E-cigarettes have not been fully studied for safety or effectiveness and their manufacture and ingredients are not currently regulated by anyone.
E-cigarettes are currently manufactured without 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 (vapor) phase.
Electronic Cigarettes have no supporting evidence of being an effective cessation tool (a way to quit smoking).
In New Hampshire, the sale of e-cigarettes and liquid nicotine to individuals under the age of 18 is illegal. RSA 126-K:2
Business owners have the authority to create a policy that prohibits the use of electronic smoking devices in their establishments.
CDC up-to-date scientific information on Electronic Nicotine Delivery Systems: Key Facts. This fact sheet provides updated information and references on high-priority topics such as ENDS use patterns, health effects, marketing, and policy implications.
- E-Cigarette Use in the Past and Quitting Behavior in the Future: A Population-Based Study
- 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.
Smokers who have used e-cigarettes may be at increased risk for not being able to quit smoking.
Electronic Smoking Devices - like the e-cigarette, are battery-powered devices that provide doses of nicotine and other additives to the user in an aerosol or vapor. There are currently multiple types on the U.S. market, including: e-cigarettes, e-hookahs, hookah pens, vape pens, vaping, e-cigars, and others.
Because they contain nicotine, ENDS Electronic Smoking Devices 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. There are currently no requirements for child safety caps or safety information when selling E-cigarette refills. 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.
Current e-cigarette use among middle and high school students tripled from 2013 to 2014, according to data published by the Centers for Disease Control and Prevention and the U.S. Food and Drug Administration's Center for Tobacco Products.