Dr. Jonathan Winickoff, Chair of the American Academy of Pediatrics.
In his portion of the FDA Announcement he made the following arguments (these are per my notes as he was speaking live so they are paraphrased).
1. Appeal to young: Flavors are directly marketed to children. Fruit/Candy flavors increase curiosity and excitement.
2. Ecigs are a Gateway product to smoking: Attracted via novelty based on flavor etc. Easily accessible online and in malls. He also noted that vitamins in cartridges are a "direct health claim" Also, "adults only" is a direct marketing scheme to children. Nicotine can be toxic to children and children "might be able to puff the entire load of an e-cigarette".
Some more background on Dr. Winickoff: Dana-Farber/Harvard Cancer Center: Profile: Jonathan P. Winickoff, CLC M.D. M.P.H. Please note his list of articles published.
Seeing his stance on parental smoking around children etc.... I decided to send the good doctor an email:
Dr. Winickoff,
I recently read statements credited to you in the FDA release of its opinion on ecigarettes. Looking at some of your published works, I am very surprised and disappointed at your take on the situation. As a Pediatric Specialist, it seems to me that one of your basic concerns would be the effects of second-hand smoke on your pediatric patients. As in your work addressing 'parental smoking in pediatrics and family practice'. I see nothing in the FDA release that addresses this issue.
As the parent of a asthmatic child, and being unable to quit the smoking habit, what I would like to see your opinion on is the effect of the ecigarette in relation to second hand smoke in pediatrics since this seems to be your specialty.
I also find your assertion that the ecigarettes are designed to appeal to children based on the flavor selection to be based on nothing in the realm of fact. Fortunately, the starter kit of the ecigarette puts it out of the price range of any child and the users of this device generally don't have 19 more laying around that can go missing at the hands of a curious teen. Unlike a pack of cigarettes or a fruit flavored nicotine gum that can easily fall into the hands of a toddler or someone else that the contained dosage can be ingested to fatality.
As a user of the ecigarette, I find that the flavor is more likely designed to give the smoker a niche to find in order to prevent a return to the dangers of smoking combusted tobacco. Any ecigarette user knows that an ecigarette does not taste like a traditional tobacco cigarette therefore making the additional avail flavors a welcome reprieve. I have not smoked a cigarette regularly in well over a month and not at all since I found out how to manage my supplies to keep them available.
Moreover, what I would also like to see is this harm reduction device compared to the device that it replaces, a combustable cigarette. As a physician, you cannot possibly be against harm reduction. Now, if the research shows that the ecigarette produces as many harmfuls toxins to the smoker and the bystander as the combustable tobacco cigarette, every vaper (we do not smoke) would like to see those test results.
Respectfully
Hmmmm wonder if he will write back
