Achieving appropriate regulations for electronic cigarettes

Abstract

A growing body of scientific studies show that e-cigarettes may serve as an acceptable substitute for smoking tobacco cigarettes, thereby reducing or eliminating exposure to harmful elements in smoke. The success of e-cigarettes is such that sales of these products are rapidly gaining on traditional cigarettes. The rapidly evolving phenomenon is raising concerns for the health community, pharmaceutical industry, health regulators and state governments. Obviously, these products need to be adequately regulated, primarily to protect users. Depending on the form and intended scope, certain regulatory decisions may have diverse unintended consequences on public health and may face many different challenges. Ideally, before any regulations are enacted, the regulatory body will require sufficient scientific research to verify that a problem does exist, quantify the problem, explore all potential solutions including making no change at all, determine the possible consequences of each, and then select the solution that is best for public health. Here we present an overview on the existing and deeming regulatory decisions for electronic cigarettes. We challenge them, based on the mounting scientific evidence with the ultimate goal of proposing appropriate recommendations while minimizing potential unintended consequences of ill-informed regulation.

Opinions About Electronic Cigarette Use in Smoke-Free Areas Among U.S. Adults, 2012

“…29 Some public health officials argue that e-cigarette use should be allowed in smoke-free environments to encourage smokers to switch from combustible cigarettes. 30 Other argue that introducing e-cigarettes to smoke-free environments could undermine smoking restrictions. 31 Smoking restrictions have resulted in protecting nonsmokers from secondhand smoke, reducing overall cigarette consumption, 32 and de-normalizing smoking behavior that in turn led to increased cessation 18 and to reduction in initiation.…”

Electronic Cigarettes—A Narrative Review for Clinicians

“…6 Other operational details depend on the e-cigarette's intended use. There are disposable models intended for one time use.…”

Estimating the Harms of Nicotine-Containing Products Using the MCDA Approach

“…These delivery systems are seen as an acceptable form of recreational nicotine use with a minimal potential for second-hand environmental contamination. Nevertheless, there is concern that these devices should not be introduced in an unregulated way until potential associated harms are adequately evaluated [25] .…”