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 Table of Contents  
EDITORIAL
Year : 2019  |  Volume : 10  |  Issue : 4  |  Page : 583-584  

Putting an end to ENDS (electronic nicotine delivery systems)


Editor-in-Chief, Contemporary Clinical Dentistry

Date of Web Publication27-May-2020

Correspondence Address:
Girish Malleshappa Sogi
Editor-in-Chief, Contemporary Clinical Dentistry

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ccd.ccd_372_20

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How to cite this article:
Sogi GM. Putting an end to ENDS (electronic nicotine delivery systems). Contemp Clin Dent 2019;10:583-4

How to cite this URL:
Sogi GM. Putting an end to ENDS (electronic nicotine delivery systems). Contemp Clin Dent [serial online] 2019 [cited 2020 Jul 11];10:583-4. Available from: http://www.contempclindent.org/text.asp?2019/10/4/583/285025







Electronic nicotine delivery systems (ENDSs; also called electronic cigarettes [e-cigarettes]), initially emerged in China in 2003, are the devices that do not burn or use tobacco leaves. It was characterized as a promise to tobacco control; however, over the years, it has evolved as a threat to it. Although these have been primarily marketed as an alternative to combustible tobacco as an aid to reduce/cease tobacco smoking or a means of using nicotine in smoke-free environments, concerns regarding their long-term safety and effectiveness in quitting the habit have become a topic of debate in international arena. In light of substantial evidence to quantify its health risks, the World Health Organization (WHO) submitted a report on ENDS to the Sixth Session of the Conference of the Parties (COP) to the WHO Framework Convention on Tobacco Control (COP6) in Moscow (October 13–18, 2014) and subsequently to the Seventh Session which took place in New Delhi (November 7–12, 2016), to regulate importation, sale, and distribution of ENDS worldwide.

In addition to the documented adverse effects such as DNA damage; carcinogenic, cellular, molecular, and immunological toxicity; respiratory, cardiovascular, and neurological disorders; and adverse impact on fetal development and pregnancy, e-cigarettes have emerged as a new form of intoxication that destroy demographically young people. As per the Global Adult Tobacco Survey 2016–2017, approximately 3% of adults (aged 15 years and above) in India were aware of e-cigarettes and there were 0.02% e-cigarette users. The market for ENDS is booming which is evident from the fact that, in 2014, there were 466 brands, and in 2013, three billion USD was spent on ENDS globally. The industry is following the trend of smokeless tobacco wherein their historic interest in smokeless tobacco products outside some Nordic countries was because they both could be used in smoke-free environments and could be promoted to young, nontobacco users to create a new form of tobacco use. On July 10, 2019, the central government informed Parliament that e-cigarettes worth 191,781 USD were imported in India between 2016–2017 and 2018–2019.

In August 2018, the Ministry of Health and Family Welfare issued an advisory to all states recommending that they should not approve any new e-cigarettes and restrict the sale and advertisements of existing e-cigarettes. In a White Paper released on May 31, 2019, the Indian Council of Medical Research had recommended a complete ban on e-cigarettes and other ENDS based on currently available scientific evidence. The White Paper released by the apex body of the country also rejected the argument that e-cigarettes could help smokers quit tobacco consumption. “While such benefits have not been firmly established, there is also evidence that there is risk of people continuing to use both e-cigarettes and tobacco products. In addition, these devices could encourage nonsmokers to get addicted to tobacco,” it said. Rendering it necessary for immediate action, the Prohibition of Electronic Cigarettes (Production, Manufacture, Import, Export, Transport, Sale, Distribution, Storage, and Advertisement) ordinance was promulgated in September 2019 and thereafter passed on November 27, 2019, and December 2, 2019, in The Lok Sabha and The Rajya Sabha, respectively. Following the ban, the University Grants Commission has ensured the effective implementation of the provisions of the act to Higher Educational Institutions. This statutory body has commissioned all the universities and affiliated colleges to prohibit the use of e-cigarettes in their campus and make the students aware of the ill effects of e-cigarettes. The Prohibition of Electronic Cigarettes, Act 2019 is a welcome move by the Government of India in nipping the rising vaping concern among youngsters, but a strict vigil is needed for this ban to bring forth intended results.[11]





 
   References Top

1.
Pisinger C, Dossing M. A systematic review of health effects of electronic cigarettes. Prev Med 2014;69:248-60.  Back to cited text no. 1
    
2.
El Dib R, Suzumura EA, Akl EA, Gomaa H, Agarwal A, Chang Y, et al. Electronic nicotine delivery systems and/or electronic non-nicotine delivery systems for tobacco smoking cessation or reduction: A systematic review and meta-analysis. BMJ Open 2017;7:e012680.  Back to cited text no. 2
    
3.
Indian Council of Medical Research. White paper on electronic nicotine delivery system. Indian J Med Res 2019;149:574-83.  Back to cited text no. 3
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4.
McRobbie H, Bullen C, Hartmann-Boyce J, Hajek P. Electronic cigarettes for smoking cessation and reduction. Cochrane Database Syst Rev. 2014;(12):CD010216. doi:10.1002/14651858.CD010216.pub2.  Back to cited text no. 4
    
5.
The Prohibition of Electronic Cigarettes (Production, Manufacture, Import, Export, Transport, Sale, Distribution, Storage and Advertisement) No. 14 of 2019. Government of India; December 10, 2019.  Back to cited text no. 5
    
6.
Global Adult Tobacco Survey India, 2016-2017, Second Round, Ministry of Health and Family Welfare. Available from: http://cancerindia.org.in/wpcontent/uploads/2018/09/GATS_2_India-Report.pdf. [Last accessed on 2019 Nov 27].  Back to cited text no. 6
    
7.
Advisory on Electronic Nicotine Delivery Systems including e-Cigarettes, Heat-Not-Burn devices, Vape, e-Sheesha, e-Nicotine Flavoured Hookah, Ministry of Health and Family Welfare; August 8, 2018. Available from: http://ntcp.nhp.gov.in/assets/ document/CIRCULAR-ADVISORY/Advisory-on-ElectronicNicotine-Delivery-Systems-(ENDS)-and-the-like-devices-whichenable-nicotine-delivery.pdf. [Last accessed on 2019 Nov 27].  Back to cited text no. 7
    
8.
Lok Sabha, Unstarred Question No. 5550, Sale of e-Cigarettes. Ministry of Health and Family Welfare; July 26, 2019. Available from: http://164.100.47.194/loksabha/Questions/QResult15.aspx? qref=6021&lsno=17[Last accessed on 2019 Nov 27].  Back to cited text no. 8
    
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10.
Electronic Nicotine Delivery Systems and Electronic Non-Nicotine Delivery Systems (ENDS/ENNDS). Available from: https://www.who.int/fctc/cop/cop7/FCTC_COP_7_11_EN.pdf. [Last accessed on 2019 Nov 27].  Back to cited text no. 10
    
11.
Mann G. Explaining the Recent ban on e-Cigarettes. Available from: https://www.prsindia.org/theprsblog/explaining-recent-ban-e-cigarettes. [Last accessed on 2019 Nov 27].  Back to cited text no. 11
    




 

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