Clear The Air News Tobacco Blog Rotating Header Image

FDA

Public health groups sue FDA on graphic cigarette warning labels

A group of anti-tobacco and public-health groups sued the Food and Drug Administration on Tuesday in an attempt to compel it to establish graphic warnings labels on cigarette packaging and marketing.

It’s been more than 3½ years since there’s been legal or regulatory movement on graphic warnings, particularly on what they will look like and when they will appear.

The 2009 federal Tobacco Control Act required graphic warnings covering the top half of the front and back of cigarette packs and on 20 percent of cigarette advertising.

The FDA was given until June 22, 2011, to issue a final rule requiring such warnings.

The governments of more than 90 countries require similar graphic warning labels. Australia, which was among the first to introduce the labels and has some of the most graphic images, is perhaps the most noteworthy.

The FDA chose nine labels in June 2011, which were scheduled to debut in September 2012. The labels included smoke coming out of a tracheal hole, diseased lungs and gums, and a man who appears deathly ill.

A group of tobacco manufacturers that include R.J. Reynolds Tobacco Co. and Lorillard Inc. filed a lawsuit in September 2011 against the FDA regarding the labels.

Two parallel legal cases with differing judicial opinions have put the initiative on hold.

The anti-tobacco and public health groups argue that the federal Administrative Procedure Act, which governs federal agencies, gives federal courts the power to “compel agency action unlawfully withheld or unreasonably delayed.”

“The FDA is in violation of its nondiscretionary statutory duty,” according to the plaintiffs’ lawsuit.

The plaintiffs contend that one of the legal tracks gives the FDA clearance to implement its final rule on the warning labels. Some plaintiffs argue that the lack of warning labels “makes it more difficult” for them “to educate and counsel members of the public not to smoke.”

In August 2012, a panel of the U.S. Court of Appeals for the D.C. Circuit voted 2-1 that the proposed specific warning labels violated the First Amendment. That ruling did not address the law’s underlying requirement.

The FDA said in March 2013 that it declined to further appeal the D.C. Circuit ruling and would create new warning labels.

In March 2012, the U.S. Court of Appeals for the Sixth Circuit upheld the law’s requirement for graphic warnings, finding that this provision did not violate the First Amendment. The U.S. Supreme Court declined in April 2013 to hear an appeal of the Sixth Circuit ruling.

“The FDA is undertaking research to support a new rulemaking consistent with (the Tobacco Control Act),” spokesman Michael Felberbaum said Wednesday.

While the industry and advocacy groups await the next FDA warning label proposals, several studies have been published that found mixed smoker reactions to the initial nine proposed labels.

In December 2010, an FDA study found putting graphicwarning labels on cigarette packs may stir emotions, but not lead to quitting.

UNC Chapel Hill researchers said in June that 40 percent of participants in their study said they were more likely to consider quitting after exposure to the graphic images, compared with 34 percent with the text warning.

A February 2016 study published by University of Illinois researchers at the journal Communication Research suggests graphic images strike some people as manipulative, a reaction that could backfire on the attempt to steer individuals away from smoking.

Lawsuit plaintiffs

The lawsuit was filed by the American Academy of Pediatrics, the Massachusetts Chapter of the American Academy of Pediatrics, the American Cancer Society, the American Cancer Society Cancer Action Network, the American Heart Association, the American Lung Association, the Campaign for Tobacco-Free Kids, Truth Initiative, and several individual pediatricians.

A Lobbyist Wrote the Bill. Will the Tobacco Industry Win Its E-Cigarette Fight?

The e-cigarette and cigar industries have enlisted high-profile lobbyists and influential congressional allies in an attempt to stop the Food and Drug Administration from retroactively examining their products for public health risks or banning them from the market.

The campaign targets a broad new rule that extends F.D.A. jurisdiction to include cigars, e-cigarettes and pipe and hookah tobacco.

The bipartisan effort has featured a former senator who did not register as a lobbyist before going to work for the cigar companies and a former Obama administration official, now a private consultant, who is trying to undo his earlier work reviewing the rule. In addition, one member of Congress introduced industry-written legislation without changing a word of it.

The battle shows how, nearly two decades after the $200 billion settlement between tobacco companies and state attorneys general to compensate the public for health consequences of smoking, the industry still wields extraordinary clout in Washington.

With its army of more than 75 lobbyists, tobacco-aligned companies have argued that the F.D.A.’s so-called Deeming Rule could hurt public health by forcing a large share of e-cigarette companies out of business.

“The F.D.A. has blatantly ignored evidence that our products improve people’s lives,” said Christian Berkey, chief executive of Johnson Creek Enterprises, one of the first companies to sell the e-liquid ingredient used in e-cigarettes and vaping products.

F.D.A. officials acknowledge that e-cigarettes, made out of tobacco-derived nicotine, are potentially less harmful than cigarettes. But they insist they must examine whether the electronic cigarettes or the liquid nicotine juices might contain toxic chemicals like diethylene glycol, an ingredient also used in antifreeze, or candy-like flavors contributing to the surge in the numbers of teenagers using e-cigarettes. They also want to examine the safety of the e-cig devices themselves after reports of battery-related burns.

“In the absence of science-based regulation of all tobacco products, the marketplace has been the wild, wild West,” said Mitch Zeller, the director of the F.D.A.’s Center for Tobacco Products, which is in charge of enforcing the new rule. “Companies were free to introduce any product they wanted, make any claim they wanted, and that is how we wound up with a 900 percent increase in high schoolers using e-cigarettes and as well as all these reports of exploding e-cigarette batteries and products that have caused burns and fires and disfigurement.”

The lobbying effort has been led by the Altria Group, the nation’s largest tobacco company, which has a growing e-cigarette unit.

Documents obtained by The New York Times show that Altria last year distributed draft legislation on Capitol Hill that would eliminate the new requirement that most e-cigarettes already on sale in the United States be evaluated retroactively to determine if they are “appropriate for the protection of public health.”

The proposal was endorsed by the R.J. Reynolds Tobacco Company, which has its own e-cigarette unit, as well as the National Tobacco Company, a major seller of loose tobacco, and trade associations representing the cigar industry and convenience stores, the documents show.

Altria delivered its proposal, entitled “F.D.A. Deeming Clarification Act of 2015,” to Representative Tom Cole of Oklahoma in April 2015, the documents show, even before the F.D.A. rule became final.

Just two weeks later, Mr. Cole, a Republican, introduced the bill — with the title and 245-word text pulled verbatim from the industry’s draft.

“Yes, we have shared our views with many policy makers, including Congressman Cole’s office,” David Sutton, a spokesman for Altria, said in a written statement, after being presented with a copy of its “legislative language” draft and Mr. Cole’s resulting bill, which has 71 co-sponsors and is still pending in the House.

Separately, former Senator Mary Landrieu, Democrat of Louisiana, spent part of her first year after losing re-election pressing officials from the White House, State Department and F.D.A. on behalf of the cigar industry — even though records show she had not registered as a lobbyist as required by federal law, which Ms. Landrieu said was an oversight.

Altria circulated suggested legislation, left, that Representative Tom Cole, Republican of Oklahoma, used verbatim for a House bill, center and right, rolling back regulation of e-cigarettes and other tobacco products.

Altria circulated suggested legislation, left, that Representative Tom Cole, Republican of Oklahoma, used verbatim for a House bill, center and right, rolling back regulation of e-cigarettes and other tobacco products.

“This is my fault,” she said. “I’m calling my lawyer now to get it corrected.”

The electronic vapor industry — representing smaller companies that sell e-cigarettes that can be refilled with vapor juice — also has a lobbying contingent, buttressed by a highly motivated community of consumers and vape shops.

Mr. Cole, and Representative Sanford D. Bishop Jr., Democrat of Georgia, who co-sponsored one of the tobacco-related measures originally drafted by Altria, said that the rule would bankrupt small businesses and curb the availability of e-cigarette options, which some use as a way to quit smoking.

“I don’t like regulating in the rearview mirror,” Mr. Cole said in an interview.

Mr. Bishop and Mr. Cole are also two of the top House recipients of tobacco industry campaign donations, with Mr. Bishop receiving $13,000 from Altria this election cycle and a total of at least $60,000 from the industry since 2004.

Continue reading the main story
Representative Nita M. Lowey of New York, the ranking Democrat on the House Appropriations Committee, said it was embarrassing that more than 70 lawmakers had signed on as co-sponsors of legislation that lobbyists from Altria and other industry groups originally wrote.

“For Congress to consider going backward in how we regulate the public health hazard is simply mind-boggling,” she said. “It wasn’t that long ago that tobacco companies were telling the public that cigarettes were not addictive and denying clear evidence that they caused cancer.”

Matthew L. Myers, president of the Campaign for Tobacco Free Kids, who helped negotiate the 1998 tobacco settlement, said: “It is worse than spoiled kids who don’t get their way. It is bullies that don’t get their way and who are holding public health hostage.”

Industry executives and their allies on Capitol Hill dismiss such criticism, noting that they support provisions intended to prevent youths from buying and using e-cigarettes or cigars.

“The argument that it would make it more accessible to children is fallacious,” Mr. Bishop said.

The cigar industry lobbying pitch has gained the most traction in Congress.

Arguing that premium cigars are more of a recreational product with fewer health risks than cigarettes, the industry has been separately pushing members of Congress to enact legislation that would broadly exempt “premium cigars” from the new F.D.A. oversight. A bill to do so — also written in part by industry lobbyists — was introduced by Senator Bill Nelson, Democrat of Florida. It has 20 co-sponsors, while an identical bill in the House has another 165 co-sponsors.

The industry lobbyists, in addition to Ms. Landrieu, include Paul DiNino, a former finance director of the Democratic National Committee and onetime senior aide to Senator Harry Reid of Nevada, the Democratic leader. Mr. DiNino is assigned to enlist prominent Senate Democrats.

Mr. Reid, records show, contacted the White House on the industry’s behalf, with his spokeswoman explaining that cigar-oriented events are important to Las Vegas.

To target the House, the cigar industry hired former Representative James T. Walsh, Republican of New York, a former House Appropriations Committee member, who has implored lawmakers and their staffs to back the exemption for cigars.

Mr. Walsh and his lobbying partners from the firm K & L Gates drafted language that was inserted into a House Appropriations bill approved by the full committee in April that defines an exemption for a premium cigar and that would prohibit the F.D.A. from spending money in the 2017 fiscal year on enforcement provisions.

“My fingers are crossed,” Mr. Walsh said, about the prospects for getting the exemption.

Another critical assist came from Andrew Perraut, who until 2014 served as a desk officer at the Office of Management and Budget division that reviews major federal regulations, including the F.D.A.’s tobacco rule.

White House records show that he helped represent the Obama administration at more than a dozen meetings with outside parties, mostly pressing the government to ease the rule, before he was hired by a cigar-industry trade organization and by NJoy, a manufacturer of e-cigarettes.

Within less than a year, records show, Mr. Perraut was back at the Office of Management and Budget on the other side of the table.

Because Mr. Perraut was not a senior official and the regulation affects numerous industry players, federal revolving door rules did not apply, an agency spokeswoman said. Mr. Perraut said he was simply trying to help stop a “train wreck” that will be caused by the F.D.A. overreach.

Richard W. Painter, who served as the White House chief ethics lawyer during the George W. Bush administration, said Mr. Perraut’s quick turnabout violated the spirit of President Obama’s ethics pledge, intended to prevent former aides from lobbying the executive branch.

“Even if it is not prohibited, it is just not appropriate,” he said.

Interest groups attempting to shape the debate also have financial patrons with a clear stake in the outcome.

Americans for Tax Reform, a conservative group, and National Center for Public Policy Research, a pro-free market think tank, have come out against the F.D.A. rules, even as they receive funding from the e-cigarette and tobacco industry, including Altria and R.J. Reynolds, records show.

Jeff Stier, a scholar at the National Center for Public Policy Research, and Grover Norquist, from Americans for Tax Reform, both said they opposed the F.D.A. rule as bad policy.

The American Lung Association, which has spoken out in defense of the rule, accepts contributions from pharmaceutical companies like Pfizer and GlaxoSmithKline, which sell smoking-cessation products that could lose sales if e-cigarettes continue to gain market share, Mr. Stier added.

Erika Sward, an association lobbyist, while acknowledging the money her nonprofit group has received from companies that sell smoking-cessation treatments, said the criticism of her group is a diversionary tactic.

“For so many years the focus in fighting tobacco wars has been on the cigarette industry,” she said. “With historic declines in cigarette use, which is wonderful, what we are seeing is a surge in use in other tobacco products. And their push on Capitol Hill reflects this new clout.”

Tobacco War Lobbying Documents

http://www.nytimes.com/interactive/2016/08/26/us/politics/document-tobacco-lobbying-documents.html#document/p1/a315064

The e-cigarette and cigar industries, backed up by dozens of lobbyists, are engaged in an intense fight on Capitol Hill to roll back a new rule that for the first time subjects them to regulation by the Food and Drug Administration. Here is a inside look at this fight, with lobbying documents that rarely become public.

Big Tobacco really doesn’t want the feds to regulate e-cigs

https://news.vice.com/article/big-tobacco-really-doesnt-want-the-feds-to-regulate-e-cigs

Now that e-cigarettes have turned into a multi-billion dollar a year industry, Big Tobacco lobbyists are again flexing their muscles in Washington to make sure they’re not regulated. The New York Times reported Friday that the tobacco industry has assembled a team of over 75 lobbyists—including a former Obama administration official and former Democratic Senator Mary Landrieu—to fight a new FDA rule to extend its regulatory control to include e-cigarettes, cigars, hookah tobacco, pipe tobacco, and more.

Republican Congressman Tom Cole recently introduced legislation to curtail the FDA. The Times found that the bill’s title and 245-word text were taken word-for-word from the proposal written by the tobacco industry. Cole has already attracted 71 cosponsors from both parties in an effort to pass the bill.

The new FDA rules and the industry pushback come in response to the rapid growth of e-cigarettes over the past 6 years, especially among teenagers. A recent survey by the FDA and Centers for Disease control found that 16 percent of high school students use e-cigarettes, a 900 percent increase since 2011.

Makers of the vaping devices have already taken precautions in case they lose the regulatory battle. Before the FDA rules took effect in August, e-cigarette makers released a dizzying array of new products. All of these devices will be immune from the new FDA rule for the next three years. A lot of vaping and lobbying can be done in three years.

Tobacco Watchdog Expands Its Reach: A Primer

http://www.nytimes.com/interactive/2016/08/31/us/politics/tobacco-primer-listy.html

What Is The FDA’s Authority?

Since 2009, the Food and Drug Administration, based on authority it gained from Congress, has regulated cigarettes, smokeless, and roll-your-own tobacco. But it has been working to enact a regulation to extend its authority over all tobacco products, including e-cigarettes, cigars and pipe and hookah tobacco. That regulation was finalized in May and went into effect on Aug. 8.

What Happens Broadly for These Products?

As of Aug. 8, it became illegal to sell e-cigarettes or cigars to minors, although most states already had adopted such a prohibition. Free samples are also now prohibited. Companies are also no longer allowed to introduce new kinds of e cigarettes or cigars unless they get so-called premarket authorization from the F.D.A. By December, manufacturers must also register with the F.D.A. and submit lists of their products, including labeling and advertisements. Any products introduced since February 2007 are considered “new products” and will have to seek some kind of F.D.A. marketing approval.

What Happens to Cigars?

Certain cigars, like e-cigarettes, may be considered “new tobacco products” and have to undergo a thorough premarket review to determine if they are “beneficial to the population as a whole.” But most other cigars have either been around since before 2007 or will be able to argue they have “substantial equivalence” to cigars on the market before 2007, meaning they also would essentially be grandfathered. The cigar companies argue that even these “substantial equivalence” reviews will be expensive and they fear they will be forced to submit different applications just because a cigar differs in size. As a result, they predict many cigar manufacturers, particularly those smaller businesses that sell hand-rolled products, will be put out of business, and consumers will have less choice. The F.D.A. acknowledges that certain cigars may be removed from the market. But it estimates applications per cigar product for the less onerous substantial equivalence reviews should cost only between $1,500 and $22,787, depending on what type of application is submitted.

What Also Happens to E-Cigarettes?

Any e-cigarette introduced since 2007 – essentially all of them –must now receive retroactive market approval by going through an application process to examine whether the “product prompts young people to become addicted to nicotine, reduces a person’s interest in quitting cigarettes, and/or leads to long-term usage with other tobacco products.” Companies have until August 2018 to file their applications that must list all ingredients, components, and additives and include an analysis of the impact their products will have on public health. The F.D.A. estimates these reports will cost in the “low- to mid-hundreds of thousands of dollars,” while industry executives predict they could cost $1 million or more, perhaps putting many companies out of business. Companies then have until 2019 to get approval for e-cigarette products, or they will need to be removed from store shelves. Thousands of vape shops that now mix their own e-liquids, at a minimum, will most likely no longer be allowed to do this, and will instead have to sell preapproved products.

FDA Says Nicotine-Free E-Liquids Are Tobacco Products in ‘Certain Circumstances’

Manufacturers will have to guess which circumstances those are, because the FDA won’t say.

http://reason.com/blog/2016/08/19/fda-will-regulate-nicotine-free-e-liquid

Smoke NVThis week, responding to one of the lawsuits challenging its e-cigarette regulations, the Food and Drug Administration (FDA) further muddied the question of whether those regulations apply to products that do not contain tobacco-derived nicotine. The lawsuit, which was brought by Nicopure, a manufacturer of e-liquids and vaping systems, argues that such a result would be unfair, illogical, and illegal. In response, the FDA says Nicopure has failed to show that any of its nicotine-free liquids are actually covered by the regulations and therefore has no standing to challenge that aspect of the rules. At the same time, the FDA concedes that “e-liquids marketed as ‘nicotine-free’ may properly be considered tobacco products—or components or parts thereof—under certain circumstances.”

What circumstances are those? “Some e-liquids ‘claiming to be nicotine-free actually contain[] high levels of nicotine,” the FDA says, quoting its regulations. “Others are tobacco flavored, and are thus ‘made or derived from tobacco’ regardless of their nicotine content.”

Does that mean e-liquids are not subject to the FDA’s burdensome, prohibitively expensive regulations as long as they do not contain nicotine or any other tobacco derivative? No, because the FDA’s definition of “tobacco product” does not require nicotine or any other tobacco derivative.

The Family Smoking Prevention and Tobacco Control Act, the statute that gave the FDA authority over tobacco products, defines them as products “made or derived from tobacco that [are] intended for human consumption, including any component, part, or accessory of a tobacco product.” In deeming e-cigarettes to be tobacco products, the FDA defined “component or part” as “any software or assembly of materials intended or reasonably expected…to alter or affect the tobacco product’s performance, composition, constituents, or characteristics” or “to be used with or for the human consumption of a tobacco product.” Hence vaping equipment, whether a closed, disposable e-cigarette or an open system with a refillable tank and parts that can be switched out, is a “component or part” of a tobacco product, which means it is also a tobacco product.

Does that mean a nicotine-free e-liquid is a “component or part” of a tobacco product—i.e., the vaporizer? The FDA can’t or won’t give a straight answer to that question.

“The only nicotine-free e-liquids that the rule brings under the FDA’s regulatory authority are those that are made or derived from tobacco (such as tobacco-flavored varieties) or that otherwise meet the definition of a ‘component’ or ‘part,'” it says. “Thus, nicotine-free e-liquids not made or derived from tobacco are subject to the deeming rule only where they meet the definition of a ‘component or part.’…Whether nicotine-free e-liquids meet this definition ‘will be evaluated on a case-by-case basis.'”

That means a company like Nicopure cannot know ahead of time which of its products are covered by the regulations. It can only find out by asking the FDA about each one, a process that will carry its own costs, even if they do not rise to the hundreds of thousands or millions of dollars that each “premarket tobacco product application” is expected to cost. The FDA’s position is that Nicopure can’t challenge the potential regulation of its nicotine-free e-liquids because it does not know whether they will actually be regulated. Never mind that it doesn’t know because the FDA won’t say.

The end of vaping?

http://www.dl-online.com/news/detroit-lakes/4093423-end-vaping

By Nathan Bowe

Although studies differ on the findings of possible harmful effects of vaping, proponents claim it is far less harmful than the tar and chemicals ingested from smoking cigarettes.4 / 7

Bad news for e-cigarette fans: Vape shop retailers can no longer give out free samples and are limited in their ability to mix e-liquids to create new flavors.

It’s all courtesy of the federal Food and Drug Administration, which has issued new regulations governing the manufacture and sale of electronic cigarettes.

An e-cigarette is a battery-powered device that converts liquid nicotine into a mist, or vapor, that the user inhales.

There’s no fire, no ash and no smoky smell. E-cigarettes do not contain all of the harmful chemicals associated with smoking tobacco cigarettes, like carbon monoxide and tar.

When they go into full effect in two years, the new regulations will “eliminate 99.9 percent of the vaping industry,” said Jenny Hoban, owner of Masterpiece Vapors in Detroit Lakes and Perham.

Less controversial aspects of the regulations went into effect Monday. They include a ban on selling to minors, identification requirements and prohibiting free samples.

Hoban said she has prohibited sales to minors since she opened in Perham in July of 2013.

“We as an industry have self-regulated from Day 1…before it was a Minnesota state statute in January of 2015 or FDA requirement,” she said.

The more onerous regulations are yet to come, she said. E-cigarette manufacturers now have two years to go through a long and expensive application process for each and every product that they intend to sell after 2018.

Their only loophole would be to prove “substantial equivalence” to a product that existed before the Tobacco Control Act’s “deeming date” of Feb. 15, 2007. But that would be nearly impossible since e-cigarettes are such a new technology, Hoban said.

The FDA estimates the applications will take 5,000 hours and cost $330,000 each, but Hoban said some estimates put the cost at as much as $1 million for each product, which includes every potential combination of device, flavor and nicotine strength.

The upshot will be that only the wealthiest corporations, such as Big Tobacco, will be able to afford to stay in the e-cigarette business, Hoban says, and she fears they will sell the least healthy, most addictive blend of e-liquids.

Hoban says the smaller vape shops that offer a good selection of customizable devices and liquids will not survive the new FDA regulations and will be forced to close shop.

To drive home the point, she didn’t open her store in Detroit Lakes on Monday and held a mock “out of business” event there instead.

That alarmed customers, inspiring lots of interest in House Bill 2058, which would essentially grandfather in existing e-cigarette products.

The end result of the FDA regulations, she says is that those who use e-cigarettes will pay more for a limited selection of products, and the e-cigarette industry as a whole will see restricted competition and stifled innovation.

For its part, the FDA says the new regulations are designed to make regulated tobacco products less accessible and less attractive to youth.

“Every day, more than 2,600 kids try their first cigarette and nearly 600 kids become cigarette daily smokers,” the agency said on its website. “Additionally, the CDC and FDA found that during 2011-2015, e-cigarette use rose from 1.5 percent to 16 percent among high school students.”

Many of these children will become addicted before they are old enough to understand the risks, the agency added. “As a retailer, you play an important role in protecting children and adolescents by complying with the law and regulations.”

Ironically, Hoban believes the new regulations will do more to help Big Tobacco and Big Pharma, since it will limit smokers’ ability to quit the habit by switching to e-cigarettes.

“Since we’ve opened we’ve been able to help thousands of people in this area quit cigarettes,” she said. “We’ve had people on their last legs — they tried the patch, they tried the meds, they tried the gum, they tried hypnosis, they tried everything … we’ve seen people go from smoking two packs a day to quitting cigarettes almost immediately.”

Hoban said older people are benefitting from e-cigarettes.

“One guy had been smoking 50 years, he started at age 8 — he was able to quit when he first started vaping. We had a woman in her 90s with COPD symptoms — they cleared up altogether (when she switched to e-cigarettes)…People are so excited about finding something to quit a habit they thought they’d take with them to the grave.”

Hoban said the new regulations cripple her store’s ability to work with customers trying to quit smoking.

“Prior to the regulations we had the ability to tailor (to their needs),” she said. “We could customize flavors and nicotine levels; we could also help customers set up the product and walk them through it so they knew how to use it.”

She believes the FDA regulations were heavily influenced by large corporations, including pharmaceutical companies that sell expensive cancer drugs and make money off smokers that become patients.

“This is Big Pharma trying to protect their future,” she said. “The last few years vaping has exploded. It’s a multibillion dollar a year industry in the United States alone.

This is the little man against big corporations, whether people vape or not, this is about overreaching government agencies destroying small business. This is not what America is about.”

Vaping flavor: Dangerous trends in youth consumption of e-cigarettes

Currently, we are experiencing a new phenomenon with youth consumption of e-cigarettes all around the United States. New flavors appear to be one of the main reasons why teens are getting hooked on this product, say researchers.

https://www.sciencedaily.com/releases/2016/08/160809095819.htm

Currently, we are experiencing a new phenomenon with youth consumption of e-cigarettes all around the United States. For the second consecutive year, e-cigarettes were the most popular product among youth. FDA’s newest statistics indicate that more than 3 million middle and high school students were users of e-cigarettes in 2015, representing 540,000 more consumers than in 2014. New flavors appear to be one of the main reasons why teens are getting hooked on this product. In 2013-2014, 81% of the current e-cigarette youth users, pointed to the appealing flavors of e-cigarettes as one of the main reasons of why they started using them, stating that they used e-cigarettes “because they come in flavors I like.” This is even more concerning when we see how quickly this market is growing. In a report released in January 2014, researchers found that every month, an average of 240 new flavors are added to the e-cigarette market.

Although tobacco companies claim that new flavors are simply a response to adult users’ demand for variety, flavored tobacco products primarily serve to attract new users, particularly kids, and to get them addicted. As shown by the Campaign for Tobacco Free Kids, an industry publication stated, “While different cigars target a variety of markets, all flavored tobacco products tend to appeal primarily to younger consumers.” Even the industry leader Lorillard, which sells flavored e-cigarettes such as kool-aid and gummy bears, has admitted that “kids may be particularly vulnerable to trying e-cigarettes due to an abundance of fun flavors such as cherry, vanilla, pina-colada, and berry.”

Previous bans on flavored tobacco

Cigarettes with specific characterizing flavors were prohibited by the FDA in 2009, with the goal of halting the tobacco industry’s strategy and reducing the number of children who start to smoke and become addicted to different tobacco products. It was no secret that before this ban, tobacco companies marketed cigarettes with flavors, images and names in order to appeal to a younger audience. The flavored cigarette ban not only occured in the US but has been a trend in various parts of the world. For instance, in 2012, Brazil became the first place to ban all tobacco flavors. Likewise, in 2014, the European Union passed theTobacco Products Directive, which took effect on May 20, 2016, prohibiting flavored cigarettes, except for menthol, where the ban is delayed till 2020.

Almost seven years have passed since the FDA’s prohibition, and the results have been favorable. In 2006, the National Youth Tobacco Survey (NYTS) indicated that 30.2% of male high school students and 21.3% of female smoked cigarettes, while the NYTS in 2013 showed that the smoking prevalence in male students had dropped to 14.1% and to 11.2% in females. The statistics appear to show that the ban on flavored cigarettes has been helpful in reducing prevalence. However, it is important to take into consideration that the ban was not the only change in tobacco regulation. In the last couple of years, there were other policies which could have also been helpful, such as taxation and the restrictions on tobacco sales, labeling, advertising and promotion.

E-cigarette consumption increases overall consumption

The FDA’s ban on flavored cigarettes did not apply to e-cigarettes, which still can come in different flavors such as cotton candy, fruit punch, and chocolate. This is considered to be one of the main reasons why e-cigarette consumption has had such a huge increase. Indeed, studies regarding youth expectations about other flavored tobacco products such as bidis and hookahs, have found that young consumers prefer flavored tobacco over the regular tobacco because they consider flavored tobacco to taste better and be safer. So even though the ban on flavored cigarettes seemed to help in the reduction of youth use, the tobacco industry quickly found another product to replace it and keep targeting kids. This growing use of e-cigarettes can add to the problem by keeping overall youth tobacco use on the rise. A new study from the American Academy of Pediatrics shows that there are more young tobacco consumers than before, if we include e-cigarettes. The study published in July 2016 states that among 12th grade students in Southern California, the combined current cigarette and e-cigarette use in 2014 was 13.7%, which was greater than 2004, were cigarette use was 9% (before e-cigarettes were available).
New FDA Measures
This year, the FDA issued a final rule that includes e-cigarettes regulation, and which takes effect today (August 8). It regulates the manufacture, import, packaging, labeling, advertising, promotion, sale, and distribution of e-cigarettes. Among the restrictions to e-cigarettes are the prohibition to sell them to all of those under 18 years of age and to give away samples of e-cigarettes including their components and parts. However, the FDA did not ban the different flavors of e-cigarettes, and its spokespeople said that they would consider future regulation related to flavors based on a further study about the health risks and benefits of vaping.
Beyond the health risks and benefits of e-cigarettes, it would be important to consider the ban of all flavors given that the statistics show that a high percentage of young people who use e-cigarettes started because of their attraction to these. Even though the FDA wants further studies, the ban of flavored e-cigarettes has already been proposed by various international health authorities, such as the World Health Organization, which suggested the prohibition in its recommendations for regulating e-cigarettes.
What to consider in flavored e-cigarette banning?
In order to regulate flavored e-cigarettes, it is important to take into account that even when they are seen as a new way to introduce young people to tobacco use, e-cigarettes can also be considered less harmful than cigarettes and thus, as a new way to help older smokers quit cigarette smoking. Several authors have marked this duality and have proposed different ways to regulate them. For example, O’Neill Institute Senior Scholar Eric N. Lindblom in his article “Effectively Regulating E-Cigarettes and Their Advertising — and the First Amendment,” states that one way to stop young people’s use of e-cigarettes is by banning the flavors which attract youth, which can help discourage them from trying “e-cigs” and not affect its use as an alternative to smoking by current cigarette users. Lindblom, like others, propose the ban of flavors that appeal to youth in order to protect children’s health. Others argue against this stating that a ban on flavors limits adult choice and eliminates products that adults may prefer. Additionally, they argue that flavor options exist for different age restricted consumer products and therefore they shall be allowed in e-cigarettes as well. While it is true that adults should be allowed to decide what they want to consume, the government needs to take appropriate measures to ensure the well-being of children when their health is at stake. Similar arguments were made by the tobacco industry and other groups when the government was looking to ban cigarette flavors and yet the government went through with the prohibition of flavors in cigarettes. What is to come?
This year has been important for e-cigarette regulation with the FDA finally publishing a series of rules which can be applied to these products. It will be interesting to see the impact of the new policies on the e-cigarettes market, particularly in youth consumption. The ban of e-cigarettes for those under 18 years of age could be enough to curb the growth in consumption but that still remains to be seen. If in the years to come there is no substantial decrease, it may be necessary to start thinking on banning flavored e-cigarettes, just like it was done with cigarettes.

E-cigarette makers rush new products to market ahead of U.S. rules

http://www.dailymail.co.uk/wires/reuters/article-3729301/E-cigarette-makers-rush-new-products-market-ahead-U-S-rules.html

NEW YORK, Aug 8 (Reuters) – The e-cigarette market is suddenly getting more crowded.

Makers of the “vaping” devices launched a flood of new products in the United States ahead of new federal regulations, taking effect on Monday, that require companies to submit e-cigarettes for government approval before marketing them, according to company officials and industry experts.

The U.S. Food and Drug Administration, which announced the regulations in May, will allow e-cigarette devices introduced before the regulations came into force to be sold for up to three years while companies apply and await regulatory review.

The regulations also ban the sale of e-cigarettes to anyone under age 18.

The multibillion-dollar industry had sought to delay the new rules through lawsuits and proposed legislation in the U.S. Congress. At the same time, many of the smaller players hedged their bets by releasing new products during the three-month period between the announcement of the regulations and their effective date.

“I would be surprised if there was any other period when so many products were introduced,” said Bryan Haynes, an attorney with the firm Troutman Sanders who represents several e-cigarette companies.

Not of all the new products may be available immediately to consumers. Many companies beat the regulatory deadline with only limited shipments and product prototypes.

“There are scores of new products getting out ahead” of the deadline, said Oliver Kershaw, founder of the website e-cigarette-forum.com that tracks the industry.

“They’ve been put quietly into the market. Some of them are just brand refreshers. Some are quite interesting products,” Kershaw said, referring to such innovations as “pods” – capsules that can be inserted into the devices – that are prefilled with flavored nicotine.

The FDA regulations for the first time bring regulation of e-cigarettes, cigars, pipe tobacco and hookah tobacco in line with existing rules for cigarettes, smokeless tobacco and roll-your-own tobacco.

The rules require companies to submit these products for government approval, list their ingredients and place health warnings on packages and in advertisements.

Cigar makers also rushed new products to the market to beat the regulations.

“We have attempted to do in 90 days what we usually do in three years,” said Eric Newman, president of J.C. Newman Cigar Co, in business since 1895. “If it wasn’t so serious, it would be comical to see the hoops we’re going through.”

BIG COMPANIES MAY BENEFIT

E-cigarettes are handheld electronic devices: metal tubes that heat liquids typically laced with nicotine and deliver vapor when inhaled. The liquids come in thousands of flavors, from cotton candy to pizza. Using them is called “vaping.”

Reynolds American Inc, Altria Group Inc and Fontem Ventures, a subsidiary of Imperial Brands Plc, are among the leading manufacturers of the devices.
Their use has grown quickly in the past decade, with U.S. sales expected to reach $4.1 billion in 2016, according to Wells Fargo Securities.

The healthcare community remains divided over the devices. Some experts are concerned about how little is known about their potential health risks and about growing use by teenagers, fearing that a new generation will become hooked on nicotine.

Others support them as a safer alternative to tobacco for smokers unable to quit.

The FDA regulations are expected to shutter many “vape shops” that make their own products and cannot afford undergoing the approval process. The rules may benefit the big manufacturers, especially tobacco companies like Reynolds and Altria, which have the checkbooks and experience to navigate regulatory agencies.

Despite the new rules, France’s leading manufacturer of “e-liquids” used in the devices started doing business in the United States last month. The company said it hoped the new market could help double its current sales of about $55 million.

“The vaping consumer is going to be drowned in a lot of new products,” said Arnaud Dumas de Rauly, president of Gaïatrend USA, referring both to new devices and to types of liquids.

Reynolds, which makes the top-selling VUSE, did not introduce any new products this summer. Altria launched new flavor varieties including Menthol Ice and Smooth Cream.

Altria’s Nu Mark e-cigarette company “has a robust pipeline of products and takes a disciplined approach to introducing those products to understand adult smoker and vaper acceptance,” Altria spokesman Steve Callahan said.

Callahan said the company was also mindful of the requirements of the new regulations and complying with the timelines the FDA established.

Mistic E-Cigs had planned to introduce sometime this year a new product called the Mistic 2.0 POD-MOD personal vaporizer, which has pods prefilled with liquids, but said its staff worked 14-hour days to ensure it was ready before the regulations took effect.

“We got a little lucky but we had to work a little extra hard,” said Justin Wiesehan, Mistic’s vice president of regulatory affairs. (Reporting by Jilian Mincer; Editing by Michele Gershberg and Will Dunham)

Protecting the Public and Especially Kids from the Dangers of Tobacco Products, Including E-Cigarettes, Cigars and Hookah Tobacco

This month, for the first time, FDA will be able to help protect the public, and especially kids, from the dangers of all tobacco products.

http://blogs.fda.gov/fdavoice/index.php/2016/08/protecting-the-public-and-especially-kids-from-the-dangers-of-tobacco-products-including-e-cigarettes-cigars-and-hookah-tobacco/

For years, it has been illegal under federal law to sell cigarettes and smokeless tobacco to minors. Under a rule finalized in May, federal law now prohibits retailers from selling e-cigarettes, hookah tobacco or cigars to people under age 18.

Beginning today:

 It will become illegal nationwide to sell cigars, hookah tobacco, and e-cigarettes to anyone under age 18 and retailers will need to check photo ID of anyone under age 27.
 Retailers will not be allowed to give away free samples of newly deemed tobacco products.
 Retailers will not be allowed to sell cigars, hookah tobacco, and e-cigarettes in a vending machine where anyone under age 18 has access at any time.

In 2009, the President signed the Family Smoking Prevention and Tobacco Control Act into law, giving FDA the authority to regulate cigarettes, cigarette tobacco, roll-your-own tobacco, and smokeless tobacco. But cigar, hookah tobacco and e-cigarette markets remained unregulated, creating a market environment I have equated in the past to the Wild, Wild West.

While there has been a significant decline in the use of traditional cigarettes among youth over the past decade, their use of other tobacco products continues to climb – putting a new generation of kids at risk of addiction. E-cigarette use, for example, skyrocketed from 1.5 percent in 2011 to 16 percent in 2015 (an over 900 percent increase) among high school students; and hookah use also increased significantly. And every day, more teenage boys try a cigar than try a cigarette.

That’s why this historic rule is so important. It enables FDA to regulate all tobacco products except accessories – improving public health and protecting future generations from the dangers of tobacco.

In addition to restricting youth access to tobacco products, FDA will now be able to review new tobacco products not yet on the market, prevent misleading claims and help better provide consumers with information to make informed decisions about their tobacco use. This means tobacco product manufacturers will be required to register and list their products with FDA. And all newly regulated products will need to get a marketing order from FDA, unless they are grandfathered (were sold in the U.S. as of February 15, 2007.) Manufacturers will also be required to report ingredients and harmful and potentially harmful constituents in their products.

Under these public-health based regulations, tobacco product manufacturers seeking a marketing order from FDA must now demonstrate what is actually in these products, and how these products impact the health of those who use them – important rules to be expected for products that expose consumers to known or potential health risks.

To assist companies in making the transition to an FDA-regulated marketplace, we have published several guidance documents to help businesses, big and small, meet these new requirements. We also continue to offer webinars for retailers and manufacturers and support from our Office of Small Business Assistance.

This historic final deeming rule is a major public health step forward. We believe by restricting youth access to additional tobacco products such as cigars, hookah, and e-cigarettes and by scientifically reviewing these products, we will reduce the public health toll of tobacco use, which remains the leading cause of preventable disease and death in the country and the world – and keep our kids tobacco-free.

Mitch Zeller, J.D., is the Director of FDA’s Center for Tobacco Products