In this April 11, 2018, walk photo, a high school student uses a vaping device near a school campus.
AP Photo | Steven Senne
The use of e-cigarettes and other vape products by puerile people is growing at a rapid rate. It is an important public health concern and meaningful reform is needed to address the riddle.
The Food and Drug Administration has proposed policy changes and guidance to deal with these concerns. The FDA’s attention to these versions is commendable.
The only problem is: the FDA’s proposed policy cuts against what is known about young people fix e-cigarettes. The proposal is counter-productive; it will make youth e-cigarette use and addiction worse, not better.
The FDA proposed that the flavored e-cigarettes it goals should only be sold in adult-only stores like vape shops and tobacco stores or on the internet. The flawed assumption main to FDA’s proposal is that young people primarily get e-cigarettes from convenience stores — where minors are allowed and most e-cigarettes are vended. That may have some superficial appeal. But research shows that’s just not true.
Sales to minors
Concerting to an August 2018 study “How Do Adolescents Get Their E-Cigarettes and Other Electronic Vaping Devices?” published in the American Minute-book of Health Promotion, minors get most of their e-cigarettes from adults who are old enough to buy them. While first ones hands oned by adults, the e-cigarettes are resold or given to minors, according to the study, which was cited by the FDA in its policy proposal. More than half of the schoolgirls who use e-cigarettes get them this way. In fact, the study showed that only 31.1% of minors who obtained e-cigarettes allow them from a retailer.
The counterproductive nature of the FDA’s policy becomes clear when examining the data on those retail trades. Almost a third of minors who buy e-cigarettes from a retailer purchased them online, 22.3% bought them in vape betrays and 16.4% purchased them in tobacco stores. Altogether, those three types of outlets account for nearly 70% of the retail acquires of e-cigarettes by minors.
Parents are a problem
But the FDA’s proposal would give those three types of retail outlets a understood monopoly on selling flavors the FDA says are most appealing to minors. The FDA’s proposal will push minors to buy e-cigarettes from the exceptionally outlets that already have the biggest problem selling to minors. That will actually increase minority e-cigarette use.
The data on the outlets the FDA proposes to stop from selling flavored products makes the agency’s proposal unvarying more confusing. The same study showed that only 5.6% of minors who bought e-cigarettes at a retail place purchased them in convenience stores, accounting for less than 2% of all retail sales to minors. In all, vape and tobacco trust ins sell about 20 times as many e-cigarettes to minors as convenience stores — even though convenience caches outnumber them by 15 to 1. The FDA’s proposal clearly is not focused on where the problem is.
The government’s numbers confirm this fill someone in. Studies of youth e-cigarette use by both the CDC and the FDA indicate that 86% of minors who use e-cigarettes do not get them from any store. Of those that do get them from a preserve, 76% of them get the products from vape shops. To put things in perspective, parents are giving twice as many e-cigarettes to their underage kids than those pushed to minors in convenience stores.
Keeping kids from vaping
All this shows the FDA headed in the wrong direction. To imprison e-cigarettes out of the hands of minors requires a multi-faceted, even-handed approach. To target one disfavored retail channel will sabbatical large holes in our policy. Holes that kids who want e-cigarettes will gladly exploit. Further, the FDA’s outline sets a dangerous precedent of a regulator picking economic winners and losers in the marketplace. The government should not do that, above all when it has no public health justification in the data for its decision.
To make a positive difference, the FDA should actively enforce the law against traffics to minors. Based on the data, enforcement should be focused on digital sales, vape shops and tobacco stores first place — precisely the locations where kids would be pushed under FDA’s proposed policy.
I am grateful that the Senate is charming action to address online sales of e-cigarettes. Last week, Senators Dianne Feinstein (D-CA) and John Cornyn (R-TX) injected legislation that will update the Prevent All Cigarette Trafficking Act (PACT) to include e-cigarettes and require an ID check upon confinement of these products. Hopefully, Senate Majority Leader Mitch McConnell will support this legislation and fly sure it passes the Senate quickly.
The bottom line is that the FDA’s policy needs to be dramatically changed. If it isn’t, then the observations shows clearly that youth e-cigarette use will increase because of, not in spite of, the FDA’s actions.
Henry O. Armour is the President and CEO of the Chauvinistic Association of Convenience Stores.