E-cigarettes first appeared as a substitute for smoking cessation. They were once regarded as "smoking cessation artifacts" by smokers but later evolved into a trend and culture. According to statistics, by 2017, China's electronic cigarette production reached 1.651 billion, with an average annual compound growth rate of 71.6%. However, with the rapid growth of the electronic cigarette market in recent years, the problem has also been exposed.

Recently, news came from Hong Kong that the Hong Kong Academy of Medicine, the University of Hong Kong School of Medicine, the Chinese University of Hong Kong School of Medicine and the Medical Association jointly held a press conference to demand a total ban on e-cigarettes and new tobacco products.

Professor Xiao Dan, director of the Tobacco Disease and Smoking Cessation Center of the Respiratory Center of the China-Japan Hospital, pointed out that although the risk of e-cigarettes should be slightly smaller than that of ordinary cigarettes, it still contains nicotine, which is highly addictive and dependent. In addition, the quality of electronic cigarettes on the market is uneven and the composition is unclear. It is difficult to estimate the harm, and it is difficult to achieve the purpose of quitting this habit.

Simply relying on e-cigarettes to quit smoking, in the current environment, the probability of success is small. "Because e-cigarettes still contain nicotine, the problem of addiction is difficult to solve." Xiao Dan revealed that the role of e-cigarettes can only reduce the harm of smoking, and at most can only help to quit smoking.

Studies in the United States have also found that smoking e-cigarettes are addictive, and the e-cigarette components of e-cigarettes remain unregulated. "In fact, smoking e-cigarettes, like cigarettes, is still a habit of keep smoking. If the habits are not changed, it is very difficult to completely quit smoking."

“The main components of e-cigarettes are nicotine, propylene glycol, and some spices, which produce a cigarette-like taste.” Xiao Dan explained that nicotine can contract blood vessels, increase blood pressure, and put pressure on the heart. Nicotine contained in a cigarette can poison a mouse, and nicotine in 20 cigarettes can poison a cow.

A Swedish study has shown that e-cigarette smoke is carcinogenic to the bladder and lungs of rodents and has a negative impact on the heart. In addition, if you use high nicotine products for a long time, it will cause sperm to change.

Two years ago, the US Food and Drug Administration (FDA) commissioned the National Institute of Science, Engineering, and Medicine to conduct research on e-cigarettes, synthesizing 800 public health and medical research on e-cigarettes reach to the conclusion that e-cigarettes do not contain Tar, but there are still many other carcinogens, and the second-hand smoke it produces which is equally harmful.

Finland is the world's most rigorous country for electronic cigarette control, followed by Hungary and Greece, which impose strict taxation and regulation on public use. The EU itself has also begun to consider tightening e-cigarette regulation.

Sweden is the most relaxed representative of e-cigarette regulation. The Supreme Administrative Court has recently issued a ruling prohibiting the Swedish Medical Products Authority from exercising full control over e-cigarettes.

Regarding the properties of e-cigarettes, there is no clear legal definition in China. There is no clear legal norm for the supervision of e-cigarettes, and there are obvious legal gaps. According to the relevant provisions of China's "Tobacco Monopoly Law": tobacco monopoly products only include cigarettes, cigars, tobacco, tobacco, cigarette paper and so on. E-cigarettes are not listed, which also causes the product to be sold as an electronic medical device, not a tobacco product.

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