Accepted for/Published in: Online Journal of Public Health Informatics
Date Submitted: Aug 19, 2023
Open Peer Review Period: Apr 25, 2024 - Jun 20, 2024
Date Accepted: May 9, 2024
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
ENDS Tobacco Flavors, Public Health, and Toxicity
ABSTRACT
Background:
Recently, the FDA implemented the enforcement priorities against all flavored, cartridge-based e-cigarettes other than menthol and tobacco flavors.
Objective:
This ban undermined the products’ attraction to vapers, so e-cigarette manufacturers added flavorants of other attractive flavors into tobacco-flavored e-cigarettes and re-established attractions.
Methods:
Both the sales of e-cigarettes and posts on social media suggested that the manufacturers’ strategies are likely “successful”. The re-established attraction causes not only a public health issue but also threats to the health of individual vapers.
Results:
Research has shown an increase in toxicity associated with the flavorants commonly used in flavored e-cigarettes that are likely added in tobacco-flavored e-cigarettes based on tobacco-derived and synthetic tobacco-free nicotine, and these other flavors are associated with higher clinical symptoms not often induced by only natural traditional tobacco flavors.
Conclusions:
The additional health risks posed by the flavorants are pronounced even without considering the interactions of toxicology of the different tobacco flavorants, and more research should be done to understand the health risks thoroughly and to take proper actions accordingly for the regulation of these emerging products. Clinical Trial: None
Citation
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Copyright
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