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Calls to poison centers about e-cigarettes have surged - The Washington Post Page 2 of 3 <br /> That fight. which shows no signs of being resolved in the short term, overlooks what health <br /> professionals say is an obvious danger made clear by Thursday's CDC numbers: Liquid nicotine, <br /> which is heated to create e-cigarette vapors, is a highly toxic substance that's readily available on <br /> store shelves in flavors as varied as bubble gum, chocolate mint and cherry. <br /> "We sometimes forget that nicotine itself is a poison. . . . It's such a highly concentrated substance <br /> that it's more likely to cause symptoms at a lower dose," said Ashley Webb, director of the Kentucky <br /> Regional Poison Control Center in Louisville. where calls related to e-cigarettes so far this year have <br /> approached the total for 2013. <br /> Webb said 60 percent of the calls to her center involve children younger than 6. Typically, symptoms <br /> include vomiting, stomach pain and increased heart rate, and enough liquid nicotine can prove lethal. <br /> Children typically get sick after ingesting the liquid, although it also can be absorbed through the skin, <br /> Webb said. <br /> Although the Food and Drug Administration has said it intends to regulate the e-cigarette industry, it <br /> has been slow to act. In the meantime, critics say, no regulations exist that would force liquid nicotine <br /> manufacturers to use child-resistant packaging or detailed warning labels. <br /> Cynthia Cabrera, executive director of the Smoke-Free Alternatives Trade Association, said the <br /> e-cigarette industry supports such measures and has been working to set industry standards for safe <br /> packaging and labeling. <br /> But Cabrera said it is also important to keep Thursday's numbers in perspective. She said the increase <br /> in poison control calls is not surprising when viewed alongside the sharp rise in the popularity of <br /> e-cigarettes and is actually modest given such widespread use of the products. "Having a knee-jerk <br /> reaction at something without looking at the data carefully is disturbing," she said. "We need to not <br /> take things out of context." <br /> In addition. Cabrera said the benefits many consumers have claimed to get from using e-cigarettes <br /> must be weighed against the relatively small number of accidental incidents linked to the products. <br /> She also said parents bear some responsibility for keeping liquid nicotine out of the hands of children, <br /> just as they would with cleaning products or medications. <br /> "If they are not designed for children, children should not have access to them," Cabrera said. "Once <br /> it gets into a home, we depend on the parents and the adults to make sure they treat the products with <br /> care." <br /> The data behind Thursday's numbers came from poison centers in every state and the District. From <br /> fall 2010 through February, the centers reported 2,405 e-cigarette calls and 16,248 involving <br /> traditional cigarettes, but the percentage of calls involving e-cigarettes rose steadily in that time and <br /> shows little sign of abating. <br /> "Use of these products is skyrocketing," CDC director Tom Frieden said in a statement Thursday, <br /> "and these poisonings will continue." <br /> http://www.washingtonpost.com/national/health-science/calls-to-poison-centers-about-e-cig... 4/4/2014 <br />