• April 6, 2020

Op-ed: U.S. FDA wrong on vapor

The health of America’s 42 million smokers, whose lives will be cut short an average of 10 years by their continued use of combusted cigarettes, is being held hostage by government inaction.

Public-health officials agree that e-cigarettes have a role in reducing the burden of illness; while e-cigarettes are not safe, they are a much less harmful way of delivering the nicotine to which smokers are dependent,states an opinionE-cigarette color collection published by rstreet.org. They can help smokers quit — even, sometimes, smokers who didn’t take them up with that intention. Failing that, they reduce the harm of continued nicotine consumption.

Both the Food and Drug Administration and the Centers for Disease Control know this, yet have done precious little to address the new technology — either to encourage smokers to switch, or even to regulate e-cigarettes in a serious and reasonable manner. They have been preoccupied by their war on nicotine, regardless of the source.

Television ad campaigns against smoking are a prime example of how federal agencies approach the subject. While these advertisements are effective, especially with young people, they leave millions who could be helped to quit smoking untreated.

These agencies express concern that positive messages about e-cigarettes could encourage young people to try them. This is a reasonable worry. But although some young people have taken up e-cigarettes in recent years, this is largely due to an absence of regulation — while some states have banned sales to minors, many have not yet formally taken action.

Better regulations could address this concern, but that does not seem to be a priority for policymakers. The government has spent the last five years, for example, developing protocols to evaluate and regulate the safety of e-cigarettes. The draft guidelines are so onerous that it would take several years and millions of dollars for any e-cigarette product to be approved. And after many years of reports of children being poisoned after accessing their parents’ nicotine, it was only this year that Congress passed legislation requiring that e-cigarettes and the devices used to refill them be made childproof.

Fortunately, smokers who want to reduce their risk of tobacco-related disease are not waiting. Reuters reports that 10 percent of adults now use electronic cigarettes. One prominent health activist has attributed the recent decline in cigarette smoking, which has reached a new low of 15.3 percent, to this increased use of e-cigarettes. Two recent surveys of physicians find that half report their smoking patients ask about e-cigarettes; one in three doctors recommend them for harm reduction or cessation.