Electronic cigarettes (e-cigarettes), also known as electronic nicotine delivery systems, are battery-powered devices that allow users to inhale aerosolized liquid (e-liquid), which may contain nicotine and other potentially harmful chemicals.
E-cigarettes come in disposable and reusable varieties. Some may resemble conventional cigarettes or common household items, such as pens or USB memory sticks. E-cigarettes and e-liquid are also sold in a range of dessert and fruit flavors, and many brands allow users to refill e-liquid with store-bought or homemade versions.
E-cigarettes are not regulated by the FDA and the health risks are unknown.
Aerosols from some e-cigarettes contain chemicals known to cause cancer, as well as nicotine; there is no way for users to know how much nicotine or other potentially harmful chemicals they are inhaling.
E-cigarettes are not FDA-approved smoking cessation aids, and there is no body of evidence that proves e-cigarettes help people quit smoking.
FDA-approved cessation aids, such as patches, gum, or lozenges, provide specific levels of nicotine. Without regulation there is no way to know how much nicotine or other potentially harmful chemicals are contained in e-cigarettes. Some e-cigarettes have been shown to contain nicotine despite being labeled as nicotine-free.
E-cigarette use has increased rapidly since the products entered the market. Among adults, the number of those who have tried e-cigarettes has nearly doubled since 2010. Additionally, nearly 13 percent of Minnesota high school students have used or tried e-cigarettes in the past 30 days.
Many e-cigarettes contain nicotine, which is highly addictive and known to harm the developing adolescent brain. No amount of nicotine is safe for youth.
E-cigarettes may be especially harmful if they:
- Lead to regular nicotine use or use of other tobacco products. E-cigarette use among youth has been linked to increased intentions to smoke cigarettes.
- Glamorize or renormalize tobacco use, including exposing children to images of tobacco use.
- Expose youth involuntarily to aerosolized nicotine or other psychoactive substances.
- Result in poisonings through ingestion, inhalation, or absorption of nicotine liquid on the skin; in high doses nicotine may be extremely toxic or even fatal. In Minnesota, child poisonings related to e-cigarettes increased sharply from 2011-2014. Symptoms have included nausea and vomiting.
Learn more at www.health.mn.gov/nicotine.
Despite potential harms, e-cigarettes may still appeal to young people.
- E-cigarettes are available in fruit and candy flavors; flavored tobacco products appeal to youth.
- E-cigarettes are available for purchase online.
- E-cigarettes are sometimes advertised using celebrity endorsements.
E-cigarettes use is prohibited in some schools, universities, and government and health care facilities. Minnesota law also requires that e-cigarettes are taxed as tobacco products, and retailers in Minnesota cannot sell e-cigarettes to minors.
Additionally, retailers selling e-cigarette are required to be licensed, are subject to annual compliance checks, and in most cases must keep e-cigarettes behind the counter. E-cigarette sales from kiosks are also prohibited, and e-cigarette liquids must be sold in child-resistant packaging.
There are a number of strategies recommended by the U.S. Surgeon General for reducing tobacco use among youth.
Increasing in the price of tobacco
Price increases, including tobacco excise taxes, are effective in reducing youth tobacco use; youth are sensitive to price increases.
Implementing smoke-free indoor air policies
E-cigarette use is currently allowed in many indoor spaces, such as restaurants and workplaces. Minnesota cities and counties may adopt additional e-cigarette provisions within their communities.
Restricting youth access to tobacco products
The U.S. Surgeon General identifies restrictions on sales including state or local bans on entire categories of tobacco products, as a strategy for reducing use.
Restricting advertising and promotion of tobacco products
E-cigarettes are not subject to the same restrictions as conventional cigarettes and are advertised heavily on TV, radio, the Internet and in convenience stores. Nearly 60 percent of Minnesota high school students have seen ads for e-cigarettes on TV, and nearly half have seen ads in convenience stores and other stores, in the past 30 days.
Data and Reports
Centers for Disease Control and Prevention (CDC)
- About one in five US adult cigarette smokers have tried an electronic cigarette
- Electronic Cigarette Use among Middle and High School Students
- Key Findings: Trends in Awareness and Use of Electronic Cigarettes among U.S. Adults, 2010-2013
- More than a quarter-million youth who had never smoked a cigarette used e-cigarettes in 2013
Minnesota Youth Tobacco Survey
- Teens and Tobacco in Minnesota, 2014 Update
This report covers survey results on conventional tobacco use and secondhand smoke exposure, and presents the first results on the use of electronic cigarettes by Minnesota youth.
- Additional youth tobacco reports
E-Cigarettes: A presentation on the latest research and discussion of the clinical practice implications
- View this presentation online
- Download this presentation recording (WMV: 122MB)
- Download the presentation slides only (PDF: 2,365KB/53 pages)
American Lung Association
Minnesota Clean Indoor Air Act
- Minnesota Clean Indoor Air Act (MCIAA)
- Electronic cigarettes and the Minnesota Clean
Indoor Air Act (PDF:268KB/2 pages)
Public Health Law Center
U.S. Food and Drug Administration (FDA)
This information is also available in PDF form: Electronic Cigarettes (PDF: 254KB/2 pages)