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One criticism of smoke-free laws had been that by limiting smoking in public areas, the policies might drive parents to smoke more often at home, putting their kids at greater risk from secondhand smoke. But the current study and the Scottish one suggest that might not be the case. Connolly said smoke-free laws might be beneficial, in part, because they alter the “social norms,” or acceptability, of smoking.
Since the time of the study,[link widoczny dla zalogowanych], more U.S. states, counties and cities have launched anti-smoking laws. An estimated three-quarters of Americans are now covered by some form of smoke-free law, Connolly said. But he added that worldwide,[link widoczny dla zalogowanych], many regions do not have such bans, and evidence of health benefits might encourage wider adoption of smoke-free laws. “I think our findings will ultimately help more children breathe cleaner air, not only in the U.S. but, even more importantly, worldwide,” Connolly said.
The Board of Health is scheduled to discuss and vote on the proposed regulation (PDF) Thursday. The proposal also includes restricting the sales of e-cigarettes and similar devices to people 18 and over, and a ban on free giveaways and heavily discounted sales of the products. Often marketed as “healthier smoking” or a way to quit smoking, e-cigarettes have become a controversial issue in public health circles. Earlier this month,[link widoczny dla zalogowanych], the federal Food and Drug Administration lost its court fight to ban or regulate e-cigarettes as unapproved drug delivery devices.
According to a Public Health Seattle-King County report,[link widoczny dla zalogowanych], the FDA had found known toxins in a sampling of e-cigarettes, including carcinogenic nitrosamines and diethylene glycol, an anti-freeze ingredient. The FDA also found the devices delivered a strikingly wide range of nicotine. The amount of the toxins was not included in the local health report. Although some e-cigarette makers say their products don’t contain nicotine, the FDA says there is no way of knowing that for sure. Despite that, the products are widely available in convenience stores and malls and increasingly popular, making health experts worry that they can be a youth “gateway” for smoking.
A recent operation by the Spokane public health district found that most retailers sold e-cigarettes to teens who tried to buy them. “These are something that can potentially get kids hooked on nicotine,” Nicola said. “E-cigarettes have a high appeal to youth. They come in candy flavors.” While the feds study their e-cigarette options, Nicola said its important for local health officials to protect the public from potential harm. King County’s proposal would also restrict sales and giveaways of other “unapproved nicotine delivery devices,” such as nicotine lollipops,[link widoczny dla zalogowanych], wafers and water.
None of those products have undergone FDA review. Nicotine gum and patches would not be a part of the restrictions,[link widoczny dla zalogowanych], because they are regulated by the FDA as smoking-cessation products. If King County’s proposal is passed, it’s believed it would be the strictest in the country. A handful of states and other jurisdictions have some e-cigarette rules, but none as comprehensive as the one proposed here.