Global approaches to regulating electronic cigarettes
TLDR
A range of regulatory approaches are being applied to e-cigarette globally; many countries regulate e-cigarettes using legislation not written for e- cigarettes, and many countries use a combination of new/amended and existing regulation.Abstract:
Objectives Classify and describe the policy approaches used by countries to regulate e-cigarettes. Methods National policies regulating e-cigarettes were identified by (1) conducting web searches on Ministry of Health websites, and (2) broad web searches. The mechanisms used to regulate e-cigarettes were classified as new/amended laws, or existing laws. The policy domains identified include restrictions or prohibitions on product: sale, manufacturing, importation, distribution, use, product design including e-liquid ingredients, advertising/promotion/sponsorship, trademarks, and regulation requiring: taxation, health warning labels and child-safety standards. The classification of the policy was reviewed by a country expert. Results The search identified 68 countries that regulate e-cigarettes: 22 countries regulate e-cigarettes using existing regulations; 25 countries enacted new policies to regulate e-cigarettes; 7 countries made amendments to existing legislation; 14 countries use a combination of new/amended and existing regulation. Common policies include a minimum-age-of-purchase, indoor-use (vape-free public places) bans and marketing restrictions. Few countries are applying a tax to e-cigarettes. Conclusions A range of regulatory approaches are being applied to e-cigarettes globally; many countries regulate e-cigarettes using legislation not written for e-cigarettes.read more
Citations
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Journal ArticleDOI
E-cigarettes: Impact of E-Liquid Components and Device Characteristics on Nicotine Exposure.
TL;DR: This review focuses on factors which may impact nicotine exposure by changing e-cigarette use behavior, puff topography, altering the nicotine yield or more directly by altering nicotine absorption and bioavailability.
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Comparing the cancer potencies of emissions from vapourised nicotine products including e-cigarettes with those of tobacco smoke.
TL;DR: Optimal combinations of device settings, liquid formulation and vaping behaviour normally result in e-cigarettes emissions with much less carcinogenic potency than tobacco smoke, notwithstanding there are circumstances in which the cancer risks of e-cigarette emissions can escalate, sometimes substantially.
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Association Between Electronic Cigarette Use and Marijuana Use Among Adolescents and Young Adults: A Systematic Review and Meta-analysis.
TL;DR: A meta-analysis found a significant increase in the odds of past or current and subsequent marijuana use in adolescents and young adults who used e-cigarettes, which highlights the importance of addressing the rapid increases in e-cigarette use among youths as a means to help limit marijuana use.
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Electronic cigarette use in youths: a position statement of the Forum of International Respiratory Societies.
Thomas W. Ferkol,Harold J. Farber,Stefania La Grutta,Frank T. Leone,Henry M. Marshall,Enid Neptune,Charlotta Pisinger,Aneesa Vanker,Myra Wisotzky,Gustavo Zabert,Dean E. Schraufnagel +10 more
TL;DR: To protect this vulnerable population from electronic cigarettes and other nicotine delivery devices, it is recommended that electronic cigarettes be regulated as tobacco products and included in smoke-free policies and sale of electronic cigarettes should be barred to youths worldwide.
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The Messages Presented in Electronic Cigarette–Related Social Media Promotions and Discussion: Scoping Review
TL;DR: The social media landscape is dominated by pro-vaping messages disseminated by the vaping industry and vaping proponents, and real-time monitoring and surveillance of how these devices are discussed, promoted, and used on social media is necessary in conjunction with evidence published in academic journals.
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Electronic cigarettes: what are they and what do they do?
Alison Breland,Eric K. Soule,Alexa A. Lopez,Carolina Ramôa,Ahmad El-Hellani,Thomas Eissenberg +5 more
TL;DR: The current literature suggests a strong rationale for an empirical regulatory approach toward ECIGs that balances any potential ECIG‐mediated decreases in health risks for smokers who use them as substitutes for tobacco cigarettes against any increased risks for nonsmokers who may be attracted to them.
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Patterns of Electronic Cigarette Use Among Adults in the United States.
Cristine D. Delnevo,Daniel P Giovenco,Michael B. Steinberg,Andrea C. Villanti,Jennifer L. Pearson,Raymond Niaura,David B. Abrams +6 more
TL;DR: E-cigarettes have not been attracting adult non-smokers or promoting relapse in longer term former smokers, and data are suggestive that some recent quitters may have done so with the assistance of e-cigarettes, according to the most current national data.
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