Regulation of electronic cigarettes: Difference between revisions
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'''Regulation of electronic cigarettes''' varies across countries and states, ranging from no regulation to [[ban (law)|banning]] them entirely.<ref name=Etter2011>{{cite journal|last1=Etter|first1=J. F.|last2=Bullen|first2=C.|last3=Flouris|first3=A. D.|last4=Laugesen|first4=M.|last5=Eissenberg|first5=T.|title=Electronic nicotine delivery systems: a research agenda|journal=Tobacco |
'''Regulation of electronic cigarettes''' varies across countries and states, ranging from no regulation to [[ban (law)|banning]] them entirely.<ref name=Etter2011>{{cite journal|last1=Etter|first1=J. F.|last2=Bullen|first2=C.|last3=Flouris|first3=A. D.|last4=Laugesen|first4=M.|last5=Eissenberg|first5=T.|title=Electronic nicotine delivery systems: a research agenda|journal=Tobacco Control|date=May 2011|volume=20|issue=3|pages=243–8|doi=10.1136/tc.2010.042168|pmc=3215262|pmid=21415064}}</ref> Others have introduced strict restrictions and some have licensed devices as medicines such as in the UK.<ref name=BeardShahab2016/> {{Asof|2015}}, around two thirds of major nations have regulated [[electronic cigarette|e-cigarettes]] in some way.<ref>{{cite news|url=http://ecigintelligence.com/worlds-law-makers-favour-e-cig-regulation-based-on-tobacco/|title=World's law-makers favour basing e-cig rules on tobacco|author=Barnaby Page|work=ECigIntelligence|publisher=Tamarind Media Limited|date=5 March 2015}}</ref> Because of the potential relationship with tobacco laws and medical drug policies, e-cigarette legislation is being debated in many countries.<ref name=KimKabir2016>{{cite journal|last1=Kim|first1=Ki-Hyun|last2=Kabir|first2=Ehsanul|last3=Jahan|first3=Shamin Ara|title=Review of electronic cigarettes as tobacco cigarette substitutes: their potential human health impact|journal=Journal of Environmental Science and Health, Part C|volume=34|issue=4|year=2016|pages=00|issn=1059-0501|doi=10.1080/10590501.2016.1236604|pmid=27635466}}</ref> The companies that make e-cigarettes have been pushing for laws that support their interests.<ref name=LempertGrana2016>{{cite journal|last1=Lempert|first1=Lauren K|last2=Grana|first2=Rachel|last3=Glantz|first3=Stanton A|title=The importance of product definitions in US e-cigarette laws and regulations|journal=Tobacco Control|volume=25|issue=e1|year=2016|pages=e44–e51|issn=0964-4563|doi=10.1136/tobaccocontrol-2014-051913|pmc=4466213|pmid=25512432}}</ref> In 2016 the [[US Department of Transportation]] banned the use of e-cigarettes on commercial flights.<ref name=Airflight2016/> This regulation applies to all flights to and from the US.<ref name=Airflight2016>{{cite web|title=U.S. Department of Transportation Explicitly Bans the Use of Electronic Cigarettes on Commercial Flights|url=https://www.transportation.gov/briefing-room/us-department-transportation-explicitly-bans-use-electronic-cigarettes-commercial|accessdate=3 March 2016|date=2 March 2016}}</ref> |
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The legal status of e-cigarettes is currently pending in many countries.<ref name=Grana2014>{{cite journal|last=Grana|first=R|author2=Benowitz, N |author3=Glantz, SA |title=E-cigarettes: a scientific review.|journal=Circulation|date=13 May 2014|volume=129|issue=19|pages=1972–86|pmid=24821826|doi=10.1161/circulationaha.114.007667|pmc=4018182}}</ref> Many countries such as Brazil, Singapore, the Seychelles, and Uruguay have banned e-cigarettes.<ref name=BeardShahab2016>{{cite journal|last1=Beard|first1=Emma|last2=Shahab|first2=Lion|last3=Cummings|first3=Damian M.|last4=Michie|first4=Susan|last5=West|first5=Robert|title=New Pharmacological Agents to Aid Smoking Cessation and Tobacco Harm Reduction: What Has Been Investigated, and What Is in the Pipeline?|journal=CNS Drugs|year=2016|issn=1172-7047|doi=10.1007/s40263-016-0362-3|pmid=27421270}}</ref> In Canada, they are technically illegal to sell, as no nicotine-containing e-cigarette is approved by [[Health Canada]], but this is generally unenforced and they are commonly available for sale Canada-wide.<ref name=Sienuic2014>{{cite news|last1=Sienuic|first1=Kat|url=https://www.theglobeandmail.com/life/health-and-fitness/health/health-officials-set-rules-but-decisions-belong-to-each-person/article20809598/|title=Public health officers tackle hazy issue of e-cigarettes|work=[[The Globe and Mail]]|date=29 September 2014}}</ref> In the US and the UK, the use and sale to adults of e-cigarettes are legal.<ref name=Kadowaki2015>{{cite journal|last1=Kadowaki|first1=Joy|last2=Vuolo|first2=Mike|last3=Kelly|first3=Brian C.|title=A review of the current geographic distribution of and debate surrounding electronic cigarette clean air regulations in the United States|journal=Health & Place|volume=31|year=2015|pages=75–82|issn=1353-8292|doi=10.1016/j.healthplace.2014.11.003|pmc=4305454|pmid=25463920}}</ref>{{rp|US}}<ref name=bbc-stub-out/>{{rp|UK}} As of August 8, 2016, the US [[Food and Drug Administration]] (FDA) extended its regulatory power to include e-cigarettes.<ref name=FDA-August-2016>{{cite web|title=FDA's New Regulations for E-Cigarettes, Cigars, and All Other Tobacco Products|url=http://www.fda.gov/tobaccoproducts/labeling/rulesregulationsguidance/ucm394909.htm|publisher=US Department of Health and Human Services|agency=US Food and Drug Administration|date=12 August 2016}}</ref> Under this ruling the FDA will evaluate certain issues, including ingredients, product features and health risks, as well their appeal to minors and non-users.<ref name=FDATobaccoRule2016/> The FDA rule also bans access to minors.<ref name=FDATobaccoRule2016/> A photo ID is required to buy e-cigarettes,<ref name=FDARetailer2016>{{cite web|url=http://www.fda.gov/TobaccoProducts/GuidanceComplianceRegulatoryInformation/Retail/ucm205021.htm|title=Retailer Overview of FDA Regulations for Selling Tobacco Products|publisher=US Department of Health and Human Services|agency=US Food and Drug Administration|date=8 August 2016}}</ref> and their sale in all-ages vending machines is not permitted.<ref name=FDATobaccoRule2016>{{cite web|title=The Facts on the FDA's New Tobacco Rule|url=http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm506676.htm|publisher=US Department of Health and Human Services|agency=US Food and Drug Administration|date=7 August 2016}}</ref> In May 2016 the FDA used its authority under the [[Family Smoking Prevention and Tobacco Control Act]] to deem e-cigarette devices and e-liquids to be tobacco products, which meant it intended to regulate the marketing, labelling, and manufacture of devices and liquids; [[vape shop]]s that mix e-liquids or make or modify devices were considered manufacturing sites that needed to register with FDA and comply with [[good manufacturing practice]] regulation.<ref name=FDA2016>{{cite journal|title=Deeming Tobacco Products To Be Subject to the Federal Food, Drug, and Cosmetic Act, as Amended by the Family Smoking Prevention and Tobacco Control Act; Restrictions on the Sale and Distribution of Tobacco Products and Required Warning Statements for Tobacco Products|url=https://www.federalregister.gov/articles/2016/05/10/2016-10685/deeming-tobacco-products-to-be-subject-to-the-federal-food-drug-and-cosmetic-act-as-amended-by-the|journal=Federal Register|agency=US Food and Drug Administration|volume=81|issue=90|pages=28974–29106|date=10 May 2016}}</ref> E-cigarette and tobacco companies have recruited lobbyists in an effort to prevent the FDA from evaluating e-cigarette products or banning existing products already on the market.<ref name=Lipton2016>{{cite news|url=https://www.nytimes.com/2016/09/03/us/politics/e-cigarettes-vaping-cigars-fda-altria.html?module=Promotron®ion=Body&action=click&pgtype=article|title=A Lobbyist Wrote the Bill. Will the Tobacco Industry Win Its E-Cigarette Fight?|author=Eric Lipton|work=[[The New York Times]]|date=2 September 2016}}</ref> |
The legal status of e-cigarettes is currently pending in many countries.<ref name=Grana2014>{{cite journal|last=Grana|first=R|author2=Benowitz, N |author3=Glantz, SA |title=E-cigarettes: a scientific review.|journal=Circulation|date=13 May 2014|volume=129|issue=19|pages=1972–86|pmid=24821826|doi=10.1161/circulationaha.114.007667|pmc=4018182}}</ref> Many countries such as Brazil, Singapore, the Seychelles, and Uruguay have banned e-cigarettes.<ref name=BeardShahab2016>{{cite journal|last1=Beard|first1=Emma|last2=Shahab|first2=Lion|last3=Cummings|first3=Damian M.|last4=Michie|first4=Susan|last5=West|first5=Robert|title=New Pharmacological Agents to Aid Smoking Cessation and Tobacco Harm Reduction: What Has Been Investigated, and What Is in the Pipeline?|journal=CNS Drugs|volume=30|issue=10|pages=951–83|year=2016|issn=1172-7047|doi=10.1007/s40263-016-0362-3|pmid=27421270|url=http://discovery.ucl.ac.uk/1498793/1/Beard%20et%20al%202016%20%20New%20Pharmacological%20Agents%20to%20Aid%20Smoking%20Cessation%20and%20Tobacco%20Harm%20Reduction.pdf|format=Submitted manuscript}}</ref> In Canada, they are technically illegal to sell, as no nicotine-containing e-cigarette is approved by [[Health Canada]], but this is generally unenforced and they are commonly available for sale Canada-wide.<ref name=Sienuic2014>{{cite news|last1=Sienuic|first1=Kat|url=https://www.theglobeandmail.com/life/health-and-fitness/health/health-officials-set-rules-but-decisions-belong-to-each-person/article20809598/|title=Public health officers tackle hazy issue of e-cigarettes|work=[[The Globe and Mail]]|date=29 September 2014}}</ref> In the US and the UK, the use and sale to adults of e-cigarettes are legal.<ref name=Kadowaki2015>{{cite journal|last1=Kadowaki|first1=Joy|last2=Vuolo|first2=Mike|last3=Kelly|first3=Brian C.|title=A review of the current geographic distribution of and debate surrounding electronic cigarette clean air regulations in the United States|journal=Health & Place|volume=31|year=2015|pages=75–82|issn=1353-8292|doi=10.1016/j.healthplace.2014.11.003|pmc=4305454|pmid=25463920}}</ref>{{rp|US}}<ref name=bbc-stub-out/>{{rp|UK}} As of August 8, 2016, the US [[Food and Drug Administration]] (FDA) extended its regulatory power to include e-cigarettes.<ref name=FDA-August-2016>{{cite web|title=FDA's New Regulations for E-Cigarettes, Cigars, and All Other Tobacco Products|url=http://www.fda.gov/tobaccoproducts/labeling/rulesregulationsguidance/ucm394909.htm|publisher=US Department of Health and Human Services|agency=US Food and Drug Administration|date=12 August 2016}}</ref> Under this ruling the FDA will evaluate certain issues, including ingredients, product features and health risks, as well their appeal to minors and non-users.<ref name=FDATobaccoRule2016/> The FDA rule also bans access to minors.<ref name=FDATobaccoRule2016/> A photo ID is required to buy e-cigarettes,<ref name=FDARetailer2016>{{cite web|url=http://www.fda.gov/TobaccoProducts/GuidanceComplianceRegulatoryInformation/Retail/ucm205021.htm|title=Retailer Overview of FDA Regulations for Selling Tobacco Products|publisher=US Department of Health and Human Services|agency=US Food and Drug Administration|date=8 August 2016}}</ref> and their sale in all-ages vending machines is not permitted.<ref name=FDATobaccoRule2016>{{cite web|title=The Facts on the FDA's New Tobacco Rule|url=http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm506676.htm|publisher=US Department of Health and Human Services|agency=US Food and Drug Administration|date=7 August 2016}}</ref> In May 2016 the FDA used its authority under the [[Family Smoking Prevention and Tobacco Control Act]] to deem e-cigarette devices and e-liquids to be tobacco products, which meant it intended to regulate the marketing, labelling, and manufacture of devices and liquids; [[vape shop]]s that mix e-liquids or make or modify devices were considered manufacturing sites that needed to register with FDA and comply with [[good manufacturing practice]] regulation.<ref name=FDA2016>{{cite journal|title=Deeming Tobacco Products To Be Subject to the Federal Food, Drug, and Cosmetic Act, as Amended by the Family Smoking Prevention and Tobacco Control Act; Restrictions on the Sale and Distribution of Tobacco Products and Required Warning Statements for Tobacco Products|url=https://www.federalregister.gov/articles/2016/05/10/2016-10685/deeming-tobacco-products-to-be-subject-to-the-federal-food-drug-and-cosmetic-act-as-amended-by-the|journal=Federal Register|agency=US Food and Drug Administration|volume=81|issue=90|pages=28974–29106|date=10 May 2016}}</ref> E-cigarette and tobacco companies have recruited lobbyists in an effort to prevent the FDA from evaluating e-cigarette products or banning existing products already on the market.<ref name=Lipton2016>{{cite news|url=https://www.nytimes.com/2016/09/03/us/politics/e-cigarettes-vaping-cigars-fda-altria.html?module=Promotron®ion=Body&action=click&pgtype=article|title=A Lobbyist Wrote the Bill. Will the Tobacco Industry Win Its E-Cigarette Fight?|author=Eric Lipton|work=[[The New York Times]]|date=2 September 2016}}</ref> |
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In February 2014 the [[European Parliament]] passed regulations requiring standardization and quality control for liquids and vaporizers, disclosure of ingredients in liquids, and child-proofing and tamper-proofing for liquid packaging.<ref name=EURegs2014>{{cite web|url=http://europa.eu/rapid/press-release_MEMO-14-134_en.htm|title=Questions & Answers: New rules for tobacco products|publisher=European Commission|date=26 February 2014}}</ref> In April 2014 the FDA published proposed regulations for e-cigarettes.<ref name=FDA2014>{{cite journal|url=https://www.federalregister.gov/articles/2014/04/25/2014-09491/deeming-tobacco-products-to-be-subject-to-the-federal-food-drug-and-cosmetic-act-as-amended-by-the|title=Deeming Tobacco Products To Be Subject to the Federal Food, Drug, and Cosmetic Act, as Amended by the Family Smoking Prevention and Tobacco Control Act; Regulations on the Sale and Distribution of Tobacco Products and Required Warning Statements for Tobacco Products|journal=Federal Register|agency=US Food and Drug Administration|volume=79|issue=80|pages=23142–23207|date=25 April 2014}}</ref><ref name=Tavernise2014>{{cite news|url=https://www.nytimes.com/2014/04/24/health/fda-will-propose-new-regulations-for-e-cigarettes.html|title=F.D.A. Will Propose New Regulations for E-Cigarettes |author=Sabrina Tavernise|work=The New York Times|date=24 April 2014}}</ref> In the US some states [[tobacco tax|tax e-cigarettes as tobacco products]], and some state and regional governments have broadened their indoor smoking bans to include e-cigarettes.<ref name=Crowley2015/> As of 9 October 2015, at least 48 states and 2 territories banned e-cigarette sales to minors.<ref name=NCSL2016>{{cite web|author=National Conference of State Legislatures|title=Alternative Nicotine Products Electronic Cigarettes|url=http://www.ncsl.org/research/health/alternative-nicotine-products-e-cigarettes.aspx|website=National Conference of State Legislatures|date=5 May 2016}}</ref> |
In February 2014 the [[European Parliament]] passed regulations requiring standardization and quality control for liquids and vaporizers, disclosure of ingredients in liquids, and child-proofing and tamper-proofing for liquid packaging.<ref name=EURegs2014>{{cite web|url=http://europa.eu/rapid/press-release_MEMO-14-134_en.htm|title=Questions & Answers: New rules for tobacco products|publisher=European Commission|date=26 February 2014}}</ref> In April 2014 the FDA published proposed regulations for e-cigarettes.<ref name=FDA2014>{{cite journal|url=https://www.federalregister.gov/articles/2014/04/25/2014-09491/deeming-tobacco-products-to-be-subject-to-the-federal-food-drug-and-cosmetic-act-as-amended-by-the|title=Deeming Tobacco Products To Be Subject to the Federal Food, Drug, and Cosmetic Act, as Amended by the Family Smoking Prevention and Tobacco Control Act; Regulations on the Sale and Distribution of Tobacco Products and Required Warning Statements for Tobacco Products|journal=Federal Register|agency=US Food and Drug Administration|volume=79|issue=80|pages=23142–23207|date=25 April 2014}}</ref><ref name=Tavernise2014>{{cite news|url=https://www.nytimes.com/2014/04/24/health/fda-will-propose-new-regulations-for-e-cigarettes.html|title=F.D.A. Will Propose New Regulations for E-Cigarettes |author=Sabrina Tavernise|work=The New York Times|date=24 April 2014}}</ref> In the US some states [[tobacco tax|tax e-cigarettes as tobacco products]], and some state and regional governments have broadened their indoor smoking bans to include e-cigarettes.<ref name=Crowley2015/> As of 9 October 2015, at least 48 states and 2 territories banned e-cigarette sales to minors.<ref name=NCSL2016>{{cite web|author=National Conference of State Legislatures|title=Alternative Nicotine Products Electronic Cigarettes|url=http://www.ncsl.org/research/health/alternative-nicotine-products-e-cigarettes.aspx|website=National Conference of State Legislatures|date=5 May 2016}}</ref> |
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E-cigarettes have been listed as drug delivery devices in several countries because they contain [[nicotine]], and their advertising has been restricted until safety and efficacy [[clinical trial]]s are conclusive.<ref name=Cervellin2013>{{cite journal|last1=Cervellin|first1=Gianfranco|last2=Borghi|first2=Loris|last3=Mattiuzzi|first3=Camilla|last4=Meschi|first4=Tiziana|last5=Favaloro|first5=Emmanuel|last6=Lippi|first6=Giuseppe|title=E-Cigarettes and Cardiovascular Risk: Beyond Science and Mysticism|journal=Seminars in Thrombosis and Hemostasis|volume=40|issue= |
E-cigarettes have been listed as drug delivery devices in several countries because they contain [[nicotine]], and their advertising has been restricted until safety and efficacy [[clinical trial]]s are conclusive.<ref name=Cervellin2013>{{cite journal|last1=Cervellin|first1=Gianfranco|last2=Borghi|first2=Loris|last3=Mattiuzzi|first3=Camilla|last4=Meschi|first4=Tiziana|last5=Favaloro|first5=Emmanuel|last6=Lippi|first6=Giuseppe|title=E-Cigarettes and Cardiovascular Risk: Beyond Science and Mysticism|journal=Seminars in Thrombosis and Hemostasis|volume=40|issue=1|year=2013|pages=060–065|issn=0094-6176|doi=10.1055/s-0033-1363468|pmid=24343348}}</ref> Since they do not contain [[tobacco]], television advertising in the US is not restricted.<ref name=MaloneyCappella2015>{{cite journal|last1=Maloney|first1=Erin K.|last2=Cappella|first2=Joseph N.|title=Does Vaping in E-Cigarette Advertisements Affect Tobacco Smoking Urge, Intentions, and Perceptions in Daily, Intermittent, and Former Smokers?|journal=Health Communication|year=2015|volume=31|issue=1|pages=1–10|issn=1041-0236|doi=10.1080/10410236.2014.993496|pmid=25758192}}</ref> Some countries have regulated e-cigarettes as a [[medical device|medical product]] even though they have not approved them as a [[smoking cessation]] aid.<ref name=Bekki2014>{{cite journal|last1=Bekki|first1=Kanae|last2=Uchiyama|first2=Shigehisa|last3=Ohta|first3=Kazushi|last4=Inaba|first4=Yohei|last5=Nakagome|first5=Hideki|last6=Kunugita|first6=Naoki|title=Carbonyl Compounds Generated from Electronic Cigarettes|journal=International Journal of Environmental Research and Public Health|volume=11|issue=11|year=2014|pages=11192–11200|issn=1660-4601|doi=10.3390/ijerph111111192|pmc=4245608|pmid=25353061}}</ref> A 2014 review stated the emerging phenomenon of e-cigarettes has raised concerns in the health community, governments, and the general public and recommended that e-cigarettes should be regulated to protect consumers.<ref name=Saitta2014>{{cite journal|last=Saitta|first=D|author2=Ferro, GA |author3=Polosa, R|title=Achieving appropriate regulations for electronic cigarettes|journal=Therapeutic Advances in Chronic Disease|date=Mar 2014|volume=5|issue=2|pages=50–61|doi=10.1177/2040622314521271|pmc=3926346|pmid=24587890}}</ref> It added, "heavy regulation by restricting access to e-cigarettes would just encourage continuing use of much unhealthier tobacco smoking."<ref name=Saitta2014/> A 2014 review said these products should be considered for regulation in view of the "reported adverse health effects".<ref name=Bekki2014/> |
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{{flag|Slovenia}}: No information is available. |
{{flag|Slovenia}}: No information is available. |
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{{flag|Spain}}: Sales of e-cigarettes to people under 18 years is prohibited.<ref>{{cite web|title=Informe sobre los cigarrillos electrónicos: situación actual, evidencia disponible y regulación |date=1 July 2014|url=http://www.msssi.gob.es/ciudadanos/proteccionSalud/tabaco/docs/InformeCigarrilloselectronicos.pdf}}</ref> The sale of products that imitate smoking (which also includes e-cigarettes) to minors is illegal. The [[Ministry of Health (Spain)|Ministry of Health]] also said that the use and sale of e-cigarettes will soon be regulated.<ref name=Ruiz2014>{{cite journal|last1=Jimenez Ruiz|first1=CA|last2=Solano Reina|first2=S|last3=de Granda Orive|first3=JI|last4=Signes-Costa Minaya|first4=J|last5=de Higes Martinez|first5=E|last6=Riesco Miranda|first6=JA|last7=Altet Gómez|first7=N|last8=Lorza Blasco|first8=JJ|last9=Barrueco Ferrero|first9=M|last10=de Lucas Ramos|first10=P|title=The electronic cigarette. Official statement of the Spanish Society of Pneumology and Thoracic Surgery (SEPAR) on the efficacy, safety and regulation of electronic cigarettes |
{{flag|Spain}}: Sales of e-cigarettes to people under 18 years is prohibited.<ref>{{cite web|title=Informe sobre los cigarrillos electrónicos: situación actual, evidencia disponible y regulación |date=1 July 2014|url=http://www.msssi.gob.es/ciudadanos/proteccionSalud/tabaco/docs/InformeCigarrilloselectronicos.pdf}}</ref> The sale of products that imitate smoking (which also includes e-cigarettes) to minors is illegal. The [[Ministry of Health (Spain)|Ministry of Health]] also said that the use and sale of e-cigarettes will soon be regulated.<ref name=Ruiz2014>{{cite journal|last1=Jimenez Ruiz|first1=CA|last2=Solano Reina|first2=S|last3=de Granda Orive|first3=JI|last4=Signes-Costa Minaya|first4=J|last5=de Higes Martinez|first5=E|last6=Riesco Miranda|first6=JA|last7=Altet Gómez|first7=N|last8=Lorza Blasco|first8=JJ|last9=Barrueco Ferrero|first9=M|last10=de Lucas Ramos|first10=P|title=The electronic cigarette. Official statement of the Spanish Society of Pneumology and Thoracic Surgery (SEPAR) on the efficacy, safety and regulation of electronic cigarettes|journal=Archivos De Bronconeumologia|date=August 2014|volume=50|issue=8|pages=362–7|doi=10.1016/j.arbres.2014.02.006|pmid=24684764}}</ref> |
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{{flag|Sweden}}: Sale of e-cigarettes is legal to sell for anyone, but sales of nicotine e-liquid is illegal to sell to anyone under the age of 18. |
{{flag|Sweden}}: Sale of e-cigarettes is legal to sell for anyone, but sales of nicotine e-liquid is illegal to sell to anyone under the age of 18. |
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In March 2010, the [[U.S. Court of Appeals for the District of Columbia]] [[stay of execution|stayed]] the injunction pending an appeal, during which the FDA argued the right to regulate e-cigarettes based on their previous ability to regulate [[nicotine]] replacement therapies such as [[nicotine gum]] or patches. Further, the agency argued that tobacco legislation enacted the previous year "expressly excludes from the definition of 'tobacco product' any article that is a drug, device or combination product under the FDCA, and provides that such articles shall be subject to regulation under the pre-existing FDCA provisions."<ref>{{cite web|url=http://www.aafp.org/online/en/home/publications/news/news-now/health-of-the-public/20100302e-cig-fda.html |title=AAFP.org |publisher=AAFP.org |accessdate=18 December 2010}}</ref> On 7 December 2010, the appeals court ruled against the FDA in a 3–0 unanimous decision, ruling the FDA can only regulate e-cigarettes as tobacco products, and thus cannot block their import.<ref>{{Cite news|url=http://www.foxnews.com/health/2010/12/08/fda-block-e-cigarette-imports-court/|title=FDA Cannot Block E-Cigarette Imports: Court|date=8 December 2010 | work=Fox News}}</ref> The judges ruled that such devices would only be subject to drug legislation if they are marketed for therapeutic use – E-cigarette manufacturers had successfully proven that their products were targeted at smokers and not at those seeking to quit. The District Columbia Circuit appeals court, on 24 January 2011, declined to review the decision ''[[en banc]]'', blocking the products from FDA regulation as medical devices.<ref>{{cite web|url=http://www.ama-assn.org/amednews/2011/02/14/gvsb0214.htm|author=FDA|title=FDA regulation of e-cigarettes rebuffed again|work=American Medical News|date=14 February 2011|accessdate=21 February 2011}}</ref> |
In March 2010, the [[U.S. Court of Appeals for the District of Columbia]] [[stay of execution|stayed]] the injunction pending an appeal, during which the FDA argued the right to regulate e-cigarettes based on their previous ability to regulate [[nicotine]] replacement therapies such as [[nicotine gum]] or patches. Further, the agency argued that tobacco legislation enacted the previous year "expressly excludes from the definition of 'tobacco product' any article that is a drug, device or combination product under the FDCA, and provides that such articles shall be subject to regulation under the pre-existing FDCA provisions."<ref>{{cite web|url=http://www.aafp.org/online/en/home/publications/news/news-now/health-of-the-public/20100302e-cig-fda.html |title=AAFP.org |publisher=AAFP.org |accessdate=18 December 2010}}</ref> On 7 December 2010, the appeals court ruled against the FDA in a 3–0 unanimous decision, ruling the FDA can only regulate e-cigarettes as tobacco products, and thus cannot block their import.<ref>{{Cite news|url=http://www.foxnews.com/health/2010/12/08/fda-block-e-cigarette-imports-court/|title=FDA Cannot Block E-Cigarette Imports: Court|date=8 December 2010 | work=Fox News}}</ref> The judges ruled that such devices would only be subject to drug legislation if they are marketed for therapeutic use – E-cigarette manufacturers had successfully proven that their products were targeted at smokers and not at those seeking to quit. The District Columbia Circuit appeals court, on 24 January 2011, declined to review the decision ''[[en banc]]'', blocking the products from FDA regulation as medical devices.<ref>{{cite web|url=http://www.ama-assn.org/amednews/2011/02/14/gvsb0214.htm|author=FDA|title=FDA regulation of e-cigarettes rebuffed again|work=American Medical News|date=14 February 2011|accessdate=21 February 2011}}</ref> |
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In April 2014, the FDA proposed new regulations for tobacco products, including e-cigarettes. The regulations require disclosure of ingredients used in e-cigarette liquids, proof of safety of those ingredients, and regulation of the devices used to vaporize and deliver the liquid.<ref name=FDA2014/><ref name="NYT-20140503">{{cite news|last=Richtel|first=Matt|title=Some E-Cigarettes Deliver a Puff of Carcinogens|url=https://www.nytimes.com/2014/05/04/business/some-e-cigarettes-deliver-a-puff-of-carcinogens.html|date=3 May 2014|work=The New York Times|accessdate=4 May 2014}}</ref><ref>Brady Dennis for the Washington Post. 24 April 2014 [https://www.washingtonpost.com/national/health-science/fda-outlines-plan-to-regulate-e-cigarettes/2014/04/23/4e7c8684-ca39-11e3-93eb-6c0037dde2ad_story.html FDA outlines plan to regulate e-cigarettes]</ref><ref>Sabrina Tavernise for the New York Times. 24 April 2014 [https://www.nytimes.com/2014/04/24/health/fda-will-propose-new-regulations-for-e-cigarettes.html?_r=0 F.D.A. Will Propose New Regulations for E-Cigarettes]</ref> The FDA proposed regulation would ban the sale of e-cigarettes with nicotine to any individual under 18 years of age.<ref name=Rom2014>{{cite journal|last1=Rom|first1=Oren|last2=Pecorelli|first2=Alessandra|last3=Valacchi|first3=Giuseppe|last4=Reznick|first4=Abraham Z.|title=Are E-cigarettes a safe and good alternative to cigarette smoking?|journal=Annals of the New York Academy of Sciences|year=2014|volume=1340|pages=n |
In April 2014, the FDA proposed new regulations for tobacco products, including e-cigarettes. The regulations require disclosure of ingredients used in e-cigarette liquids, proof of safety of those ingredients, and regulation of the devices used to vaporize and deliver the liquid.<ref name=FDA2014/><ref name="NYT-20140503">{{cite news|last=Richtel|first=Matt|title=Some E-Cigarettes Deliver a Puff of Carcinogens|url=https://www.nytimes.com/2014/05/04/business/some-e-cigarettes-deliver-a-puff-of-carcinogens.html|date=3 May 2014|work=The New York Times|accessdate=4 May 2014}}</ref><ref>Brady Dennis for the Washington Post. 24 April 2014 [https://www.washingtonpost.com/national/health-science/fda-outlines-plan-to-regulate-e-cigarettes/2014/04/23/4e7c8684-ca39-11e3-93eb-6c0037dde2ad_story.html FDA outlines plan to regulate e-cigarettes]</ref><ref>Sabrina Tavernise for the New York Times. 24 April 2014 [https://www.nytimes.com/2014/04/24/health/fda-will-propose-new-regulations-for-e-cigarettes.html?_r=0 F.D.A. Will Propose New Regulations for E-Cigarettes]</ref> The FDA proposed regulation would ban the sale of e-cigarettes with nicotine to any individual under 18 years of age.<ref name=Rom2014>{{cite journal|last1=Rom|first1=Oren|last2=Pecorelli|first2=Alessandra|last3=Valacchi|first3=Giuseppe|last4=Reznick|first4=Abraham Z.|title=Are E-cigarettes a safe and good alternative to cigarette smoking?|journal=Annals of the New York Academy of Sciences|year=2014|volume=1340|pages=n/a|issn=0077-8923|doi=10.1111/nyas.12609|pmid=25557889}}</ref> In August 2014, [[state attorney general|attorneys general]] from over two dozen states advised the FDA to enact restrictions on e-cigarettes, including banning flavors.<ref>{{cite news|url=https://www.bostonglobe.com/business/2014/08/24/heart-group-cigarettes-might-help-smokers-quit/KqYTupX7HcymS6GdhdccUJ/story.html|title=Heart group says e-cigarettes may help end habit |author=Marilynn Marchione|work=The Boston Globe|publisher=Associated Press|date=25 August 2014}}</ref> On 10 May 2016, the FDA published their deeming regulations in the federal register, which takes effect on 8 August 2016. Vendors and companies have until two years afterward to prepare paperwork with the FDA to have their product remain on the market. Currently, there are lawsuits and amendments made in the works in Congress to change that provision. The lack of research on the risks and possible benefits has resulted in precautionary policymaking in the US "which often lacks grounding in empirical evidence and results in spatially uneven diffusion of policy".<ref name=Kadowaki2015/> |
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As of 8 August 2016, the FDA extended its regulatory power to include e-cigarettes.<ref name=FDA-August-2016/> Under this ruling the FDA will evaluate certain issues, including ingredients, product features and health risks, as well their appeal to minors and non-users.<ref name=FDATobaccoRule2016/> The FDA rule also bans access to minors.<ref name=FDATobaccoRule2016/> A photo ID is required to buy e-cigarettes,<ref name=FDARetailer2016/> and their sale in all-ages vending machines is not permitted.<ref name=FDATobaccoRule2016/> The FDA in September 2016 has sent warning letters for unlawful underage sales to online retailers and retailers of e-cigarettes.<ref name=Mickle206>{{cite news|url=https://www.wsj.com/articles/fda-cracks-down-on-online-sales-by-e-cigarette-industry-1473974027?mod=WSJ_TechWSJD_moreTopStories|title=FDA Cracks Down on Online Sales by E-Cigarette Industry|author=Tripp Mickle|work=[[The Wall Street Journal]]|date=15 September 2016}}</ref> FDA regulations have also applied to the advertising of e-cigarettes since 2016.{{Citation needed|date=August 2018}} Per FDA regulations, electronic cigarettes, e-liquid, and associated products cannot be advertised as safer than other tobacco products unless they have received [[modified risk tobacco product]] (MRTP) status.<ref>{{cite press release |title=FDA announces comprehensive regulatory plan to shift trajectory of tobacco-related disease, death |date=July 28, 2017 |publisher=FDA Center for Tobacco Products |url=https://www.fda.gov/newsevents/newsroom/pressannouncements/ucm568923.htm |last1=Felberbaum |first1=Michael}}</ref> {{As of|August 2018}}, this status has not been granted to any e-cigarette or e-liquid product.{{Citation needed|date=August 2018}} Though no companies have applied for an MRTP permit for their vaping products, similar [[heat-not-burn tobacco product]]s have been denied MRTP status on the grounds that they are not safer than traditional cigarettes.<ref>{{cite news |last1=LaVito |first1=Angelica |title=In high-stakes votes, FDA advisors say evidence doesn't back Philip Morris' claims |url=https://www.cnbc.com/2018/01/25/philip-morris-stock-falls-as-committee-reviews-iqos-claims.html |accessdate=3 August 2018 |work=CNBC |date=January 25, 2018}}</ref> |
As of 8 August 2016, the FDA extended its regulatory power to include e-cigarettes.<ref name=FDA-August-2016/> Under this ruling the FDA will evaluate certain issues, including ingredients, product features and health risks, as well their appeal to minors and non-users.<ref name=FDATobaccoRule2016/> The FDA rule also bans access to minors.<ref name=FDATobaccoRule2016/> A photo ID is required to buy e-cigarettes,<ref name=FDARetailer2016/> and their sale in all-ages vending machines is not permitted.<ref name=FDATobaccoRule2016/> The FDA in September 2016 has sent warning letters for unlawful underage sales to online retailers and retailers of e-cigarettes.<ref name=Mickle206>{{cite news|url=https://www.wsj.com/articles/fda-cracks-down-on-online-sales-by-e-cigarette-industry-1473974027?mod=WSJ_TechWSJD_moreTopStories|title=FDA Cracks Down on Online Sales by E-Cigarette Industry|author=Tripp Mickle|work=[[The Wall Street Journal]]|date=15 September 2016}}</ref> FDA regulations have also applied to the advertising of e-cigarettes since 2016.{{Citation needed|date=August 2018}} Per FDA regulations, electronic cigarettes, e-liquid, and associated products cannot be advertised as safer than other tobacco products unless they have received [[modified risk tobacco product]] (MRTP) status.<ref>{{cite press release |title=FDA announces comprehensive regulatory plan to shift trajectory of tobacco-related disease, death |date=July 28, 2017 |publisher=FDA Center for Tobacco Products |url=https://www.fda.gov/newsevents/newsroom/pressannouncements/ucm568923.htm |last1=Felberbaum |first1=Michael}}</ref> {{As of|August 2018}}, this status has not been granted to any e-cigarette or e-liquid product.{{Citation needed|date=August 2018}} Though no companies have applied for an MRTP permit for their vaping products, similar [[heat-not-burn tobacco product]]s have been denied MRTP status on the grounds that they are not safer than traditional cigarettes.<ref>{{cite news |last1=LaVito |first1=Angelica |title=In high-stakes votes, FDA advisors say evidence doesn't back Philip Morris' claims |url=https://www.cnbc.com/2018/01/25/philip-morris-stock-falls-as-committee-reviews-iqos-claims.html |accessdate=3 August 2018 |work=CNBC |date=January 25, 2018}}</ref> |
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Beginning in May 2018, the FDA began to crack down on [[e-liquid]] brands whose packaging resembles food or beverage products.<ref>{{cite web |title=2018 Warning Letters |url=https://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2018/default.htm?Page=2 |website=FDA.gov |accessdate=3 August 2018}}</ref><ref>{{cite news |last1=McGinley |first1=Laura |title=Feds crack down on e-liquid packaging that looks like candy, juice boxes |url=https://www.washingtonpost.com/news/to-your-health/wp/2018/05/01/liquid-nicotine-for-e-cigs-looks-like-kids-juice-boxes-and-candy-government-says/?utm_term=.c198f5e5c285 |accessdate=3 August 2018 |work=The Washington Post |date=May 1, 2018}}</ref> FDA is particularly concerned about e-liquids whose packaging resembles that of candy, [[juice box]]es, and other products intended to appeal to children, because of concern that children will mistakenly drink the e-liquid and die of [[nicotine poisoning]].<ref name=FDALet>{{cite letter |author=FDA Center for Tobacco Products |recipient=13th Floor Elevapors, LLC |subject=WARNING LETTER |language= |date=May 10, 2018 |url=https://www.fda.gov/ICECI/EnforcementActions/WarningLetters/ucm605912.htm |accessdate=August 3, 2018 |author-mask= |ref= }}</ref> Nicotine is especially toxic to young children, and a 60 ml bottle of e-liquid with 11 mg/ml nicotine concentration, the average e-liquid bottle in the U.S.,<ref>{{Cite journal| doi = 10.1186/s12971-014-0023-6| issn = 2070-7266| volume = 12| issue = 1| last1 = Hahn| first1 = Jürgen| last2 = Monakhova| first2 = Yulia B| last3 = Hengen| first3 = Julia| last4 = Kohl-Himmelseher| first4 = Matthias| last5 = Schüssler| first5 = Jörg| last6 = Hahn| first6 = Harald| last7 = Kuballa| first7 = Thomas| last8 = Lachenmeier| first8 = Dirk W| title = Electronic cigarettes: overview of chemical composition and exposure estimation| journal = Tobacco Induced Diseases| date = 2014-12-09| pmid = 25620905| pmc = 4304610}}</ref> is likely to kill a child of age 4 or younger.<ref name=FDALet /><ref name=Govindarajan>{{Cite journal| doi = 10.1542/peds.2017-3361| issn = 1098-4275| last1 = Govindarajan| first1 = Preethi| last2 = Spiller| first2 = Henry A.| last3 = Casavant| first3 = Marcel J.| last4 = Chounthirath| first4 = Thitphalak| last5 = Smith| first5 = Gary A.| title = E-Cigarette and Liquid Nicotine Exposures Among Young Children| journal = Pediatrics| accessdate = 2018-08-03| date = 2018-04-23| url = http://pediatrics.aappublications.org/content/early/2018/04/19/peds.2017-3361| pmid = 29686144}}</ref> As such, the FDA has charged e-liquid products with branding that resembles food, candy, or beverage items as being misbranded and using [[false advertising]], which is illegal under the [[Family Smoking Prevention and Tobacco Control Act|Tobacco Control Act of 2009]] (specifically sections 903(a)(1) and 903(a)(7)(A) of the [[Food, Drug, and Cosmetic Act]], {{UnitedStatesCode|21|387c}}).<ref name=FDALet /> |
Beginning in May 2018, the FDA began to crack down on [[e-liquid]] brands whose packaging resembles food or beverage products.<ref>{{cite web |title=2018 Warning Letters |url=https://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2018/default.htm?Page=2 |website=FDA.gov |accessdate=3 August 2018}}</ref><ref>{{cite news |last1=McGinley |first1=Laura |title=Feds crack down on e-liquid packaging that looks like candy, juice boxes |url=https://www.washingtonpost.com/news/to-your-health/wp/2018/05/01/liquid-nicotine-for-e-cigs-looks-like-kids-juice-boxes-and-candy-government-says/?utm_term=.c198f5e5c285 |accessdate=3 August 2018 |work=The Washington Post |date=May 1, 2018}}</ref> FDA is particularly concerned about e-liquids whose packaging resembles that of candy, [[juice box]]es, and other products intended to appeal to children, because of concern that children will mistakenly drink the e-liquid and die of [[nicotine poisoning]].<ref name=FDALet>{{cite letter |author=FDA Center for Tobacco Products |recipient=13th Floor Elevapors, LLC |subject=WARNING LETTER |language= |date=May 10, 2018 |url=https://www.fda.gov/ICECI/EnforcementActions/WarningLetters/ucm605912.htm |accessdate=August 3, 2018 |author-mask= |ref= }}</ref> Nicotine is especially toxic to young children, and a 60 ml bottle of e-liquid with 11 mg/ml nicotine concentration, the average e-liquid bottle in the U.S.,<ref>{{Cite journal| doi = 10.1186/s12971-014-0023-6| issn = 2070-7266| volume = 12| issue = 1| pages = 23| last1 = Hahn| first1 = Jürgen| last2 = Monakhova| first2 = Yulia B| last3 = Hengen| first3 = Julia| last4 = Kohl-Himmelseher| first4 = Matthias| last5 = Schüssler| first5 = Jörg| last6 = Hahn| first6 = Harald| last7 = Kuballa| first7 = Thomas| last8 = Lachenmeier| first8 = Dirk W| title = Electronic cigarettes: overview of chemical composition and exposure estimation| journal = Tobacco Induced Diseases| date = 2014-12-09| pmid = 25620905| pmc = 4304610}}</ref> is likely to kill a child of age 4 or younger.<ref name=FDALet /><ref name=Govindarajan>{{Cite journal| doi = 10.1542/peds.2017-3361| issn = 1098-4275| last1 = Govindarajan| first1 = Preethi| last2 = Spiller| first2 = Henry A.| last3 = Casavant| first3 = Marcel J.| last4 = Chounthirath| first4 = Thitphalak| last5 = Smith| first5 = Gary A.| title = E-Cigarette and Liquid Nicotine Exposures Among Young Children| journal = Pediatrics| volume = 141| issue = 5| pages = e20173361| accessdate = 2018-08-03| date = 2018-04-23| url = http://pediatrics.aappublications.org/content/early/2018/04/19/peds.2017-3361| pmid = 29686144}}</ref> As such, the FDA has charged e-liquid products with branding that resembles food, candy, or beverage items as being misbranded and using [[false advertising]], which is illegal under the [[Family Smoking Prevention and Tobacco Control Act|Tobacco Control Act of 2009]] (specifically sections 903(a)(1) and 903(a)(7)(A) of the [[Food, Drug, and Cosmetic Act]], {{UnitedStatesCode|21|387c}}).<ref name=FDALet /> |
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===State regulation=== |
===State regulation=== |
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[[File:No Vaping Sign (18562436519).jpg|right|thumb|A no smoking or vaping sign from the US.|alt=A no smoking or vaping sign from the US.]] |
[[File:No Vaping Sign (18562436519).jpg|right|thumb|A no smoking or vaping sign from the US.|alt=A no smoking or vaping sign from the US.]] |
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Effective 8 August 2016, all US states will follow the same, uniform federal guidelines.<ref name=FDA-August-2016/> With an absence of federal regulations, many states and cities had adopted their own e-cigarette regulations, most commonly to prohibit sales to minors, including Maryland, Kentucky, Minnesota, New Jersey, New Hampshire, Tennessee, Utah, Wisconsin, and Colorado. Other states are considering similar legislation.<ref>{{cite web|url=http://www.law.umaryland.edu/programs/tobacco/documents/E-Cig_Legislation.pdf|title=Electronic Cigarette Legislation Prohibiting Sale to Minors in Other States|publisher=University of Maryland Law School|accessdate=30 August 2013}}</ref> Several US cities and states have enacted laws that [[Tobacco 21|increased the legal age]] to purchase e-cigarettes to age 21.<ref name=MorainMalek2017>{{cite journal|last1=Morain|first1=Stephanie Rubino|last2=Malek|first2=Janet|title=Minimum Age of Sale for Tobacco Products and Electronic Cigarettes: Ethical Acceptability of US "Tobacco 21 Laws"|journal=American Journal of Public Health|year=2017|pages=e1–e5|issn=0090-0036|doi=10.2105/AJPH.2017.303900|pmid=28727531}}</ref> {{Asof|2014}}, some states in the US permit e-cigarettes to be [[tobacco tax|taxed as tobacco products]], and some state and regional governments in the US had extended their indoor smoking bans to include e-cigarettes.<ref name=Crowley2015>{{cite journal|last1=Crowley|first1=Ryan A.|title=Electronic Nicotine Delivery Systems: Executive Summary of a Policy Position Paper From the American College of Physicians|journal=Annals of Internal Medicine|volume=162|issue=8|year=2015|pages=583–4|issn=0003-4819|doi=10.7326/M14-2481|pmid=25894027}}</ref> |
Effective 8 August 2016, all US states will follow the same, uniform federal guidelines.<ref name=FDA-August-2016/> With an absence of federal regulations, many states and cities had adopted their own e-cigarette regulations, most commonly to prohibit sales to minors, including Maryland, Kentucky, Minnesota, New Jersey, New Hampshire, Tennessee, Utah, Wisconsin, and Colorado. Other states are considering similar legislation.<ref>{{cite web|url=http://www.law.umaryland.edu/programs/tobacco/documents/E-Cig_Legislation.pdf|title=Electronic Cigarette Legislation Prohibiting Sale to Minors in Other States|publisher=University of Maryland Law School|accessdate=30 August 2013}}</ref> Several US cities and states have enacted laws that [[Tobacco 21|increased the legal age]] to purchase e-cigarettes to age 21.<ref name=MorainMalek2017>{{cite journal|last1=Morain|first1=Stephanie Rubino|last2=Malek|first2=Janet|title=Minimum Age of Sale for Tobacco Products and Electronic Cigarettes: Ethical Acceptability of US "Tobacco 21 Laws"|journal=American Journal of Public Health|volume=107|issue=9|year=2017|pages=e1–e5|issn=0090-0036|doi=10.2105/AJPH.2017.303900|pmid=28727531}}</ref> {{Asof|2014}}, some states in the US permit e-cigarettes to be [[tobacco tax|taxed as tobacco products]], and some state and regional governments in the US had extended their indoor smoking bans to include e-cigarettes.<ref name=Crowley2015>{{cite journal|last1=Crowley|first1=Ryan A.|title=Electronic Nicotine Delivery Systems: Executive Summary of a Policy Position Paper From the American College of Physicians|journal=Annals of Internal Medicine|volume=162|issue=8|year=2015|pages=583–4|issn=0003-4819|doi=10.7326/M14-2481|pmid=25894027}}</ref> |
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Governor [[Arnold Schwarzenegger]] vetoed a bill that would regulate the sale of e-cigarettes within the state on grounds that "if adults want to purchase and consume these products with an understanding of the associated health risks, they should be able to do so."<ref name="CAveto">{{cite web|url=http://leginfo.ca.gov/pub/09-10/bill/sen/sb_0351-0400/sb_400_vt_20091012.html |author=Arnold Schwarzenegger|title=SB 400 Senate Bill -Veto|work=California State Senate|date=12 October 2009|accessdate=4 November 2009}}</ref> |
Governor [[Arnold Schwarzenegger]] vetoed a bill that would regulate the sale of e-cigarettes within the state on grounds that "if adults want to purchase and consume these products with an understanding of the associated health risks, they should be able to do so."<ref name="CAveto">{{cite web|url=http://leginfo.ca.gov/pub/09-10/bill/sen/sb_0351-0400/sb_400_vt_20091012.html |author=Arnold Schwarzenegger|title=SB 400 Senate Bill -Veto|work=California State Senate|date=12 October 2009|accessdate=4 November 2009}}</ref> |
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A review of regulations in 40 U.S. states found that how a law defines e-cigarettes is critical, with some definitions allowing e-cigarettes to avoid [[smoke-free laws]], taxation, and restrictions on sales and marketing.<ref name=Lempert2014>{{cite journal|last1=Lempert|first1=Lauren|url=http://tobaccocontrol.bmj.com/content/early/2014/12/14/tobaccocontrol-2014-051913|title=The importance of product definitions in US e-cigarette laws and regulations|journal=Tobacco Control|year=2014|doi=10.1136/tobaccocontrol-2014-051913|pmid=25512432|pmc=4466213|volume=25|pages= |
A review of regulations in 40 U.S. states found that how a law defines e-cigarettes is critical, with some definitions allowing e-cigarettes to avoid [[smoke-free laws]], taxation, and restrictions on sales and marketing.<ref name=Lempert2014>{{cite journal|last1=Lempert|first1=Lauren|url=http://tobaccocontrol.bmj.com/content/early/2014/12/14/tobaccocontrol-2014-051913|title=The importance of product definitions in US e-cigarette laws and regulations|journal=Tobacco Control|year=2014|doi=10.1136/tobaccocontrol-2014-051913|pmid=25512432|pmc=4466213|volume=25|issue=e1|pages=e44–51}}</ref> Less policies have been created to restrict vaping indoors than with cigarette smoking.<ref name=SouleMaloney2017/> |
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Many local and state jurisdictions have recently begun enacting laws that prohibit e-cigarette usage everywhere that smoking is banned, although some state laws with comprehensive smoke-free laws will still allow for vaping to be permitted in bars and restaurants while prohibiting e-cigarettes in other indoor places.<ref name=anrelist>{{cite web|title=States and Municipalities with Laws Regulating Use of Electronic Cigarettes|url=http://www.no-smoke.org/pdf/ecigslaws.pdf}}</ref> As of August 2016, the [[United States Navy]] is considering banning e-cigarettes.<ref>{{cite news|url=http://www.aboutlawsuits.com/navy-e-cig-ban-considered-107680/|title=E-Cigarette Explosion Risk Leads Navy to Consider Ban|author=Irvin Jackson|publisher=AboutLawsuits.com|date=23 August 2016}}</ref> A 2017 report stated "As of 2 October 2015, five US states and over 400 counties have implemented some form of restriction of ECIG use indoors. International policies are more varied with certain restrictions for ECIG use in UK airports and trains and reports of complete ECIG bans in indoor public places for Malta, Belgium and Spain".<ref name=SouleMaloney2017>{{cite journal|last1=Soule|first1=Eric K|last2=Maloney|first2=Sarah F|last3=Spindle|first3=Tory R|last4=Rudy|first4=Alyssa K|last5=Hiler|first5=Marzena M|last6=Cobb|first6=Caroline O|title=Electronic cigarette use and indoor air quality in a natural setting|journal=Tobacco Control|volume=26|issue=1|year=2017|pages=109–112|issn=0964-4563|doi=10.1136/tobaccocontrol-2015-052772|pmc=4985441|pmid=26880745}}</ref> |
Many local and state jurisdictions have recently begun enacting laws that prohibit e-cigarette usage everywhere that smoking is banned, although some state laws with comprehensive smoke-free laws will still allow for vaping to be permitted in bars and restaurants while prohibiting e-cigarettes in other indoor places.<ref name=anrelist>{{cite web|title=States and Municipalities with Laws Regulating Use of Electronic Cigarettes|url=http://www.no-smoke.org/pdf/ecigslaws.pdf}}</ref> As of August 2016, the [[United States Navy]] is considering banning e-cigarettes.<ref>{{cite news|url=http://www.aboutlawsuits.com/navy-e-cig-ban-considered-107680/|title=E-Cigarette Explosion Risk Leads Navy to Consider Ban|author=Irvin Jackson|publisher=AboutLawsuits.com|date=23 August 2016}}</ref> A 2017 report stated "As of 2 October 2015, five US states and over 400 counties have implemented some form of restriction of ECIG use indoors. International policies are more varied with certain restrictions for ECIG use in UK airports and trains and reports of complete ECIG bans in indoor public places for Malta, Belgium and Spain".<ref name=SouleMaloney2017>{{cite journal|last1=Soule|first1=Eric K|last2=Maloney|first2=Sarah F|last3=Spindle|first3=Tory R|last4=Rudy|first4=Alyssa K|last5=Hiler|first5=Marzena M|last6=Cobb|first6=Caroline O|title=Electronic cigarette use and indoor air quality in a natural setting|journal=Tobacco Control|volume=26|issue=1|year=2017|pages=109–112|issn=0964-4563|doi=10.1136/tobaccocontrol-2015-052772|pmc=4985441|pmid=26880745}}</ref> |
Revision as of 04:26, 4 August 2018
Regulation of electronic cigarettes varies across countries and states, ranging from no regulation to banning them entirely.[1] Others have introduced strict restrictions and some have licensed devices as medicines such as in the UK.[2] As of 2015[update], around two thirds of major nations have regulated e-cigarettes in some way.[3] Because of the potential relationship with tobacco laws and medical drug policies, e-cigarette legislation is being debated in many countries.[4] The companies that make e-cigarettes have been pushing for laws that support their interests.[5] In 2016 the US Department of Transportation banned the use of e-cigarettes on commercial flights.[6] This regulation applies to all flights to and from the US.[6]
The legal status of e-cigarettes is currently pending in many countries.[7] Many countries such as Brazil, Singapore, the Seychelles, and Uruguay have banned e-cigarettes.[2] In Canada, they are technically illegal to sell, as no nicotine-containing e-cigarette is approved by Health Canada, but this is generally unenforced and they are commonly available for sale Canada-wide.[8] In the US and the UK, the use and sale to adults of e-cigarettes are legal.[9]: US [10]: UK As of August 8, 2016, the US Food and Drug Administration (FDA) extended its regulatory power to include e-cigarettes.[11] Under this ruling the FDA will evaluate certain issues, including ingredients, product features and health risks, as well their appeal to minors and non-users.[12] The FDA rule also bans access to minors.[12] A photo ID is required to buy e-cigarettes,[13] and their sale in all-ages vending machines is not permitted.[12] In May 2016 the FDA used its authority under the Family Smoking Prevention and Tobacco Control Act to deem e-cigarette devices and e-liquids to be tobacco products, which meant it intended to regulate the marketing, labelling, and manufacture of devices and liquids; vape shops that mix e-liquids or make or modify devices were considered manufacturing sites that needed to register with FDA and comply with good manufacturing practice regulation.[14] E-cigarette and tobacco companies have recruited lobbyists in an effort to prevent the FDA from evaluating e-cigarette products or banning existing products already on the market.[15]
In February 2014 the European Parliament passed regulations requiring standardization and quality control for liquids and vaporizers, disclosure of ingredients in liquids, and child-proofing and tamper-proofing for liquid packaging.[16] In April 2014 the FDA published proposed regulations for e-cigarettes.[17][18] In the US some states tax e-cigarettes as tobacco products, and some state and regional governments have broadened their indoor smoking bans to include e-cigarettes.[19] As of 9 October 2015, at least 48 states and 2 territories banned e-cigarette sales to minors.[20]
E-cigarettes have been listed as drug delivery devices in several countries because they contain nicotine, and their advertising has been restricted until safety and efficacy clinical trials are conclusive.[21] Since they do not contain tobacco, television advertising in the US is not restricted.[22] Some countries have regulated e-cigarettes as a medical product even though they have not approved them as a smoking cessation aid.[23] A 2014 review stated the emerging phenomenon of e-cigarettes has raised concerns in the health community, governments, and the general public and recommended that e-cigarettes should be regulated to protect consumers.[24] It added, "heavy regulation by restricting access to e-cigarettes would just encourage continuing use of much unhealthier tobacco smoking."[24] A 2014 review said these products should be considered for regulation in view of the "reported adverse health effects".[23]
Europe
![](http://upload.wikimedia.org/wikipedia/commons/thumb/2/20/Legal_status_of_e-cigarettes_in_Europe_2017.svg/250px-Legal_status_of_e-cigarettes_in_Europe_2017.svg.png)
On 19 December 2012 the European Commission adopted its proposal to revise the European Union Tobacco Products Directive 2001/37/EC which included proposals to introduce restrictions on the use and sales of e-cigarettes.[25][26][27] On 8 October 2013 the European Parliament in Strasbourg voted down the Commission's proposal to introduce medical regulation for e-cigarettes, but proposed that cross-border marketing of e-cigarettes be regulated similarly to tobacco products, meaning that sales of e-cigarettes to under-18s would be prohibited in the European Union, along with most cross-border advertising. Warning labels also would be required. The Parliament and Member States are involved in trilogue discussions to reach a common conclusion.[28] In February 2014, the European Parliament approved new regulations for tobacco products, including e-cigarettes.[29] The new regulations forbid advertising of e-cigarettes, set limits on maximum concentrations of nicotine in liquids, limit maximum volumes of liquid that can be sold, require child-proof and tamper-proof packaging of liquid, set requirements on purity of ingredients, require that the devices deliver consistent doses of vapor, require disclosure of ingredients and nicotine content, and empower regulators to act if the regulations are violated.[16] In October 2014 e-cigarette manufacturer Totally Wicked won the right to challenge the directive at the Court of Justice of the EU. The hearing took place on 1 October 2015 and the results will not be announced until early 2016.[30]
In autumn 2013, the e-cigarette industry ran "a determined lobbying campaign" to defeat proposed European legislation to regulate e-cigarettes like medical devices.[31] Pharmaceutical manufacturers GlaxoSmithKline and Johnson & Johnson have lobbied the US government, the Food and Drug Administration (FDA), and the EU parliament for stricter regulation of e-cigarettes which compete with their products Nicorette gum and nicotine patches.[32]
![](http://upload.wikimedia.org/wikipedia/commons/thumb/e/e4/Waken_up_%21_No_e-cigarettes_on_public_transport_in_Scotland_%2815707341759%29.jpg/220px-Waken_up_%21_No_e-cigarettes_on_public_transport_in_Scotland_%2815707341759%29.jpg)
Albania: No information is available.
Armenia: The sale of e-cigarettes and liquids with and without nicotine is not regulated.[33]
Austria: Nicotine-containing cartridges are classified as medicinal products and e-cigarettes for nicotine inhalation as medical devices. Nicotine cartridges may not be sold without a license.[34]
Azerbaijan: No information is available.
Belarus: No information is available.
Belgium: A royal decree legalized the sale of nicotine containing cartridges outside of pharmacies as long as the cartridge contains not more than 2 ml and a maximum of 20 mg/ml of nicotine. The sale to a minor under the age of 16 years is prohibited.[35]
Bosnia and Herzegovina: Nicotine-containing cartridges are not classified as tobacco products, and therefore the sale is not regulated.[36]
Bulgaria: The sale and use of electronic cigarettes are legal, as well as the sale of cartridges and liquids with nicotine. There are no specific regulations from EU.[37]
Croatia: Advertising is restricted. Vaping is banned in all public enclosed facilities. By a law passed by the parliament e-cigarettes are classified as tobacco products. Therefore, vaping is banned in all public buildings, and the sale to a minor is prohibited.[38]
Cyprus: No information is available.
Czech Republic: Sales are prohibited to people under 18 years of age.[39] The use and advertising of e-cigarettes are legal.[40] Sale of e-cigarettes is regulated in the same way as sale of conventional cigarettes – as such, e-cigarettes cannot be sold to minors and can be sold only at places permitted to sell conventional cigarettes. Online sale with mail delivery is de facto illegal due to the impossibility for age verification,[39] however this rule is not enforced and there are plenty of e-shops.
Denmark: Advertising is restricted. The Danish Medicines Agency classifies e-cigarettes containing nicotine as medicinal products. Thus, authorization is required before the product may be marketed and sold, and no such authorization has currently been given. The agency has clarified, however, that e-cigarettes that do not administer nicotine to the user, and are not otherwise used for the prevention or treatment of disease, are not considered medicinal devices.[41][42]
Estonia: The Estonian State Agency of Medicines had previously banned e-cigarettes, but the ban was overturned in court on 7 March 2013.[43] Currently e-liquids containing more than 0.7 mg/ml of nicotine are still considered medicine and as such cannot be legally purchased within the country due to no manufacturer being licensed properly. Following the outcome of EU tobacco directive in October 2013, the legislation is moving towards a more relaxed stance on the issue. As stated by the Estonian minister of social affairs Taavi Rõivas (in charge of tobacco regulation), e-cigarettes will receive an advertisement ban and will clearly be banned for minors but will be available for adults before the end of 2013.
Finland: The National Supervisory Authority of Welfare and Health (Valvira) declared that the new tobacco marketing ban (effective 1 January 2012) would also cover e-cigarettes,[44] resulting in that Finnish stores or web stores can't advertise e-cigarettes because they might look like regular cigarettes. In theory, e-cigarettes with nicotine-free cartridges may still be sold, as long as their images and prices are not visible. Ordering from abroad remains allowed. Sale of nicotine cartridges is currently prohibited, as nicotine is considered a prescription drug requiring an authorization that such cartridges do not yet have. However, the Finnish authorities have decided that nicotine cartridges containing less than 10 mg nicotine, and e-liquid containing less than 0.42 g nicotine per bottle, may be legally brought in from other countries for private use. If the nicotine content is higher, a prescription from a Finnish physician is required. From a country within the European Economic Area a maximum of one year's supply may be brought in for private use when returning to Finland, while three months' supply may be brought in from outside the EEA. Mail-order deliveries from EEA countries, for a maximum of three months' supply, are also allowed.[45][46]
France: The sales of e-cigarettes or machines that imitate smoking, as well as the sale of cartridges containing or not containing nicotine, are prohibited to people under 18 years of age.[47] The e-cigarettes are considered neither as a medical device nor as a medicine, according to a 2011 opinion of the National Agency for the Safety of Medicines and Health Products (ANSM), if it is not claimed by its sellers as a smoking cessation product, if the level and amount of nicotine do not exceed the thresholds of (20 mg / ml) and 10 mL respectively. In January 2017, the French Health Law transposing the European Directive on Tobacco Products came into force and establishes a list of places where smoking is prohibited. Offenders are liable to a fine of 150 euros or more. The persons responsible for the places where the prohibition applies and who have not put in place the signage will be fined 450 euros.[48]
Georgia: Until the introduction of new tobacco laws that was passed in 2018, there were virtually no regulation in e-cigarettes. However, since the passing of the Tobacco-Control Law 2017, persons caught smoking including using e-cigarettes have been prohibited in all enclosed areas, bar private houses and casinos and public transport, but not taxis, watercraft and designed areas in airports.[49]
Germany Sales of e-cigarettes are prohibited for people under 18 years of age since transposition deadline for member states of the European Union[50] regarding the Tobacco Products Directive (2014/40/EU) (including non-nicotine-containing cartridges).[51] The use of such is not allowed in restaurants, where they are sold, and other public places.[51]
Gibraltar: Sales of e-cigarettes is legal.[52]
Greece: The marketing of e-cigarettes is banned unless a Ministerial decision authorises them under certain conditions. Sales of e-cigarettes are prohibited for people under 18 years of age (only for nicotine-containing cartridges).[53]
Hungary: The sale of nicotine-containing cartridges is legal as long as they are packaged in volumes of 10ml maximum in bottles and only sold at the official 'Nemzeti Dohánybolt' (National Tobacco Shops). At least 30% of the packaging must indicate the following text, "This product contains nicotine, which causes a strong addiction"[54] The same restrictions apply to the sale of any e-cigarette and refillable tanker liquids as to any other tobacco product, therefore the legal purchasing age is 18 years.[54]
Ireland: Vaping is not covered by the Irish smoking ban.[40][56]
Italy: Sales of e-cigarettes are prohibited for people under 18 years of age (only for nicotine-containing cartridges).[57] In 2013 the minimum age of 16 years for the sale of cartridges containing nicotine was raised to 18 years.[58][59] Whoever now sells cartridges containing nicotine to a person under 18 years of age can be fined 250-€2.000.
Kosovo: No information is available.
Latvia: The sale and use of e-cigarettes are legal.[60]
Liechtenstein: Sales of e-cigarettes to people under 16 years of age is prohibited.[61] All other laws regarding sales and imports are carried over from the laws of Switzerland.[citation needed]
Lithuania: The sale and use of e-cigarettes are legal.[60]
Luxembourg: The sale and use of e-cigarettes are legal, and sales of e-cigarettes are prohibited to under 18s.[62] Since a new tobacco law was introduced in 2017, persons cannot personally import e-cigarettes or e-liquid from aboard by post and vaping is prohibited in enclosed spaces like bars and restaurants.[63]
Macedonia: No information is available.
Malta: Sales and use of e-cigarettes under 18 years of age is prohibited.[64] Since 2010 products and smoking devices which are simulating cigarette or tobacco smoking are included to "tobacco products" as considered in the Tobacco (Smoking Control) Act.[65]
Moldova: No information is available.
Montenegro: No information is available.
Netherlands: Sales of e-liquids with and without is legal.[40]
Norway: The sale and use of e-cigarettes are legal,[40] but nicotine cartridges can only be imported from other EEA member states (e.g. the UK) for private use.[66] Norway does not allow e-cigarette advertising.[67]
![](http://upload.wikimedia.org/wikipedia/commons/thumb/d/d2/No_vaping_sign_Gdansk.jpg/170px-No_vaping_sign_Gdansk.jpg)
Poland Since a revision of the tobacco prohibition law in 2016.[68] There has been a large change in the e-cigarette regulation, previously where it was very loose. Currently there is ban on sales to under 18s, prohibition of marketing and sales online and in cigarette machines and a ban in hospitals & all public transport including PKP train stations but not airports. Vapers who brake the laws are liable to a fine of up to 500 zloty (approximately €117.80).[69]
Portugal: The sale of nicotine-containing cartridges is restricted.[40]
Romania The sale and use of e-cigarettes are legal, from 2016 the liquid used in e-cigarettes will have an excise duty [70]
Russia: E-cigarettes are not considered to be a tobacco product in Russia according to the Ministry of Health therefore sales and possessions of such devices are unregulated.[71]
Serbia: No information is available.
Slovakia: No information is available.
Slovenia: No information is available.
Spain: Sales of e-cigarettes to people under 18 years is prohibited.[72] The sale of products that imitate smoking (which also includes e-cigarettes) to minors is illegal. The Ministry of Health also said that the use and sale of e-cigarettes will soon be regulated.[73]
Sweden: Sale of e-cigarettes is legal to sell for anyone, but sales of nicotine e-liquid is illegal to sell to anyone under the age of 18.
Switzerland: The sale of nicotine-free e-cigarette liquid is legal.[citation needed] In 2018, local businesses within Switzerland successfully challenged the illegality of nicotine-containing liquids within the federal courts, immediately lifting the ban and enabling the sales of nicotine liquids countrywide, and in neighbouring Liechtenstein, which follows the same laws.[74] As of December 2011, the tobacco tax does not apply to e-cigarettes and respective liquids containing nicotine.[75]
Turkey: Regulation of e-cigarettes is inconsistent.[76] Sales are not completely banned [77] and there are plenty of online shops. In May 2013 the Minister of Heath stated that e-cigarettes which contain nicotine are medical devices and thus cannot be imported unless approved by the "Turkish Medicines and Medical Devices Agency".[78] But according to a WHO report as of 2014 e-cigarettes are not regulated as a therapeutic product.[77] However law 4207, which regulates smoking, was amended in June 2013 by article 26 of law 6487 [79] to also apply to items which do not contain tobacco: "Herbal water pipes and all kind of cigarettes which do not contain tobacco but are used in a way to imitate tobacco products shall also be deemed as tobacco product."[80] Vaping is thus forbidden indoors and on public transport, and also therefore forbidden for people under 18 years old. And thus, like tobacco products, personal import by mail or courier is forbidden. Specifically vaping is forbidden on high-speed trains.[81]
Ukraine: No information is available.
United Kingdom: In the United Kingdom, the use, sale and advertising of e-cigarettes are legal, and e-cigarettes are not covered by laws restricting smoking in public places.[10] However, businesses may choose to ban e-cigarettes as well. A notable example is Transport for London, banning smoking and vaping as their Conditions of Carriage.[82] Effective 1 October 2015, it is illegal to sell e-cigarettes or e-liquids to minors.[83] In 2014 the government announced legislation would be brought forward to outlaw the purchase of e-cigarettes by people under the age of 18.[10] In October 2014 the UK's Advertising Standards Authority changed the regulations on e-cigarette advertising, allowing the devices to appear in TV ads from 10 November.[84] The first advert to take advantage of the change, promoting KiK e-cigarettes, aired on the day it came into force.[85] In June 2015 the Welsh Government announced that under legislation it planned to pass, in Wales e-cigarettes would be included in existing bans on smoking in workplaces and other public spaces.[86] In 2018, the Royal College of Physicians has recommended that regulation be proportionate in aiming to assure the safety of the devices, encouraging smokers to vape rather than use tobacco, and identify and stop effects that oppose the long-term objectives of the tobacco control strategy.[87] As part of the EU's Tobacco Products Directive (TPD) directives set out in 2014, which came into effect in 2017, the maximum nicotine content of a liquid allowed within the UK is 20 mg/ml, and bottles may not contain more than 10ml of liquid and must be child-proof and tamper evident. Likewise, atomisers sold within the country cannot have a capacity of more than 2ml. In addition, certain additives within flavourings/liquids are banned (such as caffeine, taurine and certain colourings). Finally, all E-cigarettes and liquids sold within the UK must be registered with MHRA by their respective manufacturers before they can be legally sold.[88]
United States
Federal regulation
Prior to 8 August 2016,[11] regulations concerning the use of e-cigarettes varied considerably across the United States, although there is more variation regarding laws limiting their use by youth than regarding multi-level regulations, such as banning their use in public places.[89] The FDA classified e-cigarettes as drug delivery devices and subject to regulation under the Food, Drug, and Cosmetic Act (FDCA) before importation and sale in the US.[90] The classification was challenged in court, and overruled in January 2010 by Federal District Court Judge Richard J. Leon, explaining that "the devices should be regulated as tobacco products rather than drug or medical products."[91]
In March 2010, the U.S. Court of Appeals for the District of Columbia stayed the injunction pending an appeal, during which the FDA argued the right to regulate e-cigarettes based on their previous ability to regulate nicotine replacement therapies such as nicotine gum or patches. Further, the agency argued that tobacco legislation enacted the previous year "expressly excludes from the definition of 'tobacco product' any article that is a drug, device or combination product under the FDCA, and provides that such articles shall be subject to regulation under the pre-existing FDCA provisions."[92] On 7 December 2010, the appeals court ruled against the FDA in a 3–0 unanimous decision, ruling the FDA can only regulate e-cigarettes as tobacco products, and thus cannot block their import.[93] The judges ruled that such devices would only be subject to drug legislation if they are marketed for therapeutic use – E-cigarette manufacturers had successfully proven that their products were targeted at smokers and not at those seeking to quit. The District Columbia Circuit appeals court, on 24 January 2011, declined to review the decision en banc, blocking the products from FDA regulation as medical devices.[94]
In April 2014, the FDA proposed new regulations for tobacco products, including e-cigarettes. The regulations require disclosure of ingredients used in e-cigarette liquids, proof of safety of those ingredients, and regulation of the devices used to vaporize and deliver the liquid.[17][95][96][97] The FDA proposed regulation would ban the sale of e-cigarettes with nicotine to any individual under 18 years of age.[98] In August 2014, attorneys general from over two dozen states advised the FDA to enact restrictions on e-cigarettes, including banning flavors.[99] On 10 May 2016, the FDA published their deeming regulations in the federal register, which takes effect on 8 August 2016. Vendors and companies have until two years afterward to prepare paperwork with the FDA to have their product remain on the market. Currently, there are lawsuits and amendments made in the works in Congress to change that provision. The lack of research on the risks and possible benefits has resulted in precautionary policymaking in the US "which often lacks grounding in empirical evidence and results in spatially uneven diffusion of policy".[9]
As of 8 August 2016, the FDA extended its regulatory power to include e-cigarettes.[11] Under this ruling the FDA will evaluate certain issues, including ingredients, product features and health risks, as well their appeal to minors and non-users.[12] The FDA rule also bans access to minors.[12] A photo ID is required to buy e-cigarettes,[13] and their sale in all-ages vending machines is not permitted.[12] The FDA in September 2016 has sent warning letters for unlawful underage sales to online retailers and retailers of e-cigarettes.[100] FDA regulations have also applied to the advertising of e-cigarettes since 2016.[citation needed] Per FDA regulations, electronic cigarettes, e-liquid, and associated products cannot be advertised as safer than other tobacco products unless they have received modified risk tobacco product (MRTP) status.[101] As of August 2018[update], this status has not been granted to any e-cigarette or e-liquid product.[citation needed] Though no companies have applied for an MRTP permit for their vaping products, similar heat-not-burn tobacco products have been denied MRTP status on the grounds that they are not safer than traditional cigarettes.[102]
Beginning in May 2018, the FDA began to crack down on e-liquid brands whose packaging resembles food or beverage products.[103][104] FDA is particularly concerned about e-liquids whose packaging resembles that of candy, juice boxes, and other products intended to appeal to children, because of concern that children will mistakenly drink the e-liquid and die of nicotine poisoning.[105] Nicotine is especially toxic to young children, and a 60 ml bottle of e-liquid with 11 mg/ml nicotine concentration, the average e-liquid bottle in the U.S.,[106] is likely to kill a child of age 4 or younger.[105][107] As such, the FDA has charged e-liquid products with branding that resembles food, candy, or beverage items as being misbranded and using false advertising, which is illegal under the Tobacco Control Act of 2009 (specifically sections 903(a)(1) and 903(a)(7)(A) of the Food, Drug, and Cosmetic Act, 21 U.S.C. § 387c).[105]
State regulation
![A no smoking or vaping sign from the US.](http://upload.wikimedia.org/wikipedia/commons/thumb/3/32/No_Vaping_Sign_%2818562436519%29.jpg/220px-No_Vaping_Sign_%2818562436519%29.jpg)
Effective 8 August 2016, all US states will follow the same, uniform federal guidelines.[11] With an absence of federal regulations, many states and cities had adopted their own e-cigarette regulations, most commonly to prohibit sales to minors, including Maryland, Kentucky, Minnesota, New Jersey, New Hampshire, Tennessee, Utah, Wisconsin, and Colorado. Other states are considering similar legislation.[108] Several US cities and states have enacted laws that increased the legal age to purchase e-cigarettes to age 21.[109] As of 2014[update], some states in the US permit e-cigarettes to be taxed as tobacco products, and some state and regional governments in the US had extended their indoor smoking bans to include e-cigarettes.[19]
Governor Arnold Schwarzenegger vetoed a bill that would regulate the sale of e-cigarettes within the state on grounds that "if adults want to purchase and consume these products with an understanding of the associated health risks, they should be able to do so."[110]
A review of regulations in 40 U.S. states found that how a law defines e-cigarettes is critical, with some definitions allowing e-cigarettes to avoid smoke-free laws, taxation, and restrictions on sales and marketing.[111] Less policies have been created to restrict vaping indoors than with cigarette smoking.[112]
Many local and state jurisdictions have recently begun enacting laws that prohibit e-cigarette usage everywhere that smoking is banned, although some state laws with comprehensive smoke-free laws will still allow for vaping to be permitted in bars and restaurants while prohibiting e-cigarettes in other indoor places.[113] As of August 2016, the United States Navy is considering banning e-cigarettes.[114] A 2017 report stated "As of 2 October 2015, five US states and over 400 counties have implemented some form of restriction of ECIG use indoors. International policies are more varied with certain restrictions for ECIG use in UK airports and trains and reports of complete ECIG bans in indoor public places for Malta, Belgium and Spain".[112]
Other countries
![](http://upload.wikimedia.org/wikipedia/commons/thumb/a/a7/No_vaping_sign_%28Canada%2C_2015%2C_cropped%29.jpg/220px-No_vaping_sign_%28Canada%2C_2015%2C_cropped%29.jpg)
Australia: The Federal Department of Health and Ageing classifies every form of nicotine, except for replacement therapies and cigarettes, as a form of poison.[115][116] In Australia, there are no laws pertaining to the regulation of e-cigarettes.[117] Although there are a number of laws that are relevant to the regulation of poisons, therapeutic goods, and tobacco control which are applicable to e-cigarettes in certain cases.[117] Australia is developing regulations on e-cigarettes.[118] The sale of e-cigarettes must be registered with the Therapeutic Goods Administration (TGA) before being sold.[119] Importation of e-cigarettes and their related products is illegal unless approved by the TGA.[119] The TPA has said that there were no laws preventing the importation of e-cigarettes bought over the internet for personal use, unless prohibited by state and territory legislation.[120] State laws in Australia's various states are a little bit conflicting. According to the Poisons Standard of 2010, inhaled nicotine is Pharmacy Only, or a Schedule 2 medication when used to help quit smoking.[121][122] In April 2014 a court decision made it illegal to sell or supply e-cigarettes regardless of their appearance or nicotine content (even if zero) in Western Australia.[123] Previously they were banned if they looked like cigarettes. The court ruled that the action they provided in and of itself looks like cigarettes. Precise rules in the other states vary.
Argentina: The sale, importation and manufacturing of electronic cigarettes have been banned by the local regulatory authority. Its use has also been discouraged by the National Clinical Practice Guideline for Tobacco Cessation from lack of enough evidence.[124]
Bahrain: Vaping is not permitted in Bahrain.[125] The importation of e-cigarettes is banned in Bahrain.[126]
Brazil: The sale, importation and advertising of any kind of electronic cigarette is forbidden. The Brazilian health and sanitation federal agency, Anvisa, found the current health safety assessments about e-cigarettes to not be yet satisfactory for commercial approval eligibility.[127]
Canada: E-cigarettes are mostly unregulated.[128] They are technically illegal to sell, as no nicotine-containing e-fluid is approved by Health Canada, but this is generally unenforced and they are commonly available for sale Canada-wide.[8] Vancouver bans use of e-cigarettes in public places where smoking is prohibited. Toronto bans use of e-cigarettes in city work spaces.[129] The governing Liberals recently introduced a provincial legislation in Ontario to regulate electronic cigarette devices.[130] Local vape shops in Ontario currently trying to Fight Bill 45.[131] The city of Red Deer bans electronic cigarette use where smoking is prohibited.[132]
East Timor: E-cigarettes are banned.[133]
Hong Kong: The sale and possession of nicotine-based e-cigarettes classified as a Type I Poison, is governed under the Pharmacy and Poisons Ordinance. Sale or possession is not authorized and both are considered punishable by a fine of up to HK$100,000 and/or a prison term of 2 years. However, the law does not cover any non-nicotine inhalers.[134]
India: The Drugs and Cosmetics Act, 1940 does not provide any clear classification on various usage of nicotine especially in regards to e-cigarettes. Nicotine gums or lozenges are regulated under Chapter IV of the Act.[135] Currently, there is no federal legislation concerning e-cigarettes. In the state of Punjab, in 2013, the State Drugs Controller declared e-cigarettes with nicotine as an unapproved drug.[136] On 7 April 2016, a District Court in the Punjab sentenced a man to 3 years imprisonment and a fine of ₹1 lakh (US$1,200) for selling e-cigarettes. This was the first ever conviction in India concerning e-cigarettes.[137]
The states of Karnataka, Kerala, Punjab, Jammu and Kashmir, Mizoram and Maharashtra have banned e-cigarettes under the Drugs and Cosmetics Act, 1940, and Food Safety & Standards (Prohibition and Restriction on Sales) Regulation, 2011.[138]
Israel: In 2013, the Ministry of Health planned to extend existing laws on smoking in public places to e-cigarettes, a year after warning against the product's usage.[139]
Japan: E-cigarettes containing nicotine have been banned since 2010.[140] Non-nicotine e-cigarettes are sold to adults and minors since no regulation exists for non-nicotine e-cigarettes in Japan.[140]
Mexico: The Federal Commission for the Protection Against Sanitary Risks had previously forbidden the selling and promotion of non-tobacco objects that included elements generally associated with tobacco products.[141] The ban was overturned in court on 23 September 2015.[142]
Nepal: Under current cigarette laws, the sale of e-cigarettes is permitted.[143]
New Zealand: Sales of e-cigarettes and liquids that do not contain nicotine is legal. Sales of e-cigarettes are banned for people under 18 years of age. E-cigarette advertising is not allowed.[144] Nicotine vaping products are illegal to sell.[145] Consumers wanting nicotine liquids must import it from overseas for personal use.[146] Legislation of nicotine e-liquid for retail sale is under Ministry of Health consultation for parliamentary consideration.[147][needs update]
Pakistan:The import and sale of e-cigarettes is legal, but Pakistan Medical and Dental council find that the current health safety assessments of e-cigarettes to not yet be satisfactory.[143]
Panama: The importation, distribution and sale of e-cigarettes have been prohibited since June 2009. The Ministry of Health cites the FDA findings as their reasoning for the ban.[148]
Philippines: The sale of e-cigarettes is unregulated, which makes them available to children and adolescents.[149] The Philippine Medical Association has recommended to different city governments to broaden their public places and transportation smoking bans to include e-cigarettes.[150]
Singapore: E-cigarettes are currently prohibited under Section 16 (1) of the Tobacco (Control of Advertisements and Sale) Act, which is enforced by the Health Sciences Authority (HSA). This legislation prohibits the importation, distribution, sale or offer for sale of any confectionery or other food product or any toy or other article that is designed to resemble a tobacco product or the packaging of which is designed to resemble the packaging commonly associated with tobacco products. HSA takes a serious view on any person who contravenes the law. Those guilty of the offence are liable to a fine of up to $5,000 upon conviction.[151] According to Health Minister Khaw Boon Wan, e-cigarettes are the industry's attempt to attract new users and were marketed to appeal to younger customers, including women.[152]
South Korea: The sale and use of e-cigarettes is legal, but is heavily taxed. Electric cigarette possession among teenagers remains an issue.[153]
Thailand: E-cigarettes are banned.[133]
United Arab Emirates: The sale and use of e-cigarettes is illegal.[154]
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ignored (help) - ^ Eric Lipton (2 September 2016). "A Lobbyist Wrote the Bill. Will the Tobacco Industry Win Its E-Cigarette Fight?". The New York Times.
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{{cite journal}}
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