Rhode Island Governor Raimondo Takes Executive Action to Combat Public Health Crisis of E-Cigarette Use

PROVIDENCE, RI (STL.News) – In response to the growing public health crisis of e-cigarette use among young people in Rhode Island, Governor Gina M. Raimondo Sept. 25th signed an Executive Order directing the Department of Health to establish emergency regulations prohibiting the sale of flavored e-cigarettes.  The Executive Order also puts in place a number of other measures designed to the curb the initiation of e-cigarette use by young people.

“As Governor and as a mom, I’m concerned about the long-term effects of e-cigarette use, particularly on our young people,” said Governor Gina M. Raimondo.  “Companies are specifically targeting teens with colorful packaging and flavors. But recent reported injuries and deaths make clear that we do not have a full understanding of the associated risks.  It’s critical that we act now to protect our kids.”

The Centers for Disease Control and Prevention, the Food and Drug Administration, and the United States Surgeon General have all declared youth vaping use a national epidemic, pervasive in every state.  The Governor’s action comes after both the CDC and FDA have issued advisories highlighting the dangers of e-cigarette use.  Just yesterday, CDC officials testified in front of Congress and reinforced the need for swift action to combat this public health emergency.

Thanks to decades of public health education and advocacy, Rhode Island’s teenagers have one of the lowest cigarette smoking rates in the country.  But traditional cigarettes are no longer the single face of nicotine addiction in Rhode Island.  Today, electronic nicotine-delivery system (ENDS) products are marketed aggressively, including marketing that promotes flavored ENDS products to youth. Many ENDS products – including e-cigarettes – are colorfully packaged and come in flavors such as cotton candy, strawberry, grape, cherry, wintergreen and mint.

“The inhalation of the harmful chemicals that are in many e-cigarettes can cause irreversible lung damage and lung diseases,” said Nicole Alexander-Scott, MD, MPH, the Director of the Rhode Island Department of Health (RIDOH).  “We also know that factors in our communities result in certain young people having higher rates of e-cigarette use, such as high schoolers who identify as lesbian, gay, or bisexual; and high schoolers who identify as having a disability.  That is unacceptable.  Every young person in every community deserves an equal opportunity to breathe free and grow up healthy.”

ENDS products have become rapidly popular with young people. From 2017 to 2018, there was a 78% increase of usage among high school students and a 48% increase of usage among middle school students.  Health risks to young people from e-cigarette use include learning, memory, and mental health problems, lung illnesses, heart problems, injuries resulting from battery explosions, and accidental childhood nicotine poisonings.  High school students who use e-cigarettes are four times more likely to smoke cigarettes in the future.

“The growing popularity of e-cigarette use among teens is rapidly becoming a public safety crisis, and we need to take action to ensure the safety of our young people and our communities,” said Rhode Island State Police Colonel James Manni.  “I fully support the Governor for taking this critical first step.”

The Centers for Disease Control and Prevention (CDC) is currently investigating a cluster of lung illness associated with e-cigarette use.  Nationally, there have been 530 cases of lung injuries reported, and nine deaths have been reported.  No cases in Rhode Island have been confirmed.  Most patients have been younger than 25 and have reported using e-cigarette and vaping devices containing Tetrahydrocannabinol (THC), which is found in marijuana.

“There are a lot of unknowns about the dangers vaping and our number one priority needs to be the health and safety of consumers,” said Liz Tanner, Director of the Department of Business Regulation.  “I support and applaud Governor Raimondo on her efforts to put a regulatory framework in place that protects the health and wellbeing of our children and all consumers.”

“We commend the Governor for taking this bold action,” said Rebecca Boss, director of the Department of Behavioral Healthcare, Developmental Disabilities and Hospitals.  “We know that e-cigarettes are particularly harmful to young people, and we know that nicotine affects brain development.  We hope that the decreased attractiveness and the increased enforcement will help to prevent young people from using these products.  These products are not safe, and no youth should be using them.”

NOTE: this is NOT the complete report.