The United States bans Juul, but small online newspapers have already begun to switch to newer products

This week, the United States Juul has effectively banned After the Food and Drug Administration ordered the e-cigarette manufacturer to remove its popular products from the market.

Experts hailed the move as important. But they also worry that these efforts are failing to keep pace with the fast-moving vaping industry — one in which young people are jumping quickly from one product to another.

The FDA ban is sealing years of controversy for Juul, whose secret vapes have been accused of helping draw an entire new generation into nicotine. In 2020, the Food and Drug Administration (FDA) ordered packs of mint and juicy e-cigarettes off the shelves, hitting several Juul products. The escalation this week came because regulators said Juul had failed to provide sufficient evidence to assess the toxicity and risks of tobacco and menthol-flavored e-cigarettes, leaving the Food and Drug Administration unable to “evaluate the potential toxic risks of using Juul products.”

Meanwhile, Juul has argued that e-cigarettes help regular smokers quit cigarettes, and said it would resist. On Friday, the Court of Appeal provisionally Blocking mode on hold While Juul resumes.

The ban remains critical, says Lauren Chapelecki, a researcher at the Johns Hopkins Bloomberg School of Public Health, because it is one of the first instances of marketing rejection for a brand with significant market share in the United States and for a menthol-flavored product. It indicates that other brands such as Vuse, Logic and NJOY have received it market license for many tobacco-flavored e-cigarette products and systems, but Juul was rejected.

Research shows that banning flavored cigarettes makes a difference—a 2020 George Mason University study analyzed the Food and Drug Administration’s 2009 ban on flavored cigarettes and found that it reduced smoking by underage youth. 43% and young people 27%.

“It’s possible that the FDA’s rejection would have an effect,” Kazableki says. “Juul still popular product Among young people who use e-cigarettes, Juul has a certain level of brand recognition and cultural character among young people that may be susceptible to nicotine use.”

But while Juul still commands a dominant share in the US market, its popularity among young people has waned over the past few years, says Dr. Devika Rao, a pediatric pulmonologist at US Southwestern University. a Latest Federal Survey He found that Juul was only the fourth most popular product among middle and high school students: The Puff Bar for e-cigarettes came in first, with Vuse and Smok second and third.

“We know from the data that Juul is not the most used,” says Rao. “Teenagers today prefer single-use vaping devices, which are devices that you can buy online or in a store.” They cost at least $10 per single-use device and don’t fall under the 2020 flavor ban, even though they use the same technology as Juul.

Teens often switch from product to product, creating a Whac-a-Mole prevention strategy, says Monica M. Zorilla, a researcher at Stanford University. When the Food and Drug Administration prioritized enforcement against flavored e-cigarette devices like Juul in 2020, it exempted single-use e-cigarettes and menthol-flavored e-cigarette products, Zorella says. Study at Stanford University It found that teens then switched to exempt e-cigarettes. “Young people went out of the capsules [like Juul] To consumers like Puff Bar,” Zorella says. “As one young adult told me, ‘anything with fruit’ is popular among their peers. This was partly due to enforcement and partly because consumers continued to have many flavors.”

Rao points out that social media marketing is clever — and cunning — enough that teens switch vaping products before adults realize it. She notes that the latest trend is so-called wellness vapes, which are not even marketed as electronic cigarettes. “You can use things like melatonin or vitamins to smoke e-cigarettes to feel better and fall asleep faster,” she says. These are really disguised vaping devices, and companies are not required to mention the concentration or what is in these products. “Newer products present a whole new level of risk.”

Flum Float flavored disposable e-cigarette products for vaping are on display at a convenience store in El Segundo, California
Flum Float flavored disposable e-cigarette products for vaping are on display at a convenience store in El Segundo, California Photo: Patrick T. Fallon/AFP/Getty Images

Chaplecki says more work is needed. It says the Food and Drug Administration should immediately issue an order to remove all vape products sold without a license from the marketplace, from retail shelves and online. This would Includes Puff Bar. “Reducing the number and type of flavored e-cigarette devices on sale in the United States is likely to have a significant impact on reducing vaping for young adults,” she says. “At the same time, the utility of tobacco-flavored e-cigarettes is unlikely to diminish the benefit of helping adult smokers to quit smoking completely.”

Rao says vaping introduces a new generation to nicotine addiction – and researchers are still figuring out how to treat nicotine addiction in children rather than adults.

These products are often seen as less harmful than smoking, but they still carry risks as teens become addicted to drugs. Rao, who cares for patients at Children’s Medical Center in Dallas, explains that Juul has figured out how to make nicotine more effective to deliver a stronger blow to the brain — allowing for a greater sense of pleasure than using an e-cigarette.

“It can take a few strokes to vape before they become addicted, affect things like school performance and athletic performance, and can lead to serious consequences like lung injury,” Rao says. Studies also show that vaping increases heart rate and blood pressure.

She says vaping rates have fallen for two years during the pandemic, but doctors are now concerned that re-establishing social networks and easing restrictions means those rates could rise again.

“When I talk to my patients, they are either vaping or all of their friends are vaping and they may feel pressure to start using these products,” Rao says. “Parents and educators need to have these conversations about the harm it can do to them.”