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http://www.healthline.com/health-news/aha-recommends-regulating-e-cigs-082414
American Heart Association Recommends FDA Regulate E-Cigs Like Tobacco
Written by Cameron Scott
Published on August 24, 2014
Advocates of e-cigarettes say they're a healthier alternative to smoking. Opponents say they're just a way for tobacco companies to get more people hooked. The American Heart Association has weighed the evidence and says e-cigs should be closely monitored.
Just when you thought tobacco was out, e-cigarettes brought it back in.
The re-emergence of smoking, now with electronic vaporizing e-cigarettes, has caught regulators flat-footed. Public health groups have scrambled to respond to proponents’ claims that the high-tech cigarettes are safer for smokers and don’t produce secondhand smoke.
The American Heart Association (AHA) is hoping to bring some clarity to the issue with a detailed account of the science on e-cigarettes and recommendations about how they should be regulated.
Tobacco or Not Tobacco?
The AHA calls for e-cigarettes to be categorized as tobacco products, which would allow the U.S. Food and Drug Administration to regulate them as it does cigarettes and smokeless tobacco.
“We believe strongly that this is a tobacco product,” said Aruni Bhatnagar, a professor of environmental cardiology at the University of Louisville and the lead author of the AHA paper, published today in its journal Circulation. (PDF link: http://circ.ahajournals.org/lookup/doi/10.1161/CIR.0000000000000107)
It may seem obvious, but the FDA only gained the right to regulate tobacco products in 2009. And though nicotine is the addictive component of tobacco, it’s also found in lesser concentrations in related plants, including tomatoes and eggplants. The FDA’s effort to regulate e-cigarettes as drugs was shot down in a 2010 court decision. But it is continuing to try to regulate them as tobacco products.
The law specifically lists what counts as tobacco products for the FDA's purpose. But it allows the agency to add other products that meet “the statutory definition of a tobacco product, which is ‘made or derived from tobacco’” after going through a rulemaking process, said Jennifer Haliski, an FDA spokeswoman.
“That process is happening now,” Haliski said.
E-cigarette advocates argue that their products, also called “vapes,” are safer than conventional cigarettes and give many smokers a healthier alternative or even a pathway to quitting.
The AHA paper says that the evidence to support these claims is weak.
http://www.healthline.com/health-news/aha-recommends-regulating-e-cigs-082414