ʻO ka pōʻino o vaping Ma waena o nā ʻōpio ke nalo koke nei, a ke lawe ʻia nei ka wahi o ka puhi paka ʻana o nā pākeke ma o ka vape, kahi hana i manaʻo ʻia he ʻuʻuku ka pōʻino akā ke hana nei nā mea hoʻoponopono i nā manawa a pau e hoʻopau i nā paka uila ʻono.
Ua kākoʻo ka ʻaha federal i nā hui like ʻole i kā lākou ʻimi e kūʻai aku i ka nicotine nā huahana vaping i nā ʻano ʻono like ʻole ma hope o ka hōʻole ʻana i kā lākou noi e ka Food and Drug Administration (FDA). ʻO ka ka mana e ka ʻAha Hoʻopiʻi ʻAmelika no ka 11th Ua ʻōlelo ʻo Circuit ʻo nā hoʻoholo a FDA he "capricious a arbitrary" no ka mea ʻaʻole i noʻonoʻo ka ʻoihana i ka hōʻoia makahiki a me nā hoʻolālā hoʻolaha i kau ʻia e pale ai i ka vaping i waena o ka poʻe ʻōpio. Eia naʻe, i kona kūʻē ʻana, ua ʻōlelo ʻo Jury Robin Rosenbaum he manawa pōkole ka lanakila o ka mea hana, no ka mea, ʻaʻole mākaukau ka FDA e ʻae i ke kūʻai ʻana i nā huahana vaping ʻono ma waho o ka paka.
He kūlana paʻakikī kēlā no ka mea ua haʻalele ka poʻe i haʻalele i ka puhi a koho i ka vaping makemake nui no nā ʻono paka ʻole. Wahi a ka FDA pono'ī komo, "ʻōnaehana lawe nikotine uila” (ENDS), hoʻoulu i ka manaʻolana nui no nā mea ʻokoʻa ʻoi aku ka pōʻino. Eia nō naʻe, ke koʻikoʻi nei ka FDA i ka nele o nā hōʻike kūpono e pili ana i ka hopena o nā ʻano ʻono ma luna o ka poʻe puhi paka, ʻoiai i ka manawa like e hāpai ana i nā hopohopo e pili ana i ka mana o nā ʻano ʻono i ka hoʻowalewale ʻana i nā ʻōpio i ka vape. No laila, inā loaʻa ka manaʻo o ka FDA e nānā ʻelua i nā noi i hoʻopaʻa ʻia mai ka 11th Kaapuni, hiki paha iā lākou ke hoʻohuli hou iā lākou, me ka nānā ʻole ʻana i nā ʻano hana a nā mea hana e hoʻohana ai e pale i ka ʻai ʻana i ka makahiki.
ʻO ka FDA kū'ē i ka ʻae ʻana i ke kūʻai ʻana i nā ʻano mea ʻono ʻoiai ke hopohopo nei i ka pōʻino o ka vape ma waena o nā ʻōpio. Eia nō naʻe, ʻo ka noiʻi i hana ʻia e Monitoring the Future (MTF), a kākoʻo ʻia e ke aupuni e hōʻike ana i ka piʻi ʻana o ka nui o ka hoʻohana ʻana i ka e-cigarette ma waena o nā ʻōpio i huki i ka manaʻo o ka FDA ma 2018 a me 2018 e hāʻule ana i ka systematically, ʻoiai ʻo ke koena ʻono ENDS. hiki ke loaʻa i ka poʻe mākua no ka mea ʻaʻole i hiki i ka FDA ke hoʻoholo i ka ʻae ʻana iā lākou a ʻaʻole hoʻi i hoʻokō i nā hana kūʻē iā lākou. Ua hōʻike pū ʻia ka ʻikepili i ka hoʻomau ʻana o ka ulaula ma waena o nā ʻōpio ma hope o ka piʻi nui ʻana o ka vaping. ʻO ia ka hihia like ma waena o nā ʻōpio: me ka piʻi ʻana o 2021 i ka vaping ma waena o 19-30 mau makahiki, ua hoʻopaʻa ʻia ka puhi paka i ka haʻahaʻa haʻahaʻa.
ʻO ke ʻano o ka nānā ʻana he hōʻailona ia e ʻike pono ana mākou i ke ʻano o ka hoʻemi ʻana i ka pilikia i manaʻo ʻia e ka FDA. Kūʻē paha ka ʻikepili i ka manaʻo o ka hiki ʻana o ENDS i alakaʻi i ka piʻi ʻana o ka nui o ka puhi paka. Eia nō naʻe, ʻo Judge Rosenbaum, ka mea nāna i hoʻihoʻi i ka manaʻo he kumu kūpono ka kūʻē ʻana o FDA i ka flavored ENDS, ke ʻōlelo nei ua hōʻike ʻia ka vaping i ke kumu o ka puhi paka maʻamau. ʻAʻole ʻo ia i ʻōlelo i kekahi mea hōʻike e kākoʻo ai i kona mau manaʻo, ʻaʻole i hoʻokipa ʻia ma hope o ka hāʻule mau ʻana o ka puhi ʻana o nā ʻōpio a me nā pākeke.
ʻO ka noiʻi MTF e alakaʻi ʻia i kēlā me kēia makahiki e nā mea noiʻi o ke Kulanui o Michigan ma muli o ka National Institute on Drug Abuse, nā pahuhopu ʻewalu, 10.th, a me 12th-haumāna papa. Hōʻike nā ʻike i ka makahiki 2021 ma nā papa ʻekolu, ka laha ʻana o ka nicotine vaping i kēia mau mahina. hāʻule nui loa.
Ua piʻi ka pākēneka i 10.5 ma 2020 ma waena o nā haumāna ma ka papa ʻewalu a ma hope iho ua hāʻule i 7.6% i ka makahiki i hala. I ka makahiki 2019, ua hoʻopaʻa ʻia kahi helu 19.9% a me 25.5% i waena o ka poʻe ma 10.th a me 12 mau papa, a i ka makahiki i hala, ua emi ka huina i ka 13.1% a me 19.6%. I ka manawa 2019 a me 2021, ua hāʻule ka nui o ka vaping i kēlā me kēia lā i 1.1% mai 2% ma waena o nā haumāna ma ka papa ʻewalu, mai 6.8% a i 2.5% ma waena o nā haumāna ma 10.th papa, a mai 11.6% a i 5.4 ma waena o ka poʻe i 12th papa.
Kūlike nui nā hopena me ʻike mai nā Centers for Disease Control and Prevention (CDC) i kākoʻo i ka National Youth Tobacco Survey (NYTS). Wahi a ka noiʻi, ʻo ka piʻi ʻana o nā haumāna kula kiʻekiʻe e hoʻohana ana i ka e-cigarettes i ka mahina ma mua i piʻi i ka 27.5% i 2019 ma mua o ka emi ʻana i 11.3% i 2021. Hiki i nā pākeke ke kūʻai aku i ka ENDS i nā ʻano ʻono, akā ʻo ka "epidemic" kēlā. ua ʻōlelo ʻo CDC a me FDA e make koke ana.
ʻAʻohe haʻawina e hāʻawi i kahi hōʻoia o ka "puka" a Rosenbaum i manaʻoʻiʻo aia. Eia naʻe, ʻoiai ka piʻi nui ʻana o ka vaping, ʻaʻole maikaʻi ke ʻano o ka puhi paka i waena o nā ʻōpio. Wahi a ka noiʻi MTF, ʻo ka nui o ka puhi paka i nā mahina i hala iho nei ma waena o nā papa 12 ua emi iho i 2% i 2021 mai 10.3% i 2011. I ka manawa like, ua emi iho ka hapa o ka poʻe puhi paka "i kēlā me kēia lā" mai 4.3% a 0.8%. Wahi a ka NYTS, aia ka emi ʻana o ka pākēneka o nā haumāna kula kiʻekiʻe i hōʻike i ka puhi paka i loko o ka mahina i hala mai ka 15.8% i ka makahiki 2011 a i ka 1.9 pakeneka i ka makahiki 2012.
Aia nā kumu e manaʻoʻiʻo ai ʻo ENDS, ma mua o ka hoʻolohi ʻana i ka hāʻule ʻana o ka puhi puhi ʻōpio, exacerbated ʻO kēlā ʻano, i ulu wikiwiki i ka wā i paʻa ai ka vaping. Me ka kānalua ʻole, ʻoi aku ka maikaʻi o ka vaping no "ke olakino lehulehu" ma mua o ka puhi ʻana, ʻo ia ka mea a ka FDA i manaʻo ai e paipai. Eia naʻe, paʻi ka ʻoihana i mea hoʻoweliweli koʻikoʻi i nā ʻōpio ʻAmelika. ʻAʻole e loiloi ka FDA i nā pōmaikaʻi o ia swap ke pā ʻo ia i nā ʻōpio.
Wahi a kahi hōʻike 2019 o NYTS ʻikepili, ʻoi aku ka nui o ka hoʻohana pinepine ʻana o nā ʻōpio i kēia manawa a i ʻole nā mea puhi paka i hala. ʻO ka poʻe ʻōpio e vape ma mua o ka puhi paka ʻana i ka hapa nui o ka hāʻule hou ʻana o ka vape ʻōpio, no laila he mea kūpono ʻaʻole i hopena kēia emi ʻana i ka piʻi ʻana o ka puhi paka. Eia nō naʻe, pono e noʻonoʻo ka FDA i nā hana e maʻalahi ai ke kūʻai ʻana i ka paka ma mua o ENDS a i ʻole e hoʻowalewale ʻia ka ENDS i ka poʻe e puhi paha. Hiki i nā hopena lōʻihi ke hōʻike i ka piʻi ʻana o nā mea make e pili ana i ka puhi paka ma mua o ka emi ʻana.
Pono e hoʻopili ʻia kēlā loiloi i nā pākeke a me nā ʻōpio. Eia nō naʻe, mālama ka FDA i ka wā o nā vapers ma lalo o 21 mau makahiki, ʻaʻole pili nā pono olakino o ka hoʻololi ʻana i ka paka me ENDS. No laila, e nānā kākou i ka ʻōlelo a ka MTF e pili ana i nā kumukūʻai hiki ke pale aku i ka poʻe mākua mai ke kūʻai ʻana i nā mea vaping a lākou e makemake ai.
An Hōʻike MTF states that “young adult cigarette smoking has been dropping continuously since 2004 and hit new historic lows in 2021.” Cigarette consumption dropped significantly over the past ten years, from 21.2% in 2011 to 9% in 2021.
The decline in smoking among people between the ages of 19 and 30 has recently been paralleled by an increase in vaping. The paper notes that since it was first recorded in 2017, the percentage of opiopio individuals who reported using nicotine vape in the previous 30 days has nearly tripled, reaching 16.1% in 2021. According to the study, the proportion of opiopio ʻO ka poʻe e hōʻike ana i ka hoʻohana ʻana i ka nicotine vape i nā lā 30 ma mua ua aneane ʻekolu mau lā mai ka wā i ʻike mua ʻia ai ma 2017, ua hōʻea i ka 16.1% i 2021.
I kēia pūʻulu makahiki, ua hoʻonui ʻia ka nui o ka vaping e 160% ma waena o 2017 a me 2021, aʻo ka piʻi ʻana o ka puhi paka i hoʻemi ʻia e 39% i kēlā manawa like. ʻO ke kuhiakau o Rosenbaum e ʻoi aku ka nui o ka vaping e alakaʻi i ka hoʻonui ʻana i ka ulaula ʻaʻole i kākoʻo ʻia e kēia mau ʻano. Eia naʻe, kākoʻo lākou i ke kuhiakau he nui opiopio makemake nā mākua i ka vape ma mua o ka uahi.
Manaʻo ka FDA e ʻike hou aku. Pono ka FDA e hahai i kēia maʻamau ma lalo o ka Kānāwai Kāohi Puhi Puhi ʻohana a me ka hoʻomalu paka. ʻO ke kumu holoʻokoʻa o ka ʻae ʻana i ke kūʻai ʻana o ENDS ʻo ia ke kōkua i ka hoʻemi ʻana i ka make a me ka maʻi maʻi pili i ka paka ma o ka hāʻawi ʻana i nā mea puhi i kahi ʻano hoʻohana nicotine ʻoi aku ka pōʻino. Ua ʻōlelo naʻe ka FDA, ʻaʻole i manaʻo ʻia he mea koʻikoʻi ka hoʻololi ʻana i ka ʻono no ka poʻe puhi puhi i hana a i ʻole e hoʻololi i ke ola.
Contradictorily, mālama ka FDA i ka waiwai o nā ʻōpio ka ʻokoʻa o nā ʻono. Ke manaʻoʻiʻo nei inā ʻo ka paka wale nō ka ʻono i loaʻa, ma ka liʻiliʻi loa e pale aku kekahi o lākou i ka vaping. ʻAʻole noʻonoʻo nā loiloi a ka FDA i ka hiki ke puhi ʻia kekahi mau ʻōpio ma ke ʻano he pani. Eia hou, hoʻohaʻahaʻa ia i ka hiki ke loaʻa i nā pākeke ka pilikia like, me ka ʻōlelo ʻana ʻaʻole i hāʻawi nā hui ENDS i ka hōʻoia kūpono o kēlā hiki.
ʻAʻole i noʻonoʻo pono ka FDA i nā pono a me nā pōʻino o kāna kulekele i manaʻo ʻia e pale ana i ka ʻōpio, me ke kūʻē i kāna kuleana kānāwai e hana pēlā. Akā, ʻaʻole ia e ʻae e pono e noʻonoʻo ʻia nā lilo.
