The History of Electronic Cigarettes

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kristin

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A Timeline

2003: The electronic cigarette is first developed in Beijing, China by Hon Lik, a 52 year old pharmacist, inventor and smoker. He invents the device after his father, also a heavy smoker, dies of lung cancer. The company Lik worked for, Golden Dragon Holdings, developed the device and changed their name to Ruyan, which means "like smoke."

April 2006: Electronic cigarettes introduced to Europe

2006-2007: Electronic cigarettes introduced to the U.S.

September 2008: The World Health Organization proclaims that it does not consider the electronic cigarette to be a legitimate smoking cessation aid, and demand that marketers immediately remove from their materials any suggestions that the WHO considers electronic cigarettes safe and effective

October 2008: In a study funded by Ruyan, Health New Zealand conducts a detailed quantitative analysis and concludes that carcinogens and toxicants are present only below harmful levels. Overall, the product tested was deemed a "safe alternative to smoking."
http://www.healthnz.co.nz/DublinEcigBenchtopHandout.pdf

January 2009: Australia bans the possession and sale of electronic cigarettes which contain nicotine, citing that "every form of nicotine except for replacement therapies and cigarettes are classified as a form of poison."

March 2009: FDA adds electronic cigarettes to Import Alert 66-41 and directed the USCBP to reject the entry of electronic cigarettes into the United States.

March 2009: Canada bans the sale, advertising and import of electronic cigarettes and Health Canada advises Canadians not to purchase or use them, claiming they contain a "known irritant" (Propylene Glycol)

March 2009: FDA notifies Smoking Everywhere that their shipments have been refused entry into the U.S. The FDA purports that electronic cigarettes "appears to be a combination drug-device product that requires preapproval, registration and listing with the FDA.

May 2009: Action on Smoking and Health (ASH) files a petition to the FDA, calling for FDA regulation of electronic cigarettes
ecigpetition

April 2009: Smoking Everywhere files a federal complaint seeking an injunction against the FDA with respect to the FDA's attempts to ban the import of Electronic Cigarettes. Smoking Everywhere contends that the FDA has no authority over electronic cigarettes, as they are a "tobacco product" and the FDA's attempt to regulate them infringes on Congress's intent to withhold FDA jurisdiction over tobacco products. They contend that electronic cigarettes are not "drugs," "drug delivery systems," or "drug device combinations" under 21 U.S.C 321(g).
Smoking Everywhere Verified Complaint

May 2009: Njoy joins Smoking Everywhere lawsuit against FDA

May 2009: The Electronic Cigarette Association is formed. The ECA is a trade association made up of electronic cigarette producers, distributors and retailers, whose aim is to speak on behalf of the electronic cigarette industry, especially in response to health concerns, and to help institute industry standards. The group is headquartered in Washington, D.C. Its president and spokesman is former United States congressman Matt Salmon.

May 2009: FDA tests 2 brands of electronic cigarettes, Njoy & Smoking Everywhere. 18 catridges are tested. Tests reveal trace amounts of cancer-causing nitrosamines. One cartridge contains 1% diethylene glycol, a toxic substance. Cartridges labeled as 0mg nicotine are shown to contain nicotine.
Evaluation e Cigarettes

June 2009: President Obama signs into law the Family Smoking Prevention and Tobacco Control Act 18, giving the FDA the power to regulate the tobacco industry. Although nicotine and cigarettes as a whole cannot be banned outright, flavoring such as fruit or mint can. Additionally, new tobacco products seeking to enter the market will be required to meet FDA pre-market standards, which could affect electronic cigarette regulation.

June 2009: Panama bans the importation, distribution and sale of electronic cigarettes.

July 2009: FDA files a supplimental brief, in the Smoking Everywhere lawsuit, referencing the Family Smoking Prevention and Tobacco Control Act. The FDA contends that it still has authority over electronic cigarettes and they stand behind the decision to label it a drug-device combination and that the "FDA found, after examining the product, the claims made in the product labeling, and information SE submitted to FDA, that SE’s product met the definition of both a drug and device under the FDCA."
http://www.fda.gov/downloads/NewsEvents/PublicHealthFocus/UCM173191.pdf

July 2009: Two months after testing, the FDA issues a press release discouraging the use of electronic cigarettes and repeating previously stated concerns that electronic cigarettes may be marketed to young people, lack appropriate health warnings and that they contain carcinogens and toxic chemicals such as diethylene glycol, an ingredient used in antifreeze.
Electronic Cigarettes

July 2009: FDA's May 2009 study is reviewed by scientific consulting firm Exponent, Inc., in a report commissioned by Njoy. Some of the criticisms in Exponent's report are poor standards of documentation and analysis and failure to perform relevant comparisons to FDA-approved nicotine replacement therapy products, which Exponent claims contain TSNA levels comparable to those of electronic cigarettes. The study concludes that the FDA's claims of potential adverse health effects were not supported by the study.
http://www.njoythefreedom.com/contactcommerce/images/press_releases/Response to the FDA Summary.pdf

August 2008: The State of Oregon files two settlements that prevent two national travel store chains, Pilot Travel Centers and TA Operating, from selling Njoy electronic cigarettes. In addition, the company must give the Attorney General advance notice that they intend to sell electronic cigarettes in Oregon, provide copies of all electronic cigarette advertising, and provide copies of the scientific studies they maintain substantiates their claims. Njoy voluntarily stops all sales in Oregon.
http://www.doj.state.or.us/releases/2009/rel073009.shtml

August 2008: Oregon Attorney General John Kroger files a lawsuit against Smoking Everywhere, alleging that the Florida-based “electronic cigarette” company made false health claims about its nicotine delivery device and targeted children with sweet flavors. Smoking everywhere refuses to settle.

September 2009: California passes a bill to ban the sales of electronic cigarettes in the state. Governor Schwarzenegger vetoes the bill stating, "If adults want to purchase and consume these products with an understanding of the associated health risks, they should be able to do so unless and until federal law changes the legal status of these tobacco products."

October 2009: Consumer Advocates for Smoke-free Alternatives Association forms and board members elected. The organization is made up of both consumers and retailers, with the mission to ensure the availability of effective, affordable and reduced harm alternatives to smoking by increasing public awareness and education; to encourage the testing and development of products to achieve acceptable safety standards and reasonable regulation; and to promote the benefits of reduced harm alternatives.
CASAA | The Consumer Advocates for Smoke-Free Alternatives Association

October 2009: UK ASH recognizes that products should be made available that deliver nicotine in a safe way, without the harmful components found in tobacco, but those attempting to quit should use conventional NRTs.
http://www.ash.org.uk/files/documents/ASH_715.pdf

December 2009: New Jersey State legislators pass a bill including electronic cigarettes in the state's public smoking ban.

December 2009: Njoy announces it is discontinuing, in the U.S., the availability of all flavors except its traditional tobacco flavor and menthol. The move aligns the flavors offered by NJOY with those allowed for combustible tobacco cigarettes under the Family Smoking Prevention and Tobacco Control Act.
 
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kristin

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If you look at the timeline, that was actually just back in October - TWO months. Please bear in mind that this is a volunteer job and we all have real jobs and families and there is a LOT to be done. The website should be ready to go soon. We don't just want to put up a finished site with no info. We're collecting articles and facts and links, etc to add content. A couple board members, noteably Vocalek, have been working tirelessly to get this all gathered and uploaded. Meanwhile, we've also been doing advocacy work, such as writing to New Jersey and Virginia legislators and organizing a public event.
 

kristin

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Nice job Kristin

Thanks Susan! A member asked if something like this could be created, so I took a few hours last night to put it together. I wasn't sure of the best place to post it, though. Maybe I should have put it in the general area?

Thanks for the update, looking forward to seeing it up and running.

Oh, Stubby, if you only knew how much we're looking forward to that, as well!! ;)
 

TropicalBob

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Good timeline, Kristin. I don't think the Njoy test by Exponent should be bigger than the year-long Health New Zealand testing funded by Ruyan. Of the two, Health New Zealand is multiples more important.

And I've been told, but certainly cannot prove, that the beloved Hon Lik bought the rights to the e-cig from a young inventor, patented another's design, and created a warm and fuzzy story about the origin of the electronic cigarette. I was told by someone who went to China and got that info.

Oh well. Good job.
 
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kristin

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Good timeline, Kristin. I don't think the Njoy test by Exponent should be bigger than the year-long Health New Zealand testing funded by Ruyan. Of the two, Health New Zealand is multiples more important.

Thanks Bob.

What do you mean "bigger?" More info in the synopsis? I wasn't trying to get too detailed - just a short synopsis of what was done/found. Short and to the point. The Exponent study just needed a little more to explain, as it was addressing the FDA test. I could have written a ton more on the Health New Zealand testing, but that would have taken over the page ;) - so I posted the link for further info. The most important point of the HNZ part was addressed, "product tested was deemed a "safe alternative to smoking."

Anyhow, how much I wrote in the timeline wasn't intended to be a reflection on importance. If you think it takes away from the intent, what would you add to the HNZ part?
 

kristin

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And I've been told, but certainly cannot prove, that the beloved Hon Lik bought the rights to the e-cig from a young inventor, patented another's design, and created a warm and fuzzy story about the origin of the electronic cigarette. I was told by someone who went to China and got that info.
OK, well, if they ever prove that, I can always change it. Otherwise, I guess I'll just have to go with the "official" version, lol.
 

TropicalBob

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I meant that just as newspapers assign story importance by the size of the headline (as well as page and page placement), length also is an indicator of importance to a reader. The Njoy thing means little; the Health New Zealand study is the best done to date, and certainly the most complete. I'd definitely like to see more words devoted to that study and fewer to some Njoy lab test.

Yeh, I'd love to prove Hon Lik just bought an inventor's idea. The guy who told me had been to China, talked with Ruyan, etc., and came back to relate that little detail to me.
 

kristin

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I meant that just as newspapers assign story importance by the size of the headline (as well as page and page placement), length also is an indicator of importance to a reader. The Njoy thing means little; the Health New Zealand study is the best done to date, and certainly the most complete. I'd definitely like to see more words devoted to that study and fewer to some Njoy lab test.

Yeh, I'd love to prove Hon Lik just bought an inventor's idea. The guy who told me had been to China, talked with Ruyan, etc., and came back to relate that little detail to me.
Ok, I can't edit it here, but I changed it for the CASAA website. I added "reportedly" to the inventor line and added "On the basis of the findings, the e-cigarette is rated several orders of magnitude (100 to 1000 times) less dangerous than smoking tobacco cigarettes. The nicotine dose is comparable to that of a medicinal nicotine inhaler." to the Health New Zealand part. I don't know what else to put in there with out going overboard with all of the test numbers. Any recommendations?

I do feel the Njoy study was important for refuting the FDA's report. I think a lot of people in the US don't care much about a study done in New Zealand (not MY opinion, but it's an unfortunate truth), but a report from a US-based source criticizing the FDA testing methods (which a LOT of people point to as "proof" that e-cigs are dangerous) could make some people say, "Hmmm..."

This is supposed to be a relatively unbiased, straight look at the history timeline - not an article about the events themselves. Changing heading sizes wouldn't seem right. I guess I look more at WHAT something says and not how many words are in the paragraph to judge it's worth in this case. I can appreciate the idea in terms of an article or commentary, though!
 
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TropicalBob

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You did good. And I was not suggesting a change in heading size. I was saying that publishers of print use a number of ways to flag a story's importance. Page and location on page (page 1A upper right is the top spot), headline size and length (most important would be large across all columns), etc.

So in effect, judgment is passed on content importance by editors using these tools.

You are indeed just creating a fast timeline/outline. My only quibble had been the Njoy item being seemingly more important than Health New Zealand. Not in a million years. And the Njoy test result has the same taint as New Zealand: A maker funded it; therefore it's slanted. You don't think the anti's won't argue that and that the FDA study was not slanted?

No study refutes the FDA findings. Sorry, but that's how the public will see it.
 

kristin

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You did good. And I was not suggesting a change in heading size. I was saying that publishers of print use a number of ways to flag a story's importance. Page and location on page (page 1A upper right is the top spot), headline size and length (most important would be large across all columns), etc.

So in effect, judgment is passed on content importance by editors using these tools.

You are indeed just creating a fast timeline/outline. My only quibble had been the Njoy item being seemingly more important than Health New Zealand. Not in a million years. And the Njoy test result has the same taint as New Zealand: A maker funded it; therefore it's slanted. You don't think the anti's won't argue that and that the FDA study was not slanted?

No study refutes the FDA findings. Sorry, but that's how the public will see it.
True. But who will pay for testing besides a manufacturer? Plus, the FDA requires it to COME from the manufacturer, as you already know. So, won't all future tests carry that same "taint," no matter what?
 

cruisedoc

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ASH could be clearer, but I believe the largest contributor to ASH is Merke Pharmaceutical. I'm not saying that ASH is corrupted, just that they have a clear financial interest. We all know how lobby efforts and financial contributions work in politics. Personally, I think ASH should embrace a product which has been so very successful in helping so many become tobacco free. I started with high strength and worked my way down. I now alternate between zero & low nicotine. After trying everything, this is the only thing that worked for me to quit cigarettes. I advise my patients use this product to quit smoking, and use their own judgement in reducing nicotine levels to zero. To date, my colleague physicians have been enthusiastic about this smoking alternative. Dr. G.
 
No study refutes the FDA findings. Sorry, but that's how the public will see it.

The good/bad news (depending how you look at it) is that no study will or needs to refute the FDA report. It's the FDA's conclusions that were unfairly slanted.

I can't count the number of times I've had the following conversation with any given friend, family member, or complete stranger:

Skeptic: Aren't those things just as dangerous as cigarettes? I've heard they can rearrange your DNA or something.
Me: Well, the FDA did find trace amounts of some tobacco related impurities in cartridges containing nicotine, but what you didn't hear is that the carcinogens they found were the same type and amounts found in FDA approved products like the patch, gum, and inhaler.
(not so) Skeptic: Oh! So it's about money then?

Seriously, I have more than one person tell me that they'd heard something as ridiculous claiming that e-cigarettes turn you into a mutant...and on almost every occasion--without any prompting from me that it has anything to do with BP or BT--once I tell them that NRT's have the same amount and type of TSNA's as found in NRTs, immediately conclude that it must be an issue of money and power.
 
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kristin

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ASH could be clearer, but I believe the largest contributor to ASH is Merke Pharmaceutical. I'm not saying that ASH is corrupted, just that they have a clear financial interest. We all know how lobby efforts and financial contributions work in politics. Personally, I think ASH should embrace a product which has been so very successful in helping so many become tobacco free. I started with high strength and worked my way down. I now alternate between zero & low nicotine. After trying everything, this is the only thing that worked for me to quit cigarettes. I advise my patients use this product to quit smoking, and use their own judgement in reducing nicotine levels to zero. To date, my colleague physicians have been enthusiastic about this smoking alternative. Dr. G.
Hi Dr. G, just curious, what kind of physician are you? It be good to have more physicians taking a stance in our corner!
 
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