E-Cigarettes and the Rising Health Risks

Context: According to WHO’s first global estimate of e-cigarette use (2024), teenagers are nine times more likely to vape than adults, raising major public health concerns worldwide.

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About E-Cigarettes:

  • E-cigarettes are battery-operated devices that heat a liquid into an inhalable aerosol.
  • The liquid typically contains nicotine, propylene glycol, glycerin, flavouring agents, and other chemicals.
  • Known as vape pens, ENDS (Electronic Nicotine Delivery Systems), or ENNDS (Electronic Non-Nicotine Delivery Systems).
  • Though they may not contain tobacco, they often deliver addictive nicotine doses similar to conventional cigarettes.

WHO’s Key Findings (2024):

  • 15 million teenagers (13–15 yrs) use e-cigarettes globally.
  • Youth are 9× more likely to vape than adults.
  • Total vapers: over 100 million, including 86 million adults (mostly in high-income nations).
  • Tobacco use declined from 1.38 billion (2000)1.2 billion (2024).
  • Regional trends:
    • Southeast Asia: Male tobacco use fell from 70% → 37% (2000–2024).
    • Europe: Now the highest tobacco prevalence (24.1%) globally.

Legal Framework in India:

The Prohibition of Electronic Cigarettes Act, 2019

  • Complete Ban: Prohibits production, import, export, transport, sale, distribution, storage, and advertisement of e-cigarettes.
  • Penalties:
    • Manufacture/sale/advertisement → Imprisonment up to 1 year or ₹1 lakh fine (first offence); up to 3 years or ₹5 lakh (repeat offence).
    • Storage → Up to 6 months jail or ₹50,000 fine.
  • Exemption: Permitted only for research and testing purposes.

Implementation Challenges in India:

  • Online Accessibility: Over 60% of e-cigarette products remain available on e-commerce platforms (Voluntary Health Association of India, 2023).
  • Youth Appeal: Flavoured variants and influencer marketing target adolescents.
  • Lack of Support Systems: Only 1 in 5 tobacco users has access to quitting support or therapy (GATS 2022).
  • Product Evasion: New disposable or flavoured devices enter India through unregulated channels.

Way Forward:

Digital Surveillance: Deploy AI-based systems to monitor illegal online sales (like the EU’s Track & Trace model).

Youth Awareness: Launch anti-vaping campaigns under the National Tobacco Control Programme (NTCP)—similar to New Zealand’s Vape-Free Schools.
Quit Support Expansion: Strengthen helplines like mCessation, which has helped over 3 million users attempt quitting.

Inter-Agency Coordination: Form a Nicotine Product Enforcement Task Force involving MoHFW, IT Ministry, and Customs.

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