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Men's Journal: E-Cigarettes May Be Just as Bad as The Real Thing

Two new studies have turned out some scary findings about e-cigarettes. The first one, published in the New England Journal of Medicine, revealed that e-cigarette vapor can harbor hidden formaldehyde — a known carcinogen — at levels up to 15 times greater than regular cigarettes. “We discovered this form of formaldehyde hidden in the tiny liquid droplets of the vapor, where it hadn’t been detected before,” says lead researcher David Peyton, a chemistry professor at Portland State University in Oregon. “It has the potential to distribute deeply into the lungs and collect there.”
The second study showed that e-cigarette vapors directly harm human lung tissue. Researchers from the University of Rochester Medical Center in New York found that when the aerosol produced by heated liquid nicotine hits lung cells, it churns up disease-causing free radicals and triggers marked inflammation; they also found the presence of up to six times the level of heavy metals, like copper. What’s more, they discovered that various flavor additives, which are often added to e-cigs, cause additional oxidative damage to lung tissue. This isn’t after years of e-cig use, either. The negative effects “occurred after a few days of vaping,” he says. “Chronic exposure may lead to even more damage.”
These findings add to the fast-amassing stack of research revealing the many potential hazards of e-cigarettes. Since these smokeless devices are not regulated by the Food and Drug Administration, they can contain any number of toxins, carcinogens, or other mystery chemicals. And because e-cigarettes are so new, the long-term health consequences of using them are unknown.
Even so, many people assume that, compared to regular tobacco cigarettes, e-cigs are the lesser of two evils. But that’s not necessarily the case, says Dr. Roy Herbst, chief of medical oncology at Yale Cancer Center and a spokesman for the American Association for Cancer Research. “In the oncology community, we feel they are both evil,” he says. “The big concern with e-cigarettes is lung tissue damage. Regular cigarette smoke contains 60 to 80 known carcinogens, which makes it very bad for the lungs too. However, hot e-cigarette vapor going straight to the lungs can cause actual burning and injury. It’s a different type of damage — but it’s still significant.”
And that’s just their immediate impact. “We still don’t know the long-term effects that e-cigarettes can have on the body,” Herbst says. “There is still so much to learn about them.”
Herbst also thinks e-cigs are an unproven and even detrimental smoking cessation tool — which is, of course, a huge reason why people puff on them. “I treat people with lung cancer, so certainly my goal is to stop people from smoking,” he says. “But these devices deliver such high concentrations of nicotine that they get people very addicted to the drug. If you need help with smoking cessation, there are other, FDA-approved forms of nicotine, such patches or lozenges, that would much better than e-cigarettes.”
And because e-cigs crank out so much nicotine, Herbst also fears that they can be a gateway to tobacco cigarettes. “E-cigarettes are very expensive, so we worry that people will start on them, get addicted to nicotine, and then move on to regular cigarettes, which are generally less expensive and easier to get,” he adds.

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Read more: http://www.mensjournal.com/health-fitness/nutrition/e-cigarettes-may-be-just-as-bad-as-the-real-thing-20150324#ixzz3Vo1Fhu6J

CNN: E-cigarettes: Helping smokers quit, or fueling a new addiction?

By Meera Senthilingam, for CNN

(CNN) It’s a portable piece of technology providing seemingly bottomless access to a drug craved by more than 1 billion people worldwide — nicotine. That craving is caused by smoking tobacco but is now being increasingly satisfied by e-cigarettes and the trend to “vape” instead of smoke.

The selling point is the clean image e-cigarettes purvey by removing the simultaneous exposure to the tar and thousands of chemicals found in the tobacco smoke of regular cigarettes — removing the cause of lung diseases as well as other tobacco-related conditions.

Tobacco kills almost 6 million people each year, according to the World Health Organization (WHO), and a growing number of people are now “vaping” instead of smoking, resulting in industry worth $2.7 billion worldwide.

Since their introduction in 2006, e-cigarettes have become commonplace among smokers trying to kick their habit, with a third of smokers trying to quit in the United Kingdom turning to e-cigarettes to aid them, according to one study. But some critics argue these electronic nicotine delivery systems (ENDS) are fueling a new addiction to nicotine — particularly among young people experimenting with them.

Allure for adolescents

“While ENDS may have the potential to benefit established adult smokers … [they] should not be used by youth and adult non-tobacco users because of the harmful effects of nicotine and other risk exposures,” says Tim McAfee, director the Office on Smoking and Health at the U.S. Centers for Disease Control and Prevention. “Exposure to nicotine can harm adolescent brain development.”

Studies conducted by the CDC through its Adult and Youth National Tobacco Surveys found increased experimentation by youth trying out e-cigarettes but not conventional cigarettes. The gadgetry and flavors associated with the devices is suggested as a reason behind this, with fears of them acting as a gateway into real tobacco smoking.

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But others in the field of tobacco control disagree, stating that whilst people — including youth — may have tried e-cigarettes, the evidence is lacking for their regular use. “Kids like new technology and just experiment or use it once or twice,” says Jean-Francois Etter, professor of Public Health at the University of Geneva.

Etter has been researching the use of e-cigarettes since 2009 and believes they are much safer than conventional cigarettes. “The most dangerous way of consuming nicotine is to smoke it,” he says. Etter argued this point last week at the World Conference of Tobacco or Health in Abu Dhabi.

Whilst Etter says that use among young people should be monitored, he believes the role of e-cigarettes in reducing global tobacco consumption is more important. “They are a gateway out of smoking,” says Etter. The number of people using a combination of tobacco and e-cigarettes is on the rise, according to Etter, resulting in smokers switching and consuming less tobacco each day. “[They have] the same level of nicotine but people are less exposed to toxins … nicotine is not a health problem,” he says. However, further evidence on the long-term health effects of e-cigarettes or nicotine is needed.

Satisfying the craving

Nicotine is the main substance keeping people addicted to smoking tobacco and consequently exposing them to the tar and toxins found in cigarettes. Whilst many people try to kick the habit cold turkey, nicotine replacement through gums and patches has long been advocated as a helping hand. “Nicotine withdrawal is a very unpleasant process,” says Linda Bauld, professor of Health Policy at the University of Stirling, whose recent report for Public Health England identified an extensive and growing market for e-cigarettes worldwide.

“The vast number of people using e-cigarettes are using them to stop smoking; [they’re] about 60% more effective than going cold turkey or buying nicotine replacement therapy over the counter.”

Bauld’s research hasn’t identified a dependence on nicotine with e-cigarettes in the same way as the addiction resulting from regular cigarettes. “E-cigarettes are not the best nicotine delivery devices,” she says referring to the fact nicotine is not seen to enter the bloodstream as readily when using e-cigarettes. That’s backed up by Etter’s research as well as a recent study by researchers at Penn State College of Medicine, in which e-cigarettes were found to be less addictive than tobacco cigarettes.

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They do, however, provide nicotine more effectively than aids such as patches or gums, according to Bauld.

“Patches and gums are a very small market,” says Etter about the quitting devices which first came onto the market 40 years ago. He fears too much restriction on e-cigarettes will limit their impact in achieving a world free of tobacco.

Both Bauld and Etter recognize the need to monitor the consumption of nicotine among teenagers but feel the value of e-cigarettes among adult smokers and their potential to save lives by reducing tobacco consumption should not be underestimated — a sentiment recognized by the World Health Organization.

“[E-cigarettes] could be a way to help people quit but we need more evidence and regulation,” says Armand Peruga, program manager for the WHO’s Tobacco Free Initiative, which has celebrated 10 years of its Framework for Tobacco Control whilst at the conference in Abu Dhabi.

Legislate and regulate

The greatest impact to date in reducing the number of smokers worldwide has been the taxation and legislation restricting tobacco advertising and increasing prices. “For every 10% increase in tax you have 4% reduction in tobacco consumption,” says Peruga.

The growing fear is the increasing domination of big tobacco in the e-cigarette market, which was once seen as a competitor. Their ownerships of popular e-cigarette brands could push out smaller companies in the field, reminiscent of the original tobacco epidemic.

“The intent of big tobacco is to sell their product,” concludes Peruga. “[They may] expand their market to other customers who didn’t use cigarettes but might consider nicotine use.”

But as it seems e-cigarettes are here to stay, most calls are for informed regulation rather than prohibition. “The majority of e-cigarettes — especially when they are well regulated — are likely to be less toxic than cigarettes — and that for smokers is an advantage,” says Peruga.

http://www.cnn.com/2015/03/23/health/e-cigarettes-smoking-addiction-nicotine/

Dickinson Press: Debate over on e-cigs as tobacco products overshadows bills restricting sales to minors

By Mike Nowatzki, Forum News Service

BISMARCK – Two bills being heard at the Legislature this week aim to keep e-cigarettes out of the hands of minors, but the burning issue is whether the nicotine-delivery devices should be classified as tobacco products, which would make them subject to additional taxes.

The North Dakota Department of Health believes e-cigarettes should be considered tobacco products because the nicotine contained in the liquid that’s vaporized by the battery-powered devices is derived from tobacco plants, said Krista Fremming, director of the department’s chronic disease division.

“Defining nicotine devices as tobacco products would allow the state to treat and regulate the sale of these products to minors in the same way the state treats and regulates the sale to minors of other tobacco products, such as conventional cigarettes,” she testified to the Senate Judiciary Committee on Tuesday.

Rep. Diane Johnson, R-Bismarck, prefers not to bring the tobacco-product issue into the debate. Her House Bill 1078 – one of two bills the House passed last month to ban the use of e-cigarettes by minors – refers simply to “nicotine devices,” defining them as “any noncombustible product that can be used by an individual to simulate smoking through inhalation of a substance that contains or delivers nicotine or any other ingredient.”

The bill had its first hearing before the Senate Judiciary Committee on Tuesday.

On Wednesday – the annual nationwide “Kick Butts Day” – committee members will take up the other House bill, HB 1186, which would make it an infraction to sell or give anyone under 18 an electronic smoking device or alternative nicotine product, or for minors to buy, possess or use them.

Fremming said the health department supports that bill’s requirements for child-resistant packaging and salesperson-assisted sales to limit e-cigarettes from being marketing to youths. But it’s still concerned that the bill defines e-cigarettes as non-tobacco products.

The bill’s prime sponsor, Rep. Kim Koppelman, R-West Fargo, has argued that while e-cigarettes use nicotine extracted from tobacco, they’re not tobacco products.

Koppelman was among the House lawmakers who voted to defeat a House bill that would have increased the excise tax on a pack of cigarettes from 44 cents to $1.54 while also defining e-cigarettes as tobacco products. He called it a back-door way to taxing e-cigarettes.

Mike Rud, president of the North Dakota Petroleum Marketers Association, said Tuesday the group supports Koppelman’s bill because it’s more comprehensive and opposes classifying e-cigarettes as tobacco products because the U.S. Food and Drug Administration is developing regulations for e-cigarettes.

“I think we’re going to see a lot of changes when those come out. There’s no sense in muddying the waters right now,” he said.

As of December, Minnesota and Vermont were the only states that taxed e-cigarettes and e-vapor products. Twelve state legislatures considered bills last year taxing e-cigarettes but didn’t pass them, according to Tobacco E-News, an industry publication.

In North Dakota, 23 cities have updated their ordinances to prohibit e-cigarette sales to minors, according to the North Dakota Center for Tobacco Prevention and Control Policy.

Three of those cities – Wahpeton, West Fargo and Grand Forks – require those who sell e-cigarettes to obtain a tobacco retailer license. That could become a state requirement if lawmakers classify e-cigarettes as tobacco products, which supporters say would reduce e-cigarette sales to minors.

Rud said most retailers have made a conscious decision not to sell e-cigarettes to minors, already treating them as tobacco products.

E-cigarette users argue the devices are safer than traditional cigarettes, are a useful tool for those trying to quit smoking and shouldn’t be subject to tobacco excise taxes. Fremming said the health department feels nicotine products approved by the FDA for tobacco cessation – which currently doesn’t include e-cigarettes – should be excluded from the definition of nicotine devices because their safety and efficacy is proven.

While the tobacco products definition will continue to be a source of debate, no opposition has surfaced so far to the idea of restricting e-cigarette sales to minors.

Fremming said the rate of North Dakota high school students who reported trying e-cigarettes nearly tripled from 2011 to 2013, from 4.5 percent to 13.4 percent, and high school students who have tried e-cigarettes are almost twice as likely to try conventional cigarettes.

At least 41 states currently prohibit sales of electronic cigarettes or vaping/alternative tobacco products to minors, including Minnesota and South Dakota, according to the National Conference of State Legislatures.

Whitney Klym, a senior at St. Mary’s Central High School in Bismarck and a member of its SADD group, told the committee Tuesday she has seen e-cigarettes used at school, parties and other events by students as young as 14.

“It is becoming a dangerous social norm among youth,” she said.

http://www.thedickinsonpress.com/news/legislature/3702058-debate-over-e-cigs-tobacco-products-overshadows-bills-restricting-sales

Teens can easily buy e-cigarettes online, study says

Liz Szabo, USA TODAY
Teens can easily buy e-cigarettes online even though sales to minors are banned in 41 states, a new study shows.
Teens in the study were able to buy e-cigarettes online in 94% of attempts, according to a report published today in JAMA Pediatrics.
Internet retailers rejected only five out of 98 attempted purchases because of age, according to the study, in which researchers closely supervised 11 teen participants. Five attempts were blocked by parental control settings on the computers.
None of the teens were asked to show proof of age when the packages were delivered. In fact, 95% of orders were left at the doorstep, the study says.
Researchers, whose previous studies have shown that young people can easily order alcohol online, say they were careful to make sure that the study didn’t encourage kids to break the law.
Parents of the teens, ages 14 to 17, gave consent for kids to join the study and use their credit cards for the e-cigarette purchases. Researchers also cleared the study with local law enforcement.
Kids today have greater access to credit cards than many people realize, says the American Lung Association’s Erika Sward. Many teens routinely use family credit cards to buy online music, games and apps.
Previous studies have found that teens can easily buy conventional cigarettes online, Williams says. About 1 million young people reported buying tobacco online in 2012.
Although the Food and Drug Administration has proposed regulations for e-cigarettes, including a ban on selling them to minors, it has has not finalized these rules. The proposed rule does not ban Internet sales.
E-cigarettes use a battery to heat liquid nicotine into a vapor that can be inhaled. They don’t produce smoke.
E-cigarettes are increasingly popular with young people. A 2014 study found that 17% of high school seniors used e-cigarettes, more than twice as many as used conventional cigarettes.
States have been racing to regulate e-cigarettes out of concern that they will addict young people to nicotine.
North Carolina requires online retailers to verify e-cigarette customers’ ages with a government records database, says Rebecca Williams, the study’s lead author and a research associate at the University of North Carolina-Chapel Hill.
Harold Farber, a pediatric pulmonologist at Texas Children’s Hospital in Houston, says he’s not surprised by the study’s findings. He notes that e-cigarettes are marketed in ways that appeal to teens, with flavors such as grape, cotton candy and bubble gum. He’s concerned that e-cigarettes will addict young people to nicotine, which could lead them to regular tobacco.
“Ninety percent of adult smokers start before age 18,” says Farber, who was not involved in the new study. “The industry knows very well that in order to get their next generation of customers, they need to get them before they become adults. We’re seeing the e-cig industry follow the tobacco industry’s playbook.”
Without regulation by the FDA, the market for e-cigarettes is akin to the “wild West,” says Sward. She calls the study’s findings “extraordinarily troubling.”
“The status quo is benefitting the e-cigarette industry and the tobacco industry,” which has become a powerful force in the e-cigarette market, says Sward, who was not involved in the new study. “We need the Obama administration to act now to protect kids.”
A spokesman for the Smoke-Free Alternatives Trade Association, an e-cigarette industry group, says its members take the responsibility to protect kids very seriously.
“We certainly don’t want teenagers to have access to them,” says Phil Daman, president of the e-cigarette association.
R.J. Reynolds Vapor Co. does not sell e-cigarettes online, spokesman Richard Smith says. “Face-to-face sales allow for greater security against youth access to tobacco products, as clerks can check IDs,” Smith says.
Daman says his organization encourages members to use age verification software when selling e-cigarettes online.
“Implementing the use of age verification software is a reasonable, highly effective and cost-efficient way for the vapor products industry to prevent minors from making unauthorized purchases online,” Daman says.
In the new study, conducted from February 2014 to June 2014, seven of 98 online e-cigarette vendors claimed to use age verification techniques capable of complying with North Carolina law. Yet teens were able to place orders at six of those seven websites, showing that the retailer’s age verification systems didn’t work, Williams says.
“If people aren’t using age verification software, if they’re not doing what they’re supposed to be doing, there’s no excuse for it,” Daman says. “Responsible corporate citizens should be ensuring that they use this age verification software.”
http://www.usatoday.com/story/news/2015/03/02/teens-buy-e-cigarettes-online/24118331/

Clearing the smoke around teen e-cigarette use

Shari Rudavsky, The Indianapolis Star
INDIANAPOLIS — No one says publicly that they want teens to start using e-cigarettes. Nor do most argue about statistics that show that youth have been flocking to this funky alternative to tobacco.
The controversy in many state legislatures centers on what to do about it.
Last year, for the first time, more U.S. teens used e-cigarettes than smoked, 17% vs. 14%, according to a University of Michigan study, making it clear that state-enforced age limits alone don’t work.
Thus far, the Food and Drug Administration has opted not to act. So some states, including Indiana, are trying piecemeal solutions to keep vaping out of young hands, from increasing taxes to closer regulation of the industry.
In Indiana, an effort to tax the products went nowhere. A measure that would increase strictures of so-called vape shops is moving through the Indiana General Assembly. The question is whether it would produce the desired effect.
Vape shop owners argue they are not the problem and that too much regulation would only limit access for former smokers who have replaced their nicotine habit with vaping.
One shop owner told The Star he has no interest in the youth market. At the Indy Vapor Shop on the Westside, the first in Indiana, owner Mike Cline displays a sign announcing no sales to anyone under age 18 and rarely does one cross the threshold. In the five years his shop has been open, he’s denied service to fewer than 10 teens because of age.
“Really I think the idea of minors trying to buy from vape shops is way overblown,” Cline said. “We don’t do sales to minors.”
Someone, however, is selling to minors.
In 2013 more than a quarter-million middle and high school students who had never smoked tried e-cigarettes, according to a Centers for Disease Control and Prevention study that appeared in August. That number had tripled since 2011.
Still, most students don’t head to vape shops, many agree. Instead, they can pick them up at gas station convenience stores, raising health concerns.
Concerned about what we don’t know
E-liquids in sweet flavors, such as candy cane or bubble gum, may draw youth, as will delivery systems that can resemble a variety of other products, such as video game controllers, pens or soda cans, said Earnest Davis, a tobacco health educator for the Marion County Public Health Department.
Some may not realize that when they partake, they’re doing something akin to smoking.
“A lot of youth high schoolers that I talk to, say, ‘I’m not smoking cigarettes; I’m just using a flavored e-juice,'” Davis said. “Right now, they’re just in a wow factor…. It’s one of the scarier things we’re seeing, that everyone thinks it’s cool.”
Health officials say that they are particularly concerned not just with what we know about e-cigarettes but also about what we don’t know.
E-cigarettes do not contain tobacco, but the liquids involved can contain a number of other products, including formaldehyde and metals such as nickel, lead and chromium, whose effect on health is not known, said Dr. Aasha Trowbridge, a family medicine physician with Franciscan St. Francis Health.
“What we do know is that e-cigarettes release chemicals; they’re not harmless,” said Trowbridge, also medical director of the Aspire Tobacco-Free Program. “We know enough to say that the products that are released with burning the liquid are certainly of concern.”
Consuming nicotine in any form, including e-liquids, can be addictive and have detrimental effects on brain development, Trowbridge said.
What concerns Trowbridge most, however, is that many of her young patients tell her they have experimented with e-cigarettes, which suggests they may be more likely to start smoking.
The CDC study published earlier this year found that teens who had never smoked, but had vaped, were twice as willing to try conventional cigarettes.
“That is one of my greatest concerns; are we introducing a product that may not have been something a child would have looked at before and would now say, ‘Hey let me try this,'” Trowbridge said. “It is a perfect gateway drug to conventional cigarettes…. We’re giving our teenagers and youth one more way to be introduced to tobacco.”
For some, a way to quit smoking
Supporters of vaping point to other research that suggests that teens who do experiment with e-cigarettes do not partake regularly. In addition, none of the studies has asked whether teens actually use nicotine products when they vape, said Gregory Conley, president of the American Vaping Association, based in New Jersey.
The fruity flavors may sound designed to appeal to teens, but they also have adult fans, said Conley, who credits a watermelon-flavored vapor product with his own success quitting tobacco. He cites studies that show that 60% to 70% of adult vapers use fruity or sweet flavors.
Cline, who opened his own vape shop six years ago, claims vaping has helped many a smoker kick that bad habit. Cline said he has not smoked conventional cigarettes since he started vaping. Over time, he’s gradually weaned down the nicotine strength of what he vapes.
While Cline said he’s not averse to some tweaks to the law to protect minors and other consumers, he’s wary of going too far.
“We’re trying to reach a level that we as an industry can comply with and support and at the same time protect the consumer,” he said. “We do believe that regulation is both needed and necessary, we just don’t want to be regulated to the point where we can’t do business.”
‘I see it as very similar to cigarettes’
In Indiana, only the bill increasing regulations on the industry progressed. It would give the state the ability to check whether stores sell to minors.
Attorney General Greg Zoeller at the start of this legislative session had proposed a number of measures, including taxing the products and including e-cigarettes in the state’s smoking ban.
Tobacco’s history and the lack of solid data on the health effects of e-cigarettes prompted him to call for the actions on e-cigarettes, Zoeller said.
“Frankly I see it as very similar to cigarettes in the past,” he said. “I do think that these things should not be seen as socially acceptable. There’s unknown risks here.”
Health officials like Davis agree that it would be a shame if e-cigarette use continues to rise among teens at the same time as conventional cigarette use finally falls.
“We worked so hard to eradicate the use of traditional cigarettes among youth, just to have it replaced by something else,” he said.
http://www.usatoday.com/story/news/nation/2015/03/01/clearing-the-smoke-around-teen-e-cigarette-use/24228671/

Letter: Support e-cigarette age restrictions

By Tom Woodmansee, Bismarck

House Bill 1265 would require e-vapor products (commonly referred to as e-cigarettes) to be sold only to adults 18 years of age and above, an important goal that we should all agree on. We support enactment of underage access prevention for e-vapors and alternative nicotine products, which is why we support House Bill 1265.
This bill includes broad definitions to ensure that these new product forms are included in North Dakota’s existing underage access prevention laws.
Products that contain nicotine, whether they are traditional tobacco products like cigarettes, cigars or smokeless tobacco or new e-vapor products, are for adults only. We don’t believe people who are under legal age should be purchasing these products. Currently, 41 states prohibit sale of e-vapor products to minors.
The bill would also establish statewide policy regarding sales of these new types of products such as e-vapor. This bill would provide uniform policy for e-vapor and alternative nicotine product sales across North Dakota and avoid a patchwork of differing local restrictions or ordinances that could cause confusion among adult consumers and retailers.
That’s why we support this legislation to help ensure that e-vapor products are only available to adult consumers and to support retailers in having uniform state standards for tobacco and alternative nicotine product sales to continue to help address underage access to all types of products that contain nicotine.
Let’s do the right thing and pass House Bill 1265. It’s the responsible approach that will help make these products only available to adults and out of kids’ hands.
Woodmansee is with the North Dakota Grocers Association.
http://www.inforum.com/letters/3684232-letter-support-e-cigarette-age-restrictions

Cigarette tax and e cigarettes debated in ND legislature

By KX News

Bismarck, ND -A bill that would have substantially raised taxes on cigarettes in North Dakota failed Friday afternoon.
But two others limiting access to electronic cigarettes passed.
The proposed cigarette tax would have raised taxes more than 200 percent on a package of cigarettes.
Currently the cigarette tax in North Dakota is 44 cents.
By contrast, the tax in Minnesota is 2.90 and in South Dakota it’s a 1.53.
Supporters of the bill say the increase would reduce the number of smokers and lower health care costs.
“Whenever a tobacco tax is increased, smoking, especially youth smoking goes down and it goes down dramatically. That I believe is undeniable,” says Rep. Jon Nelson, R – Rugby.
Bill opponents argued that a tax won’t stop smoking, and burdens business.
“If it truly is our duty to coerce people into a healthy lifestyle through taxation, why don’t we tax fast food with high fat content and high cholesterol, all things supersized and salt,” says Rep. Rick Becker, R – Bismarck.
The cigarette tax bill failed by a 56-34 vote.
The house passed two bills designed to keep e-cigarettes away from kids.
The two bills differ in these ways —
One labels e-cigarettes as tobacco products, tying them to the laws and enforcement already in place for cigarettes.
Those laws include things like compliance checks from local police and how cigarettes are displayed in stores.
The other bill separates e-cigarettes into their own category with their own set of enforcement laws.
“I don’t know how we can separate the idea of discussing e-cigarettes and then we’re going to talk about the taxing of tobacco when it’s clearly a tobacco product,” says Rep. Kenton Onstad, D – Parshall.
“We do not want kids under the age of 18 to buy cigarettes, whether it be on the internet, whether it be in the store. E-cigarettes, anywhere. We don’t want them to by regular cigarettes, we don’t want them to buy e-cigarettes,” says Rep. Al Carlson, R – Fargo.
Both bills now move to the Senate where only one, if any, is likely to pass.
http://www.wdaz.com/news/north-dakota/3679119-cigarette-tax-and-e-cigarettes-debated-nd-legislature

Teen tobacco users likely to use it in multiple forms

By Reuters Media

A national survey of U.S. middle and high school students finds that those who use tobacco or nicotine products are likely to also use more than one type of product.

About 15 percent of the adolescents reported smoking cigarettes, cigars, pipes, bidis, hookahs or water pipes, using dissolvable forms of tobacco or “vaping” e-cigarettes. And twice as many in that group used two or more of these product types compared to those who said they used only one.

“Our study really shows that kids are using more than one of these products at the same time,” said Youn Ok Lee of RTI International in Research Triangle Park, North Carolina, the report’s lead author.

Lee said there are many varieties of tobacco products available. And each type of product also has a diverse range of options, such as flavors.

“So we don’t really know a lot about how this range of products might affect kids’ use of tobacco,” she told Reuters Health.

Using data from a 2012 national survey of nearly 25,000 U.S. students, researchers found that about 7 percent reported using one tobacco product in the past 30 days. About 4 percent said they used two tobacco products in that time. Another 4 percent said they used three or more products.

“I was a little bit surprised by just how many kids were using more than one product,” Lee said. “Even more surprising was that using three or more products is more popular than using cigarettes alone.”

Overall, about 3 percent of kids exclusively used cigarettes and about 2 percent exclusively used cigars. Those products were the most popular and their use increased with age.

The study team also found that almost 1 percent of students reported exclusively using e-cigarettes, which contain no tobacco but deliver a vapor laced with nicotine, the addictive substance in tobacco.

That’s more than the 0.4 percent who reported using e-cigarettes in combination with traditional cigarettes.

The increasing popularity of e-cigarettes is a concern for U.S. health officials as use has tripled between 2013 and 2014.

Lee noted that the results don’t tell why young people are using more than one form of tobacco, or how often the survey participants had used the products.

The researchers did find that being a boy, using flavored products, being dependent on nicotine, being receptive to advertising and having friends who used any tobacco products were all factors linked to an increased risk of using more than one product.

Policymakers and researchers should look at how these products affect tobacco use among middle and high school students, said Lee, because little is known about the influence of non-cigarette products.

Moreover, these products may create a public health issue by introducing people who would never have smoked cigarettes to nicotine, she said.

Lee emphasized that it’s important to look at all tobacco products together – not individually.

SOURCE: http://bit.ly/1za0ykL Pediatrics, online February 2, 2015.

http://www.inforum.com/news/3671610-teen-tobacco-users-likely-use-it-multiple-forms

Valley City considering restrictions on e-cigarette sales; proposal would require licensing

THE ASSOCIATED PRESS
VALLEY CITY, North Dakota — Officials in Valley City are considering measures that would restrict the sales of e-cigarettes in the city.
The Valley City Times-Record reports the ordinances could ban the sale of e-cigarettes to minors as well as the self-service sales of e-cigarettes. They would also require local licensing for sellers of e-cigarettes.
Members of the City County Board of Health say they want an ordinance that would not allow flavored e-cigarettes, in liquid nicotine or any other form, to be sold to anyone in Valley City.
Tobacco prevention coordinator Vicki Roseneau says “flavors are aimed at enticing youth to buy” e-cigarettes.
Thirteen businesses currently sale tobacco products in Valley City.
http://www.dailyjournal.net/view/story/6b8c1cd5f84948b39918751389336537/ND–Smoking-Ordinances-Valley-City/

OFFICIALS DECLARE E-CIGARETTES A HEALTH THREAT FOR CALIFORNIA

By , ABC News
SHERMAN OAKS, LOS ANGELES (KABC) —

Health officials have declared electronic cigarettes a health threat for California, and they are seeking statewide regulations.
The use of electronic cigarettes is growing. It’s called vaping, and there’s new shops opening up all over.
The California Department of Public Health released a report saying e-cigarettes emit cancer-causing chemicals and get users hooked on nicotine, but officials acknowledged that more research needs to be done.
“There’s a misnomer that e-cigarettes emit just water vapor, and that’s not true. They actually admit aerosol that contains particulate matter,” said Timothy Gibbs of the American Cancer Society.
California Health Officer Ron Chapman said if the products remain largely unregulated, new generations of young people will become nicotine addicts.
“There is propyleneglycol, which is a food substance. They have actually used it as medication. However, when it’s heated up, if it’s heated up high enough, it becomes ethylene glycol, that’s anti-freeze,” said Dr. Brian Tiep of City of Hope.
But proponents say it is never heated that much.
“There is a dangerous part when you are heating up … but we don’t do that. Usually vape shops don’t sell those kinds of things,” said Mike Mailyan, who owns the Vapor Shop in Sherman Oaks.
He says electronic cigarettes do not contain tobacco, and there is nothing burning like a cigarette. Instead, a heating element vaporizes a liquid that can have different flavorings.
“Basically it’s boiled water with vegetable glycerine,” Mailyan said.
California banned the sale of e-cigarettes to minors in 2010, but the report raises concerns about children consuming liquid nicotine with flavors such as cotton candy and gummy bear. Reports of children under 5 with e-cigarette poisoning jumped from seven in 2012 to 154 last year.
There’s a proposal in the state legislature that would define e-cigarettes as a tobacco product and would prohibit its use in public places. A similar bill was defeated last year over opposition from tobacco companies.
The U.S. Food and Drug Administration is also proposing regulations that include warning labels and ingredient lists on e-cigarettes, although enactment could take years.
The Associated Press contributed to this report.

http://abc7.com/health/officials-declare-e-cigarettes-a-health-threat-for-california/495375/