I feel lately like I am writing more articles on e-cigs than cigarettes lately, but most of the articles I’ve seen on tobacco-related issues have been about e-cigs during the past six months. I’d hate for the Lounge to become a site about e-cigs rather than tobacco (especially since WordPress assumed that I was advertising e-cigs on my blog.).
Anyway, hopefuly the frenzy of coverage over e-cigs will die down a bit later this year as the Food and Drug Administration will be issuing regulations over the sales and marketing of e-cigs. The FDA, which has been taking its time working on these rules, ultimately has control over e-cigs because the FDA was given control several years ago to nicotine — the main ingredient of e-cigs.
I think two issues are paramount here 1) Ban e-cig sales to minors and 2) Control e-cig advertising the same way tobacco advertising is controlled. These are the two biggest problems I see with e-cigs … that in most states, it is legal for kids to buy them and use them, and e-cig companies have been downright brazen in marketing e-cigs to kids. (And the FDA can control e-cig advertising because of the nicotine. I know it sounds like a First Amendment issue, but this issue has already been settled with tobacco products.)
Maybe e-cigs serve some purpose in helping some people quit cigarettes, but, unfortunately, “vaping” has also become hip and cool for teenagers; one of the reasons why is because kids can legally buy and use e-cigs, but it’s a bigger hassle for them to get their hands on cigarettes. That stuff needs to be cracked down on, because kids are still becoming addicted to nicotine, it’s just a different nicotine delivery system then cigarettes or chew.
Anyway, I will be waiting for the news next week when the FDA makes its announcement and hopefully comes up with some common-sense rules for these issues.
This is a follow-up to a post from a few weeks ago and confirms the point some articles were making about increasing poisonings from nicotine juice for e-cigs.
According to the Centers for Disease Control latest Mortality and Morbidity report (man, I used to read these things religiously), the rate of reported nicotine poisonings rose from 1 per month in September 2010 to a whopping 215 per month in February 2014. Whoa!
More than half of these poison centre calls involved children under the age of 5.
According to the CDC release:
“This report raises another red flag about e-cigarettes – the liquid nicotine used in e-cigarettes can be hazardous,” said CDC Director Tom Frieden, M.D., M.P.H. “Use of these products is skyrocketing and these poisonings will continue. E-cigarette liquids as currently sold are a threat to small children because they are not required to be childproof, and they come in candy and fruit flavors that are appealing to children.”
“The most recent National Youth Tobacco Survey showed e-cigarette use is growing fast, and now this report shows e-cigarette related poisonings are also increasing rapidly,” said Tim McAfee, M.D., M.P.H., Director of CDC’s Office on Smoking and Health. “Health care providers, e-cigarette companies and distributors, and the general public need to be aware of this potential health risk from e-cigarettes.”
I’ve said this in the past, I’m on the fence about e-cigs: If they genuinely help some people quit smoking, I’m all for that. But, buy a clue about how toxic that liquid nicotine can be for your e-cigs. Jesus, if you have kids and are using e-cigs, keep those liquid nicotine containers locked up and out of kids’ reach.
Saw this article splattered all over the Internet today. Scary.
Liquid nicotine, completely unregulated by the way, is one of the main ingredients of e-cigarettes. It’s extremely potent and dangerous in its concentrated liquid form and can kill kids if they get their hands on it and start drinking it. The New York Times, and USA Today had articles on this today.
There were more than 1,300 reported poisonings from liquid nicotine in 2013, according to the New York Times, a 300 percent increase from 2012. That number is expected to double in 2014. The vast majority of these involved children 4 and under. (Interestingly, one of these poisonings involved an e-cig that broke while a woman was asleep and she absorbed the nicotine concentrate through her skin. Man, that is some powerful stuff.)
Again, an incredibly, potent, powerful drug … and completely unregulated at the moment.
“It’s the wild, wild west right now,” said Chip Paul, chief executive officer of Palm Beach Vapors, a company based in Tulsa, Okla., that operates 13 e-cigarette franchises nationwide and plans to open 50 more this year. “Everybody fears F.D.A. regulation, but honestly, we kind of welcome some kind of rules and regulations around this liquid.”
I think you’re going to see more and more of this, and I’m becoming more and more OK with it.
The cities of L.A., San Francisco and Long Beach last week all banned e-cigarette use indoors — that means mostly bars and restaurants and workplaces.
Now, e-cigs put out a vapour that has virtually no smell, and it does not irritate your eyes and nose like cigarette smoke. However, it is laced with nicotine, and people are not comfortable being in a room with nicotine-laced steam floating in the room.
“We have a right to … choose to breathe clean air,” Councilwoman Nury Martinez told her colleagues. “And if this device turns out to be safe, then we can always undo the ordinance. But if this device proves not to be safe, we cannot undo the harm this will create on the public health.”
and the other side of the argument:
Councilman Joe Buscaino led an unsuccessful attempt to exempt bars and nightclubs from the ban, a measure sought by lobbyists for the e-cigarette industry. He too invoked a family member while making his arguments.
E-cigarettes “are not tobacco,” he said. “I don’t think they should be regulated exactly the same way. And I’ve heard from so many people, including my cousin Anthony, that they’ve stopped smoking from the help of e-cigarettes.”
I guess I feel like if e-cigs have helped you quit smoking real cigarettes, then that somehow being banned from smoking them in bars or restaurants really isn’t going to change anything for you. More power to you if they’ve genuinely helped you quit smoking. You can continue not smoking cigarettes in spite of this ban.
Meanwhile, in nearby Long Beach, a similar ban was passed, and then San Francisco banned them indoors just yesterday. San Francisco is also requiring a special licence to sell e-cigs.
These major California cities join Washington, D.C., New York City and Chicago as cities banning e-cigs indoors. Again, a growing trend. People are just not comfortable breathing that steam despite the lack of odour.
This is interesting … and becoming a bigger and bigger thorn with e-cigs — e-cigarette advertising.
(thanks to Haruko for this link)
Sen. Chuck Shumer, D-N.Y., has called on the Federal Trade Commission to ban e-cig advertising to minors. Currently, unlike cigarettes, there are NO advertising guidelines in place for e-cigs and it shows with ads like billboards showing Santa Claus using an e-cig.
I agree with Shumer. E-cig advertising is out of control and needs to be regulated. Remember, e-cigs contain nicotine, an FDA-regulated drug.
One of the very good things that came out of the 1998 Master Settlement Agreement is that cigarette companies can no longer market to teens — all cartoon based cigarette advertising was banned and all product placements of cigarettes in films were banned.
However, since e-cigs are not cigarettes, that ban doesn’t apply to e-cigs (even though a lot of e-cigs are now owned by tobacco companies, as Lorillard owns Blu E-cigs).
I’ve been pretty open about being on the fence about e-cigs. They are not as toxic as cigarettes and they might help some people quit smoking — though I’ve heard mixed anecdotes about how the effectiveness of e-cigs as a smoking cessation tool.
However, I am VERY concerned about what I have seen with e-cig advertising so far — they are being marketed EXACTLY the same way cigarettes have always been marketed. Made to look cool, suave, sophisticated, etc., and there is no doubt in my mind that some e-cig ads have been directed at teens. (I’ve posted some examples here.).
This came from an editorial from the New York Times supporting ecig regulation.
The European Parliament last week (honestly didn’t realize there was such a thing, but it’s the governing body of the European Union, apparently) voted to regulated e-cigarettes, perhaps laying the groundwork for the FDA in the U.S. to someday regulate these things (yes, they appear to be wholly unregulated at this point).
In Europe, the advertising of ecigs will now be banned, and the amount of nicotine limited in the cartridges. I think I’ve mentioned repeatedly one of my concerns about ecigs is the way they are being marketed — sexy, suave, alluring — just the way cigarettes have been advertised (to teens) for many, many years.
Part of the big debate about ecigs was whether to classify them as a medicine or a tobacco product. Are they a medicine because they help some people quit like nicotine gum or patches, or a tobacco product, because they’re simply a nicotine delivery system that some people use when they’re in places they’re not allowed to smoke. It’s a good question. In the end, the European Parliament made some compromises, but ultimate will regulate ecigs as a tobacco product.
Some members of Parliament expect ecig companies to sue over the regulations.
“This was a very bad agreement,” said Martin Callanan, a British Conservative Party politician who said he opposed e-cigarette regulation on the ground that the products help people stop smoking. “It’s a massive loss for public health in Europe.”
Mr. Callanan, who backed most of Wednesday’s tobacco law reforms, said the details on e-cigarettes were “still very murky” and added, “I’m sure a lot of this will end up in the courts.”
I agree that advertising of ecigs needs to be reeled in. The use of ecigs is growing among teens because a) it’s cheaper than cigarettes, and I’m afraid b) those ecig ads are making it look cool, just like cigarettes.
The problem with this, is that while ecigs are not as toxic as cigarettes, they still contain nicotine, and are just as addictive as cigarettes. Ecigs might be effective for some people to quit smoking (maybe, the jury is out on this, I’ve heard and read anecdotes to support both sides), but they are not a good idea as a “substitute” for cigarettes, especially for kids. They are still getting addicted to nicotine and still inhaling toxic substances.
Blu e-cigs (owned by Lorillard tobacco) is pulling out all the stops lately using the same ad techniques cigarette companies used.
I try to stay on the fence on e-cigs, because they might help some people quit smoking, but when I see ads like this, I feel less and less inclined to defend them. They’re stealing the 1960s tobacco industry playbook. One of the biggest problems I have with e-cigs, and one of the reasons I don’t fully trust them or their manufacturers, is they keep relying on advertising trying to make their product look sexy and dangerous.
This ad appeared in the Sports Illustrated swimsuit edition. It’s not even remotely subtle, fairly blatantly using sex to try and sell their products. I would find it funny, but teenaged use of Blu e-cigarettes has more than doubled, according to the CDC. Hey, get kids those kids addicted to nicotine early. You want to get into a girl’s panties? Look sexy by using e-cigs.
Bad move, Blu. Too blatant. Too … creepy. It’s this kind of advertising that is going to help get e-cigs regulated.
It’s an interesting point he makes. If e-cigarettes looked like a medical inhaler, would anyone care about them being used in public?
The controversy surrounding these devices is fueled by these facts about look and feel. If they looked like medicinal inhalers, or if the vapor exhaled were not designed to resemble smoke (as I assume that it is), there would be little to fight about. For there would be no link to cigarettes and smoking. No one argues that smoking bans should be extended to nicotine gum.
But the fact is, on both sides, symbolic benefits and symbolic dangers govern the discussion.
Anti-smoking activists have long worked hard to tarnish the appeal and glamor of the smoke. They’ve been trying to tear-down smoking’s image. From their point of view, pretend smoking is dangerous if it does anything to make smoking seem appealing. In the trenches of the smoking propaganda wars, a smoking simulacrum is a dangerous weapon, not because it’s dangerous itself or poses dangers to others, but precisely because it may not.
And on the other side, manufacturers and their shills are quick to insist that that e-cigarettes are a tool for quitting. Why? Not because they are a safer cigarette, but because they are not a cigarette at all, but rather a nicotine-delivery system that has the appearance of a cigarette. Again, the value in a simulacrum.
Again, being one of the anti-smoking activists that Noe refers to, I’m personally on the fence on e-cigs. They are safer than cigarettes, but not completely safe, and keep a person addicted to nicotine addicted. However, they are not annoying, don’t irritate the nose and eyes, and if they genuinely help some people quit smoking, more power to ’em. I reserve judgement.
He definitely brings up some salient points about perhaps part of the reason there is so much controversy surrounding e-cigs. They simply do look like cigarettes and in fact, in the Blu E-cig ads, they are marketed the same way as cigarettes back in the day — to appear cool and sleek. If e-cigs are controversial because they look like cigarettes, well, the e-cig industry has definitely tried to market them as somehow being a “different kind of cigarette,” which is perhaps why there continues to be so much confusion about what exactly they are.
I take back everything even remotely uncritical I might have said about e-cigs in previous posts. Watch these guys and watch their advertising.
This is really despicable. I mean, c’mon, really? A billboard in Florida advertising e-cigs using Santa as an icon to sell their product.
Santa hasn’t been used to sell cigarettes for more than 50 years. Even the tobacco industry, in all its venality, eventually realized that was just simply too evil.
But, some e-cig company didn’t see a problem with it. And this isn’t from 1955, this is from last month.
I’m reminded of the sexy ads used to sell e-cigs, especially the ones with Stephen Dorff. I mentioned a few days ago e-cig companies are using the same techniques that cigarette companies used for 100 years to sell their products — trying to make their products look sexy, suave and sophisticated. Now, whoever came up with this brainstorm just looks like an idiot, like the people who used babies and Santa Claus to sell cigarettes 60 years ago.
I can type “e-cig” into Google or into the Tobacco.org database and I will literally get hundreds of hits. You can find hundreds upon hundreds of articles about e-cigs all over the Internet. It reminds me of Googling “smoking ban” five years ago.
I see them on sale now at every mini-mart I walk into. Two years ago, you never saw them for sale anywhere. E-cigs became a billion dollar industry in 2013, and the tobacco companies are jumping on board to get a piece of the pie (until now, mostly smaller companies made this things.) Blu, the biggest e-cig company out there was bought by Lorillard last year (Lorillard makes Newport cigarettes which are heavily marketed to African-Americans.)
But, what does it mean? And what are e-cigs, exactly?
E-cigs are not fully understood by a lot of people, but more people are learning. I related a story the other day about when Montana’s smoking ban went into effect, the state issued a ruling saying e-cigs were banned, too. After the state was given more information about what e-cigs were, the state quickly lifted that ban. It was obvious that state officials weren’t even sure what they were.
Here’s the deal, e-cigs are not literally an electronic cigarette. A better definition is that they are a battery-powered nicotine delivery system. Essentially the user gets a little jolt of nicotine-laced steam. They don’t have any smell, they don’t irritate the eyes. I’ve tried them. There is no flavour. You just get a jolt, like a cup of coffee.
Is this a bad thing? A good thing? I’m honestly on the fence here.
Honestly, on some levels, I don’t see a difference between e-cigs and nicotine patches. The person is getting a jolt of nicotine, but not the 1,000 other carcinogens and toxins contained in real cigarettes. There isn’t the benzene, formaldehyde, Polonium-210, toluene, acetone, cyanide and arsenic as found in tobacco.
[EDIT: Someone pointed out to me after reading this that some studies have shown there ARE some of these carcinogens found in e-cig vapour such as formaldehyde and toluene, etc., and that the vapour is not “pure” nicotine. I was not aware of these studies. The amount of these carcinogens is vastly lower than what is found in cigarettes. One study showed 9-450 times lower.]
But, what there is is nicotine. Nicotine itself is not well understood, either. It’s actually not the ingredient in cigarettes that gives people lung cancer (a lot of people believe it is.). Nicotine all by itself isn’t that bad for you, other than it’s not good for your blood pressure.
It isn’t that bad for you except for one devilish trait. It is incredibly addictive, possibly ounce for ounce the most physically addictive substance on the planet. Like heroin and cocaine, it’s an alkaloid that triggers an incredibly powerful addiction response. That’s the evil of nicotine. It physically addicts people to a product that is incredibly toxic and poisonous.
So, when a smoker puffs on an e-cig, they’re satisfying that nicotine addiction, similar to a nicotine patch, without all the other poisons. Is this a good thing? I don’t know. I don’t have a problem with nicotine patches. I would prefer people use patches or e-cigs than Chantix as a way to quit tobacco because of Chantix’s side effects of causing depression and suicide.
But one of the way nicotine patches work is through a regimen of lowering the dose of nicotine until the person can go “cold turkey.” The down side of e-cigs is sure, there’s not the same level of toluene and benzene, but you’re still feeding that addiction. And ultimately, if you want to break away from cigarettes, you have to break away from the nicotine.
In talking to people who use e-cigs, I’ve gotten mixed feedback. A lot of people use them so they can get their little jolts of nicotine when they go out because they’re no longer allowed to smoke anywhere. Some people have told me they helped them quit smoking, but most people told they don’t really help. Because they’re tasteless, they don’t satisfy the urge to smoke.
So, I remain on the fence. I simply cannot develop a strong opinion pro or con — though I detest the “sexy” advertising Blu is using to sell its product — using the same ad techniques that the tobacco industry has used for years to make their products look sexy and sophisticated. They might help some people quit smoking, but it appears, at least anecdotally, they aren’t that effective as a quitting tool. They aren’t as toxic as cigarettes, but they keep the nicotine addict addicted to nicotine. I know this, they aren’t going away, not anytime soon.