According to a WHO survey, e-cigarettes have different regulations in different countries, including medicines, tobacco products, general consumer goods, etc. The development of e-cigarettes may be related to tobacco laws and medical and drug policies. It is relatively new to many countries, and there are public health issues related to its use. Current regulations on e-cigarettes, general public opinion, and social perceptions are very different in various places. In February 2014, the European Parliament adopted regulations requiring standardization and quality control of liquids and atomizers, labeling of liquid ingredients, as well as child-proof sampling and tamper-proof packaging of liquids. In April 2014, the U.S. Food and Drug Administration announced proposed regulations for e-cigarettes along similar lines. In May 2021, the World Health Organization (WHO) published the WHO study group on tobacco product regulation report, proposing direction suggestions for various countries in the management of e-cigarettes [27].
UK: E-cigarettes are independently defined and must be registered with The Medicines and Healthcare Products Regulatory Agency (MHRA) before they can be sold [28]. E-cigarettes currently adopt a three-track system. Nicotine e-cigarettes are divided into medical and general use, while non-nicotine e-cigarettes are general consumer products [29][30]. The British government uses laws to manage the marketing methods, nicotine capacity, and e-liquid filling capacity of e-cigarettes, and manufacturers, importers, and distributors of e-cigarettes must comply with the regulations. Public Health England (PHE) published the seventh report on e-cigarette atomizers, Vaping in England: evidence update February 2021, which summarizes the evidence on the use of e-cigarette atomizers to provide a basis for policy and regulation. . The UK’s 2030 smokefree target, new tobacco control plan and review of the Tobacco and Related Products Regulations (TRPR) provide an opportunity to review all vaping regulations (and other nicotine and tobacco) regulations to ensure they are applicable and Help smokers quit smoking while managing uptake risks in never-smokers [31].
United States: The U.S. Food and Drug Administration (FDA) defines e-cigarettes as tobacco products [32] unless they are marketed as medicinal or medical products. In early 2015, the U.S. Federal Aviation Administration (FAA) issued a safety alert to airlines for fire safety reasons, banning e-cigarettes in luggage. Although e-cigarettes can be carried hand-held, e-cigarettes are prohibited during flights [33]. New York in the United States has banned the sale of flavored e-cigarettes from July 2020[34][35]. Researchers from the Yale School of Public Health also published an article in the Journal of the American Medical Association in May 2021 using the Centers for Disease Control and Prevention (CDC) 2011-2019 Youth Risk Behavior Surveillance System. (YRBSS) Biennial school district survey data analyzing smoking status among 100,695 minors. The study found that compared with other school districts, San Francisco’s flavored cigarette ban significantly increased the smoking rate among local minors, mainly because a higher proportion of e-cigarette users used flavored cigarettes, and after the flavors were restricted, most people That is, switching to cigarettes. The study also showed that if regulatory agencies implement a ban on flavored cigarettes, it will lead to an increase in the smoking rate of certain groups and will not effectively reduce the use of e-cigarettes as expected [36]. In October 2021, the FDA approved the sale of Vuse Solo e-cigarettes for the first time. Part of the reason is that tobacco-flavored e-cigarettes can reduce the use of paper cigarettes, are not attractive to teenagers, and have a considerable degree of “harm reduction” compared with paper cigarettes [37].
The New Zealand government currently adopts general consumer product management for e-cigarettes: non-nicotine e-cigarette oils are all general consumer products. In January 2018, cigarettes were promoted to promote environmental pollution, and their sales were prohibited by legislation. Nicotine is a third-category controlled drug and is prohibited for the general public. held[38]. After New Zealand established the 2025 smoke-free national target, the Smokefree Environments and Regulated Products (Vaping) Amendment Act came into effect on November 11, 2020; this act ensures that e-cigarette products are provided to smokers who want to use less harmful alternatives. and ensuring that these products are not marketed or sold to young people [39].
