Cov kev tshawb fawb tshiab tshaj tawm los ntawm CDC qhia pom 29 feem pua ​​poob ntawm cov hluas vaping los ntawm 2019 txog 2020, coj nws mus rau theem tau pom dhau los ua ntej 2018. Muaj tseeb, CDC thiab FDA tau xaiv lwm txoj hauv kev los nthuav tawm cov txiaj ntsig.

Cov kev xaiv tau xaiv (tab sis tsis yog cov ntaub ntawv lawv los ntawm) yog ib feem ntawm CDC daim ntawv tshaj tawm lub Cuaj Hli 9 - tib hnub uas yog hnub kawg rau cov tuam txhab vaping xa ntawv Premarket Daim Ntawv Qhia Tshuaj Luam Yeeb lossis tshem tawm lawv cov khoom lag luam. Cov ntaub ntawv yuav muaj, nrog rau kev txheeb xyuas ntawm tag nrho cov txiaj ntsig, qee zaum thaum Lub Kaum Ob Hlis.

Kev siv yav dhau los 30 hnub (hu ua "kev siv tam sim no") ntawm cov tub ntxhais kawm theem siab poob ntawm 27.5 feem pua ​​rau 19.6 feem pua, thiab qhov poob ntawm cov tsev kawm theem nrab tseem ceeb, ntawm 10.5 txog 4.7 feem pua. Qhov ntawd yog xov zoo, txoj cai? Zoo…

CDC thiab FDA tus kws tshuaj ntsuam sau hais tias, "Txawm hais tias cov ntaub ntawv no qhia txog kev poob qis hauv kev siv e-luam yeeb txij xyoo 2019," 3,6 lab tus tub ntxhais hluas Asmeskas tseem siv e-luam yeeb nyob rau xyoo 2020, thiab ntawm cov neeg siv tam sim no, ntau dua li yim ntawm 10 daim ntawv ceeb toom siv tsw qab e-luam yeeb. ”

Cov kws sau ntawv tau hais tias vim tias cov khoom lag luam flavored tseem muaj nyob, cov hluas vaping yuav tsis poob rau theem (xoom) uas yuav txaus siab rau kev thov CDC thiab FDA kev haus luam yeeb tswj tsis tau zoo poohbahs. Yog li tsab ntawv ceeb toom nkag mus rau qhov kev nthuav dav zoo txog kev nyiam qhov qab ntawm cov neeg siv qee zaus, sau cia tias txiv hmab txiv ntoo, mint, thiab menthol yog hom nrov tshaj plaws ntawm txhua tus tub ntxhais hluas. Qhov cuam tshuam uas flavors tsav siv los ntawm cov hluas yog tiresome, tab sis qee qhov kev ntsuas tau nthuav.

Piv txwv li, ntawm "tam sim no cov neeg siv ntawm flavour prefilled pods thiab cartridges, feem ntau siv ntau hom yog txiv hmab txiv ntoo (66.0%; 920,000); mint (57.5%; 800,000); menthol (44.5%; 620,000); thiab khoom qab zib, khoom qab zib, lossis lwm yam khoom qab zib (35.6%; 490,000). ”

Tab sis Juul Labs, uas ua rau dab tsi yog qhov nrov tshaj plaws vape ntawm cov tub ntxhais hluas, tau tshem tawm lawv cov txiv hmab txiv ntoo tawm hauv lub lag luam ntau dua ib xyoos ua ntej kev tshawb fawb tiav. Tsis muaj ib qho ntawm lwm cov kev cai lij choj ntawm cov khoom cog qoob loo tau muag txiv hmab txiv ntoo - lossis khoom qab zib-cov khoom qab nyob rau lub sijhawm tshawb fawb no. Qhov ntawd qhia tias qhov loj ntawm cov "cov neeg siv tam sim no" tau vaping grey- thiab dub-lag luam cov khoom lag luam zoo li Juul-tshaj plaw ua los ntawm cov neeg tsis tau tso cai.

Kev Tshawb Fawb Kev Haus Luam Yeeb Dawb Cov Thawj Tswj Hwm Matthew Myers hais tias "ntev npaum li muaj cov pa luam yeeb uas muaj tsw nyob rau hauv kiab khw, cov menyuam yuav tau txais lawv txhais tes thiab peb yuav daws tsis tau qhov teebmeem no". Tau kawg, uas siv rau lub lag luam dub kuj. Kev txwv tsis pub muaj ntxhiab yuav tsis ua rau poob ntsej muag, tsuas yog yuav khoom los ntawm cov khoom tshiab thiab muaj peev xwm.

CDC daim ntawv tshaj tawm ua rau lub ntsiab lus hais tias kev siv cov khoom lag luam pov tseg tau nce los ntawm 2.4 feem pua ​​hauv 2019 txog 26.5 feem pua ​​hauv 2020 - nce 1,000 feem pua! - nrog piav qhia tias cov khoom lag luam feem ntau yog kev lag luam dub teb rau cov kws lij choj pod cov neeg txiav txim siab poob khoom qab zib, thiab tom qab ntawd rau FDA qhov kev txiav txim siab ua ntej rau tub ceev xwm tawm tsam cov khoom lag luam hauv av. (Muaj kev lom zem tswv yim tswv yim pom zoo rau FDA qhov kev txiav txim siab rau kev zam vapes los ntawm nws lub Ib Hlis 2020 kev coj ua raws kev cai yog kev sim seb puas pom lub lag luam tsis raug cai yuav teb sai. Nws tau ua.)

Cov kab hauv qab yog tias tsev kawm theem siab vaping poob los ntawm li ib feem peb, thiab tsev kawm theem nrab vaping los ntawm ntau dua ib nrab. Qhov tseeb tias ntau dua 80 feem pua ​​ntawm cov tub ntxhais hluas siv cov khoom vaping qab yog qhov liab, vim tias peb twb paub tias feem ntau cov neeg laus cov neeg nyiam haus cawv tsis zoo, thiab cov tsw qab tsis yog ib qho ntawm cov laj thawj uas cov menyuam sim vaping.

Muaj lwm yam teeb meem nrog NYTS ntawm ib pliag xav xav nrog flavors. CDC tau tshem tawm cov lus nug tshwj xeeb txog cannabis vaping los ntawm cov lus nug, ua rau cov neeg koom nrog txiav txim siab saib cov lus nug puas siv rau ob qho tib si THC thiab nicotine vapes. Peb tsis paub ntau npaum li cas ntawm cov menyuam uas coj qhov kev sojntsuam yog THC vapers, vim tias CDC xav tias lawv yog cov vaping nicotine, thiab tshaj tawm cov txiaj ntsig zoo li lawv yog.

Nws tuaj yeem yog qhov ntawd (tsis paub zoo) kev ntshai ntawm lub txim txhaum THC vape cartridges uas ua rau "EVALI" thawb ntau lub hnub nyoog kawm ntawv cannabis roj vapers nres siv cov khoom ntawd. Peb tsuas yog tsis paub yuav ua li cas ib feem txhaum kev cai hash roj vapes tau ua si thaum xyoo 2018-19 "cov hluas vaping sib kis," tab sis peb paub tias cov khoom ntawd tau nce sai heev hauv cov neeg nyiam cannabis thaum lub sijhawm ntawd (2017-2019) )).

Lwm qhov teeb meem nrog rau cov txiaj ntsig ua ntej: CDC txiav txim siab tsis muab cov ntaub ntawv ua ntej xyoo 2020 kev haus luam yeeb. Xyoo dhau los-30 hnub kev haus luam yeeb tau nqis mus rau qhov txo qis txhua lub sijhawm ntawm 5.8 feem pua ​​rau cov tub ntxhais kawm theem siab, thiab tsuas yog 2.3 feem pua ​​ntawm cov tsev kawm theem nrab. Qhov kev sib txuas lus ntawd puas tau txuas ntxiv rau xyoo 2020 - lossis qhov poob qis ntawm vaping ua rau muaj kev nce ntxiv hauv kev haus luam yeeb loj? Peb yuav tsis paub txog lub Kaum Ob Hlis, vim tias txawm li cas los xij, CDC tsis xav kom peb pom cov txiaj ntsig tam sim no.

Qhov "kev lig kev cai" ntawm kev tso tawm ib feem ntawm cov kev tshawb pom los ntawm NYTS tau pib xyoo 2018 los ntawm lub sijhawm ntawd FDA-yawg Commissioner Scott Gottlieb, leej twg xav qhia qee yam tseeb los txhawb nqa nws qhov kev thov uas "kev ntxhov siab" tus hluas vaping qauv tau pib. Tab sis nws siv ntau lub hlis teeb tsa theem ua ntej tsim cov lej los thim nws cov lus tsis txaus.

Gottlieb hais rau lub Cuaj Hlis 11, 2018 hais tias "Kuv ntseeg tias muaj kev kis kabmob ntawm cov tub ntxhais hluas siv," Peb muaj laj thawj zoo los kos cov lus xaus no raws cov ncauj ke thiab cov ntaub ntawv uas peb tau pom, qee qhov tseem tab tom pib thiab yuav yog ua tiav nyob rau lub hlis tom ntej thiab nthuav tawm rau sawv daws. "

Gottlieb hawv txwv tsis pub muaj cov khoom tsw qab thiab rub lub c-khw muag khoom noj uas nrov tshaj plaws. Ib lub lim tiam tom qab, FDA tau tshaj tawm txog phiaj xwm kev tawm tsam vaping. Lub chaw nruab nrab yog qhov chaw ua yeeb yaj kiab TV hu ua "Kev mob kis," uas lub hlwb zoo nkauj nyob rau hauv chaw tswj hwm luam yeeb ntawm FDA pom tias ntseeg tias yuav ua rau cov tub ntxhais hluas ntshai ntawm kev vaping.

Thaum cov txiaj ntsig 2018 NYTS thaum kawg tau raug thawb tawm thaum lub Kaum Ib Hlis, cov xov xwm tshaj tawm-xov xwm los ntawm Gottlieb, cov phiaj xwm tshaj tawm, thiab qhov kawg ntawm kev tshaj tawm txog kev tawm tsam los ntawm cov pawg neeg haus luam yeeb - yaj tag. Lub tsev kawm theem siab “siv tam sim no” tau dhia ntawm 11.7 txog 20.8 feem pua!

Qhov chaw ua hauj lwm tsis tau ua dab tsi — vim tias lawv tsis tau ua xav tau rau - tau muab cov ntsiab lus teb. Cov ntaub ntawv pov thawj ntawm kev muaj kabmob txaus ntshai tshwm sim los ntawm kev siv 30 hnub dhau los, uas yog tus qauv ua tsis zoo los ntsuas cov teeb meem tshuaj tsis zoo. Siv qee yam thaum lub hli dhau los yog qhov tsis muaj pov thawj ntawm kev coj cwj pwm, cia nyob ib leeg "kev quav yeeb tshuaj." Nws yuav pom tias tsis muaj dab tsi cuam tshuam dab tsi ntau dua li qhov fad.

Kev tshuaj xyuas zoo ntawm 2018 NYTS cov txiaj ntsig los ntawm cov kws tshawb fawb los ntawm New York University (thiab lwm cov tsev kawm ntawv) qhia tias tsuas yog 0.4 feem pua ​​ntawm cov neeg koom kev tshawb fawb tsis tau siv lwm cov khoom luam yeeb thiab vaped ntawm 20 lossis ntau hnub ib hlis. Hauv lwm cov lus, feem ntau cov neeg kawm qib siab hauv tsev kawm ntawv qib siab tau haus luam yeeb.

"Vaping tau nce ntxiv ntawm Asmeskas cov tub ntxhais hluas xyoo 2018 dhau xyoo 2017. Cov kev nce ntxiv yog tus yam ntxwv ntawm cov qis [dhau-30 hnub] vaping ntau zaus thiab kev siv ntau cov khoom lag luam, thiab muaj tsawg ntawm kev vaping ntawm ntau zaus tab sis haus luam yeeb naïve vapers," sau phau ntawv xaus.

Thaum 2019 NYTS qhia tau nce ntxiv, ntawm 20.8 rau 27.5 feem pua, txaus ntshai cov lus teb los ntawm tub ceev xwm thiab xov xwm raug kwv yees; Nws yog tiag tiag tsuas yog cov leeg nco. Tab sis zaj dab neeg tseem tsis tau hloov. Ib pawg British cov kws tshaj lij uas saib cov txiaj ntsig ntawm kev sib tw ntawm 2018 thiab 2019 CDC cov kev soj ntsuam tau pom zoo nrog kev tsom xam ntawm NYU pawg.

Lawv tau sau tias "kev siv ntau zaus hauv 1.0% ntawm cov neeg quav yeeb tsis zoo nyob rau xyoo 2018 thiab 2.1% hauv 2019," "Ntawm lwm qhov kev haus luam yeeb tsis zoo uas dhau mus-30-hnub e-luam yeeb hauv 2019, 8.7% qhia kev nqhis dej thiab 2.9% qhia xav siv tsis pub dhau 30 feeb ntawm kev sawv."

Cov qhabnias no tsis qhia hais tias menyuam yuav tau “quav” lossis “quav ntxiv,” raws li Kev Tshaj Tawm rau Kev Haus Luam Yeeb Dawb Menyuam thiab Kev Tseeb Yeeb Yam ua nrov nrov hauv lawv tshaj xov xwm. Kev siv yav dhau los 30 hnub sawv cev feem ntau sim ua, tsis siv cwj pwm. "Kev muaj yees" tsis raug rau qhov siab hauv keeb kwm hauv ib xyoos thiab poob 30 feem pua ​​tom ntej - tab sis cov hluas fads ib txwm nce thiab poob sai hauv cov qauv zoo li ntawd.

Qhov tseeb tsis muaj tseeb yog cov tub ntxhais hluas Asmeskas tsis vam meej li ntau dua lossis ntau dua li cov uas tau dhau los ntawm Tebchaws Askiv lossis lwm qhov chaw. Tab sis Asmeskas cov tub ceev xwm txhais tau cov hluas vaping hauv ib txoj hauv kev xav ua kom npau taws rau cov laus. Thiab ntev npaum li qhov lawv muaj peev xwm ua tiav cov phiaj xwm uas tau npaj tseg, tsis muaj dab tsi uas yuav hloov pauv.