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Smoking in United States of America

The overall smoking prevalence in the United States has been decreasing since 2006. 12.4% of the adult population are current smokers, down from 20.8% in 2006. This means there are now approximately 30.7 million people smoking in the country. 13.81% of men smoke whilst 10.77% of women are current smokers. The most recent data show there were 492,438 annual deaths attributable to tobacco smoking (approximately 221,600 women and 270,800 men). The annual percentage of all deaths attributable to tobacco smoking was 17.9% (women: 16.2%; and men: 19.3%). Nicotine vapes (e-cigarettes) are legal in the United States and there are 9.1 million vapers in the country, giving an adult vaping prevalence of 3.7% (women: 2.77%; and men: 4.55%). Vaping devices can only be sold to those 18 and older and can be purchased without a prescription. Health warnings are required on packaging and there are legal restrictions on their use in public places. Heated tobacco products are legal and can be marketed. Snus is also legal, but it can only be used by those aged 21 and older and a health warning on packaging is required. Nicotine replacement therapy (NRT) products can be marketed and are available to buy in many general shops without a prescription. The NRT market in the United States is worth €862.3 million. For further information and full references, click through to the detailed datasheets above.

Read articles from United States of America

February 29, 2024 by

Bill banning all but 23 Big Tobacco-owned vape products heads to Senate floor

Florida's SB 1006 bill restricts the sale of vaping products to FDA-approved ones, mostly owned by major tobacco companies. The aim is to protect children from flavored vapes marketed to them. The bill requires manufacturers to register with the Department of Business and Professional Regulation. Retailers must comply, facing fines and prison sentences for violations. Critics argue limiting choices could lead to a harmful black market and impact medical marijuana users. Despite opposition, Senator Perry maintains the bill will benefit public health by deterring underage vaping.

February 28, 2024 by

Black Americans deserve real tobacco harm reduction options

Health data reveals a painful legacy of deception towards Black Americans. The decades-long failure to curb cigarette addiction has fueled health inequities experienced by Black communities, where smoking disproportionately cuts lives short. But marginalized groups now suffer a new injustice: government agencies banning tobacco alternatives that empower harm reduction. Science shows switching to e-cigarettes provides the single most effective path for Black smokers to reduce smoking.

February 28, 2024 by

E-Cigarette Liquid Makers Lose Market Review in Tenth Circuit

The FDA didn’t mislead two makers of flavored liquids for e-cigarettes when the agency denied their applications to market their products, a federal appeals court ruled Tuesday. The US Court of Appeals for the Tenth Circuit backed the Food and Drug Administration’s decision to toss the marketing applications for flavored liquids for e-cigarettes from Electric Clouds Inc. and Cloud 9 Vapor Products LLC. The two manufacturers requested judicial review of the FDA’s denials, which involved products bearing names such as Ice Cream Dream, Berries Gone Wild, Cap’n Berry Crack, Banana Colada, Apple Pie, and Candy Man.

February 28, 2024 by

Penalties for Unauthorized Elf Bar Sales

The FDA is pursuing $20,678 penalties on brick-and-mortar retailers who continue to sell unauthorized Elf Bar e-cigarettes despite warnings. Over 100 complaints have been filed, with concerns that these products are popular among U.S. youth. Retailers failing to address violations face consequences, as shown by the FDA's actions. The agency has issued numerous warning letters and taken enforcement actions against retailers, manufacturers, importers, and distributors for selling unauthorized tobacco products, including e-cigarettes.

February 27, 2024 by

Vaping increases susceptibility to COVID-19 infection, study finds

The University of California, Riverside study showed that vapers are more susceptible to SARS-CoV-2 infection due to e-cigarette aerosols. Nicotine, propylene glycol, and vegetable glycerin in e-liquids enhance COVID-19 infection. Adding benzoic acid to e-liquids can prevent this. The study used airway stem cells to simulate infection and found increased ACE2 and TMPRSS2 with nicotine exposure. Vapers are advised to stop vaping or use acidic e-liquids with benzoic acid to reduce susceptibility. The FDA could use these findings for e-cigarette regulations.

February 26, 2024 by

Utah lawmakers consider ban on flavored vapes; business owners say it helps Big Tobacco

A bill in Utah aims to ban most flavored e-cigarettes to reduce teen vaping, but vape shop owners fear it will benefit Big Tobacco. Senate's Dr. Plumb introduced SB61 to combat teenage nicotine use. Despite e-cigarettes being seen as safer, they pose health risks. The ban targets flavors popular with teens. Menthol, associated with increased addiction, is still legal. Opponents argue the ban limits adult access and harms businesses. Plumb stated the bill aims to protect young people. Despite protests against the bill, it passed the Senate and is awaiting final approval. Adjustments may be needed for affected businesses.

February 21, 2024 by

Menthol cigarette ban would likely lead to meaningful reduction in smoking rates

A recent study published in Nicotine & Tobacco Research reveals that banning menthol cigarettes can significantly decrease smoking rates. Menthol cigarettes pose public health concerns as they make it easier to start smoking, increase nicotine absorption, and hinder quitting efforts. Globally, menthol cigarette usage varies, with a high prevalence among young people, minorities, and low-income individuals. Research indicates that national bans are more effective than local ones, leading to higher quit rates. The study supports the US FDA's proposal to ban menthol cigarettes, highlighting the harm caused by the delay in implementing the ban, especially among Black communities.

February 21, 2024 by

Young adults with cognitive disabilities and major depressive episodes found more likely to vape nicotine

A study led by Gilbert Gimm at Mason's College of Public Health found that adolescents and young adults with cognitive disabilities have a higher prevalence of nicotine vaping compared to those without disabilities. The study also links major depressive episodes (MDEs) to vaping in this population. Researchers stress the need for support and early interventions for at-risk youth. Data from the study, published in Addictive Behaviors, suggests screening for depression as a risk factor for e-cigarette use among students with disabilities.

February 20, 2024 by

Northern Exposure

The nicotine market in North America is evolving, with vape and oral sales rising while traditional combustibles still dominate. Major tobacco companies are shifting toward next-gen products, impacting combustible sales. The U.S. nicotine market is forecasted to reach $107.5 billion by 2024, with e-cigarettes projected to generate $8.8 billion. Nicotine pouches are also growing, with the U.S. market expected to reach $11.03 billion by 2027. In Canada, the market is smaller but growing, with nicotine sales projected at $12.3 billion in 2024.

February 15, 2024 by

In Favor of Flavor

The U.S. Food and Drug Administration (FDA) established the Center for Tobacco Products (CTP) to regulate the tobacco and nicotine market and reduce health risks. One of their priorities is understanding the impact of flavored tobacco and nicotine products like e-cigarettes and snus. The CTP must consider both sides of the debate - opponents believe flavored products encourage vaping among adults and minors, acting as a gateway to traditional cigarettes, while proponents argue they help people switch from combustible cigarettes to safer alternatives.