“This new in-depth look at the complexities of e-cigarettes is a commendable, timely contribution to the ongoing dialogue about the effects of these tobacco products. 

The National Academies’ evidence summary supports many of the recommendations in the association’s 2014 e-cigarette policy statement. E-cigarettes may help adult smokers move away from conventional cigarettes and possibly reduce their exposure to the harmful toxicants and carcinogens they contain. But it’s important to remember that switching to e-cigarettes does not achieve the ultimate goal—quitting tobacco and ending an addiction to nicotine once and for all. We hope that message is not lost on the public as it absorbs this latest analysis.

As the report concludes, there is substantial evidence that users of e-cigarettes can become dependent on these products and that the nicotine intake is comparable to conventional cigarettes. We would add that there is substantial evidence that using e-cigarettes can lead to cardiovascular dysfunction and the National Academies highlights some of that research.

Even more worrisome, as this report emphasizes, is the substantial research that indicates the use of e-cigarettes by young people increases their risk of using traditional cigarettes. We must do all we can to stop this disturbing trend before it turns another generation into lifelong tobacco addicts.

While the body of research on e-cigarettes is growing, the association maintains that it is far from complete. We agree with the National Academies that the jury is still out on the benefits and harmful effects of e-cigarettes, especially in the long-term. Until we have sufficient scientific data, we must have strong FDA regulation of these products and any new versions that come on the market. 

As always, the association will remain vigilant of e-cigarettes and their public health impact and continue our fight to eradicate all tobacco use in our nation.”