September 10, 2010 1:33 PM

Chinese "E-Cigs" Get Attention, Scrutiny

(CBS/AP)  With its slim white body and glowing amber tip, it can easily pass as a regular cigarette. It even emits what look like curlicues of white smoke.

The Ruyan V8, which produces a nicotine-infused mist absorbed directly into the lungs, is just one of a rapidly growing array of electronic cigarettes attracting attention in China, the U.S. and elsewhere - and the scrutiny of world health officials.

Marketed as a healthier alternative to smoking and a potential way to kick the habit, the smokeless smokes have been distributed in swag bags at the British film awards and hawked at an international trade show.

Because no burning is involved, makers say there's no hazardous cocktail of cancer-causing chemicals and gases like those produced by a regular cigarette. There's no secondhand smoke, so they can be used in places where cigarettes are banned, the makers say.

Health authorities are questioning those claims.

The World Health Organization issued a statement in September warning there was no evidence to back up contentions that e-cigarettes are a safe substitute for smoking or a way to help smokers quit.

It also said companies should stop marketing them that way, especially since the product may undermine smoking prevention efforts because they look like the real thing and may lure nonsmokers, including children.

"There is not sufficient evidence that (they) are safe products for human consumption," Timothy O'Leary, a communications officer at the WHO's Tobacco Free Initiative in Geneva, said this week.

"We don't know [if they are safe], but we don't think so," Dr. Jonathan Whiteson of New York University's Cardiac and Pulmonary Wellness and Rehabilitation Program told CBS' The Early Show Friday.

"My biggest concern is these things are marketed to younger people, to adolescents. And my biggest concern is that adolescents are going to start smoking these cigarettes thinking they're not getting any dangerous products. But the first hit of nicotine can make you addicted, and that is so concerning. We already have more adolescents than adults smoking, and the last thing we want to do is encourage them to smoke more," Whiteson said.


The laundry list of WHO's concerns includes the lack of conclusive studies and information about e-cigarette contents and their long-term health effects, he said.

Unlike other nicotine-replacement therapies such as patches for slow delivery through the skin, gum or candy for absorption in the mouth, or inhalers and nasal sprays, e-cigarettes have not gone through rigorous testing, O'Leary said.

Nicotine is highly addictive and causes the release of the "feel good" chemical dopamine when it goes to the brain. It also increases heart rate and blood pressure and restricts blood to the heart muscle.

Ruyan - which means "like smoking" - introduced the world's first electronic cigarette in 2004. It has patented its ultrasonic atomizing technology, in which nicotine is dissolved in a cartridge containing propylene glycol, the liquid that is vaporized in smoke machines in nightclubs or theaters and is commonly used as a solvent in food.

When a person takes a drag on the battery-powered cigarette, the solution is pumped through the atomizer and comes out as an ultrafine spray that resembles smoke.

Hong Kong-based Ruyan contends the technology has been illegally copied by Chinese and foreign companies and is embroiled in several lawsuits. It's also battling questions about the safety of its products.

Most sales take place over the Internet, where hundreds of retailers tout their products. Their easy availability, O'Leary warns, "has elevated this to a pressing issue given its unknown safety and efficacy."

Prices range from about $60 to $240. Kits include battery chargers and cartridges that range in flavors (from fruit to menthol) and nicotine levels (from zero - basically a flavored mist - to 16 milligrams, higher than a regular cigarette.) The National Institutes of Health says regular cigarettes contain about 10 milligrams of nicotine.

On its Web site, Gamucci, a London-based manufacturer, features a woman provocatively displaying one of its e-cigs. "They look like, feel like and taste like traditional tobacco, yet they aren't," the blurb reads. "They are a truly healthier and satisfying alternative. Join the revolution today!"

Smoking Everywhere, a Florida-based company, proclaims it "a much better way to smoke!" while a clip on YouTube features an employee of the NJoy brand promoting its e-cigarettes at CES, the international consumer technology trade show.

Online sales make it even more difficult to regulate the industry, which still falls in a gray area in many countries.

In the U.S., the Food and Drug Administration has "detained and refused" several brands of electronic cigarettes because they were considered unapproved new drugs and could not be legally marketed in the country, said press officer Christopher Kelly.

He did not give more details, but said the determination of whether an e-cig is a drug is made on a case-by-case basis after the agency considers its intended use, labeling and advertising.

In Australia, the sale of electronic cigarettes containing nicotine is banned. In Britain, the products appear to be unregulated and are sold in pubs.

Smoking is tightly woven into the fabric of daily life in Ruyan's home turf of China, the world's largest tobacco market where about 2 trillion cigarettes are sold every year.

Tobacco sales, the biggest source of government revenue, brought in $61 billion in the first 11 months of last year, up 18 percent from 2007, the Communist Party's People's Daily newspaper said.

In a country where the cheapest brands of cigarettes cost about 20 cents a pack, the e-cig is far pricier. Ruyan's V8 costs $240 and includes batteries and 20 cartridges of nicotine solution, roughly the same number of puffs as 20 packs of tobacco cigarettes. The line has expanded to include cigars and pipes crafted from agate and rosewood.

Ruyan is suing a Beijing newspaper for questioning its safety and for claiming in 2006 that its products have more nicotine than regular cigarettes.


© 2010 CBS Interactive Inc. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.
Add a Comment See all 26 Comments
by pafoo1 July 29, 2009 4:44 PM EDT
I have been smoking 14 years and I purchased an e-cig to give it a shot. Since ive had it I havent even touched my normal smokes and no longer have a desire too. My breathing is already feeling great! The only thing I did was buy some of the nicotine "juice" from an American vendor so I can trust its contents compared to the pre-shiped and filled cart's.

I honestly hope in the future it can be regulated to actually ensure that it is always a healthy alternative to quit smoking tobacco. If taxed it can still generate the same income to to government but will cost ALOT less medically from the #1 cause of deaths in America.
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by martublade March 14, 2009 1:13 PM EDT
http://niconotnow.blogspot.com/
Reply to this comment
by LOL_AT_CBS March 2, 2009 8:33 PM EST
>>Dr. Jonathan Whiteson of New York University's Cardiac and Pulmonary Wellness and Rehabilitation Program told CBS' The Early Show Friday..... "My biggest concern is these things are marketed to younger people, to adolescents."<<

MY biggest concern is that Whiteson is a medical professional telling falsehoods on national television. "These things" are marketed to adult cigarette smokers and I've yet to see otherwise. Non-smoking children spending the quoted "$60-$240" on a cigarette? I'm surprised he could say it with a straight face. Maybe his concern should be his patients with breathing problems who aren't able to stop smoking and the fact that this product may save their lives.
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by rf35 March 2, 2009 3:54 AM EST
If the FDA truly desires to end smoking, then this product will be approved in short order. If they simply give it lip service as they enjoy the tobacco tax cash cow and kickbacks they get from nicotine replacement drugs, all the while secretly hoping more people start smoking, then they will ban the product in America.
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by BabyBenks March 1, 2009 6:15 PM EST
www.smokestikusa.com is a great site that sells electronic cigarettes. They claim their product is made here in the US at pharmaceudical labs and therefore we can rest assured there is no additional chemicals other than nicotine and glycol. Their product is quite reasonable. 69.99 I think and if you enter a coupon code - bybybutts - you get an additional $10 off the starter kit as well as refill cartridges.
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by weatherhells March 1, 2009 10:38 AM EST
fabrat1: My bet's on ignorance: It's not because of a smell that she's fanning it away; it's because she thinks the vapor is harmful to her health. It's no more harmful to her health, however, than going to a concert where a fog machine is used.

Seriously, these things have little to no smell. My husband can tell when I'm using the "coffee" flavor from a particular manufacturer (he says it smells like sweet coffee), but he doesn't smell anything when I use other flavors.
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by fundu2009 March 1, 2009 12:20 AM EST
$240 what!!!! damn do you know how many packs of cigarreters you can buy with that...
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by aka_KJB February 28, 2009 11:01 PM EST
I'm a little torn on this one. In the end, I'm going to fall on the side of personal responsibility and say that, if it doesn't create second hand smoke that's going to kill ME in addition to the person that made the decision to take the nicotine, then go for it. Yes, getting people to kick the nicotine addiction would be best but some people just don't want to do that. And they shouldn't have to. Now how long before some enterprising entrepreneur comes up with a way to use this for atomizing marijuana? And if they make it totally smokeless, how will anybody know?
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by fabrat1 February 28, 2009 7:26 PM EST
Someone commented that these things are pretty much odorless. If that's the case then can you tell me why when Harry was smoking it Julie started fanning the air and told him it stunk??? I saw that on the early show. She made it appear that the smell is as unpleasant as a regular cigarette.
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by juthaji February 28, 2009 2:13 PM EST
i bet new product is on the way...
someone will smoke for us. off course there will be a charge.
i think we as a consumer are as guilty as the marketers.
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