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![](https://static.time.com/v3/assets/bltea6093859af6183b/blt471243a73a857e8c/69869b81e8524b0efc603dc2/e-cig.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9)


# E-Cigs Should Only Be "Last Resort" for Quitters, Experts Say

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by 

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## Mandy Oaklander


Oaklander is a senior editor at TIME.

Aug 25, 2014 3:52 PM UTC

![A salesman waits for customers as he enjoys an electronic cigarette at a store in Miami, Florida on April 24, 2014.](https://static.time.com/v3/assets/bltea6093859af6183b/blt471243a73a857e8c/69869b81e8524b0efc603dc2/e-cig.jpg?branch=production&width=1200&quality=75&auto=webp&crop=3:2)

A salesman waits for customers as he enjoys an electronic cigarette at a store in Miami, Florida on April 24, 2014.

A salesman waits for customers as he enjoys an electronic cigarette at a store in Miami, Florida on April 24, 2014. Joe Raedle—Getty Images

![Mandy Oaklander](https://static.time.com/v3/assets/bltea6093859af6183b/bltf730b17db5c29309/698938c986f68e5af66ea012/m_oaklander-staff-portrait.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Mandy Oaklander](https://time.com/author/mandy-oaklander/)


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## Mandy Oaklander


Oaklander is a senior editor at TIME.

Aug 25, 2014 3:52 PM UTC

E-cigarettes are everywhere—and are [reportedly quitters’ favorite tool](time.com/3103691/e-cigs-are-smokers-favorite-quitting-tool/) with some experts claiming it’s a healthy alternative to traditional tobacco. But vaping doesn’t deserve its health halo, says the American Heart Association (AHA) in a [policy statement](http://circ.ahajournals.org/content/early/2014/08/22/CIR.0000000000000107.full.pdf) released today in its journal _Circulation_.

The group calls for an overhaul of how we deal with e-cigs, advocating for stricter laws, industry oversight by the government, and more rigorous research.

Right now, e-cigs are a Wild West industry, with [10 new companies coming to market every month](http://time.com/2885999/10-new-e-cig-brands-hit-the-market-every-month/). The FDA doesn’t yet regulate them—[though the agency plans to](http://time.com/76275/e-cig-execs-are-actually-thrilled-with-new-fda-regulations/)—fueling concerns about possible contaminants, quality control, labeling, and marketing. There’s not much research about the [public health](http://time.com/90756/e-cigs-still-produce-carcinogens-study-shows/) impacts of e-cigs. Yet they’re a big business, and sales are expected to rake in $10 billion by 2017, according to predictions by Wells Fargo.

Many people use e-cigs, many of which contain nicotine but not tobacco, to wean themselves off of cigarettes. Their reputation as cigarette-cessation tools is widespread—though [more research is needed to see if that reputation is warranted](http://time.com/36090/study-e-cigarettes-do-not-help-people-quit-smoking/). “We don’t have much data on the efficacy as a cessation aid,” lead author Aruni Bhatnagar, chair of cardiovascular medicine at the University of Louisville, tells TIME. E-cigarettes aren’t approved by the FDA as tools to help people quit, and the AHA says that there’s a lack of evidence that they actually work for that purpose. However, some studies suggest e-cigarettes may perform as well or a bit better than nicotine patches, so they should be viewed as a last resort when other methods fail.

Another concern is [marketing to young people](http://time.com/14260/e-cigarettes-dont-discourage-smoking-among-teens/). Television ads for e-cigarettes reached an estimated 24 million youth between 2011 and 2013, the AHA report says. And a separate CDC study released today in the journal _Nicotine and Tobacco Research_ found that more than a quarter of a million youth who’ve never tried a cigarette puffed the electronic version in 2013\. That’s a three-fold increase from 2011-2013.


“We have grave concerns about industry marketing and advertising of e-cigarettes to children,” Bhatnagar says. The AHA is calling for a federal tax on e-cigarettes, which may help deter young would-be adopters, in addition to a ban on flavorings. (E-cigs come in more than 7,000 flavors like mint and chocolate, which tend to appeal to younger users.) And while many states ban the sale of e-cigarettes to minors, the AHA is calling for a federal ban on the sale to minors.

Walk into any smoke-free area and you’re bound to encounter e-cigarettes—another fact the AHA wants to change by subjecting e-cigarettes to the same laws as tobacco products. On Monday, Toronto joined the growing list of cities banning e-cigs in the workplace.

There’s still a lot we don’t know about e-cigarettes, including how chemicals and nicotine interact with the environment and bystanders, and normalizing smoking behavior undoes years of anti-smoke crusading, the AHA says. So the group recommends that e-cigs be classified as tobacco products to subject them to the same smoke-free air laws.


“We don’t have much data on what their long-term health impact is going to be,” Bhatnagar says. “It will be five to seven years before we know what happens to cardiovascular health.”

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