According to the Michigan Department of Justice, 33 state attorneys general in the United States have focused on disposable e-cigarettes as the next major threat to the health of children and adolescents.

Michigan Attorney General Dana Nessel and 33 Attorney General members from a bipartisan coalition have jointly called on the US Food and Drug Administration (FDA) and its Tobacco Products Center (CTP) to strengthen protection for teenagers from the hazards of e-cigarettes.

Nathel proposed limiting the tastes that appeal to teenagers, reducing nicotine levels to prevent addiction, and protecting young people from the impact of marketing activities.

Nessel stated:

The use of nicotine by young people has reached epidemic levels. We need strong tobacco regulations to protect young people from the dangers of e-cigarettes and marketing strategies targeting them. These products taste like fruits and candies. We must take action to regulate young people's exposure to these products and take strict enforcement actions against manufacturers, distributors, and retailers who violate the law

The United States currently sells over 9000 e-cigarette devices, of which nearly 6000 are disposable devices. According to CDC statistics, in 2022, 14% of high school students reported that they were using e-cigarettes. The intake of nicotine in adolescents is related to nicotine poisoning, mental health and behavioral problems, academic problems, and future addiction to other substances.

In a letter submitted to the FDA, in response to the Tobacco Center's request for a five-year strategic plan, state attorneys general urged the FDA to establish a defense line to prevent teenagers from becoming addicted to nicotine through e-cigarettes.

33 state attorneys general suggest that the FDA:

Prohibit all non tobacco flavors in e-cigarettes. These flavors that mimic fruits, candies, and desserts are the main reasons why teenagers try e-cigarettes.

Develop evidence-based nicotine restriction measures. More than 80% of e-cigarettes contain over 5% nicotine concentration. Moreover, due to the fact that certain devices can take hundreds or thousands of sips, the amount of nicotine consumed by young people is much higher than that of combustible tobacco.

Restrict marketing activities that attract teenagers, ensure that marketing materials do not target them, and prevent young people from being bombarded by e-cigarette advertising. Electronic cigarette manufacturers have been using social media and influencer marketing to attract teenagers.

Close the 'one-time vulnerability'. Disposable e-cigarettes are not regulated by existing FDA enforcement guidelines like card e-cigarettes, but their popularity has sharply increased. Last year, more than half of adolescent e-cigarette users reported using disposable e-cigarettes.

The attorneys general also demanded that the FDA immediately enforce laws against companies and sellers that violate federal regulations throughout the entire e-cigarette supply chain.

Attorney General Nessel, along with Arizona, California, Colorado, Connecticut, Delaware, District of Columbia, Illinois, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Northern Mariana Islands, Ohio, Oklahoma

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