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17 <br />products or to allow medicine licensing. After the proposal of the Commission and Council to <br />regulate e-cigarettes as medicines was thrown out by the European Parliament on 8 October 2013, a <br />new directive was hastily contrived entirely behind closed doors, without any consultation and with <br />minimal supporting analysis or scrutiny. The resulting directive (2012/40/EC – Article 20)57 has <br />numerous flaws of arbitrary and unscientific policy and poor policy-making process, and is likely to <br />be found in breach of key treaty principles. <br />• A ban on almost all advertising sponsorship and promotion. The anti-competitive ban protects <br />the incumbents from a disruptive challenger and is unjustified in a directive with a single market <br />legal base, and disproportionate relative to tobacco. Most tobacco advertising is banned in the <br />EU, but tobacco kills 700,000 per year. In contrast, vaping is likely to reduce premature deaths. <br />• Limiting the strength of nicotine liquids to 20mg/ml. Approximately 25-30% of consumers use <br />liquids stronger than this. They may be more important for more heavily dependent smokers <br />and those just switching. The threshold is arbitrary and pointless. <br />• Limiting liquid container sizes. We manage hazardous liquids (like bleach) by having packaging <br />and labelling standards not by limiting the containers to tiny and inconvenient sizes. <br />• Requiring large warnings. The directive requires cigarette-like warnings that contain misleading <br />and off-putting information covering 30% of the pack. The warnings are not proportionate. <br />• Numerous technical measures that would fail a reasonable risk-benefit assessment. <br />• A continuing ban on snus – despite it being the reason, beyond doubt, for the best tobacco- <br />related health outcomes in Europe in Sweden, snus will remain banned throughout the rest of <br />the EU. It is unscientific, unethical and probably unlawful to ban this product. <br />Legal challenge. A UK-based vendor, Totally Wicked, has challenged article 20 of the directive via the <br />English Courts and a case will likely be heard in Court of Justice of the EU in 2016 58. The directive has <br />entered into force and its provisions apply in stages from 2016/17. <br />4.3.3 United States approach <br />Following a legal challenge to its designation of e-cigarettes as medicines in 2010 59, the currently <br />favoured approach of US Food and Drug Administration is to treat e-cigarettes as tobacco products <br />on the basis that the pure nicotine used is originally extracted from tobacco. In April 2014, the FDA <br />announced its intention to apply tobacco legislation to e-cigarettes 60 (the so-called ‘deeming <br />regulation’). This means the provisions of the Family Smoking Prevention and Tobacco Control Act <br />will apply. This legislation was designed with the primary purpose of slowing innovation and <br />creating burdens for the cigarette manufacturers, and it is wholly excessive and inappropriate to use <br />this to regulate a disruptive low risk entrant to the cigarette market. It will mean almost all products <br />are removed from the market and only the mass commodity products market by the largest <br />companies will meet approval 61. <br /> <br />57 Directive 2014/40/EU ‘Tobacco Products Directive’ [link] <br />58 See more details at: Totally Wicked legal challenge to the Tobacco Products Directive e-cigarette measures, <br />Counterfactual, November 2014 [link] <br />59 U.S. Court of Appeals for the D.C. Circuit, in Sottera, Inc. v. Food & Drug Administration, 627 F.3d 891 2010 [link] <br />60 United States Food and Drug Administration. FDA proposes to extend its tobacco authority to additional tobacco <br />products, including e-cigarettes (press release with links) 24 April 2014 [link]. Also see SFATA (industry) [link] and <br />CASSA (consumer) [link] resources <br />61 See CASAA assessment in: Fourth Call to Action for FDA Proposed Regulations Streamlined Version, 26 July 2014 [link]