Public Health Policies on E-Cigarettes.

Introduction:
This article examines the public health policies surrounding electronic nicotine delivery systems (ENDS), or e-cigarettes, and their impact on smoking cessation and addiction in young people. The authors provide a balanced view of the challenges and potential recommendations for regulation.

Key Points:

* E-cigarettes can deliver high concentrations of nicotine, which can be particularly addictive for children and young adults.
* Use of e-cigarettes is a risk factor for future cigarette use in young adults.
* E-cigarette usage patterns depend on several sociodemographic factors.
* Banning tobacco products has been shown to reduce smoking risk in youth.
* Strong e-cigarette regulation measures are needed to prevent youth addiction and vaping-related disease.
* The FDA has passed regulations to prevent the sale of e-cigarettes to those under 18 and to regulate manufacturing and marketing standards.
* State and local governments have also enacted laws to protect against the misuse of e-cigarettes, including banning their use in 100% smoke-free public places and increasing the minimum age of sale to 21.

Main Message:
The regulation of e-cigarettes is a complex issue that requires a balanced approach to prevent youth addiction while also providing smoking cessation tools for existing smokers. The FDA and state and local governments have taken steps to regulate e-cigarettes, but more comprehensive and long-term studies are needed to address the incomplete data around the health effects of e-cigarettes. A bi-pronged approach that includes prevention strategies for youth and control strategies for current smokers looking for reduced harm alternatives is recommended.

Bhalerao A, Sivandzade F, Archie SR, Cucullo L. Public Health Policies on E-Cigarettes. Current cardiology reports. 2019;21(10):111. doi:10.1007/s11886-019-1204-y