The Indian Council of Medical Research (ICMR) in
its white paper on Electronic Nicotine Delivery System (ENDS), published on the
eve of World No Tobacco Day, has said that ENDS adversely affects almost all
the human body systems. It has recommended a complete ban on e-cigarettes and
The ICMR has noted that e-cigarettes could increase
the possibility of non-smokers turning to smoking. It has further highlighted
that e-cigarettes have adverse impact that is comparable to cigarette smoking-
damage to cardiovascular system, impaired respiratory immune cell function and
severe respiratory disease.
ENDS are non-combustible tobacco products. These
include e-cigarettes, vapes etc. E-cigarettes are battery- operated devices
that do not burn or use tobacco leaves but instead vaporise a solution, which a
user then inhales. The solutions contain propylene glycol, nicotine etc. which
pose significant health risks, including cancer.
According to WHO’s Global Tobacco Epidemic 2017
report, nearly 30 countries have banned ENDS. Examples include Mauritius,
Australia, Singapore, Sri Lanka, Thailand, Brazil, Mexico, Uruguay, Bahrain,
Iran, Saudi Arabia and UAE.
In August 2018, the Indian health ministry had
issued an advisory to all states and Union Territories (UTs) to stop the
manufacture, sale and import of ENDS. The direction came in the backdrop of a
Delhi High Court judgement where it had rebuked the Central government for its
delay in taking appropriate measure to curb the public health from
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