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Highlighting Absence of Clear National Standards, Senators Urge FDA to Quickly Finalize and Strengthen Rule for E-Cigarettes that Includes Warning for Consumers on the Dangers of Nicotine Use

October 9, 2014 - Washington, D.C. – U.S. Senators Barbara Boxer (D-CA), Dick Durbin (D-IL), Richard Blumenthal (D-CT), Jack Reed (D-RI), Sherrod Brown (D-OH), and Edward Markey (D-MA) wrote to the Food and Drug Administration (FDA) today to express concern about inadequate health warnings on e-cigarettes that reinforce the need for the FDA to quickly finalize proposed deeming regulations that would expand the agency’s regulatory authority over the nicotine-based products.  

Barbara-Boxer“Media reports have recently highlighted that in the absence of a clear federal standard, e-cigarette manufacturers owned by big tobacco companies are beginning to concoct their own health warnings about their products that lack uniformity and are not comprehensive in listing all of the health threats the products pose,” the Senators wrote in today’s letter. 

A recent New York Times story noted the inconsistent standard that currently exists in the unregulated e-cigarette industry, with manufacturers including warning labels on their products that fail to fully advise consumers of the well-established consequences of nicotine use.  

“In FDA’s proposed ‘deeming regulation,’ the agency includes a warning label for e-cigarettes that does not adequately warn consumers on the known dangers of nicotine use. The proposed label reads ‘WARNING: This product contains nicotine derived from tobacco. Nicotine is an addictive chemical.’ We support requiring a label on nicotine’s addictive properties, but we ask the FDA pursue requirements for more extensive warnings that address health risks that e-cigarettes pose,” the Senators continued.  

In August, thirteen Members of Congress – including Boxer, Durbin, Blumenthal, Reed, Brown, and Markey –asked the FDA to move quickly to finalize a proposed rule on e-cigarettes within one year, and to include provisions that would limit youth access to the addictive products.  

In February, Senator Boxer and her colleagues introduced the Protecting Children from Electronic Cigarette Advertising Act, a bill that would prohibit the marketing of electronic cigarettes to children and teens. The measure would permit the Federal Trade Commission (FTC) to determine what constitutes marketing e-cigarettes to children and would allow the FTC to work with states attorneys general to enforce the ban. 

The full text of today’s letter follows: 

October 9, 2014  

The Honorable Margaret Hamburg
Commissioner
U.S. Food and Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20993  

Dear Commissioner Hamburg,  

Media reports have recently highlighted that in the absence of a clear federal standard, e-cigarette manufacturers owned by big tobacco companies are beginning to concoct their own health warnings about their products that lack uniformity and are not comprehensive in listing all of the health threats the products pose.  

These reports underscore the need to finalize within a year of its release the “deeming regulation” the Food and Drug Administration (FDA) proposed on April 24, 2014 to begin to regulate e-cigarettes under authority granted by the Family Smoking Prevention and Tobacco Control Act. We further urge the FDA to adopt aggressive warning labels that correctly communicate the health consequences of e-cigarette use and to take this opportunity to review and update warning labels for all tobacco products, including those that have long been on the market, to ensure that consumers are aware of their risks.  

Examples of these new warning labels, illustrated by The New York Times on September 28, include one from Reynolds American that states that their product is not intended for those “who have an unstable heart condition, high blood pressure, or diabetes; or persons who are at risk for heart disease or are taking medicine for depression or asthma.” Yet another warning label from Altria states, “Nicotine is addictive and habit forming, and is very toxic by inhalation, in contact with the skin, or if swallowed.”  

These two examples show the lack of uniformity of information across companies and highlight how voluntary health warnings often leave out known dangers from nicotine use – such as risks to adolescent brain development and pregnant women, as well as the dangers posed by additives and other chemicals that may be in in e-cigarettes, such as benzene and formaldehyde.  

We urge the FDA to pursue standardized consumer protections that are strictly based on scientific evidence. In FDA’s proposed “deeming regulation,” the agency includes a warning label for e-cigarettes that does not adequately warn consumers on the known dangers of nicotine use. The proposed label reads “WARNING: This product contains nicotine derived from tobacco. Nicotine is an addictive chemical.” We support requiring a label on nicotine’s addictive properties, but we ask the FDA pursue requirements for more extensive warnings that address health risks that e-cigarettes pose.  

Please respond with details about the actions the FDA is taking to require e-cigarette manufacturers to truly disclose the risks their products pose to consumers.  

Sincerely,  

Barbara Boxer
United States Senator  

Richard J. Durbin
United States Senator 

Richard Blumenthal
United States Senator  

Jack Reed
United States Senator  

Sherrod Brown
United States Senator 

Edward J. Markey
United States Senator  

CC: The Honorable Sylvia Mathews Burwell, Secretary of the Department of Health and Human Services