Thursday 18 April 2013

Vaping and electronic cigarette emailed comments

I agree that e-cigarettes should not be sold to young people and in the UK at least, although this is not required by law, reputable vendors do not sell to young people or non-smokers.
All e-cigarette users want to know that products are safe, although current legislation provides for unsafe products to be removed from the market and Trading Standards have the power to prosecute.
There is no real, independent evidence that young people are attracted to electronic cigarettes unless they are already tobacco smokers. As NRT, which has an approximately 95% failure rate, is authorised to be given to children from age 12 and at least one school in the UK is giving NRT patches to any child aged 12 and over without informing parents or teachers, non-smoking children are using NRT patches in this school as a ‘badge of honour’.

Medicines regulation allows dangerous substances to be given to children if the risk/benefit equation is thought to make the risk worth the benefit and they do not have the warnings required by law for eliquids.

Flavours are very important in e-cigarettes, in part because nicotine is virtually odourless and tasteless. People who initially switch tend to prefer tobacco, later they explore the many flavours they can enjoy and avoid tobacco. Personally I would have no objection if some flavours were not permitted as I do not like them, but for other adults candy and bubblegum (for example) flavours are all that keep them from returning to smoking. These flavours were introduced at the request and demand from adult e-cigarette users, not to attract children.
Legislation that prevented smokers switching, such as reducing nicotine content to a percentage too low to satisfy smokers from switching no matter how many cigarettes they smoke would keep those people smoking and force others back to cigarettes.

The e-cigarette that looks like a cigarette is 1st generation technology. Many smokers are drawn to them both because they do resemble cigarettes so make the transition easier and because they are the most readily available. However now extremely efficient devices exist that bear no resemblance to cigarettes. Legislation could stifle innovation.

The threat of banning/medicalising e-cigarettes has caused panic buying and stockpiling the diluted nicotine base used to make eliquids. As nicotine is readily available although not necessarily of the pharmaceutical grade used in e-cigarette liquids this could lead to a self-fulfilling prophesy. Too much regulation would lead to people extracting their own nicotine, obtaining agricultural, buying on a new black market, if they are desperate not to return to smoking, or just returning to smoking.
I feel that this addition to the TPD is to protect the interests of pharmaceutical and tobacco companies as well as governments obtaining tax revenue from cigarette sales.

The only RAPEX report listed that related to eliquids was mislabelling. The rest were electrical faults and missing CE labels.
You are correct that requiring medical licensing for a consumer product that is not a medicine is the wrong way to go, but the more people learn of e-cigarettes the more smokers will switch. There is a possibility that if General Product Safety is robustly applied and an age limit is placed, that cigarettes could become a thing of the past.

Of course we do not want children to start vaping instead of smoking, but there is little or no evidence that this happens. Children prefer tobacco. But I, personally, would rather my child used e-cigarettes than real ones. We do know the very real dangers of smoking and all but some flavours have been used in medicines (some for inhalation) for decades.

Although the WHO states that nicotine is highly addictive we do not yet know if that is the case in humans. All studies on smoking and addiction are based on tobacco and smoking which contains many alkaloids. Many people who switch to e-cigarettes experience some of the withdrawal symptoms of stopping smoking, although they appear to be less severe.

I believe that the only truly independent and unbiased studies are being performed by Prof. Konstantinos Farsalinos . Several of his papers and studies have been published, another is due to be published shortly and he is conducting further research but, due to lack of funding by pharmaceutical, tobacco or governments (possibly because his reports are completely unbiased) he has had to appeal for donations from the general public.

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