E-cigarettes and Electronic Smoking Devices
E-Cigarettes, Vaporizers, and other Electronic Nicotine Delivery Systems (ENDS)
Electronic cigarettes (e-cigarettes) are devices, often resembling cigarettes, cigars or pipes, designed to deliver nicotine or related substances to users through inhalation or smoking. Over the last few years, these products have enjoyed an increase in popularity, thanks largely to marketing claims that promote them as less hazardous alternatives to combustible cigarettes. Because of the lack of clinical research on e-cigarettes, many public health organizations and policymakers are concerned about their safety and health impact on users.
Manufacturing and Regulation Standards
E-cigarettes and liquid nicotine are currently manufactured without common standards or regulations resulting in various levels of nicotine and other chemicals in the liquid placed inside of them. There is supporting evidence that the liquids used in electronic smoking devices contain varying amounts of chemicals, some of them are carcinogenic (cancer causing), once heated to the aerosol phase.
E-cigarettes as Cessation Aid (Help with Quitting)
There is very limited scientific information available about the use of electronic cigarettes as a cessation aid. Please note that without manufacturing and regulatory standards, conducting randomized clinical trials remains challenging.
The New Hampshire Indoor Smoking Act
- Business owners have the authority to create a policy that prohibits the use of electronic smoking devices in their establishments.
- If the Food and Drug Administration Deeming Decision is implemented as scheduled on August 8, 2016, it will have an impact in New Hampshire. http://www.gencourt.state.nh.us/rsa/html/XII/155/155-65.htm
Nicotine and the Developing Human: A Neglected Element in the Electronic Cigarette Debate
Human and animal data support that nicotine exposure during periods of developmental vulnerability (fetal through adolescent stages) has multiple adverse health consequences, including impaired fetal brain and lung development, and altered development of cerebral cortex and hippocampus in adolescents. Because they contain nicotine, Electronic Nicotine Delivery Systems (ENDS) may be addictive, toxic to developing fetuses, and have lasting consequences for adolescent brain development. Some devices may be altered by the end user to deliver other psychoactive substances such as THC, the active ingredient in marijuana. There are safety concerns associated with E-cigarettes, especially for children. It is important to store all nicotine products out of reach of children. Nicotine can be poisonous, especially in liquid form. "E-juice" refills are harmful to children. Refills come in bright colors, appealing flavors (like gummy-bear and cake), and scents, making it more likely that children will put the liquid in their mouths. Just a few drops of "E-juice" absorbed by the skin or swallowed can send a child to the emergency room. Ingesting as little as one-third of an ounce of "E-juice," which is less than the amount of liquid in a coffee creamer, may be fatal for children.
Results of the national Youth Tobacco Survey data released in the April, 15, 2016 Morbidity and Mortality Weekly Report (MMWR) show us the following:
- Youth use of electronic cigarettes exceeds use of cigarettes for the second year in a row. 16% of high school aged youth and 5.3% of middle school aged youth reporting current use in 2015. Since 2011 there has been a ten-fold increase in use among high school aged youth and nearly a five-fold increase in use among middle school aged youth.1
- Results of the national data from the 2014 National Health Interview Survey (NHIS) In 2014, 12.6% of adults had ever tried an e-cigarette even one time, with use differing by sex, age, and race and Hispanic or Latino origin.2
New Hampshire Data
- Results from the 2015 Youth Risk Behavior Surveillance Survey show us that 25% of students used electronic vapor products (e-cigarettes, e-cigars, e-pipes, vaping pens, or e-hookah) on at least one day during the 30 days before the survey.
- Results from the 2015 Behavioral Risk Factor Surveillance Survey show us that 6% of adults used an electronic cigarette or vapor device, even one or two times?
American Heart Association: E-Cigarettes: A Scientific Review
Food and Drug Administration, Center for Tobacco Products: Vaporizers, E-Cigarettes, and other Electronic Nicotine Delivery Systems (ENDS)
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