Tobacco Control and Prevention Efforts in the United States

After receiving millions of pre-market applications for electronic cigarette products last year, the agency recently issued market refusals for more than one million flavored NDTs. Many of these denials were due to applicants failing to provide sufficient evidence that the benefits for adult smokers who used the flavored products would overcome the public health concern posed by the well-documented and overwhelming appeal of these products. For the young.

E-cigarettes are the most common tobacco product used by young people in the United States According to recent data from the National Youth Tobacco Survey, more than two million U.S. high school and college students used e-cigarettes in 2021 , of which more than 85% used it. flavored electronic cigarettes. Among high school students who currently used e-cigarettes, 43.6% reported using 20 or more in the past 30 days, and 27.6% reported using them daily. Among college students who currently used e-cigarettes, 17.2% reported using 20 or more in the past 30 days, and 8.3% using daily. Most electronic cigarettes contain nicotine, often at higher levels than other tobacco products, and we know that nicotine is particularly harmful to young people, whose brains are still developing. Additionally, nicotine is the same highly addictive chemical in cigarettes that prompts people to smoke even when they want to quit.

The review of applications by the FDA, however, is conducted on a case-by-case basis, and any product with sufficient evidence to meet the public health standards of the law will be permitted. For example, RJ Reynolds Vapor Company recently received market authorization in October 2021 for an ENDS device and tobacco-flavored e-liquid pods after the FDA determined that the manufacturer’s data showed that its products could benefit dependent adult smokers who switch to these products – either completely or with a significant reduction in cigarette consumption – by reducing their exposure to harmful chemicals.

As part of this scientific review, the FDA looked at the risks and benefits to the general population, including users and non-users of tobacco products, and most importantly, young people. The available data suggests that most youth and young adults who use ENDS start with flavors such as fruit, candy or mint, and not with tobacco. This data strengthens the FDA’s decision to only allow the company’s tobacco flavored products, while denying applications for their flavored products, as these products are less appealing to young people and authorization of these products may be beneficial. for adult burnt cigarette users who switch completely to ENDS or significantly reduce their cigarette consumption.

The FDA is committed to working to transition the current US market to a market in which all ENDS products available for sale have demonstrated that the product is marketed “appropriate for the protection of public health.”

In an ever-changing landscape, the pre-market review of new tobacco products is essential to protect public health. The FDA will continue to make claims decisions and formulate policies based on the best available science with the goal of reducing preventable disease and death caused by tobacco use. To learn more about our comprehensive efforts in this area, visit

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