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9.A. - Page 16 of 31 <br />showing that permitting the sale of a tobacco product would be appropriate <br />for the protection of the public health, the Tobacco Control Act requires that <br />the FDA deny an application for premarket review. <br />(m) Virtually all electronic cigarettes that are sold today entered the market <br />after 2007, but have not been reviewed by the FDA to determine if they are <br />appropriate for the public health. In 2017, the FDA issued Guidance that <br />purports to give electronic cigarette manufacturers until August 8, 2022 to <br />submit their application for premarket review. The Guidance further <br />purports to allow unapproved products to stay on the market indefinitely, <br />until such time as the FDA complies with its statutory duty to conduct a <br />premarket review to determine whether a new tobacco product poses a risk <br />to public health. In 2019, the FDA issued draft guidance in which it <br />considered moving the premarket application deadline up by one year for <br />certain flavored e -cigarette products.14 In July of 2019, a U.S. District Court <br />issued an order requiring manufacturers to submit a premarket review <br />application by May 12, 2020 for deemed tobacco products, which includes <br />e -cigarettes, that were on the market as of August 8, 2016. However, that <br />order has been appealed and a stay requested. Thus, the deadlines for <br />applications for premarket review, and timelines for any premarket review <br />orders, are in flux and uncertain. <br />(n) By the time e -cigarette manufacturers will be required to submit their <br />premarket review applications, e -cigarettes will have been on the market for <br />approximately fifteen years without any FDA analysis of their safety and <br />alleged benefit. If current trends continue, six million more youth in the <br />United States will begin using e -cigarettes between now and then. Until <br />such time as the FDA fulfills its statutory duty to conduct premarket reviews <br />of new tobacco products, a generation of young people will become <br />addicted to tobacco, resulting in an entirely preventable increase in the <br />burdens and tragedies associated with tobacco use. The County of San <br />Mateo is not content to continue to wait before addressing, for its residents, <br />what appears from the evidence to be a major public health crisis that is <br />going unattended by federal or state regulation. <br />SECTION 2. New Chapter 4.95 Added. <br />A new Chapter 4.95 is added to the San Mateo County Ordinance Code, to be <br />numbered and entitled and to read as follows: <br />Chapter 4.95. Sale or Distribution of Electronic Cigarettes. <br />14 FDA. (2019, June). Premarket Tobacco Product Applications for Electronic Nicotine Delivery Systems — Guidance for <br />Industry. Retrieved from https://www.fda.gov/media/127853/download <br />293 <br />