World Heart Federation highlights cardiovascular risks of e-cigs, calls for strict regulation, supports countries with bans

On October 18, 2021 the World Heart Federation released a policy brief “E-cigarettes: A new threat to cardiovascular health,” (press release) that provides an overview of the evidence that e-cigarette use has a wide range of adverse effects on the cardiovascular system that are reflected as an increased risk of heart attack at a population level.  The WHF also concludes that e-cigarettes are not an effective smoking cessation tool and highlights the risks of dual use (i.e., continuing to smoke cigarettes while adding e-cigarettes, a common use pattern).

The report is written for a broad audience, explaining the evidence in simple terms rather than scientific jargon.

WHF calls for strict regulation of e-cigarettes and greater oversight of the industry’s marketing:

  • Prohibit the sale and distribution of e-cigarettes to minors, as well as the use of flavouring agents
  • Prohibit the use of e-cigarettes anywhere tobacco cigarettes have been banned
  • Prohibit marketing, advertising,  and misleading claims regarding e-cigarettes
  • Apply excise taxes on e-cigarettes
  • Conduct more research regarding the long-term effects of e-cigarettes on cardiovascular health

WHF also recommends that

  • Countries that have banned the commercialization of e-cigarettes should maintain these measures.

The British e-cigarette sales website Totally Wicked reported that as of August 2021 47 countries had banned the important and sale of e-cigarettes. An earlier WHO report (Tables 2.1.1 through 2,1.6) listed 32 countries.

Published by Stanton Glantz

Stanton Glantz is a retired Professor of Medicine who served on the University of California San Francisco faculty for 45 years. He conducts research on tobacco and cannabis control and cardiovascular disease/

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