TABLE 1.

Forum of International Respiratory Societies recommendations to protect youth from nicotine in e-cigarettes

1) To protect youths, electronic nicotine delivery systems should be considered tobacco products and regulated as such, including taxation of electronic cigarettes and supplies. The addictive power of nicotine and its adverse effects in youths should not be underestimated.

2) Considering the susceptibility of the developing brain to nicotine addiction, the sale of electronic cigarettes to adolescents and young adults must be prohibited by all nations, and those bans must be enforced.

3) All forms of promotion must be regulated and advertising of electronic cigarettes in media that are accessible to youths should cease.

4) Because flavourings increase rates of youth initiation, they should be banned in electronic nicotine delivery products.

5) As electronic cigarette vapour exposes nonusers to nicotine and other harmful chemicals, use should be prohibited in indoor locations, public parks, and places where children and youths are present.

6) While their health risks are increasingly recognised, more research is needed to understand the physiological and deleterious effects of electronic cigarettes.

7) Routine surveillance and surveys concerning combustible and electronic cigarette use should be carried out in many settings to better understand the scope and health threat of tobacco products to youths in different countries and regions.

Reproduced from [39] with permission.