目标:在一些国家,含尼古丁的电子烟(电子烟)被认为是没有具体规定的消费品。在其他方面(例如,瑞士),禁止销售含有尼古丁的电子烟,尽管许多吸烟者渴望获得它们。由于有关这些产品的有效性和长期安全性的科学数据很少,烟草控制专家对如何规范它们存在分歧。为了在专家之间达成共识,向卫生当局提供建议,我们进行了一项全国共识研究.
方法:我们使用了Delphi方法和电子问卷,汇集了瑞士专家对电子烟的意见。
方法:来自全国各地的40名瑞士专家。
方法:我们衡量了专家对监管建议的共识程度,sale,关于含有尼古丁的电子烟的使用和一般意见。在专家回答和评论之后,添加了新的建议和声明。
结果:人们一致认为应该提供含有尼古丁的电子烟,但只有在特定条件下。销售应仅限于成年人,使用质量标准,尼古丁的最高水平和随附的授权成分清单。应限制广告,禁止在公共场所使用。
结论:这些建议包括三个原则:(1)现实原则,由于产品已经上市;(2)预防原则,因为电子香烟为实际吸烟者提供了烟草的替代品,(3)预防原则,保护未成年人和不吸烟者,因为长期影响尚不清楚。瑞士当局应制定具体法规来销售含尼古丁的电子烟。
OBJECTIVE: In some countries, nicotine-containing electronic cigarettes (e-cigarettes) are considered a consumer product without specific regulations. In others (eg, Switzerland), the sale of e-cigarettes containing nicotine is forbidden, despite the eagerness of many smokers to obtain them. As scientific data about efficacy and long-term safety of these products are scarce, tobacco control experts are divided on how to regulate them. In order to gain
consensus among experts to provide recommendations to health authorities, we performed a national
consensus study.
METHODS: We used a Delphi method with electronic questionnaires to bring together the opinion of Swiss experts on e-cigarettes.
METHODS: 40 Swiss experts from across the country.
METHODS: We measured the degree of
consensus between experts on recommendations regarding regulation, sale, use of and general opinion about e-cigarettes containing nicotine. New recommendations and statements were added following the experts\' answers and comments.
RESULTS: There was
consensus that e-cigarettes containing nicotine should be made available, but only under specific conditions. Sale should be restricted to adults, using quality standards, a maximum level of nicotine and with an accompanying list of authorised ingredients. Advertisement should be restricted and use in public places should be forbidden.
CONCLUSIONS: These recommendations encompass three principles: (1) the reality principle, as the product is already on the market; (2) the prevention principle, as e-cigarettes provide an alternative to tobacco for actual smokers, and (3) the precautionary principle, to protect minors and non-smokers, since long-term effects are not yet known. Swiss authorities should design specific regulations to sell nicotine-containing e-cigarettes.