E-Cigarettes. So, please explain while this is happening why we are encouraging the use of Marijuana by making it legal and licensing retail stores.

Internists Encouraged by Surgeon General’s Declaration That Youth E-Cigarette Use is an Epidemic


Statement attributable to:

Ana María López, MD, MPH, MACP

President, American College of Physicians


Washington, DC (December 20, 2018) – The American College of Physicians (ACP) is encouraged by the U.S. Surgeon General’s pledge to take action to prevent and reduce e-cigarette use among youth, and by his declaration that e-cigarette use among youth is an epidemic. ACP considers this to be a step forward in reducing underage use of combustible tobacco products and electronic nicotine delivery systems (ENDS). The Surgeon General’s announcement follows the release of startling new evidence that e-cigarette use among high school students grew by nearly 80 percent from 2017 to 2018, and that one in five high school students and one in 20 middle school students reported that they currently use e-cigarettes. 

ACP’s 2015 policy paper, Electronic Nicotine Delivery Systems, highlighted the dangers that ENDS products, including e-cigarettes, present to individuals, particularly minors, and called for a ban on flavored tobacco products, which often attract minors. ACP is especially concerned about the increase in ENDS use among young people, as evidence suggests that adolescents who start using ENDS also use, or intend to use, combustible tobacco products later in life. 

This year, ACP was encouraged by the U.S. Food and Drug Administration’s (FDA) announcement that the agency will start the process to restrict the sale of flavored e-cigarettes in certain retail outlets and ban menthol cigarettes and cigars. ACP maintains that the FDA should extend the ban on menthol and mint flavors to ENDS products to reduce their attractiveness to young people. 

ACP is committed to supporting regulations that will reduce the use of all forms of tobacco products, including e-cigarettes. ACP looks forward to continuing to work with regulators and health care stakeholders to implement meaningful policy that will not only improve public health, but will take concrete steps towards combating the epidemic of ENDS use among young people.

From the American Lung Association

Marijuana Smoke

Smoke is harmful to lung health. Whether from burning wood, tobacco or marijuana, toxins and carcinogens are released from the combustion of materials. Smoke from marijuana combustion has been shown to contain many of the same toxins, irritants and carcinogens as tobacco smoke.4-7

Beyond just what’s in the smoke alone, marijuana is typically smoked differently than tobacco. Marijuana smokers tend to inhale more deeply and hold their breath longer than cigarette smokers, which leads to a greater exposure per breath to tar.8

Secondhand marijuana smoke contains many of the same toxins and carcinogens found in directly inhaled marijuana smoke, in similar amounts if not more.5 While there is no data on the health consequences of breathing secondhand marijuana smoke, there is concern that it could cause harmful health effects, especially among vulnerable children in the home. Additional research on the health effects of secondhand marijuana smoke is needed.


  1. Our government politicians are stupid. Did we learn nothing by the probation of alcohol in the 1930s. You make anything illegal and people will step in and provide it. I think the 75 year war on drugs proves it. Make all drugs legal and if someone is stupid enough to put a needle in their arm and die so be it. Having drugs illegal has not stopped anyone from getting them.
    Drugs should be regulated just like the drug alcohol. If you drink DO NOT DRIVE, if you smoke pot, DO NOT DRIVE. Use taxpayer dollars for schools, roads and other worthwhile projects.


  2. Your answer is money. We lost the war on drugs and are spending too much money trying to win it. By making marijuana legal the government gets to collect tax money. And now for real reason, the race card. Too many minorities are locked up disportationally compared to whites and costs us too much money to house them and then they have no economic future since they are convicts.

    Since prohibition was a failure, this just might be the right thing to do? Many of these users will still not be able to get jobs but at least when they decide to go clean, they will not have a felony record.
    The federal government had outlawed all research into medical marijuana for decades but I do not see how its use can be worse than the current opioid crisis for pain management (if it works).

    As far as the e-cigarettes, I think that they got to market faster than the regulators could regulate. I am betting everybody thought that the ATF was going to regulate their use because of the word “cigarette” when it is the FDA job since there is no tobacco. The FDA has hearings for next year scheduled on their “Comprehensive Plan for Tobacco and Nicotine Regulation”. If the FDA had classified nicotine as a drug decades ago, I am sure that tobacco would in the same place as marijuana is today.


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s