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Stanford Research into the Impact of Tobacco Advertising

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eLiquid

Games – img23312

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As the Internet becomes the primary source of information and entertainment to most adolescents, electronic cigarette (e-cig) companies are cleverly exploiting their online presence to appeal to teen consumers. Aside from their websites, the majority of e-cig companies are also heavily invested in social media sites that allow them to interact with potential consumers, create brand evangelists, and shape consumers views of their brands.

White Cloud Cigarettes, a leading brand, leads the way in consumer engagement for brand promotion as well as consumer engagement. One of the unique ways in which White Cloud Cigarettes promotes its product is through a free online game, that is highly engaging and interactive.

The game, which is heavily promoted in the brands ads as well as social media posts, is called “Fling A Friend.” It comprises of two characters- a large strongman and a smaller diminutive person. A person gains points that can be used towards a free e-cig, discounts, or merchandise by having the strongman “fling” the smaller person as far as possible. The animation is very cartoon-like, imitating a Saturday morning television show.

While White Cloud contends that its game is aimed at adults, specifically office workers seeking a “mental break”, one has to note that video games almost defines today’s teenager. A study by Pew Research and Internet Project noted that 97 percent of American teenagers play video games, and of those, 73 percent of them play video games on their computers and online. (1) With so many teenagers playing video games, it becomes apparent that White Cloud’s advertisement heavily targets young people.

1. Pew Research and Internet Project. Teens Video Games and civics. Retrieved from http://www.pewinternet.org/2008/09/16/teens-video-games-and-civics/ on August 29,2014.

Bulk Nicotine – img23691

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Nicotine is a deadly substance. Calls to US poison center are rising rapidly since the introduction of eCigarettes. Nicotine may result in accidental death of infants, children, and even adults via inhalation, ingestion, and even dermal exposure. Nicotine has also been used in murders and suicides.

Due to nicotine’s potency as a poison, it is especially troublesome that it is available for sale in bulk quantities online at high concentrations. 1 liter bottles of 54mg/ml and 100mg/ml nicotine are readily available for purchase online. Even 55 gallon drums are obtainable via internet purchases. Please see attached online advertisements.

According to the CDC, the lethal dose for nicotine has been estimated to be about 50 to 60 mg for a 70 kg man. (http://www.cdc.gov/niosh/idlh/54115.html) Making nicotine available to the public in bulk quantities, with its potential use as in terrorism, represents a clear and present public health risk.

1. Diethelm P, McKee M. Nicotine: not just an unregulated poison but now a potential chemical weapon. Eur J Public Health. 2011 Dec;21(6):681. doi: 10.1093/eurpub/ckr148.

2. Corkery JM, Button J, Vento AE, Schifano F. Two UK suicides using nicotine extracted from tobacco employing instructions available on the Internet. Forensic Sci Int. 2010;199:e9–e13. doi: 10.1016/j.forsciint.2010.02.004

High Nicotine Flavors – img23703

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Electronic cigarette liquid (ejuice) is available in a variety of nicotine strengths ranging as high as 36 mg/ml and even 54 mg/ml. Nicotine levels of 16mg/ml are usually advertised by the electronic cigarette industry as “full flavored” while nicotine levels of 36 mg/ml are described as “super high” or “unfiltered”.

Super high nicotine concentrations are available in youth appealing flavors such as Peppermint Party, Banana Split, Marshmallow, Tutti Fruti Gumballs, My Birthday Cake, Carnival Cotton Candy, Totally Toffee, Strawberrylicious, Chocolate, and Energy Drink. These e-liquids are marketed online with bright and colorful images and dispensed in similarly colorful bottles. It is quite evident that these are designed to appeal to teens. The numerous sweet flavored varieties are also attractive to younger children.

As measured by Calafat and co-workers, Marlboro has 0.92 mg nicotine per cigarette. A 10 cc bottle of 36mg/ml chocolate e-liquid has the nicotine equivalent of 391 cigarettes. This volume of concentrated nicotine is sufficient to kill a sizable number of kindergartners.

The Centers for Disease Control and Prevention warns on its website that the fatal human dose has been estimated to be about 50 to 60 mg for a 150 pound adult. The lethal dose in a child is a small fraction of this.

The development of Advanced Personal Vaporizers, or Mods, has also dramatically increased the volume of vapor inhaled per puff, which further increases potential nicotine absorption. The large clouds of exhaled vapor raises the risk of second hand nicotine exposure.

1. Centers for Disease Control and Prevention. Nicotine. Centers for Disease Control and Prevention, May 1994. Web. 26 June 2014.

2. Calafat AM, Polzin GM, Saylor J. et. Al Determination of tar, nicotine, and carbon monoxide yieds in the mainstream smoke of selected international cigarettes. Tob Control 2004; 13: 45-51

Chocolate – img17495

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The e-Cigarette (e-cig) industry zealously claims to target only adult smokers and established smokers. But as much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

Appealing to an almost universal love for chocolates by children and adults alike, e-cigs and ejuices are available in a number of chocolate flavors including milk chocolate, coffee chocolate, chocolate mint, chocolate caramel, chocolate peanut butter, chocolate banana and chocolate strawberry. The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

In advertising the chocolate flavored e-cigs, the images are primarily of decadent pieces of chocolate. Some of the imagery in the advertisement is heavily borrowed from the food industry and some of the packages are designed to closely resemble popular chocolate brands such as Reese’s Peanut Butter Cups. In addition to these standard chocolate flavors, customers at online and retail “boutique” vape stores can mix any number of essences at a variety of nicotine strengths for a personalized vape. Some retail vape bars also have a “tasting bar” much like restaurants where consumers can try a variety of flavors.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Ice Cream/Popsicles – img17512

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The e-Cigarette (e-cig) industry zealously claims to target only adult and primarily established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

Appealing to an almost universal love for ice cream by children and adults alike, e-cigs and ejuice are available in a number of sweet flavors including caramel frappe, ice cream pops, vanilla, mint and banana split. The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

The images used in the ads are heavily borrowed from the food industry and some of the ads have kid-friendly slogans such as Lucky Flavor Store’s red, white and blue popsicle labelled, “It’s the bomb.” Some creative names used by the e-cig industry to market the product include Desert Moon Vapor’s Sultrysickle, Rocket Fuel’s Rocket Pop and WizMix’s Primal Icecream. In addition to standard flavors, customers at several online as well as retail boutique vape stores can create their own unique flavors by mixing any number of essences at a variety of nicotine strengths for a personalized vape.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

< p> With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

eJuice Companies – img17534

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A patently obvious device used by e-cigarette (e-cig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many e-cig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

e-cigs and vapor juices are available in a number including candy flavors such as gummi bears and bubble gum; baked good flavors such as peach cobbler and apple pie, alcoholic flavors such as beer and peach schnapps, variety of fruit and berry flavors and mint.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. UCSF: E-Cigarettes: Gateway to Nicotine Addiction for U.S. Teens, Says UCSF Study. Available at https://www.ucsf.edu/news/2014/03/112316/e-cigarettes-gateway-nicotine-addiction-us-teens-says-ucsf-study

2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Candy – img17596

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The e-Cigarette (e-cig) industry fervently claims to target only adult and primarily established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

Appealing to an almost universal love for candy and sweets, e-cigs and ejuice are available in a number of childhood favorite flavors including bubble gum, gummys, Bazzoka, Kool-Aid, sweet tarts, cotton candy, gum balls, Swedish fish and cheerios. The images used in the ads are heavily borrowed from the food industry. Some e-cig companies (Mister Vapor) and vapor stores (Good Clean Vaoes) also use fairytale and anime characters to entice kids and teenagers to buy their products.

The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens. In addition to standard flavors, customers at retail “boutique” vape stores can enjoy the novel experience of working with a vapologist to create unique flavors by mixing any number of essences at a variety of nicotine strengths for a personalized vape. Some retail vape bars also have a “tasting bar” much like restaurants where consumers can try a variety of flavors.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Cookies – img17672

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The e-Cigarette (e-cig) industry zealously claims to target only adult and primarily established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

E-cigs and ejuice are available in a number of flavors including chocolate chip cookies and oreos (Crave, Cookies & Cream, ProVape), pancake and pies (Flux, VMax, VaporDiet, Plume Room, VaporZone), breakfast cereals (HometownVapor, Flavorz, Lucky’s Charm), and cupcakes (VaporTrim, Sweet Heavenly Puff).The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1. The widespread use of flavored e-cigs by teens have some public health advocates calling it the “Trojan horse” of nicotine addiction.

With the Federal Drug Administration opting not to ban flavors in e-cigs in its proposal in the first half of 2014, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Mint – img17719

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A patently obvious device used by e-cigarette (eCig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, eCig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many eCig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

Like combustible tobacco products, a number of eCigs are available in menthol flavor. Menthol is a mint extract, which triggers a sensation of coolness when it comes in contact with the mouth and throat. Advertisers for these brands often tout menthols' coolness as a contrast to the bitterness of tobacco. Implicit in this advertising technique is the notion that vaping mentholated eCigs are cooler and better for the consumer. Since menthol reduces the harshness of cigarette smoke, it appeals to young, inexperienced smokers

The eCig industry markets menthol eCigs to consumers with messages of fresh/refreshing taste and sensation, youthfulness, fun, and healthful effects. Advertisements often show nature, coldness, springtime, water, and other refreshing qualities. Menthol cigarettes are disproportionately smoked by African Americans and youth.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored eCigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of eCig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used eCigs. Almost 76% of youth who had tried an eCig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried eCigs1.

< p> With the Federal Drug Administration proposing not to ban flavors in eCigs, advocates fear that flavored eCigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored eCigs and vape juices the the “Trojan horse” of nicotine addiction.

Beverages – img18512

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Soda Pops are a American cultural phenomena with a majority of individuals, including children, drinking a sugary beverage every day. e-cigs and ejuice manufacturers are tapping into people’s love for Soda Pops by creating a number of soft drink flavors.

Popular flavors advertised include Root Beer, Cola, Cherry Cola, Orange Soda, and Hawaiian Punch. Some e-cig manufacturers wanting to borrow from the prestige and reputation of a particular Soda Pop manufacturer have appropriated the brand name albeit with a small change. For instance, Dessert Moon offers a Dr. Pepper Flavor and in advertising the product uses the official brand logo of the soft drink but with its name spread across the top of the image. An ad for Vapage contains images of several popular brands such as Dr. Pepper, Hawaiian Punch, Pepsi and Wrigleys in the foreground with the image of bottles of vape juices in those flavors in the background. Most e-cig brands and companies want their consumers to identify their flavors closely with popular, brand-named soda pops. As Vapor4Life1 says on its website, the idea is for consumers to think that “This vape is so authentic to your favorite soda pop that you'll think you're sipping it from a straw rather than your electronic cigarette.”

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2. The widespread use of flavored e-cigs by teens have some public health advocates calling it the “Trojan horse” of nicotine addiction.

With the Federal Drug Administration opting not to ban flavors in e-cigs in its proposal in the first half of 2014, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Vapor4Life. Doc Popular. Available at http://www.vapor4life.com/doc-pepper-electronic-cigarette-flavor
2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Flavor Varieties – img18610

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A patently obvious device used by e-cigarette (e-cig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many e-cig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

e-cigs and vapor juices are available in a number including candy flavors such as gummi bears and bubble gum; baked good flavors such as peach cobbler and apple pie, alcoholic flavors such as beer and peach schnapps, variety of fruit and berry flavors and mint.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. UCSF: E-Cigarettes: Gateway to Nicotine Addiction for U.S. Teens, Says UCSF Study. Available at https://www.ucsf.edu/news/2014/03/112316/e-cigarettes-gateway-nicotine-addiction-us-teens-says-ucsf-study

2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Berries – img17686

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The e-Cigarette (e-cig) industry zealously claims to target only adults and established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

E-cigs and ejuice are available in a number of fruit flavors including banana, watermelon, pineapple, and grape. In addition to these flavors, many ejuices are available in exotic flavors such as passion fruit, mango and lychee as well as in a cocktail of fruit flavors. The fruit flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens. Advertisements for fruit flavored e-cigs and ejuices include bright backgrounds that seek to draw all the attention to the fruits. Images of fruits slicing through water much helps convey a sense of freshness and purity to the product. If not for the brand name or the image of ejuice bottle by the side of the fruit, it would be easy to mistake many of the ads under this theme for ads by the food industry.

Flavored cigarettes and flavored tobacco have long been held to be gateway product for children and teens. There is now growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

With the Federal Drug Administration proposing not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored e-cigs and vape juices the “Trojan horse” of nicotine addiction.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Spices & Nuts – img17710

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E-cigs and vapor liquids are available in a number of appealing flavors including spice and nut flavors. The flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

The most commonly advertised spices in e-cig ads include clove, cinnamon, pumpkin spice, and gingseng. Vapor juices are also available in almond, pecan, and hazelnut flavors. Many of the ads seem to be photostock images of spices and nuts to which the image of a bottle of vapor juice has been added. The flavors promoted also include some sweet dessert flavors. For instance, Kali’s Coconut Burfi, which combines coconuts, cardamom and cinnamon, is an extremely popular dessert in India that is often made during the festival season. Similarly, Rama’s Ras Malai, a combination of rose petals, almond and milk, is a very popular dessert in India.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1. The widespread use of flavored e-cigs by teens have some public health advocates calling it the “Trojan horse” of nicotine addiction.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-ecigarette-use.html

Fruits – img17740

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The e-Cigarette (e-cig) industry zealously claims to target only adults and established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

E-cigs and ejuice are available in a number of fruit flavors including banana, watermelon, pineapple, and grape. In addition to these flavors, many ejuices are available in exotic flavors such as passion fruit, mango and lychee as well as in a cocktail of fruit flavors. The fruit flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens. Advertisements for fruit flavored e-cigs and ejuices include bright backgrounds that seek to draw all the attention to the fruits. Images of fruits slicing through water much helps convey a sense of freshness and purity to the product. If not for the brand name or the image of ejuice bottle by the side of the fruit, it would be easy to mistake many of the ads under this theme for ads by the food industry.

Flavored cigarettes and flavored tobacco have long been held to be gateway product for children and teens. There is now growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

With the Federal Drug Administration proposing not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored e-cigs and vape juices the “Trojan horse” of nicotine addiction.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Coffee & Tea – img18526

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E-cigs and vapor liquids are available in a number of appealing flavors including coffee and tea. The flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

Popular flavors advertised include coffee, cappuccino, caramel mocha cappuccino, kona coffee, green tea, mint tea, and sweet tea. Advertisements in this theme seek to subliminally influence individuals that e-cigs should become part of a daily routine; to be enjoyed as you enjoy your coffee and tea. The ads also seek to influence individuals into believing nicotine is only as habit forming and harmful as caffeine.

Flavored cigarettes and flavored tobacco have long been held as a gateway product for children and teens. There is now growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2.

With the Federal Drug Administration opting not to ban flavored additives in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored e-cigs the “Trojan horse” of nicotine addiction.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Alcohol – img18532

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A patently obvious device used by e-cigarette (e-cig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many e-cig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

e-cigs and vapor juices are available in a number of alcoholic flavors including beer, pina colada, mojito, margarita, brandy, whiskey, gin & tonic, amaretto, wine cigar, and sangria. By advertising alcoholic flavored e-cigs and vapor juices, e-cig manufacturers are appealing to teenager to break two adult taboos at once — alcohol and smoking — in a single activity.

Flavored cigarettes and flavored tobacco have long been held as a gateway product for children and teens. There is now growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2.

With the Federal Drug Administration opting not to ban flavored additives, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored e-cigs the “Trojan horse” of nicotine addiction.

1. UCSF: E-Cigarettes: Gateway to Nicotine Addiction for U.S. Teens, Says UCSF Study. Available at https://www.ucsf.edu/news/2014/03/112316/e-cigarettes-gateway-nicotine-addiction-us-teens-says-ucsf-study

2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-ecigarette-use.html

Tobacco – img18582

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In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many e-cig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are almost endless.

e-cigs and vapor juices are available in a number of flavors including tobacco flavor. Wanting to borrow from the prestige of well-established combustible tobacco brands such as Marlboro and Camel, a number of e-cig companies offer Camel and Marlboro flavored vapor juices. In addition to naming their vapor juices after these established brands, the advertising of these products also imitates the original brand ads. These tobacco flavored vapor juices also make for an easier transition for committed, brand loyal, smokers who are looking to vape.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1. The use of flavored e-cigs by teens seems so widespread that some public health advocates are calling it the “Trojan horse” of nicotine addiction.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-ecigarette-use.html

Knock-Offs – img23185

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Brands strive for brand loyalty as it often involves consumers being repeat purchasers of the brand’s products and in many cases, identifying with the interests of the brand. Most major retail companies have built brand loyalty over decades. Electronic cigarette (e-cig) manufacturers understanding the importance of brand loyalty in consumer purchasing habits are trying to reap the goodwill of these companies by designing knock-off products.

A large portion of these imitations are flavor knockoffs, or flavors with branding that strongly resembles or imitates an existing brand. Take “Starbuzz Tobacco”, a play on words of Starbucks Coffee, with a logo that shares the same concentric circles and color scheme. Starbucks is a popular brand amongst teenagers, especially teenaged girls, so this attempt to mimic the Starbucks brand is also an attempt to capture that image for the e-cig product as a hip product. Another example is Pink Spot Flavor’s Raging Bull flavors, which uses the same bull outline as the one in the Red Bull energy drink logo, and also adopts a very similar color scheme. The imitations continue beyond brand associations and encompass product associations – there are many instances of e-cig companies simply using the logo of a different brand in its own packaging. Many Juicy Fruit flavor iterations of various e-cig companies directly place the actual Juicy Fruit candy logo on their packaging, which, suffice to say, is massively appealing to children. There are also several variations of popular breakfast cereal flavored e-cigs including Lucky Charms.

The established brand name companies are beginning to take note. General Mills Inc., Girl Scouts of the USA, and Tootsie Roll Industries Inc. are among the brands that have started firing off cease-and-desist letters to makers of the flavored nicotine liquids used in e-cigs.1 With sales of e-cigs booming, e-cig companies can no longer fly under the radar after ripping off a large corporations trademark.

1. Candy, Snack Companies Want Names Off E-Cigs. Retrieved from http://blogs.findlaw.com/free_enterprise/2014/05/candy-snack-companies-want-names-off-e-cigs.html

Bulk Nicotine – img23692

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Nicotine is a deadly substance. Calls to US poison center are rising rapidly since the introduction of eCigarettes. Nicotine may result in accidental death of infants, children, and even adults via inhalation, ingestion, and even dermal exposure. Nicotine has also been used in murders and suicides.

Due to nicotine’s potency as a poison, it is especially troublesome that it is available for sale in bulk quantities online at high concentrations. 1 liter bottles of 54mg/ml and 100mg/ml nicotine are readily available for purchase online. Even 55 gallon drums are obtainable via internet purchases. Please see attached online advertisements.

According to the CDC, the lethal dose for nicotine has been estimated to be about 50 to 60 mg for a 70 kg man. (http://www.cdc.gov/niosh/idlh/54115.html) Making nicotine available to the public in bulk quantities, with its potential use as in terrorism, represents a clear and present public health risk.

1. Diethelm P, McKee M. Nicotine: not just an unregulated poison but now a potential chemical weapon. Eur J Public Health. 2011 Dec;21(6):681. doi: 10.1093/eurpub/ckr148.

2. Corkery JM, Button J, Vento AE, Schifano F. Two UK suicides using nicotine extracted from tobacco employing instructions available on the Internet. Forensic Sci Int. 2010;199:e9–e13. doi: 10.1016/j.forsciint.2010.02.004

High Nicotine Flavors – img23704

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Electronic cigarette liquid (ejuice) is available in a variety of nicotine strengths ranging as high as 36 mg/ml and even 54 mg/ml. Nicotine levels of 16mg/ml are usually advertised by the electronic cigarette industry as “full flavored” while nicotine levels of 36 mg/ml are described as “super high” or “unfiltered”.

Super high nicotine concentrations are available in youth appealing flavors such as Peppermint Party, Banana Split, Marshmallow, Tutti Fruti Gumballs, My Birthday Cake, Carnival Cotton Candy, Totally Toffee, Strawberrylicious, Chocolate, and Energy Drink. These e-liquids are marketed online with bright and colorful images and dispensed in similarly colorful bottles. It is quite evident that these are designed to appeal to teens. The numerous sweet flavored varieties are also attractive to younger children.

As measured by Calafat and co-workers, Marlboro has 0.92 mg nicotine per cigarette. A 10 cc bottle of 36mg/ml chocolate e-liquid has the nicotine equivalent of 391 cigarettes. This volume of concentrated nicotine is sufficient to kill a sizable number of kindergartners.

The Centers for Disease Control and Prevention warns on its website that the fatal human dose has been estimated to be about 50 to 60 mg for a 150 pound adult. The lethal dose in a child is a small fraction of this.

The development of Advanced Personal Vaporizers, or Mods, has also dramatically increased the volume of vapor inhaled per puff, which further increases potential nicotine absorption. The large clouds of exhaled vapor raises the risk of second hand nicotine exposure.

1. Centers for Disease Control and Prevention. Nicotine. Centers for Disease Control and Prevention, May 1994. Web. 26 June 2014.

2. Calafat AM, Polzin GM, Saylor J. et. Al Determination of tar, nicotine, and carbon monoxide yieds in the mainstream smoke of selected international cigarettes. Tob Control 2004; 13: 45-51

Ice Cream/Popsicles – img17513

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The e-Cigarette (e-cig) industry zealously claims to target only adult and primarily established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

Appealing to an almost universal love for ice cream by children and adults alike, e-cigs and ejuice are available in a number of sweet flavors including caramel frappe, ice cream pops, vanilla, mint and banana split. The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

The images used in the ads are heavily borrowed from the food industry and some of the ads have kid-friendly slogans such as Lucky Flavor Store’s red, white and blue popsicle labelled, “It’s the bomb.” Some creative names used by the e-cig industry to market the product include Desert Moon Vapor’s Sultrysickle, Rocket Fuel’s Rocket Pop and WizMix’s Primal Icecream. In addition to standard flavors, customers at several online as well as retail boutique vape stores can create their own unique flavors by mixing any number of essences at a variety of nicotine strengths for a personalized vape.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

< p> With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

eJuice Companies – img17535

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A patently obvious device used by e-cigarette (e-cig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many e-cig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

e-cigs and vapor juices are available in a number including candy flavors such as gummi bears and bubble gum; baked good flavors such as peach cobbler and apple pie, alcoholic flavors such as beer and peach schnapps, variety of fruit and berry flavors and mint.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. UCSF: E-Cigarettes: Gateway to Nicotine Addiction for U.S. Teens, Says UCSF Study. Available at https://www.ucsf.edu/news/2014/03/112316/e-cigarettes-gateway-nicotine-addiction-us-teens-says-ucsf-study

2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Candy – img17597

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The e-Cigarette (e-cig) industry fervently claims to target only adult and primarily established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

Appealing to an almost universal love for candy and sweets, e-cigs and ejuice are available in a number of childhood favorite flavors including bubble gum, gummys, Bazzoka, Kool-Aid, sweet tarts, cotton candy, gum balls, Swedish fish and cheerios. The images used in the ads are heavily borrowed from the food industry. Some e-cig companies (Mister Vapor) and vapor stores (Good Clean Vaoes) also use fairytale and anime characters to entice kids and teenagers to buy their products.

The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens. In addition to standard flavors, customers at retail “boutique” vape stores can enjoy the novel experience of working with a vapologist to create unique flavors by mixing any number of essences at a variety of nicotine strengths for a personalized vape. Some retail vape bars also have a “tasting bar” much like restaurants where consumers can try a variety of flavors.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Cookies – img17673

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The e-Cigarette (e-cig) industry zealously claims to target only adult and primarily established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

E-cigs and ejuice are available in a number of flavors including chocolate chip cookies and oreos (Crave, Cookies & Cream, ProVape), pancake and pies (Flux, VMax, VaporDiet, Plume Room, VaporZone), breakfast cereals (HometownVapor, Flavorz, Lucky’s Charm), and cupcakes (VaporTrim, Sweet Heavenly Puff).The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1. The widespread use of flavored e-cigs by teens have some public health advocates calling it the “Trojan horse” of nicotine addiction.

With the Federal Drug Administration opting not to ban flavors in e-cigs in its proposal in the first half of 2014, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Mint – img17720

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A patently obvious device used by e-cigarette (eCig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, eCig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many eCig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

Like combustible tobacco products, a number of eCigs are available in menthol flavor. Menthol is a mint extract, which triggers a sensation of coolness when it comes in contact with the mouth and throat. Advertisers for these brands often tout menthols' coolness as a contrast to the bitterness of tobacco. Implicit in this advertising technique is the notion that vaping mentholated eCigs are cooler and better for the consumer. Since menthol reduces the harshness of cigarette smoke, it appeals to young, inexperienced smokers

The eCig industry markets menthol eCigs to consumers with messages of fresh/refreshing taste and sensation, youthfulness, fun, and healthful effects. Advertisements often show nature, coldness, springtime, water, and other refreshing qualities. Menthol cigarettes are disproportionately smoked by African Americans and youth.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored eCigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of eCig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used eCigs. Almost 76% of youth who had tried an eCig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried eCigs1.

< p> With the Federal Drug Administration proposing not to ban flavors in eCigs, advocates fear that flavored eCigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored eCigs and vape juices the the “Trojan horse” of nicotine addiction.

Flavor Varieties – img18611

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A patently obvious device used by e-cigarette (e-cig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many e-cig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

e-cigs and vapor juices are available in a number including candy flavors such as gummi bears and bubble gum; baked good flavors such as peach cobbler and apple pie, alcoholic flavors such as beer and peach schnapps, variety of fruit and berry flavors and mint.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. UCSF: E-Cigarettes: Gateway to Nicotine Addiction for U.S. Teens, Says UCSF Study. Available at https://www.ucsf.edu/news/2014/03/112316/e-cigarettes-gateway-nicotine-addiction-us-teens-says-ucsf-study

2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Beverages – img24514

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Soda Pops are a American cultural phenomena with a majority of individuals, including children, drinking a sugary beverage every day. e-cigs and ejuice manufacturers are tapping into people’s love for Soda Pops by creating a number of soft drink flavors.

Popular flavors advertised include Root Beer, Cola, Cherry Cola, Orange Soda, and Hawaiian Punch. Some e-cig manufacturers wanting to borrow from the prestige and reputation of a particular Soda Pop manufacturer have appropriated the brand name albeit with a small change. For instance, Dessert Moon offers a Dr. Pepper Flavor and in advertising the product uses the official brand logo of the soft drink but with its name spread across the top of the image. An ad for Vapage contains images of several popular brands such as Dr. Pepper, Hawaiian Punch, Pepsi and Wrigleys in the foreground with the image of bottles of vape juices in those flavors in the background. Most e-cig brands and companies want their consumers to identify their flavors closely with popular, brand-named soda pops. As Vapor4Life1 says on its website, the idea is for consumers to think that “This vape is so authentic to your favorite soda pop that you'll think you're sipping it from a straw rather than your electronic cigarette.”

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2. The widespread use of flavored e-cigs by teens have some public health advocates calling it the “Trojan horse” of nicotine addiction.

With the Federal Drug Administration opting not to ban flavors in e-cigs in its proposal in the first half of 2014, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Vapor4Life. Doc Popular. Available at http://www.vapor4life.com/doc-pepper-electronic-cigarette-flavor
2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Chocolate – img30380

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The e-Cigarette (e-cig) industry zealously claims to target only adult smokers and established smokers. But as much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

Appealing to an almost universal love for chocolates by children and adults alike, e-cigs and ejuices are available in a number of chocolate flavors including milk chocolate, coffee chocolate, chocolate mint, chocolate caramel, chocolate peanut butter, chocolate banana and chocolate strawberry. The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

In advertising the chocolate flavored e-cigs, the images are primarily of decadent pieces of chocolate. Some of the imagery in the advertisement is heavily borrowed from the food industry and some of the packages are designed to closely resemble popular chocolate brands such as Reese’s Peanut Butter Cups. In addition to these standard chocolate flavors, customers at online and retail “boutique” vape stores can mix any number of essences at a variety of nicotine strengths for a personalized vape. Some retail vape bars also have a “tasting bar” much like restaurants where consumers can try a variety of flavors.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Berries – img17687

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The e-Cigarette (e-cig) industry zealously claims to target only adults and established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

E-cigs and ejuice are available in a number of fruit flavors including banana, watermelon, pineapple, and grape. In addition to these flavors, many ejuices are available in exotic flavors such as passion fruit, mango and lychee as well as in a cocktail of fruit flavors. The fruit flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens. Advertisements for fruit flavored e-cigs and ejuices include bright backgrounds that seek to draw all the attention to the fruits. Images of fruits slicing through water much helps convey a sense of freshness and purity to the product. If not for the brand name or the image of ejuice bottle by the side of the fruit, it would be easy to mistake many of the ads under this theme for ads by the food industry.

Flavored cigarettes and flavored tobacco have long been held to be gateway product for children and teens. There is now growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

With the Federal Drug Administration proposing not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored e-cigs and vape juices the “Trojan horse” of nicotine addiction.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Spices & Nuts – img17711

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E-cigs and vapor liquids are available in a number of appealing flavors including spice and nut flavors. The flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

The most commonly advertised spices in e-cig ads include clove, cinnamon, pumpkin spice, and gingseng. Vapor juices are also available in almond, pecan, and hazelnut flavors. Many of the ads seem to be photostock images of spices and nuts to which the image of a bottle of vapor juice has been added. The flavors promoted also include some sweet dessert flavors. For instance, Kali’s Coconut Burfi, which combines coconuts, cardamom and cinnamon, is an extremely popular dessert in India that is often made during the festival season. Similarly, Rama’s Ras Malai, a combination of rose petals, almond and milk, is a very popular dessert in India.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1. The widespread use of flavored e-cigs by teens have some public health advocates calling it the “Trojan horse” of nicotine addiction.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-ecigarette-use.html

Fruits – img17741

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The e-Cigarette (e-cig) industry zealously claims to target only adults and established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

E-cigs and ejuice are available in a number of fruit flavors including banana, watermelon, pineapple, and grape. In addition to these flavors, many ejuices are available in exotic flavors such as passion fruit, mango and lychee as well as in a cocktail of fruit flavors. The fruit flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens. Advertisements for fruit flavored e-cigs and ejuices include bright backgrounds that seek to draw all the attention to the fruits. Images of fruits slicing through water much helps convey a sense of freshness and purity to the product. If not for the brand name or the image of ejuice bottle by the side of the fruit, it would be easy to mistake many of the ads under this theme for ads by the food industry.

Flavored cigarettes and flavored tobacco have long been held to be gateway product for children and teens. There is now growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

With the Federal Drug Administration proposing not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored e-cigs and vape juices the “Trojan horse” of nicotine addiction.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Coffee & Tea – img18527

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E-cigs and vapor liquids are available in a number of appealing flavors including coffee and tea. The flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

Popular flavors advertised include coffee, cappuccino, caramel mocha cappuccino, kona coffee, green tea, mint tea, and sweet tea. Advertisements in this theme seek to subliminally influence individuals that e-cigs should become part of a daily routine; to be enjoyed as you enjoy your coffee and tea. The ads also seek to influence individuals into believing nicotine is only as habit forming and harmful as caffeine.

Flavored cigarettes and flavored tobacco have long been held as a gateway product for children and teens. There is now growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2.

With the Federal Drug Administration opting not to ban flavored additives in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored e-cigs the “Trojan horse” of nicotine addiction.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Alcohol – img18533

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A patently obvious device used by e-cigarette (e-cig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many e-cig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

e-cigs and vapor juices are available in a number of alcoholic flavors including beer, pina colada, mojito, margarita, brandy, whiskey, gin & tonic, amaretto, wine cigar, and sangria. By advertising alcoholic flavored e-cigs and vapor juices, e-cig manufacturers are appealing to teenager to break two adult taboos at once — alcohol and smoking — in a single activity.

Flavored cigarettes and flavored tobacco have long been held as a gateway product for children and teens. There is now growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2.

With the Federal Drug Administration opting not to ban flavored additives, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored e-cigs the “Trojan horse” of nicotine addiction.

1. UCSF: E-Cigarettes: Gateway to Nicotine Addiction for U.S. Teens, Says UCSF Study. Available at https://www.ucsf.edu/news/2014/03/112316/e-cigarettes-gateway-nicotine-addiction-us-teens-says-ucsf-study

2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-ecigarette-use.html

Tobacco – img18583

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In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many e-cig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are almost endless.

e-cigs and vapor juices are available in a number of flavors including tobacco flavor. Wanting to borrow from the prestige of well-established combustible tobacco brands such as Marlboro and Camel, a number of e-cig companies offer Camel and Marlboro flavored vapor juices. In addition to naming their vapor juices after these established brands, the advertising of these products also imitates the original brand ads. These tobacco flavored vapor juices also make for an easier transition for committed, brand loyal, smokers who are looking to vape.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1. The use of flavored e-cigs by teens seems so widespread that some public health advocates are calling it the “Trojan horse” of nicotine addiction.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-ecigarette-use.html

Meat & Pizza – img21821

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A patently obvious device used by e-cigarette (e-cig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice including pizza, bacon and meat.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2. The use of flavored e-cigs by teens seems so widespread that some public health advocates are calling it the “Trojan horse” of nicotine addiction.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. UCSF: E-cigarettes: Gateway to Nicotine Addiction for U.S. Teens, Says UCSF Study. Available at https://www.ucsf.edu/news/2014/03/112316/e-cigarettes-gateway-nicotine-addiction-us-teens-says-ucsf-study

2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-ecigarette-use.html

Knock-Offs – img23186

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Brands strive for brand loyalty as it often involves consumers being repeat purchasers of the brand’s products and in many cases, identifying with the interests of the brand. Most major retail companies have built brand loyalty over decades. Electronic cigarette (e-cig) manufacturers understanding the importance of brand loyalty in consumer purchasing habits are trying to reap the goodwill of these companies by designing knock-off products.

A large portion of these imitations are flavor knockoffs, or flavors with branding that strongly resembles or imitates an existing brand. Take “Starbuzz Tobacco”, a play on words of Starbucks Coffee, with a logo that shares the same concentric circles and color scheme. Starbucks is a popular brand amongst teenagers, especially teenaged girls, so this attempt to mimic the Starbucks brand is also an attempt to capture that image for the e-cig product as a hip product. Another example is Pink Spot Flavor’s Raging Bull flavors, which uses the same bull outline as the one in the Red Bull energy drink logo, and also adopts a very similar color scheme. The imitations continue beyond brand associations and encompass product associations – there are many instances of e-cig companies simply using the logo of a different brand in its own packaging. Many Juicy Fruit flavor iterations of various e-cig companies directly place the actual Juicy Fruit candy logo on their packaging, which, suffice to say, is massively appealing to children. There are also several variations of popular breakfast cereal flavored e-cigs including Lucky Charms.

The established brand name companies are beginning to take note. General Mills Inc., Girl Scouts of the USA, and Tootsie Roll Industries Inc. are among the brands that have started firing off cease-and-desist letters to makers of the flavored nicotine liquids used in e-cigs.1 With sales of e-cigs booming, e-cig companies can no longer fly under the radar after ripping off a large corporations trademark.

1. Candy, Snack Companies Want Names Off E-Cigs. Retrieved from http://blogs.findlaw.com/free_enterprise/2014/05/candy-snack-companies-want-names-off-e-cigs.html

Organic – img23106

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The organic market is presently experiencing a Renaissance in public attitudes. With natural food store chains like Whole Foods sweeping the nation, and Farmer's Markets springing up in many young, hip neighborhoods, “Organic” has become an eco buzz word that attracts the health-conscious young adult.

A majority of Americans now believe organic products are superior to their conventional counterparts. Among those who regularly buy organic goods, 66% do so for the perceived health benefits1. Many of them are willing to spend a little more money for a product which bears a label boasting one or more of these buzz words.

The growing popularity of organic products has led to conventional as well as electronic cigarette (e-cig) manufacturers attempting to exploit the reputation of the “organic” descriptor to sell their products. A number of e-cig brands as well as vape juice brands proudly carry an “organic” seal on their products and advertising.

Ads for organic e-liquids and organic e-cigs contain recurrent themes of
freshness, sustainability, safety, and health. Fruit is one ubiquitous motif found in many of the ads. Every organic brand has at least a few organic fruit flavors, and some ad campaigns center on the subject. Velvet Cloud Vapor displays an array of cute, childish illustrations to show off its flavors. These ads give the deceptive impression that the e-liquid is made from organic fruit and therefore is fresher to consume. Much like the court mandated Natural American Spirits to carry the disclaimer, “organic tobacco does not mean a safer cigarette,” e-cigs brands should also be required to carry a similar disclaimer.

Bulk Nicotine – img23693

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Nicotine is a deadly substance. Calls to US poison center are rising rapidly since the introduction of eCigarettes. Nicotine may result in accidental death of infants, children, and even adults via inhalation, ingestion, and even dermal exposure. Nicotine has also been used in murders and suicides.

Due to nicotine’s potency as a poison, it is especially troublesome that it is available for sale in bulk quantities online at high concentrations. 1 liter bottles of 54mg/ml and 100mg/ml nicotine are readily available for purchase online. Even 55 gallon drums are obtainable via internet purchases. Please see attached online advertisements.

According to the CDC, the lethal dose for nicotine has been estimated to be about 50 to 60 mg for a 70 kg man. (http://www.cdc.gov/niosh/idlh/54115.html) Making nicotine available to the public in bulk quantities, with its potential use as in terrorism, represents a clear and present public health risk.

1. Diethelm P, McKee M. Nicotine: not just an unregulated poison but now a potential chemical weapon. Eur J Public Health. 2011 Dec;21(6):681. doi: 10.1093/eurpub/ckr148.

2. Corkery JM, Button J, Vento AE, Schifano F. Two UK suicides using nicotine extracted from tobacco employing instructions available on the Internet. Forensic Sci Int. 2010;199:e9–e13. doi: 10.1016/j.forsciint.2010.02.004

High Nicotine Flavors – img23705

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Electronic cigarette liquid (ejuice) is available in a variety of nicotine strengths ranging as high as 36 mg/ml and even 54 mg/ml. Nicotine levels of 16mg/ml are usually advertised by the electronic cigarette industry as “full flavored” while nicotine levels of 36 mg/ml are described as “super high” or “unfiltered”.

Super high nicotine concentrations are available in youth appealing flavors such as Peppermint Party, Banana Split, Marshmallow, Tutti Fruti Gumballs, My Birthday Cake, Carnival Cotton Candy, Totally Toffee, Strawberrylicious, Chocolate, and Energy Drink. These e-liquids are marketed online with bright and colorful images and dispensed in similarly colorful bottles. It is quite evident that these are designed to appeal to teens. The numerous sweet flavored varieties are also attractive to younger children.

As measured by Calafat and co-workers, Marlboro has 0.92 mg nicotine per cigarette. A 10 cc bottle of 36mg/ml chocolate e-liquid has the nicotine equivalent of 391 cigarettes. This volume of concentrated nicotine is sufficient to kill a sizable number of kindergartners.

The Centers for Disease Control and Prevention warns on its website that the fatal human dose has been estimated to be about 50 to 60 mg for a 150 pound adult. The lethal dose in a child is a small fraction of this.

The development of Advanced Personal Vaporizers, or Mods, has also dramatically increased the volume of vapor inhaled per puff, which further increases potential nicotine absorption. The large clouds of exhaled vapor raises the risk of second hand nicotine exposure.

1. Centers for Disease Control and Prevention. Nicotine. Centers for Disease Control and Prevention, May 1994. Web. 26 June 2014.

2. Calafat AM, Polzin GM, Saylor J. et. Al Determination of tar, nicotine, and carbon monoxide yieds in the mainstream smoke of selected international cigarettes. Tob Control 2004; 13: 45-51

Break the Rules – img21901

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Electronic Cigarette (e-cig) companies are increasingly targeting teenagers, who are often trailblazers of new trends and “role models” for younger adolescents. In courting young trendsetters, e-cig manufacturers predominantly utilize advertising imagery and slogans that appeal to the teens’ sense of freedom and rebellion.

An ad for Blu e-cigs features an angry, middle-aged woman, flipping her middle finger to smoking bans. The headline for the ad reads “Dear Smoking Ban” and the rest of the ad text says, “Take back your freedom to smoke anywhere with Blu electronic cigarettes.” Modern Vapor has an ad of a woman reclining with an e-hookah in her hand. The slogan of the ad says, “Smoke in No Smoking Zones.” A NicStick advertisement focuses on the “no smoking sign” of a coffee shop. The text above the image says, “Beat the Smoking Bans. Smoke Anywhere with electronic cigarettes.”

The e-cig industry is also keen to create a “cool,” “hip” image for its products through advertisements. Many ads are clearly targeted at hipsters who have a tendency to buck social norms and be anti-establishment. In an online ad for Njoy, rocker Courtney Love, wearing a silk dress, her makeup slightly smeared, is shown vaping at an opera house while a conservatively dressed older woman looks on with a horrified expression. When the older woman starts to protest, Courtney turns around and in an expletive-laced sentence tells the woman that she is not smoking but vaping an e-cigarette. The same brand also has an online video of a self-identified hipster with his red beard promoting the product.

Many other freedom based ads for e-cigs depict the freedom and pleasure of youth with images such as dancing and partying. The message that accompanies many of these ads is focused on the delight of rewriting the rules and breaking conventional norms. While e-cigarette manufacturers promise many freedoms to their consumers, the one freedom that they cannot promise is freedom from nicotine addiction.

eJuice Companies – img17536

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A patently obvious device used by e-cigarette (e-cig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many e-cig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

e-cigs and vapor juices are available in a number including candy flavors such as gummi bears and bubble gum; baked good flavors such as peach cobbler and apple pie, alcoholic flavors such as beer and peach schnapps, variety of fruit and berry flavors and mint.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. UCSF: E-Cigarettes: Gateway to Nicotine Addiction for U.S. Teens, Says UCSF Study. Available at https://www.ucsf.edu/news/2014/03/112316/e-cigarettes-gateway-nicotine-addiction-us-teens-says-ucsf-study

2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Candy – img17598

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The e-Cigarette (e-cig) industry fervently claims to target only adult and primarily established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

Appealing to an almost universal love for candy and sweets, e-cigs and ejuice are available in a number of childhood favorite flavors including bubble gum, gummys, Bazzoka, Kool-Aid, sweet tarts, cotton candy, gum balls, Swedish fish and cheerios. The images used in the ads are heavily borrowed from the food industry. Some e-cig companies (Mister Vapor) and vapor stores (Good Clean Vaoes) also use fairytale and anime characters to entice kids and teenagers to buy their products.

The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens. In addition to standard flavors, customers at retail “boutique” vape stores can enjoy the novel experience of working with a vapologist to create unique flavors by mixing any number of essences at a variety of nicotine strengths for a personalized vape. Some retail vape bars also have a “tasting bar” much like restaurants where consumers can try a variety of flavors.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Mint – img17724

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A patently obvious device used by e-cigarette (eCig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, eCig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many eCig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

Like combustible tobacco products, a number of eCigs are available in menthol flavor. Menthol is a mint extract, which triggers a sensation of coolness when it comes in contact with the mouth and throat. Advertisers for these brands often tout menthols' coolness as a contrast to the bitterness of tobacco. Implicit in this advertising technique is the notion that vaping mentholated eCigs are cooler and better for the consumer. Since menthol reduces the harshness of cigarette smoke, it appeals to young, inexperienced smokers

The eCig industry markets menthol eCigs to consumers with messages of fresh/refreshing taste and sensation, youthfulness, fun, and healthful effects. Advertisements often show nature, coldness, springtime, water, and other refreshing qualities. Menthol cigarettes are disproportionately smoked by African Americans and youth.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored eCigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of eCig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used eCigs. Almost 76% of youth who had tried an eCig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried eCigs1.

< p> With the Federal Drug Administration proposing not to ban flavors in eCigs, advocates fear that flavored eCigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored eCigs and vape juices the the “Trojan horse” of nicotine addiction.

Beverages – img18513

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Soda Pops are a American cultural phenomena with a majority of individuals, including children, drinking a sugary beverage every day. e-cigs and ejuice manufacturers are tapping into people’s love for Soda Pops by creating a number of soft drink flavors.

Popular flavors advertised include Root Beer, Cola, Cherry Cola, Orange Soda, and Hawaiian Punch. Some e-cig manufacturers wanting to borrow from the prestige and reputation of a particular Soda Pop manufacturer have appropriated the brand name albeit with a small change. For instance, Dessert Moon offers a Dr. Pepper Flavor and in advertising the product uses the official brand logo of the soft drink but with its name spread across the top of the image. An ad for Vapage contains images of several popular brands such as Dr. Pepper, Hawaiian Punch, Pepsi and Wrigleys in the foreground with the image of bottles of vape juices in those flavors in the background. Most e-cig brands and companies want their consumers to identify their flavors closely with popular, brand-named soda pops. As Vapor4Life1 says on its website, the idea is for consumers to think that “This vape is so authentic to your favorite soda pop that you'll think you're sipping it from a straw rather than your electronic cigarette.”

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2. The widespread use of flavored e-cigs by teens have some public health advocates calling it the “Trojan horse” of nicotine addiction.

With the Federal Drug Administration opting not to ban flavors in e-cigs in its proposal in the first half of 2014, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Vapor4Life. Doc Popular. Available at http://www.vapor4life.com/doc-pepper-electronic-cigarette-flavor
2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Flavor Varieties – img18613

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A patently obvious device used by e-cigarette (e-cig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many e-cig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

e-cigs and vapor juices are available in a number including candy flavors such as gummi bears and bubble gum; baked good flavors such as peach cobbler and apple pie, alcoholic flavors such as beer and peach schnapps, variety of fruit and berry flavors and mint.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. UCSF: E-Cigarettes: Gateway to Nicotine Addiction for U.S. Teens, Says UCSF Study. Available at https://www.ucsf.edu/news/2014/03/112316/e-cigarettes-gateway-nicotine-addiction-us-teens-says-ucsf-study

2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Chocolate – img20383

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The e-Cigarette (e-cig) industry zealously claims to target only adult smokers and established smokers. But as much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

Appealing to an almost universal love for chocolates by children and adults alike, e-cigs and ejuices are available in a number of chocolate flavors including milk chocolate, coffee chocolate, chocolate mint, chocolate caramel, chocolate peanut butter, chocolate banana and chocolate strawberry. The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

In advertising the chocolate flavored e-cigs, the images are primarily of decadent pieces of chocolate. Some of the imagery in the advertisement is heavily borrowed from the food industry and some of the packages are designed to closely resemble popular chocolate brands such as Reese’s Peanut Butter Cups. In addition to these standard chocolate flavors, customers at online and retail “boutique” vape stores can mix any number of essences at a variety of nicotine strengths for a personalized vape. Some retail vape bars also have a “tasting bar” much like restaurants where consumers can try a variety of flavors.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Ice Cream/Popsicles – img20414

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The e-Cigarette (e-cig) industry zealously claims to target only adult and primarily established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

Appealing to an almost universal love for ice cream by children and adults alike, e-cigs and ejuice are available in a number of sweet flavors including caramel frappe, ice cream pops, vanilla, mint and banana split. The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

The images used in the ads are heavily borrowed from the food industry and some of the ads have kid-friendly slogans such as Lucky Flavor Store’s red, white and blue popsicle labelled, “It’s the bomb.” Some creative names used by the e-cig industry to market the product include Desert Moon Vapor’s Sultrysickle, Rocket Fuel’s Rocket Pop and WizMix’s Primal Icecream. In addition to standard flavors, customers at several online as well as retail boutique vape stores can create their own unique flavors by mixing any number of essences at a variety of nicotine strengths for a personalized vape.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

< p> With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Cookies – img20626

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The e-Cigarette (e-cig) industry zealously claims to target only adult and primarily established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

E-cigs and ejuice are available in a number of flavors including chocolate chip cookies and oreos (Crave, Cookies & Cream, ProVape), pancake and pies (Flux, VMax, VaporDiet, Plume Room, VaporZone), breakfast cereals (HometownVapor, Flavorz, Lucky’s Charm), and cupcakes (VaporTrim, Sweet Heavenly Puff).The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1. The widespread use of flavored e-cigs by teens have some public health advocates calling it the “Trojan horse” of nicotine addiction.

With the Federal Drug Administration opting not to ban flavors in e-cigs in its proposal in the first half of 2014, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Berries – img17688

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The e-Cigarette (e-cig) industry zealously claims to target only adults and established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

E-cigs and ejuice are available in a number of fruit flavors including banana, watermelon, pineapple, and grape. In addition to these flavors, many ejuices are available in exotic flavors such as passion fruit, mango and lychee as well as in a cocktail of fruit flavors. The fruit flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens. Advertisements for fruit flavored e-cigs and ejuices include bright backgrounds that seek to draw all the attention to the fruits. Images of fruits slicing through water much helps convey a sense of freshness and purity to the product. If not for the brand name or the image of ejuice bottle by the side of the fruit, it would be easy to mistake many of the ads under this theme for ads by the food industry.

Flavored cigarettes and flavored tobacco have long been held to be gateway product for children and teens. There is now growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

With the Federal Drug Administration proposing not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored e-cigs and vape juices the “Trojan horse” of nicotine addiction.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Spices & Nuts – img17712

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E-cigs and vapor liquids are available in a number of appealing flavors including spice and nut flavors. The flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

The most commonly advertised spices in e-cig ads include clove, cinnamon, pumpkin spice, and gingseng. Vapor juices are also available in almond, pecan, and hazelnut flavors. Many of the ads seem to be photostock images of spices and nuts to which the image of a bottle of vapor juice has been added. The flavors promoted also include some sweet dessert flavors. For instance, Kali’s Coconut Burfi, which combines coconuts, cardamom and cinnamon, is an extremely popular dessert in India that is often made during the festival season. Similarly, Rama’s Ras Malai, a combination of rose petals, almond and milk, is a very popular dessert in India.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1. The widespread use of flavored e-cigs by teens have some public health advocates calling it the “Trojan horse” of nicotine addiction.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-ecigarette-use.html

Coffee & Tea – img18528

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E-cigs and vapor liquids are available in a number of appealing flavors including coffee and tea. The flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

Popular flavors advertised include coffee, cappuccino, caramel mocha cappuccino, kona coffee, green tea, mint tea, and sweet tea. Advertisements in this theme seek to subliminally influence individuals that e-cigs should become part of a daily routine; to be enjoyed as you enjoy your coffee and tea. The ads also seek to influence individuals into believing nicotine is only as habit forming and harmful as caffeine.

Flavored cigarettes and flavored tobacco have long been held as a gateway product for children and teens. There is now growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2.

With the Federal Drug Administration opting not to ban flavored additives in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored e-cigs the “Trojan horse” of nicotine addiction.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Alcohol – img18534

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A patently obvious device used by e-cigarette (e-cig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many e-cig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

e-cigs and vapor juices are available in a number of alcoholic flavors including beer, pina colada, mojito, margarita, brandy, whiskey, gin & tonic, amaretto, wine cigar, and sangria. By advertising alcoholic flavored e-cigs and vapor juices, e-cig manufacturers are appealing to teenager to break two adult taboos at once — alcohol and smoking — in a single activity.

Flavored cigarettes and flavored tobacco have long been held as a gateway product for children and teens. There is now growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2.

With the Federal Drug Administration opting not to ban flavored additives, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored e-cigs the “Trojan horse” of nicotine addiction.

1. UCSF: E-Cigarettes: Gateway to Nicotine Addiction for U.S. Teens, Says UCSF Study. Available at https://www.ucsf.edu/news/2014/03/112316/e-cigarettes-gateway-nicotine-addiction-us-teens-says-ucsf-study

2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-ecigarette-use.html

Tobacco – img18584

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In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many e-cig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are almost endless.

e-cigs and vapor juices are available in a number of flavors including tobacco flavor. Wanting to borrow from the prestige of well-established combustible tobacco brands such as Marlboro and Camel, a number of e-cig companies offer Camel and Marlboro flavored vapor juices. In addition to naming their vapor juices after these established brands, the advertising of these products also imitates the original brand ads. These tobacco flavored vapor juices also make for an easier transition for committed, brand loyal, smokers who are looking to vape.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1. The use of flavored e-cigs by teens seems so widespread that some public health advocates are calling it the “Trojan horse” of nicotine addiction.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-ecigarette-use.html

Fruits – img20540

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The e-Cigarette (e-cig) industry zealously claims to target only adults and established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

E-cigs and ejuice are available in a number of fruit flavors including banana, watermelon, pineapple, and grape. In addition to these flavors, many ejuices are available in exotic flavors such as passion fruit, mango and lychee as well as in a cocktail of fruit flavors. The fruit flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens. Advertisements for fruit flavored e-cigs and ejuices include bright backgrounds that seek to draw all the attention to the fruits. Images of fruits slicing through water much helps convey a sense of freshness and purity to the product. If not for the brand name or the image of ejuice bottle by the side of the fruit, it would be easy to mistake many of the ads under this theme for ads by the food industry.

Flavored cigarettes and flavored tobacco have long been held to be gateway product for children and teens. There is now growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

With the Federal Drug Administration proposing not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored e-cigs and vape juices the “Trojan horse” of nicotine addiction.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Meat & Pizza – img20784

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A patently obvious device used by e-cigarette (e-cig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice including pizza, bacon and meat.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2. The use of flavored e-cigs by teens seems so widespread that some public health advocates are calling it the “Trojan horse” of nicotine addiction.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. UCSF: E-cigarettes: Gateway to Nicotine Addiction for U.S. Teens, Says UCSF Study. Available at https://www.ucsf.edu/news/2014/03/112316/e-cigarettes-gateway-nicotine-addiction-us-teens-says-ucsf-study

2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-ecigarette-use.html

Knock-Offs – img23187

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Brands strive for brand loyalty as it often involves consumers being repeat purchasers of the brand’s products and in many cases, identifying with the interests of the brand. Most major retail companies have built brand loyalty over decades. Electronic cigarette (e-cig) manufacturers understanding the importance of brand loyalty in consumer purchasing habits are trying to reap the goodwill of these companies by designing knock-off products.

A large portion of these imitations are flavor knockoffs, or flavors with branding that strongly resembles or imitates an existing brand. Take “Starbuzz Tobacco”, a play on words of Starbucks Coffee, with a logo that shares the same concentric circles and color scheme. Starbucks is a popular brand amongst teenagers, especially teenaged girls, so this attempt to mimic the Starbucks brand is also an attempt to capture that image for the e-cig product as a hip product. Another example is Pink Spot Flavor’s Raging Bull flavors, which uses the same bull outline as the one in the Red Bull energy drink logo, and also adopts a very similar color scheme. The imitations continue beyond brand associations and encompass product associations – there are many instances of e-cig companies simply using the logo of a different brand in its own packaging. Many Juicy Fruit flavor iterations of various e-cig companies directly place the actual Juicy Fruit candy logo on their packaging, which, suffice to say, is massively appealing to children. There are also several variations of popular breakfast cereal flavored e-cigs including Lucky Charms.

The established brand name companies are beginning to take note. General Mills Inc., Girl Scouts of the USA, and Tootsie Roll Industries Inc. are among the brands that have started firing off cease-and-desist letters to makers of the flavored nicotine liquids used in e-cigs.1 With sales of e-cigs booming, e-cig companies can no longer fly under the radar after ripping off a large corporations trademark.

1. Candy, Snack Companies Want Names Off E-Cigs. Retrieved from http://blogs.findlaw.com/free_enterprise/2014/05/candy-snack-companies-want-names-off-e-cigs.html

Bulk Nicotine – img23694

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Nicotine is a deadly substance. Calls to US poison center are rising rapidly since the introduction of eCigarettes. Nicotine may result in accidental death of infants, children, and even adults via inhalation, ingestion, and even dermal exposure. Nicotine has also been used in murders and suicides.

Due to nicotine’s potency as a poison, it is especially troublesome that it is available for sale in bulk quantities online at high concentrations. 1 liter bottles of 54mg/ml and 100mg/ml nicotine are readily available for purchase online. Even 55 gallon drums are obtainable via internet purchases. Please see attached online advertisements.

According to the CDC, the lethal dose for nicotine has been estimated to be about 50 to 60 mg for a 70 kg man. (http://www.cdc.gov/niosh/idlh/54115.html) Making nicotine available to the public in bulk quantities, with its potential use as in terrorism, represents a clear and present public health risk.

1. Diethelm P, McKee M. Nicotine: not just an unregulated poison but now a potential chemical weapon. Eur J Public Health. 2011 Dec;21(6):681. doi: 10.1093/eurpub/ckr148.

2. Corkery JM, Button J, Vento AE, Schifano F. Two UK suicides using nicotine extracted from tobacco employing instructions available on the Internet. Forensic Sci Int. 2010;199:e9–e13. doi: 10.1016/j.forsciint.2010.02.004

High Nicotine Flavors – img23706

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Electronic cigarette liquid (ejuice) is available in a variety of nicotine strengths ranging as high as 36 mg/ml and even 54 mg/ml. Nicotine levels of 16mg/ml are usually advertised by the electronic cigarette industry as “full flavored” while nicotine levels of 36 mg/ml are described as “super high” or “unfiltered”.

Super high nicotine concentrations are available in youth appealing flavors such as Peppermint Party, Banana Split, Marshmallow, Tutti Fruti Gumballs, My Birthday Cake, Carnival Cotton Candy, Totally Toffee, Strawberrylicious, Chocolate, and Energy Drink. These e-liquids are marketed online with bright and colorful images and dispensed in similarly colorful bottles. It is quite evident that these are designed to appeal to teens. The numerous sweet flavored varieties are also attractive to younger children.

As measured by Calafat and co-workers, Marlboro has 0.92 mg nicotine per cigarette. A 10 cc bottle of 36mg/ml chocolate e-liquid has the nicotine equivalent of 391 cigarettes. This volume of concentrated nicotine is sufficient to kill a sizable number of kindergartners.

The Centers for Disease Control and Prevention warns on its website that the fatal human dose has been estimated to be about 50 to 60 mg for a 150 pound adult. The lethal dose in a child is a small fraction of this.

The development of Advanced Personal Vaporizers, or Mods, has also dramatically increased the volume of vapor inhaled per puff, which further increases potential nicotine absorption. The large clouds of exhaled vapor raises the risk of second hand nicotine exposure.

1. Centers for Disease Control and Prevention. Nicotine. Centers for Disease Control and Prevention, May 1994. Web. 26 June 2014.

2. Calafat AM, Polzin GM, Saylor J. et. Al Determination of tar, nicotine, and carbon monoxide yieds in the mainstream smoke of selected international cigarettes. Tob Control 2004; 13: 45-51

Break the Rules – img21902

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Electronic Cigarette (e-cig) companies are increasingly targeting teenagers, who are often trailblazers of new trends and “role models” for younger adolescents. In courting young trendsetters, e-cig manufacturers predominantly utilize advertising imagery and slogans that appeal to the teens’ sense of freedom and rebellion.

An ad for Blu e-cigs features an angry, middle-aged woman, flipping her middle finger to smoking bans. The headline for the ad reads “Dear Smoking Ban” and the rest of the ad text says, “Take back your freedom to smoke anywhere with Blu electronic cigarettes.” Modern Vapor has an ad of a woman reclining with an e-hookah in her hand. The slogan of the ad says, “Smoke in No Smoking Zones.” A NicStick advertisement focuses on the “no smoking sign” of a coffee shop. The text above the image says, “Beat the Smoking Bans. Smoke Anywhere with electronic cigarettes.”

The e-cig industry is also keen to create a “cool,” “hip” image for its products through advertisements. Many ads are clearly targeted at hipsters who have a tendency to buck social norms and be anti-establishment. In an online ad for Njoy, rocker Courtney Love, wearing a silk dress, her makeup slightly smeared, is shown vaping at an opera house while a conservatively dressed older woman looks on with a horrified expression. When the older woman starts to protest, Courtney turns around and in an expletive-laced sentence tells the woman that she is not smoking but vaping an e-cigarette. The same brand also has an online video of a self-identified hipster with his red beard promoting the product.

Many other freedom based ads for e-cigs depict the freedom and pleasure of youth with images such as dancing and partying. The message that accompanies many of these ads is focused on the delight of rewriting the rules and breaking conventional norms. While e-cigarette manufacturers promise many freedoms to their consumers, the one freedom that they cannot promise is freedom from nicotine addiction.

Chocolate – img17494

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The e-Cigarette (e-cig) industry zealously claims to target only adult smokers and established smokers. But as much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

Appealing to an almost universal love for chocolates by children and adults alike, e-cigs and ejuices are available in a number of chocolate flavors including milk chocolate, coffee chocolate, chocolate mint, chocolate caramel, chocolate peanut butter, chocolate banana and chocolate strawberry. The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

In advertising the chocolate flavored e-cigs, the images are primarily of decadent pieces of chocolate. Some of the imagery in the advertisement is heavily borrowed from the food industry and some of the packages are designed to closely resemble popular chocolate brands such as Reese’s Peanut Butter Cups. In addition to these standard chocolate flavors, customers at online and retail “boutique” vape stores can mix any number of essences at a variety of nicotine strengths for a personalized vape. Some retail vape bars also have a “tasting bar” much like restaurants where consumers can try a variety of flavors.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Mint – img17517

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A patently obvious device used by e-cigarette (eCig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, eCig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many eCig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

Like combustible tobacco products, a number of eCigs are available in menthol flavor. Menthol is a mint extract, which triggers a sensation of coolness when it comes in contact with the mouth and throat. Advertisers for these brands often tout menthols' coolness as a contrast to the bitterness of tobacco. Implicit in this advertising technique is the notion that vaping mentholated eCigs are cooler and better for the consumer. Since menthol reduces the harshness of cigarette smoke, it appeals to young, inexperienced smokers

The eCig industry markets menthol eCigs to consumers with messages of fresh/refreshing taste and sensation, youthfulness, fun, and healthful effects. Advertisements often show nature, coldness, springtime, water, and other refreshing qualities. Menthol cigarettes are disproportionately smoked by African Americans and youth.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored eCigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of eCig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used eCigs. Almost 76% of youth who had tried an eCig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried eCigs1.

< p> With the Federal Drug Administration proposing not to ban flavors in eCigs, advocates fear that flavored eCigs will serve to entice a new generation of kids to become addicted to nicotine based products. Some public health advocates are calling flavored eCigs and vape juices the the “Trojan horse” of nicotine addiction.

eJuice Companies – img17537

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A patently obvious device used by e-cigarette (e-cig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many e-cig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

e-cigs and vapor juices are available in a number including candy flavors such as gummi bears and bubble gum; baked good flavors such as peach cobbler and apple pie, alcoholic flavors such as beer and peach schnapps, variety of fruit and berry flavors and mint.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. UCSF: E-Cigarettes: Gateway to Nicotine Addiction for U.S. Teens, Says UCSF Study. Available at https://www.ucsf.edu/news/2014/03/112316/e-cigarettes-gateway-nicotine-addiction-us-teens-says-ucsf-study

2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Candy – img17599

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The e-Cigarette (e-cig) industry fervently claims to target only adult and primarily established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

Appealing to an almost universal love for candy and sweets, e-cigs and ejuice are available in a number of childhood favorite flavors including bubble gum, gummys, Bazzoka, Kool-Aid, sweet tarts, cotton candy, gum balls, Swedish fish and cheerios. The images used in the ads are heavily borrowed from the food industry. Some e-cig companies (Mister Vapor) and vapor stores (Good Clean Vaoes) also use fairytale and anime characters to entice kids and teenagers to buy their products.

The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens. In addition to standard flavors, customers at retail “boutique” vape stores can enjoy the novel experience of working with a vapologist to create unique flavors by mixing any number of essences at a variety of nicotine strengths for a personalized vape. Some retail vape bars also have a “tasting bar” much like restaurants where consumers can try a variety of flavors.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Beverages – img18514

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Soda Pops are a American cultural phenomena with a majority of individuals, including children, drinking a sugary beverage every day. e-cigs and ejuice manufacturers are tapping into people’s love for Soda Pops by creating a number of soft drink flavors.

Popular flavors advertised include Root Beer, Cola, Cherry Cola, Orange Soda, and Hawaiian Punch. Some e-cig manufacturers wanting to borrow from the prestige and reputation of a particular Soda Pop manufacturer have appropriated the brand name albeit with a small change. For instance, Dessert Moon offers a Dr. Pepper Flavor and in advertising the product uses the official brand logo of the soft drink but with its name spread across the top of the image. An ad for Vapage contains images of several popular brands such as Dr. Pepper, Hawaiian Punch, Pepsi and Wrigleys in the foreground with the image of bottles of vape juices in those flavors in the background. Most e-cig brands and companies want their consumers to identify their flavors closely with popular, brand-named soda pops. As Vapor4Life1 says on its website, the idea is for consumers to think that “This vape is so authentic to your favorite soda pop that you'll think you're sipping it from a straw rather than your electronic cigarette.”

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2. The widespread use of flavored e-cigs by teens have some public health advocates calling it the “Trojan horse” of nicotine addiction.

With the Federal Drug Administration opting not to ban flavors in e-cigs in its proposal in the first half of 2014, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Vapor4Life. Doc Popular. Available at http://www.vapor4life.com/doc-pepper-electronic-cigarette-flavor
2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Flavor Varieties – img18614

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A patently obvious device used by e-cigarette (e-cig) companies to attract teens is the promotion of youth-oriented flavors. In its flavored product lines, e-cig manufacturers have far exceeded the flavorings used by the combustible tobacco industry. Almost every flavor addictive available in the market is available as a vapor juice. With many e-cig manufacturers allowing consumers to pick and mix their own flavorings, the possibilities are endless.

e-cigs and vapor juices are available in a number including candy flavors such as gummi bears and bubble gum; baked good flavors such as peach cobbler and apple pie, alcoholic flavors such as beer and peach schnapps, variety of fruit and berry flavors and mint.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. In a recent study, researchers at UCSF who analyzed data from the 2011 and 2012 National Youth Tobacco Survey found that adolescents who used e-cigs were more likely to smoke cigarettes and less likely to quit smoking1. In another study by the Centers for Disease Control and Prevention found rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs2.

With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. UCSF: E-Cigarettes: Gateway to Nicotine Addiction for U.S. Teens, Says UCSF Study. Available at https://www.ucsf.edu/news/2014/03/112316/e-cigarettes-gateway-nicotine-addiction-us-teens-says-ucsf-study

2. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html

Ice Cream/Popsicles – img24498

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The e-Cigarette (e-cig) industry zealously claims to target only adult and primarily established smokers. As much as e-cig companies deny it, the plethora of vape juices in alcoholic or sweetened flavors and sugary names serve to make these products appealing to children and teenagers who are curious to experiment with tobacco products and are taken in by false notions of the “safe nature” of e-cigs.

Appealing to an almost universal love for ice cream by children and adults alike, e-cigs and ejuice are available in a number of sweet flavors including caramel frappe, ice cream pops, vanilla, mint and banana split. The sweet flavored additives in the vape juice help mask the bitterness of tobacco and the nicotine serves to addict teens.

The images used in the ads are heavily borrowed from the food industry and some of the ads have kid-friendly slogans such as Lucky Flavor Store’s red, white and blue popsicle labelled, “It’s the bomb.” Some creative names used by the e-cig industry to market the product include Desert Moon Vapor’s Sultrysickle, Rocket Fuel’s Rocket Pop and WizMix’s Primal Icecream. In addition to standard flavors, customers at several online as well as retail boutique vape stores can create their own unique flavors by mixing any number of essences at a variety of nicotine strengths for a personalized vape.

Flavored cigarettes and flavored tobacco have long been held to be gateway products for children and teens. There is now a growing concern that the use of flavored e-cigs by youth could lead to them experimenting with regular cigarettes. A recent study from the Centers for Disease Control and Prevention reported that rates of e-cig use among U.S. youth more than doubled from 2011 to 2012, with 10 percent of high school students admitting to having used e-cigs. Almost 76% of youth who had tried an e-cig had also tried a regular cigarette. Altogether, in 2012 more than 1.78 million middle and high school students nationwide had tried e-cigs1.

< p> With the Federal Drug Administration opting not to ban flavors in e-cigs, advocates fear that flavored e-cigs will serve to entice a new generation of kids to become addicted to nicotine based products.

1. Centers for Disease Control and Prevention (2013). E-cigarette use more than doubles among U.S. middle and high school students from 2011-2012. Retrieved from http://www.cdc.gov/media/releases/2013/p0905-e-cigarette-use.html