Further restrictions on the sale of e-cigarettes are about to be implemented across the country, following Australia's pledge to eliminate the public health threat.

Banning e-cigarette flavors, putting warning labels on individual product packages and introducing permits for importers to bring e-cigarettes into the country are the latest proposals from the Therapeutic Goods Administration.

Last year, tests by the National Health and Medical Research Council found that e-cigarettes may contain hundreds of dangerous chemicals found in cleaning products, nail polish remover, weed killers and pesticides.

Health Minister Mark Butler said on Thursday that all of the country's health ministers - Labor, the Liberals, the states and territories and the Commonwealth - had expressed their determination to root out the public health threat.

The proposals would provide a range of options that could be considered for future reforms, he added.

The health secretary said: "They will come up with a range of options, from border controls to how these things are sold, banning flavors, banning colours.

Most state and territory governments have backed a new measure that would require anyone importing e-cigarettes to hold a licence, making it easier for border forces to seize the products.

There was also strong support for warning statements, drug-like packaging, restricted flavors and limiting nicotine levels.

However, vaping advocates strongly oppose the further restrictions by the Australian Tobacco Harm Reduction Association, arguing that vaping remains an important tool in helping smokers quit.

The TGA refuted these claims, and their advice was praised by a number of public health associations, health professionals, university researchers and Australian pharmacies.

Australian Medical Association president Professor Steve Robson said the government needed to consider implementing new reforms as soon as possible.

"The Australian government needs to act now to enforce existing laws to crack down on illegal over-the-counter e-cigarette sales and tighten import controls on all nicotine and non-nicotine e-cigarette products," he told the Guardian. .

While Australia continues to adopt a prescription-based approach in 2021, a thriving black market continues to supply young people with nicotine.

The TGA rejected 4,000 public submissions, including from retailers, to scrap the prescription model - announcing changes to the regulatory framework were not within its scope.

Health Secretary Mark Butler said the problem with e-cigarettes was that they were often sold illegally.

"The only legal way to sell nicotine e-cigarettes in Australia is through a doctor's prescription to a pharmacy," he said.

“However, convenience stores, gas stations often sell nicotine e-cigarettes pretending to be nicotine-free and, more insidiously, selling them to children.”

He also expressed concern that e-cigarettes offer a pathway back to cigarettes.

He added: "With all the steps we've taken in recent decades to reduce smoking rates, this is the way back to cigarettes. We are determined to ensure we do not create a new generation of nicotine addicts.

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