A Literature Review on International E-cigarette Regulatory Policies
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TOBACCO (K BOLD AND G KONG, SECTION EDITORS)
A Literature Review on International E-cigarette Regulatory Policies D. Eisenkraft Klein 1 & Michael Chaiton 1,2 & A. Kundu 1 & R. Schwartz 1,2
# Springer Nature Switzerland AG 2020
Abstract Purpose of Review Jurisdictions around the world have adopted different policies in order to regulate e-cigarette products, to allow for the use of e-cigarettes by cigarette smokers for cessation or harm reduction and to reduce the likelihood of non-smokers initiating e-cigarette use. The purpose of this review is to provide a brief overview of different e-cigarette regulations across the world, focusing on regulations of sales, product standards, nicotine concentrations, flavours and marketing restrictions. This review was conducted between February and April 2020. Recent Findings There are a large range of policies that countries around the world have chosen in order to regulate vaping products to prevent use and limit harm associated with use of e-cigarettes. Many countries provide avenues for separate regulation of therapeutic and consumer e-cigarette devices. Summary E-cigarettes have the potential of causing harm among young vapers and reducing harm among adult cigarette smokers. The most effective strategies would balance both of these properties and prevent access to vaping products among adolescents and youths and at the same time increase the availability of the regulated therapeutic products among people trying to quit smoking. Future efforts of research should focus on evaluating the impact of different regulatory policies to achieve these purposes and exploring the use of e-cigarettes as a smoking cessation aid. Our recommendations are based on existing literature on the effectiveness of current e-cigarette regulations. Keywords E-cigarette . Vaping . International . Regulation . Policy
Overview There are three key, but contrasting, driving principles behind e-cigarette regulation internationally. The first principle is upholding consumer product standards. Regulations following these principles set out production, manufacturing and retail standards consistent with commercial product regulation common for commercial goods in most countries and are not meant to limit the sales of good but maintain consumer trust in the product. The second is limiting access, addictiveness or attractiveness of e-cigarettes by youths and non-smokers more generally. Finally, countries have also considered regulations
that facilitate e-cigarette use for smoking cessation by adults. These regulations are meant to increase sales of the product. We argue that regulatory policies are a key determinant in the uptake of both youth and adult vaping. This review emphasizes the wide range of policy and regulation mechanisms available to governments trying to curb e-cigarette use and harms. There is a clear need for comprehensive regulatory approaches to e-cigarettes that include sales, product standards, nicotine concentrations, flavours and marketing restrictions with separate regulatory streams
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