Public Health Advisory: To Consumers of Electronic Cigarettes, Electronic Smoking Devices (ESDs) and Other Vapor Products

The Arkansas Department of Health is issuing this Public Health Advisory to consumers and is advising caution when considering e-cigarettes, Electronic Smoking Devices (ESDs), and other vapor products. These devices contain and emit harmful chemicals and pose known and unknown health risks to users and non-users alike.

Dangers 

Effects on Children

Confusion on Enforcement/Normalization of Smoking

Cessation

References:

 FDA citations of unsubstantiated claims, poor manufacturing practices. Are retrieved from http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/2010/ucm225224.htm

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Bullen C et al. Electronic cigarettes for smoking cessation: A randomized controlled trial. Lancet 2013; 382: 1629-37.

Centers for Disease Control and Prevention. Electronic Nicotine Delivery Systems: Key Facts. CDC Office on Smoking and Health. July 2015.

Centers for Disease Control and Prevention. (2013, September 6). Notes from the Field: Electronic Cigarette Use Among Middle and High School Students – United States, 2011-2012. Morbidity and Mortality Weekly Report, 62(35), 729-730.

Executive Summary Center for Tobacco Control, Research and Education, Univ of California, San Francisco. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General, 2014 | SurgeonGeneral.gov

Cheah, N.P., Chong, N.W.L., Tan, J., Morsed, F.A., & Yee, S.K. (2012). Electronic nicotine delivery systems: regulatory and safety challenges: Singapore perspective. Tobacco Control, doi: 10.1136/tobaccocontrol-2012 050483.

Counotte, D.S., Goriounova, N.A., Li, K.W., Loos, M., van der Schore, R.C., Schetter, D. . . . & Spijker, S. (2011). Lasting synaptic changes underlie attention deficits caused by nicotine exposure during adolescence. Nature Neuroscience, 14, 417 – 419. Abstract retrieved from http://www.nature.com/neuro/journal/v14/n4/full/nn.2770.html

Davies, A (2013, Feb. 27). Sorry Smokers, You Can’t Use Electronic Cigarettes On Airplanes. Business Insider. Retrieved from http://www.businessinsider.com/you-cant-smoke-e-cigarettes-in-planes-2013-2#ixzz2lOZTb3c5 on November 22, 2013.

Dwyer JB, McQuown SC & Leslie FM. (2009). “The dynamic effects of nicotine on the developing brain”. Pharmacol Ther, 122(2),125-139. Doi: 10.1013/j.pharthera.2009.02.003.

Flouris AD, Chorti MS, Poulianti KP, Jamurtas AZ, Kostikas K, Tzatzarakis MN…Koutedakis Y. (2013). “Acute impact of active and passive electronic cigarette smoking on serum cotinine and lung function”. Inhal Toxicol, 25(2), 91 -101. Do:10.1136/tobaccocontrol-2012-050859

Flouris, Andreas D.; Poulianiti, Konstantina P.; Chorti, Maria S.; Jamurtas, Athanasios Z.; Kouretas, Dimitrios; Owolabi, Emmanuel O.; Tzatzarakis, Manolis N.; Tsatsakis, Aristidis M.; Koutedakis, Yiannis.“Acute Effects of Electronic and Tobacco Cigarette Smoking on Complete Blood Count. Food and Chemical Toxicology”. http://dx.doi.org/10.1016/j.fct.2012.07.025,

Givens, A. & Chang, P. (2013, Oct. 11). E-cigarettes, used to smoke marijuana, spark new concerns. NBC New York. Retrieved from http://www.nbcnewyork.com/investigations/ECigarettes-Drugs-Marijuana-Vapor-Pens-Smoking-I-Team227269001.html on November 22, 2013.

Glantz, S. (2013, Oct. 3). Comments on Electronic Cigarettes In Philip S. Gardiner (Chair), Electronic Cigarettes: The vapor this time. Conducted by the Tobacco Related Disease Research Program at the University of California Riverside in San Francisco, California. Retrieved from http://www.trdrp.org/highlights-news-events/13-10-03-ecigarettes-the-vapor-this-time.html

German Cancer Research Center. (2013). “Electronic Cigarettes- An Overview”. Red Series Tobacco Prevention and Control, Volume 19. Heidelberg, Germany.

Goniewicz ML, Kuma T, Gawron M, Knysak J, & Kosmider L. (2012). “Nicotine levels in electronic cigarettes”. Nicotine Tob Res. Doi: nts103 [pii] 10.1093/ntr/nts103.

Goniewicz ML, Knysa J, Gawron M, Kosmider L, Sobczak A, Kurek J…Benowitz N. (2013). “Levels of selected carcinogens and toxicants in vapour from electronic cigarettes”. Tob Control. Doi: 10.1136/tobaccocontrol-2012-050859.

King BA et al. Flavored-little-cigar and flavored-cigarette use among U. S. middle and high school students. J of Adolescent Health 2014;54:40-6.

Maritz, G. S., & Rayise, S. S. (2011). Effect of maternal nicotine exposure on neonatal rat lung development: Protective effect of maternal ascorbic acid supplementation. Experimental Lung Research, 37(1), 57-65. doi:10.3109/01902148.2010.515650

North Carolina Department of Health and Human Services Division of Public Health. E-cigarettes. February 12, 2014. http://www.ncafp.com/sites/default/files/e-cig_providerletter_DPH%202-12-14%20(4).pdf

Talbot, P. (2013, Oct. 3). Electronic Cigarettes: How Will They Impact Human Health? In Philip S. Gardiner (Chair), Electronic Cigarettes: The vapor this time. Conducted by the Tobacco Related Disease Research Program at the University of California Riverside in San Francisco, California. Retrieved from http://www.trdrp.org/files/e-cigarettes/talbot-slides.pdf

Trtchounian, A. & Talbot, P. (2010). Electronic nicotine delivery systems: Is there a need for regulation? Tobacco Control. 20, 47-52, doi: 10.1136/tc.2010.0037259.

U.S. Fire Administration. Electronic Cigarette Fires and Explosions. U.S. Department of Homeland Security Federal Emergency Management Agency. October 2014.Goniewicz ML, Kuma T, Gawron M, Knysak J, & Kosmider L. (2012). “Nicotine levels in electronic cigarettes”. Nicotine Tob Res. Doi: nts103 [pii] 10.1093/ntr/nts103.

U.S. Food and Drug Administration (2011, April). Regulation of e-cigarettes and other tobacco products. Retrieved from http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htm

U.S. Food and Drug Administration (2010). FDA acts against 5 electronic   cigarette distributors

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Vardavas CI, Anagnostopoulos N, Kougias M, Evangelopoulou V, Connolly GN, Behrakis PK. “Acute pulmonary effects of using an e-cigarette: impact on respiratory flow resistance, impedance and exhaled nitric oxide”. Chest. 2011 Dec 22. http://www.ncbi.nlm.nih.gov/pubmed/22194587

 Williams, M. (2013, Oct. 3). Electronic cigarette liquids and vapors: Is it harmless water vapor? In Philip S. Gardiner (Chair), Electronic Cigarettes: The vapor this time. Conducted by the Tobacco Related Disease Research Program at the University of California Riverside in San Francisco, California. Retrieved from http://www.trdrp.org/files/e-cigarettes/williams-slides.pdf

Wilson LM et al. Impact of tobacco control interventions on smoking initiation, and prevalence: A systematic review. J Environ and Public Health; see:  www.hindawi.com/journals/jeph/2012/961724/.