每五推，发33P，发到爆为止
今天很精彩，忙炸。
我并没有崩溃，很遗憾让某些人失望，因为这草案出来前，巷子内的大概早就看完了。
既然今天国健署正式预告草案了，我也来把世界卫生组织对电子烟最新建议贴出来。
还是那句话，敬请行政单位举办电子烟公听会，凝聚社会共识，加速修法，保护国人
健康与儿少健康，谢谢。
这篇报导有写入小弟我的说法，欢迎参考。
https://tw.appledaily.com/life/20200529/BH2IROIQ7X4MNM6747J4GIYE34/
WHO FCTC 菸草减害专家 王郁扬
无烟台湾基金会FSFT
台湾菸草减害协会TTHRA
台湾威卜 菸草减害网络媒体
以下为世界卫生组织 最新电子烟规管建议：
电子尼古丁传递系统与无尼古丁传递系统 （简要）
Electronic nicotine and non-nicotine delivery systems: a brief (2020)
https://reurl.cc/z8oKZp
关键讯息与结论 Key messages and conclusions
*尼古丁电子烟＆无尼古丁电子烟不是无害。
*虽然发病率和死亡率的长期影响尚未充分研究，尼古丁电子烟＆无尼古丁电子烟对使用的
青少年、孕妇和成人不安全。 虽然这些族群的使用者可能会增加他们健康风险，但对于
未怀孕的成年人，从燃烧菸草的香菸完全转换到干净和适当规管的尼古丁电子烟＆无尼古
丁电子烟可能减少他们的健康讽险。
*世界卫生组织(WHO)、美国国家学院(National Academies of Sciences, Engineering
and Medicine)以及疾病管制中心(CDC)已经对这潜力有所认知。
EN&NNDS are not harmless. Although the consequences for long-term effects on
morbidity and mortality have not yet been studied sufficiently, EN&NNDS are not
safe for young people, pregnant women and adults who have never smoked.
While it is expected that use of EN&NNDS in these groups might increase their
health risks, non-pregnant adult smokers who completely switch from combustible
tobacco cigarettes to use of unadulterated and appropriately regulated EN&NNDS
alone might reduce their health risks.
This potential has been recognized by WHO (41), NASEM (16) and the CDC (42).
根据世界卫生组织指出，尼古丁电子烟＆无尼古丁电子烟的关键政策是“适当的”规管这
些产品，以将造成菸草流行的结果最小化，并优化对公共健康的潜在益处。当最大化菸民
潜在益处的同时，应避免不吸菸的人开始使用尼古丁，特别是年轻人。
在现有科学证据和并非所有国家拥有必须的规范能力与监控能力的现实下，想达到这样的
规管平衡非常具有挑战性。
决定规管尼古丁电子烟＆无尼古丁电子烟的世界卫生组织成员国或可考虑下方世界卫生组
织 菸草控制框架公约 缔结国会议(WHO FCTC COP)的意见已达政策目标。
As indicated by WHO (41), the key to any policy on EN&NNDS is to “appropriatel
y regulate these products, so as to minimize consequences that may contribute
to the tobacco epidemic and to optimize the potential benefits to public health
”, as well as “avoiding nicotine initiation among non-smokers and particularl
y youth while maximizing potential benefits for smokers”.
To strike such a regulatory balance is challenging in view of the existing
scientific evidence and the fact that not all countries will have the required
regulatory and surveillance capacity (43).
WHO Members States that decide to regulate EN&NNDS may consider the options
below to attain the policy objectives set by the Conference of the Parties
(COP) of the WHO FCTC, which are to (44):
＊预防非菸民与年轻人(特别注意脆弱群族)开始使用尼古丁电子烟＆无尼古丁电子烟。
将尼古丁电子烟＆无尼古丁电子烟可能潜在健康风险降至最小并保护非使用者暴露在电子
烟雾中。
＊预防未经证实的尼古丁电子烟＆无尼古丁电子烟健康陈述。
＊从所有尼古丁电子烟＆无尼古丁电子烟商业以及其他投资利益相关中，包括菸草产业利
益，保护菸草控制活动。
prevent the initiation of EN&NNDS by non-smokers and young people, with special
attention to vulnerable groups;
minimize as far as possible potential health risks to EN&NNDS users and protect
non-users from exposure to their emissions;
prevent unproven health claims from being made about EN&NNDS;
and protect tobacco-control activities from all commercial and other vested
interests related to EN&NNDS, including interests of the tobacco industry.
决定规管尼古丁电子烟＆无尼古丁电子烟的国家应该考虑以下：
Countries that decide to regulate EN&NNDS should consider:
＊注意对特定类型尼古丁电子烟＆非尼古丁电子烟摇摆中的市场中，因规管措施而产生的
意外结果。
＊对宣称健康的尼古丁电子烟＆非尼古丁电子烟列为医疗产品和治疗装置，当该宣称经过
科学认证，可授权他们使用该健康宣称。
＊禁止或限制尼古丁电子烟＆非尼古丁电子烟广告、促销、赞助、规范销售通路(包括线上
销售)、严格执行最低购买年龄、同时意识到最高原则是：限制使用尼古丁电子烟＆非尼古
丁电子烟的年轻人与成年人进而使用菸草产品。
＊借由标准化将尼古丁电子烟＆非尼古丁电子烟健康风险降至最低。
being mindful of the unintended consequences of any regulatory measure in
swaying the market towards any specific type of EN&NNDS product;
regulating EN&NNDS that make health claims as medicinal products and
therapeutic devices and authorizing their marketing once such claims have been
verified scientifically;
banning or restricting advertising, promotion and sponsorship of EN&NNDS,
regulating sales channels (including online sales) and strongly enforcing laws
on minimum age of purchase, while recognizing that restricting access to
tobacco products for minors and adults to make it difficult to transition to
cigarettes when using EN&NNDS is paramount;
minimizing health risks to EN&NNDS users by standardizing:
尼古丁电子烟＆非尼古丁电子烟的主机与零组件制造商须通过有效的电子设备安全规范，
包括废弃物与电子设备安全抛弃。
电子液体内容物，限制每个卡夹或每瓶的尼古丁含量并避免某些成分，例如致癌物、致突
变物或生殖毒性物质，和那些促进吸入或尼古丁摄取与成瘾的成分，例如氨基酸、咖啡因
、着色剂、必须脂肪酸、葡萄糖醛酸内酯、益生菌、牛磺酸、维生素和矿质营养。
现没有充分证据建议禁止(或不禁止)可能对孩童吸引的特定香料。
the manufacture of devices and EN&NNDS components under effective electrical
equipment safety regulations, including waste and safe disposal of electrical
and electronic equipment;
the content of e-liquids, to limit the amount of nicotine available per
cartridge or bottle and avoid some ingredients, such as carcinogens, mutagens
or reprotoxins, those that facilitate inhalation or nicotine uptake and
additives such as amino acids, caffeine, colouring agents, essential fatty acid
s, glucuronolactone, probiotics, taurine, vitamins and mineral nutrients –
the existing evidence is insufficient to recommend banning (or not banning)
certain flavours that may be attractive to children;
＊电子液体包装必须使用儿童安全容器和标示告知使用者尼古丁电子烟产品的成瘾本质。
＊对非使用者健康风险最小化，取缔室内空间或任何禁菸场所使用尼古丁电子烟＆非尼古
丁电子烟，直到证明二手气雾对旁人不会造成健康风险。
＊限制特定香精的程度和数量可降低年轻人开始使用尼古丁电子烟＆非尼古丁电子烟。
＊设置监控系统以监测尼古丁电子烟＆非尼古丁电子烟消费方式的演变并检测涉及尼古丁
电子烟＆非尼古丁电子烟的健康或安全事件–鉴于当前对市场动态变化，对于各国而言，
开始监控市场上的尼古丁电子烟＆非尼古丁电子烟产品并评估其影响极为重要 价格和消费
规范（包括使用强度，设备类型，电子液体的成份和使用原因以及人口统计学特征和吸烟
状况来监控尼古丁电子烟＆非尼古丁电子烟使用的人口模式）。
＊因为市场正在快速转型，税率可能需要随着时间调整。
the packaging of e-liquids by requiring child-proof containers and labelling
ENDS to inform users of the addictive nature of the product;
minimizing health risks to non-users by outlawing the use of EN&NNDS in all
indoor spaces or where smoking is prohibited until it is proven that the
second-hand aerosol poses no health risks to bystanders;
limiting the levels and number of specific flavours allowed in EN&NNDS to
reduce initiation by young people;
and setting surveillance systems to monitor the evolution in patterns of
EN&NNDS consumption and detect health or safety incidents involving EN&NNDS –
given the current state of knowledge about market dynamics, it is extremely
important for countries to start monitoring EN&NNDS products in the market and
evaluate the impact of regulation on prices and consumption (this includes
surveillance of population patterns of EN&NNDS use by use intensity, type of
device, the content of e-liquid and reason for use, and by demographic
characteristics and smoking status);
as the market is rapidly evolving, adjustments to taxation approaches may be
needed over time.
此外，决定增税的国家应考虑以下：
In addition, countries that decide to impose an excise tax should consider:
＊采用国家税收管理，产品规管和菸草控制政策水平所决定的最佳税收结构，例如，税收
管理强和产品规管强的国家可能会发现，特别消费税的选择有利，而税收管理强的国家产
品监管不力可能会发现从价税制度是一种选择；设置产品特征以提高任何税收结构的有效
性，而不论上下文如何；并以与该国菸草产品相同的方式征税（在大多数国家/地区，征税
的来源是制造/进口点）。
＊某些类型的尼古丁电子烟在特定环境中帮助一些菸民戒菸，但证据没充足道足以由世界
卫生组织发出，使用任何类型的尼古丁电子烟＆无尼古丁电子烟可让全部菸民作为戒菸工
具。
＊关于尼古丁电子烟＆无尼古丁电子烟政策最后且重要的告诫（无论其性质如何），这政
策同时落实高强度菸草控制政策，会大幅受益，以削弱任何使用尼古丁电子烟＆无尼古丁
电子烟转换抽菸的潜在发展轨迹。