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Electronic Cigarette Explosion and Burn Injuries

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Objectives: E-cigarette explosions have resulted in severe injuries and fatalities. To date, only 2 studies have systematically estimated the prevalence of these injuries. This study updates these national estimates and describes the context of these explosion injuries. Methods: We conducted analyses on cross-sectional data from the US Consumer Product Safety Commission's (CPSC) National Electronic Injury Surveillance System (NEISS). A key word search of case narrative text identified e-cigarette explosion and burn injuries reported by US hospital emergency departments. We applied sampling weights to make national incidence estimates, and reviewed text to identify contextual factors. Results: An estimated 2693 (95% CI 1478 to 3909) e-cigarette explosion and burn injuries were presented to US hospital emergency departments between 2015 and 2018. Case narratives indicated that a notable proportion of explosions occurred while a person was changing or replacing a device's battery. Conclusions: To prevent further injuries and fatalities, there is a need for strengthened regulation and monitoring of e-cigarette devices. The variety of contexts in which e-cigarettes have exploded suggests these devices have poorly understood technical problems that industry should be required to address. In addition, data recording and surveillance of e-cigarette injuries need improvement.
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Keywords: ELECTRONIC CIGARETTES (E-CIGARETTES); ELECTRONIC NICOTINE DELIVERY SYSTEM (ENDS); INJURY PREVENTION AND CONTROL; SURVEILLANCE AND MONITORING; TOBACCO PRODUCT

Document Type: Research Article

Publication date: May 1, 2020

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  • Tobacco Regulatory Science (Electronic ISSN 2333-9748) is a rigorously peer-reviewed online scientific journal for the dissemination of research relevant to the regulation of tobacco products. The journal content includes a broad array of research domains, including chemistry, biology, behavior, community, and population-level surveillance and epidemiology, as well as knowledge syntheses (eg, meta-analyses or state-of-the-art reviews) and analytic modeling. All articles describe the policy relevance of the research outcomes. Given the global nature of tobacco regulation, particularly as a result of international and national policies, Tobacco Regulatory Science publishes high quality research that is relevant to global regulatory needs and requirements. Tobacco Regulatory Science is published electronically 6 times per year.
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