Six months after issuing a public health advisory on the use of electronic cigarettes, the Tennessee Department of Health advisory remains in effect. Additionally, the department has petitioned the U.S. Food and Drug Administration for regulation of electronic cigarettes and similar electronic devices that produce emissions or "vapor" that contain, despite the perceptions of many, much more than just water vapor.
TDH urges caution for consumers using or considering the use of electronic nicotine delivery systems, including electronic cigarettes and other emissions-producing products. Since the June 11 initial advisory, TDH officials said too many questions remain unanswered about electronic cigarettes and similar emissions-producing devices. It's time, they said, for consumers to have safeguards from potential health risks.
"Currently, there are not adequate safeguards or regulations regarding those producing electronic cigarette components including what chemicals may be used, and no clear requirements to warn consumers of potential risks and hazards of inhaling these varied emissions deeply into the lungs," said TDH Commissioner John Dreyzehner, MD, MPH. "Some are also suggesting health benefits regarding these products that are not appropriate or adequately supported by evidence."
The electronic cigarette industry has grown rapidly and a number of cities, states and countries have enacted legislation regarding their use. Tennessee law prohibits their sale to minors, for example. While some manufacturers and marketers of the devices have claimed electronic cigarettes may be an alternative method to help conventional tobacco cigarette users quit, many health officials have concerns about those claims and believe the use of flavors and unrestricted marketing may be creating another generation of nicotine addicts among our youth. The CDC recently reported electronic cigarette use increased three fold among youth from 2011 to 2013.
