Iziphumo zophando ezitsha ezikhutshwe yi-CDC zibonisa ukwehla kweepesenti ezingama-29 kulutsha olusuka ku-2019 ukuya ku-2020, luzisa kumanqanaba okugqibela ukubonwa ngaphambi ko-2018. Ewe kunjalo, iCDC kunye ne-FDA bakhethe enye indlela yokubonisa iziphumo.

Iziphumo ezikhethiweyo (kodwa hayi idatha ababevela kuyo) yayiyinxalenye yengxelo yeCDC epapashwe nge-9 kaSeptemba-kwangolo suku lwalungumhla wokugqibela wabenzi babavelisi ukuba bangenise izicelo zecuba lePremarket okanye basuse iimveliso zabo kwintengiso. Idatha iya kufumaneka, kunye nohlalutyo lwazo zonke iziphumo, ngamanye amaxesha ngoDisemba.

Ukusetyenziswa kweentsuku ezingama-30 ezidlulileyo (okubizwa ngokuba "kukusetyenziswa ngoku") phakathi kwabafundi bezikolo eziphakamileyo kwehle ukusuka kwiipesenti ezingama-27.5 ukuya kwi-19.6 yeepesenti, kwaye ukwehla kwabafundi abaphakathi kwaba yinto ephawuleka ngakumbi, ukusuka kwi-10.5 ukuya kwi-4.7 yepesenti. Ziindaba ezimnandi ezo, akunjalo? Kulungile…

"Nangona ezi datha zibonisa ukwehla kokusetyenziswa kwe-e-cigarette okoko ukusukela kwi-2019," abahlalutyi beCDC kunye ne-FDA babhala, "Izigidi ezi-3.6 zolutsha lwase-US zisasebenzisa i-e-cigarettes kwi2020, kwaye phakathi kwabasebenzisi bangoku, ngaphezulu kwesibhozo kwabali-10 baxele ukusebenzisa ii-cigarettes ezinencasa. ”

Ababhali bacebisa ukuba ngenxa yokuba iimveliso ezinencasa zisekhona, ukuphuma kolutsha akunakuze kwehle kwinqanaba (zero) eliza kuyanelisa i-CDC kunye ne-FDA yolawulo lwecuba poohbahs. Ke ingxelo iya kwiinkcukacha malunga nokukhethwa kwencasa kwaba basebenzisi ngamanye amaxesha, kuqatshelwa ukuba iziqhamo, i-mint kunye ne-menthol zezona ntlobo zintle ithandwayo phakathi kwabo bonke umphunga wolutsha. Intsingiselo yokuba iincasa ziqhuba ukusetyenziswa ngabakwishumi elivisayo ziyadinisa, kodwa olunye uhlalutyo lunomdla.

Umzekelo, phakathi “kwabasebenzisi bangoku beebhotile ezifakiweyo kunye neekhatriji, ezona ntlobo zisetyenziswayo zencasa yayiziqhamo (66.0%; 920,000); zetyeleba (57.5%; 800,000); i-menthol (44.5%; 620,000); neelekese, iidizethi, okanye ezinye iilekese (35.6%; 490,000). ”

Kodwa iiJuul Labs, ezenza into ekuthiwa yeyona ndawo ithandwayo phakathi kolutsha, bezisusile iziqhamo zazo kwintengiso ngaphezulu konyaka ngaphambi kokuba kugqitywe uphando. Akukho namnye wabenzi bezomthetho abaphambili beepods ezazithengiswa iziqhamo- okanye iimveliso ezinencasa zeelekese ngexesha lophando. Oko kuphakamisa ukuba isiqwenga esikhulu "sabasebenzisi bangoku" sasiphunga iimveliso ezingwevu nezimnyama-njengemidumba ehambelana neJuul eyenziwe ngabavelisi abangagunyaziswanga.

"Okoko nje i-e-cigarettes enencasa ishiye emarikeni, abantwana baya kubabeka izandla kwaye asizukuyisombulula le ngxaki," utshilo uMkhankaso woMongameli waBantwana abaSimahla weTuba uMatthew Myers. Ewe kunjalo, kuyasebenza kwintengiso emnyama. Ukuthintelwa kweencasa akuyi kukhokelela ekuyekeleni, ekuthengeni kuphela kwimithombo emitsha nengathandabuzekiyo.

Ingxelo yeCDC yenza inqaku lokukhankanya ukuba ukusetyenziswa kwemveliso enokulahlwa kukhule ukusuka kwiipesenti ezi-2.4 ngo-2019 ukuya kuma-26.5 epesenti ngo-2020 — ukunyuka ngeepesenti ezili-1,000! -Ngaphandle kokuchaza ukuba ezo mveliso ubukhulu becala yayiyimpendulo yemakethi emnyama kumthetho wabavelisi bezikhondo zokuyeka incasa, kwaye kamva kwisigqibo se-FDA sokubeka phambili ukunyanzeliswa ngokuchasene neemveliso ezisekwe kumdumba. (Kukho ithiyori eyonwabisayo ebonisa ukuba isigqibo se-FDA sokukhulula umphunga olahlekileyo kwisikhokelo sonyanzeliso lwangoJanuwari 2020 yayililinge lokujonga ukuba ingaba intengiso ye-vape engekho mthethweni yayiza kuphendula ngokukhawuleza na.

Eyona nto iphambili kukuba ukuphakama kwesikolo esiphakamileyo kwehle malunga nesithathu, kwaye isikolo esiphakathi sinyuka ngaphezulu kwesiqingatha. Inyaniso yokuba ngaphezulu kweepesenti ezingama-80 zabakwishumi elivisayo basebenzisa iimveliso ezinencasa ebomvu ngumlinganiso obomvu, kuba sele siyazi ukuba uninzi lwabantu abadala bakhetha iincasa ezingezizo ezecuba, kwaye ezo ntlobo zezinye zezona zizathu ziphambili zokuba abantwana bazame ukuphuma.

Kukho ezinye iingxaki nge-NYTS ngaphandle kwe-obsession kunye neencasa. I-CDC isusile imibuzo ethile malunga nokuphuma kwe-cannabis kuphando, ishiya abathathi-nxaxheba ukuba bathathe isigqibo sokuba ingaba imibuzo iyasebenza kuzo zombini i-THC kunye ne-nicotine vapes. Asazi ukuba bangaphi abantwana abathatha olu phando zi-THC vapers, kuba i-CDC ithatha ukuba bonke baphefumla inicotine, kwaye baxele iziphumo ngokungathi kunjalo.

Kungenzeka ukuba (okunengqiqo kakhulu) uloyiko lweekhatriji ze-vape ezingekho mthethweni ezibangele ukuba "i-EVALI" ityhale uninzi lwe-oyile ye-cannabis ye-cannabis ukuba iyeke ukusebenzisa ezo mveliso. Asazi nje ukuba inkulu kangakanani indawo yeoyile ye-hash engekho mthethweni edlalwe kwi-2018-19 "ulutsha olusasaza ubhubhane," kodwa siyazi ukuba ezo mveliso zazifumana ngokukhawuleza ukuthandwa phakathi kwabasebenzisi abancinci be-cannabis ngelo xesha (2017-2019 ).

Enye ingxaki ngeziphumo zokuqala: ICDC igqibe ekubeni inganikezeli ngamanani okutshaya awokuqala. Kunyaka ophelileyo ukusebenzisa i-cigarette yosuku lwe-30 edlulileyo kwehle kwaba lixesha lonke eliphantsi leepesenti ze-5.8 zabafundi bezikolo eziphakamileyo, kunye neepesenti ze-2.3 kuphela phakathi kwabafundi abaphakathi. Ngaba lo mkhwa uqhubekile nge-2020-okanye ngaba ukwehla kwe-vaping kubangele ukonyuka okuhambelana nokutshaya icuba? Asizokwazi kude kube lixesha elithile ngoDisemba, kuba nangasiphi na isizathu, iCDC yayingafuni ukuba sizibone ezo ziphumo ngoku.

"Isithethe" sokukhupha iziphumo zokuqala ezivela kwi-NYTS saqalwa ngo-2018 nguMkomishinala we-FDA ngelo xesha uScott Gottlieb, owayefuna ukubonisa into ebonakalayo yokuxhasa ibango lakhe lokuba imeko "yokuphazamisa" ulutsha iyaqhubeka. Kodwa wachitha iinyanga ebeka inqanaba ngaphambi kokuvelisa amanani ukubuyisela intetho yakhe evakalayo.

"Ndiyakholelwa ukuba kukho ubhubhane wokusetyenziswa kolutsha," utshilo u-Gottlieb ngo-Septemba 11, 2018. "Sinesizathu esihle sokufikelela kwesi sigqibo ngokusekwe kwimikhwa nakwidatha esele siyibonile, ezinye zazo zisengaphambili kwaye ziya kuba sigqityiwe kwiinyanga ezizayo kwaye zivezwe esidlangalaleni. ”

UGottlieb usongele ngokuthintela iimveliso ezinencasa kwaye atsale eyona ndawo ithandwayo yokugcina ivenkile. Kwiveki kamva, i-FDA yazisa ngephulo elitsha losasazo lokulwa umphunga. Indawo ephambili yayiyintengiso yeTV ebizwa ngokuba yi "Epidemic," ethi iingqondo eziqaqambileyo kwiofisi yokulawula icuba kwi-FDA kubonakale ngathi iyakoyikisa ulutsha olufuna imincili kude nomphunga.

Xa iziphumo zokuqala ze-2018 ze-NYTS zagqityelwa ukuphuma ngo-Novemba, iindaba zosasazo-ezixhaswe nguGottlieb, umkhankaso wentengiso, kunye nengoma engapheliyo ye-anti-vaping propaganda evela kumaqela alwa necuba-anyibilika. Inqanaba lesikolo esiphakamileyo "sokusetyenziswa ngoku" liye lehla ukusuka kwi-11.7 ukuya kwi-20.8 yepesenti!

Into engazange yenziwe ziiarhente- kuba azenzanga ndifuna ku-yayinikezela umxholo. Ubungqina bentsholongwane eyoyikekayo ikakhulu busekwe kusetyenziso lweentsuku ezingama-30 ezidlulileyo, olungumgangatho othandabuzekayo wokulinganisa ingxaki yokuziphatha kweziyobisi. Ukusebenzisa into kwakanye kwinyanga ephelileyo akububungqina bokuba uyisebenzisa ngesiqhelo, kungasathethwa ke “ngesiyobisi.” Ingangabonakalisi nto iphazamisayo kunesimbo.

Uhlalutyo ngononophelo lweziphumo ze-2018 NYTS ngabaphandi abasuka kwiYunivesithi yaseNew York (nakwezinye iiyunivesithi) babonisa ukuba yi-0.4 yeepesenti kuphela yabathathi-nxaxheba abangazange bazisebenzise ezinye iimveliso zecuba kwaye iphume ngeentsuku ezingama-20 okanye ngaphezulu ngenyanga. Ngamanye amagama, uninzi lwomphunga wesikolo esiphakamileyo wawusele utshaye.

"I-Vaping inyuke phakathi kolutsha lwase-US kwi-2018 ngaphezulu kwe-2017. Ukonyuka kubonakaliswa ziipateni zentsuku eziphantsi [zeentsuku ezingama-30] kunye nokusetyenziswa okuphezulu kwemveliso, kunye nokuxhaphaka okuphantsi kwemiphunga ye-na butve vapers," i baqukumbele ababhali.

Xa i-2019 NYTS ibonise olunye ukwanda, ukusuka kwi-20.8 ukuya kwi-27.5 yepesenti, impendulo eyoyikisayo ngabasemagunyeni nakwimithombo yeendaba yayiqikelelwa; yayiyimemori nje yemisipha. Kodwa ibali alitshintshanga. Iqela labahlohli base-Bhritane elijonge kwiziphumo zovavanyo lwe-CDC lowe-2018 nowama-2019 ekuvunyelwene ngalo nohlalutyo lweqela le-NYU.

"Ukusetyenziswa rhoqo kwenzeka kwi-1.0% yabasebenzisi abasebenzisa icuba ngo-2018 kunye ne-2.1% ngo-2019," babhala. "Phakathi kwabasebenzisi be-e-cigarette beentsuku ezingama-30 abadlulileyo kwi-2019, i-8.7% ibike inkanuko kwaye i-2.9% ichaze ukuba ifuna ukuyisebenzisa kwisithuba semizuzu engama-30 ivukile."

Ezo ziphumo azibonisi ukuba abantwana "baxhonyiwe" okanye "bangamakhoboka," njengePhulo laBantwana abaNgenaCuba kunye neNyaniso yeNyaniso ixilongo kushicilelo lwabo. Ukusetyenziswa kweentsuku ezingama-30 ezidlulileyo kubonisa ulingo, hayi ukusetyenziswa kwesiqhelo. “Iziyobisi” azibethi phezulu kwimbali ngonyaka kwaye zehle ngama-30 eepesenti kunyaka olandelayo — kodwa iifashoni zolutsha ziphakama kwaye zehle ngokukhawuleza kwiipateni ezinjalo.

Inyaniso engathethwayo yeyokuba ulutsha lwaseMelika aluphindi kaninzi okanye ngakumbi kunolo lwase-UK okanye naphina. Kodwa abasemagunyeni base-US bachaza ukufikisa ngendlela yokufikisa ngendlela ejolise ekuvuseleleni uloyiko kubantu abadala. Kwaye ukuba nje bayakwazi ukufikelela kwiziphumo ekujoliswe kuzo, akukho nto inokutshintsha.