What’s more staggering is that surveys of these youth
indicate higher interests in trying conventional cigarettes after smoking the
e-cigarettes. Because of the alarming rise in young e-cigarette users, concerns
have cropped up about overall regulation of the e-cigarette market. Right now,
only e-cigarettes that are marketed for therapeutic purposes are regulated by
the U.S. Food and Drug Administration’s Center for Drug Evaluation and
Research.
On April 25, the FDA proposed the regulation of all
e-cigarettes, lumping them into the same category as other tobacco products. If
the ruling goes through, the products would be subject to federal prohibition
on sales to minors. Right now, sales can be made to minors unless the product
is marketed as a therapeutic treatment. However, certain state and local laws
do restrict sales to minors. It is not a federal mandate to do so.
While e-cigarettes have been touted as a “safe” way to
smoke, their general make up, as noted in toxicology reports, show otherwise. E-cigarettes
contain various cancer-causing agents such as diethylene glycol, a compound
found in antifreeze and brake fluid. Diethylene glycol is also a poison as
classified by the World Health Organization that can cause kidney damage, nerve
dysfunction and respiratory failure. Also contained within the electronic
sticks are particles of silver, iron, aluminum and silicate along with traces
of tin, chromium and nickel. All of these elements have been known to cause respiratory
distress and disease, according to the FDA.
As for the nicotine content, e-cigarettes do contain
nicotine, but the delivery mechanism is different than traditional cigarettes
because of the filtering mechanism. Regardless, the amount entering the body can
be similar to regular filtered cigarettes. Furthermore, the toxicity of the smoke
emitted from e-cigarettes (i.e. second-hand smoke) is still being tested.
The numerous unknowns of e-cigarettes have caused many
countries in Europe to ban them. In the United States, it appears the objective
is more regulation.
Research has indicated that the use of e-cigarettes will
likely increase and potentially replace traditional cigarettes. The cost is 5-7
times cheaper than smoking a pack a day. Furthermore, the marketing has touted them
to be safer and they are easier to use than regular cigarettes, which require a
lighter or matches to get started. Time will tell if they are safer or simply
another unhealthy practice.
For overall health, it is wise to not smoke at all – e-cigarettes
or traditional ones. For information on smoking cessation, consult your primary
care physician. You will be glad you did.
ChangeLab Solutions. (2014). Are e-cigarettes regulated by
the FDA? Retrieved from http://changelabsolutions.org/tobacco-control/question/are-e-cigarettes-regulate
Cope, G. (2013). Are e-cigarettes an aid to smoking
cessation? Practice Nursing, 24(9),
426-428.
Niaura, R. S., Glynn, T. J., and Abrams, D. B. (2014). Youth
experimentation with e-cigarettes. Journal
of the American Medical Association, 312(6), 641-642.
U.S. Food and Drug Administration. (2014). Electronic
Cigarettes. Retrieved from http://www.fda.gov/newsevents/publichealthfocus/ucm172906.htm
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