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E-cigarettes are a poison hazard.1 A review of studies evaluating chemicals in electronic cigarette liquid nicotine (e-liquid) found nicotine concentrations as high as 87 mg/mL.2 The lethal dose of nicotine for adults is estimated to be 30–60 mg of nicotine,3 although this amount has been scrutinised.4 For children, a fatal dose of nicotine may be as little as 10 mg.5 As e-cigarettes grow in popularity,6 ,7 associated poisonings are increasing. Poisoning cases linked to e-cigarettes jumped 1500% from 29 in 2010 to 438 in 2012.8 ,9 Over this same time period, the proportion of these poisonings that occurred in children younger than 5 years old increased from 21% in 2010 to 39% in 2012.8 ,9
There are currently no regulations requiring child-resistant packaging or poison warning labels on e-cigarettes and e-liquid sold in the USA. Previous research found e-liquid cartridges lacked content and warning labels, evidence that the industry has not been proactive at preventing poisonings.10 Since child-resistant packaging for …
Contributors DSM designed the study, collected the data and conducted data analysis. SCF assisted with the data collection and management, also contributed to the writing and editing of the manuscript.
Funding This article was written as part of a grant-funded research project. Any public dissemination of information relating to the grant was made possible by Grant Number RC-2009-0035 from ClearWay Minnesota.
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.
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