The amount of nicotine varies widely: Some countries set limits on the amount. There's no cap in the U.S.
While the U.S. scrambles to crack down on vaping, Britain has embraced electronic cigarettes as a powerful tool to help smokers kick the habit.
And now, with hundreds of U.S. cases of a mysterious lung illness among vapers, the U.S. Centers for Disease Control and Prevention is recommending that people consider not using e-cigarettes, especially those with THC, the compound that gives pot its high. Since arriving in the U.S. in 2007, e-cigarettes have been largely unregulated. The U.S. Food and Drug Administration didn't get the power to do that until three years ago and is still working out the details. Black market versions, meanwhile, have flourished.
In Britain, a review by Public Health England, an agency similar to the CDC, concluded that vaping is about 95% less dangerous than smoking. A leading British anti-tobacco charity, Ash, even called for e-cigarettes to be licensed as medicines and provided free to smokers trying to quit by Britain's government-funded health system.
"What's right for England might not be right for the U.S.," said Ryan Kennedy of the Institute for Global Tobacco Control at Johns Hopkins Bloomberg School of Public Health. In the U.S., meanwhile, the rapid rise in e-cigarettes' popularity among teenagers, a thriving black market for vapes containing marijuana extracts and the illness outbreak have muddied the public health message recently, Kennedy said.Another key difference is advertising. Unlike in the U.S., Britain has tight regulations on advertising vaping; all TV, online and radio marketing is banned, explained Linda Bauld, a public health professor at the University of Edinburgh.
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