkhalter, J. E. Sheffer, C. E. Ostroff, J. S., “Electronic Cigarette Use among Patients With Cancer: Characteristics of Electronic Cigarette Users and Their Smoking Cessation Outcomes,” Cancer 120, no. 22 (2014): 35273535.CrossRefGoogle Scholar
Grana, R. Benowitz, N. Glantz, S. A., “E-Cigarettes: A Scientific Review,” Circulation 129, no. 19 (2014): 19721986.Google Scholar
See WHO, supra note 5.Google Scholar
McMillen, R. C. Gottlieb, M. A. Whitmore, R. M. et al., “Trends in Electronic Cigarette Use among U.S. Adults: Use Is Increasing in Both Smokers and Nonsmokers,” Nicotine and Tobacco Research 16, no. 11 (2014), available at <http://ntr.oxfordjournals.org/content/early/2014/11/06/ntr.ntu213.abstract> (last visited January 22, 2015).Google Scholar
CDC, “Electronic Cigarette Use among Middle and High School Students—United States 2011–2012,” MMWR 62, no. 35 (September 6, 2013): 709732.Google Scholar
Bunnell, R. E. Agaku, I. T. Arrazola, R. A. et al., “Intentions to Smoke Cigarettes among Never-Smoking U.S. Middle and High School Electronic Cigarette Users, National Youth Tobacco Survey, 2011–2013,” Nicotine and Tobacco Research 17, no. 2 (2015): 228235.Google Scholar
See Bunnell, , supra note 7.Google Scholar
Duke, J. C. Lee, Y. O. Kim, A. E. et al., “Exposure to Electronic Cigarette Television Advertisements among Youth and Young Adults,” Pediatrics 134, no. 1 (2014): 18.Google Scholar
Dutra, L. M. Glantz, S. A., “Electronic Cigarettes and Conventional Cigarette Use among US Adolescents,” JAMA Pediatrics 168, no. 7 (2014): 610617.CrossRefGoogle Scholar
See Dutra, , supra note 12.Google Scholar
USDHHS, The Health Consequences of Smoking – 50 Years of Progress: A Report of the Surgeon General, 2014, at 122, available at <www.surgeongeneral.gov/library/reports/50-years-of-progress/sgr50-chap-5.pdf> (last visited January 22, 2015).+(last+visited+January+22,+2015).>Google Scholar
Ballbèa, M. Martínez-Sáncheza, J. M. Sureda, X. et al., “Cigarettes vs. e-Cigarettes: Passive Exposure at Home Measured by Means of Airborne Marker and Biomarkers,” Environmental Research 135 (2014): 7680.Google Scholar
Tobacco Control Legal Consortium, Restricting Tobacco Advertising – Tips and Tools (2011), available at <http://publichealthlawcenter.org/sites/default/files/resources/tclc-guide-restricttobadvert-2011.pdf> (last visited January 22, 2015); Tobacco Control Legal Consortium, Content-Neutral Advertising – Tips and Tools (2011), available at <http://publichealthlawcenter.org/sites/default/files/resources/tclc-guide-contentneutralads-2011l.pdf> (last visited January 22, 2015); Dachille, K., Tobacco Control Legal Consortium, Regulating Tobacco Advertising and Promotion: A “Commerce Clause” Overview for State and Local Governments 11 (2010), available at <http://publichealthlawcenter.org/sites/default/files/resources/tclc-fs-regadvert-2010.pdf> (last visited January 22, 2015).+(last+visited+January+22,+2015);+Tobacco+Control+Legal+Consortium,+Content-Neutral+Advertising+–+Tips+and+Tools+(2011),+available+at++(last+visited+January+22,+2015);+Dachille,+K.,+Tobacco+Control+Legal+Consortium,+Regulating+Tobacco+Advertising+and+Promotion:+A+“Commerce+Clause”+Overview+for+State+and+Local+Governments+11+(2010),+available+at++(last+visited+January+22,+2015).>Google Scholar
For quarterly updated information, see U.S. State and Local Laws Regulating Use of Electronic Cigarettes, American Non-smokers' Rights Foundation, available at <http://www.no-smoke.org/pdf/ecigslaws.pdf> (last visited January 22, 2015).+(last+visited+January+22,+2015).>Google Scholar