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Children 2019, 6(3), 40;

Regulation of E-Cigarettes in the United States and Its Role in a Youth Epidemic

Public Health Advocacy Institute at Northeastern University School of Law, Boston, MA 02115, USA
Received: 29 January 2019 / Revised: 19 February 2019 / Accepted: 28 February 2019 / Published: 4 March 2019
(This article belongs to the Special Issue Tobacco and Nicotine Use and Exposure Among Children and Adolescents)
PDF [168 KB, uploaded 4 March 2019]


During the first decade of federal regulation of electronic nicotine delivery systems (ENDS), the e-cigarette industry has rapidly grown. Recently, the U.S. Surgeon General and Commissioner of the Food and Drug Administration each declared the rapid rise in rates of youth using these products to be an “epidemic.” While a foundational basis for regulating ENDS has been in effect since 2016, deferred enforcement has contributed to acute rise in use by youth. The Agency has undertaken several initiatives to address the problem and warned manufacturers that if current youth trends continue, it will be “game over.” View Full-Text
Keywords: electronic cigarette; addiction; regulation; vaping; nicotine; ENDS; FDA electronic cigarette; addiction; regulation; vaping; nicotine; ENDS; FDA
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Gottlieb, M.A. Regulation of E-Cigarettes in the United States and Its Role in a Youth Epidemic. Children 2019, 6, 40.

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