Surgeon General’s Report Finds E-Cigarettes Are Dangerous
The U.S. Surgeon General’s report on electronic cigarettes delivers a clear and unmistakable message to our nation’s policy makers: E-cigarettes pose a serious threat to the health of kids and young adults, and we should be doing everything we can to prevent young people from using these products. Study Shows Electronic Cigarettes Refill Liquids Inaccurately Labeled
Recent e-cigarette study published in the Journal of Pediatric Nursing determined that half (51 percent) of the labels do not accurately reflect the levels of nicotine found in the products.

FDA Rules to Protect Americans from Tobacco Dangers 
FDA finalizes a rule extending its authority to all tobacco products including e-cigarettes.

Study Reports High School Students Using E-cigarettes
According to the 2015 Youth Risk Behavior Survey, 22 percent of high school students report using e-cigarettes in the past month, while just 12 percent are using traditional cigarettes. This alarming use of e-cigarettes highlights the need to educate youth and the general public about the dangers of e-cigarettes.

North Dakota's E-Cigarette Law

Question and Answer

How to report a potential electronic cigarette violation:
Questions concerning possible violations of North Dakota's e-cigarette law can be reported to your local law enforcement agency. For more information you may also contact your local public health unit.

What are electronic cigarettes?Electronic Cigarettes
Electronic cigarettes are products designed to deliver nicotine or other substances to a user in the form of a vapor.  Typically, they are composed of a rechargeable, battery-operated heating element, a replaceable cartridge that may contain nicotine or other chemicals, and an atomizer that, when heated, converts the contents of the cartridge into a vapor. This vapor can then be inhaled by the user. These products are often made to look like such products as cigarettes, cigars, and pipes. They are also sometimes made to look like everyday items such as pens and USB memory sticks, for people who wish to use the product without others noticing.

How accurate are the labels on e-juice containers? 
A recent study funded by the North Dakota Center for Tobacco Prevention and Control Policy and published in the Journal of Pediatric Nursing determined that  half (51 percent) of the labels on e-cigarette liquid nicotine in North Dakota do not accurately reflect the levels of nicotine found in the products. Actual nicotine levels in some products were 172 percent higher than labeled.

What concerns does FDA have regarding electronic cigarettes?
FDA's May 5th, 2016 ruling aims to protect Americans from dangers of tobacco and restrict youth access to e-cigarettes. When FDA conducted limited laboratory studies of certain samples, FDA found significant quality issues that indicate that quality control processes used to manufacture these products are substandard or non-existent. FDA found that cartridges labeled as containing no nicotine contained nicotine and that three different electronic cigarette cartridges with the same label emitted a markedly different amount of nicotine with each puff. Experts have also raised concerns that the marketing of products such as e-cigarettes can increase nicotine addiction among young people and may lead kids to try other tobacco products. Visit FDA’s Electronic Cigarettes webpage for additional information.

What action has FDA taken on electronic cigarettes?
FDA issued warning letters to five distributors of electronic cigarettes for violations of the Federal Food, Drug, and Cosmetic Act (FDCA). These violations included unsubstantiated claims and poor manufacturing practices.

Would it be possible for an electronic cigarette to receive FDA approval?
Yes. FDA issued a letter to the Electronic Cigarette Association inviting electronic cigarette firms to work in cooperation with the agency toward the goal of assuring that electronic cigarettes sold in the United States are lawfully marketed. The agency intends to regulate electronic cigarettes and related products in a manner consistent with its mission of protecting the public health.

What products should people who want to quit smoking use?
There are a number of FDA-approved smoking cessation aids, including nicotine gum, nicotine skin patches, nicotine lozenges, nicotine oral inhaled products, and nicotine nasal spray that are available for smokers to use to reduce their dependence on nicotine.  Free help is available to all smokers who want to quit at 1-800-QUIT-NOW or by visiting ND Quits.

News and Resources

2016 Surgeon General's Report
E-Cigarette Use Among Youth and Young Adults

Electronic Cigarette Refill Liquids Inaccurately Labeled
Journal of Pediatric Nursing

FDA Rules to Protect Americans from Tobacco Dangers

2015 Youth Risk Behavior Survey  

Tobacco Use by North Dakota High School Students

Do You Vape? Not In US National Parks, You Don't
National Parks Ban E-Cigarettes

Flavored Tobacco Product Use Among US Youth Aged 12-17 Years
Journal of the American Medical Association

The American Association for Respiratory Care (AARC) opposes the use of the electronic cigarette (e-cigarette).

New CDC Report Shows E-Cigarette Ads Reach 7 in 10 U.S. Youth – FDA Regulation Needed Now

Data and Resources Regarding Electronic Cigarettes

E-Cigarette Use and Subsequent Tobacco Use by Adolescents
New Evidence About a Potential Risk of e-Cigarettes

American Medical Association

Association of Electronic Cigarette Use With Initiation of
Combustible Tobacco Product Smoking in Early Adolescence

American Medical Association