ClearingtheSmokeAbout

ECigarettes

KristinaTorok,MSc,CTTS
MaryVecchio,MSN,RN,APN,OCN,CTTS
HunterdonRegionalCancerCenter

Whatareecigarettes?

Batterypoweredheatingdevices,oftenresemblingcigarettes,cigarsorpipes

Designedtodelivernicotinetousersintheformofavapor(insteadofsmoke)

Thevaporcomesfromheatingliquidnicotine

Firstinventedinthe1960s,
EcigarettefirstenteredthemarketinChinain2004
Currentlyover250brandsavailable

3MainComponentsoftheECigarette:
Battery
Atomizer
Inhaler

DiagramoftheElectronicCigarette

*Whenheated,thecartridgethatcontainstheliquid
nicotineconvertsthecontentsintoavaporthatthe
userinhales.

NRTInhalervs.ElectronicCigarette
Inhaler
NicotineReplacementTherapy
Licensedquitsmokingaid
approvedmethodforsmoking
cessation
4mgnicotinedeliveredin10mg
cartridges,nobatteryrequired
ElectronicCigarette
NotFDAapproved(containstraces
oftoxins)
Noevaluationofanyecigarettes
forsafetyoreffectiveness
Nostandarddoseofnicotine

LegalGuidelines
NJSmokeFreeAirAct:P.L.2009,c.182
SponsoredbyAssm.ConnieWagner(Bergen)
ApprovedonJanuary11,2010
ECigarettesareincludedinthislegislation

InthestateofNewJersey:
Tobaccoproductisonlysoldtopersons19yrsofageor
older
Cannotbeusedinenclosedindoorplacesofpublicaccessor
workplaces
Violationsshallimposefinesof$250,$500,and$1000

FDARegulations
FamilySmokingPrevention&Tobacco
ControlAct
SignedbyPresidentObamaonJune29,2009
Productscontainingnicotinederivedfromtobacco
butmakingnotherapeuticclaimsmustberegulated
astobaccoproducts
(notseenasdrugdeliverysystem)
GrantstheFDAtheauthoritytoregulatetobacco
products,includingecigarettes

FDARegulations
TheFederalGovernmenthasnotexercisedits
regulatoryauthorityoverecigarettes:
Manufacturedwithoutregulationsorquality
controls
Nohealthwarningsonpackaging
Nolegalagerestrictions
41StateAttorneyGeneralssentalettertotheFDA
askingthemtobeginregulation(Sept2013),NJwas
notamongthem

ConcernsofMisuse
FDArequiresthatallnicotinedelivery
productsintendedforusebyhumanstobe
clinicallyprovenforsafetyandefficacyand
regulated.
Noclinicaltrialshavebeenconductedto
determineecigsimpactonthebodys
structureandfunction

ConcernsofMisuse
Ecigarettesdevelopersaremakingunfound
claimsinmarketingandpackaging
EcigarettesareNOTanapproved
interventionfortobaccocessation
Concernsthatrenormalizingsmokinglike
behaviorcanresultinhigheryouthinitiation
ratesandaslowerdeclineinadultcessation

ConcernsofMisuse
Manycartridgesofecigarettesare
interchangeableandrefillablecausing
concernthatusersmaysubstitutedesignated
liquidwithsyntheticnicotineorother
substances
YoutubevideosforDIYEjuicerecipes
Canibusoil
Heroin

MarketingAspectofElectronicCigarettes
Ecigarettebrandsareemployinganumberofmarketingstrategies
usedbytobaccocompanies
Amongthem:funflavors,endorsementsusingkidsand
celebrities
Ecigaretteadscurrentlyfallintoaloopholeforfederalregulation
Controlmisleadingorfalseproductclaims

TrendinginNewJersey
Accessibilityoninternet
Requestfreesample

StorelocationsthroughoutNJ
Accessories
Mods(modificationsofsize,voltage,etc.)
Tastings/Customdesigneliquids
Targetingyouthwithbubblegum,gummybear,
cottoncandyflavors

ExampleEcigaretteCommercials
http://www.youtube.com/watch?v=bk7LeC_1IA
http://www.youtube.com/watch?v=6tcu1ZLGwi8
http://www.youtube.com/watch?v=ysGyfLwwr1s

Resources
JOURNEYWORKSPUBLISHING
www.journeyworks.com
CDC
www.cdc.gov
FAQFDA
www.fda.gov