E-cigarettes: Are manufacturers using flavors to lure minors to vape?

By Ivey DeJesus | idejesus@pennlive.com , The Patriot-News, Central PA

To understand the concern that the marketing of electronic cigarettes might lure minors into a life of nicotine addiction, consider some of the flavors: cherry, bubble gum, cola, milk chocolate and sugar cookie.
Since their introduction into the U.S. market in 2009, e-cigarettes have grown exponentially in popularity and sales, to the tune of $1.7 billion. Legions of lifelong users have converted to vaping, trading the tar and carcinogens of cigarettes for the seemingly safer alternative.
But with such an aforementioned variety of flavors in e-cigarettes, health experts, substance abuse prevention officials and lawmakers are increasingly concerned that e-cigarette manufacturers are targeting teens.
“They are adding all these interesting flavors and they are pandering to people who are nonsmokers or more specifically kids,” said Dr. Richard Bell, a Berks County pulmonologist and a member of the Pennsylvania Medical Society. “I’m not sure an adult would be attracted to a bubblegum flavor cigarette.”
Bell echoes widely held concerns in the public health community that Big Tobacco is increasingly marketing the electronic devices to minors — using many of the same promotional techniques it used to hook generations to cigarettes — with television and magazine ads, sports sponsorships and cartoon characters.
“Whether e-cigarettes can safely help people quit smoking is also unknown, but with their fruit and candy flavors, they have a clear potential to entice new smokers,”The American Medical Association recently opined.
E-cigarettes are not subject to the federal ban on television advertising. Those calling for action say that much the same same way Big Tobacco used the Marlboro Man, Joe Camel and attractive celebrities to promote their product, e-cigarette manufacturers are doing with modern-day celebrities. 
The market saturation amazes Linda Doty, prevention specialist with the Cumberland Perry County Drug and Alcohol Commission. Doty recently Googled e-cigarettes near her Carlisle office and learned that between the West Shore and Newville, there are 100 e-cigarette retailers, the majority of them convenience stores, which draw heavy traffic from young people stopping in for sodas and snacks.
Doty said she is concerned that the increase in young e-cigarette users is playing out amid a dearth of medical evidence regarding their safety. She said a recent study by the the Smoking and Health Behavior Research Laboratory at the Pennsylvania State University found that 20 percent of middle school students who had tried e-cigarettes said they had never smoked regular cigarettes.
“Even e-cigarette manufacturers recommend that breast-feeding women and those with health complications not use the products,” Doty said. “To me that’s an acknowledgment that this could have potential for harm.”
Indeed, a study last year by the U.S. Centers for Disease Control and Prevention found that use of e-cigarettes among teens in 2012 had more than doubled from the previous year. However, at the same time, cigarette smoking among teens continued to decline.
Currently, no federal or state law governs the sale of e-cigarettes. A bill in the state Senate would restrict the sale of the devices to people 18 and older.
Harrisburg resident Keith Kepler challenges the notion that e-cigarettes — and their fruity, candy flavored choices — will lure kids into smoking.
“I’m 57 and, doggone it, I still like strawberry and chocolate,” said Kepler, who began to smoke at 14 and recently quit with the help of e-cigarettes. “That’s the most ridiculous thing I’ve heard of. I still chew bubble gum. You’re telling me we can’t have things flavored bubble gum, because it will lure kids? I don’t get that.”
http://www.pennlive.com/midstate/index.ssf/2014/02/post_662.html