The American College of Physicians (ACP) recommends tougher federal regulation of e-cigarettes, including a ban on flavored tobacco products, to discourage use among young people.
The ACP endorses an FDA proposal to include them under products regulated by the Tobacco Control Act. It says there is limited evidence on the health effects of electronic nicotine delivery systems (ENDS) and on their effectiveness in smoking cessation.
The ACP recommended the following regulations:
- Health warnings on all packing and marketing materials, to be updated “as scientific evidence related to the health effects of ENDS emerges”
- Establishing production and manufacturing standards, including childproof packaging
- Prohibiting ENDS promotion and sponsorship at entertainment and sporting events
- Requiring identification for any consumers under 18 to purchase ENDS products
- Preventing misleading or “unsubstantiated health claims” on ENDS packaging
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