Table 2 Identified supports that would be helpful for health units to address e-cigarettes

1

Draft policies help from Health Canada to get them off the shelves.

2

Gathering literature to show [that] e-cigarettes are not harmless and that nicotine is still considered a harmful substance that can have negative physiological effects.

3

A clearer understanding of what those within the health community that support the e-cigarette are actually supporting, i.e. open sale to anyone, use in public places and workplaces, no regulation?

4

Talking points to public on why they are a risk, not a cessation tool, not covered in [Smoke-free Ontario Act] advocacy to create e-cig legislation.

5

Policy statement re: need for e-cig policy to address protection issues to be sent around to [Medical Officers of Health] (in tandem with awareness and presentation to [Canadian Medical Officers of Health] through [Association of Local Public Health Agencies] for less progressive [Public Health units] to feel comfortable adapting… E-cig key messages.. to be finalized and circulated to [Public Health units] for use. Webinar to discuss the key messages along with TCAN scan + [Non-Smokers’ Rights Association] to advise of opportunities to advance the issue.

6

It's pretty hard to rate what priority level e-cigs are for the health unit when we have no official policy at this point to use to advocate with community partners. We, like many others, are waiting for some definitive research or an interim risk management decision to at least treat [the use of e-cigarettes]… like tobacco products until more is known. Ideally this would come from the province. what we need is a really good statement - consistent wording we could all use instead of each jurisdiction or agency creating its own version that may or may not stand up to scrutiny if it is tested. Ideally it would include tobacco and tobacco related or smoking/vaping devices and products and would capture water pipes, e-cigs and any new products that may come along.

7

We previously prepared a report for council in the fall of 2013 on the status of e-cigarettes. At this time we prepared a fact sheet for the public and posted it on our website. We continue to receive questions from the public and recently a Councilor has asked about e-cigarettes wondered about inclusion in smoke-free bylaws. Because of this, we are currently in the middle of writing a briefing note for our MOH and perhaps an updated report to council on e-cigarettes.

8

For a common, agreed upon statement from health care officials (they are divided right now and it is making policy or any other work around e-cigs difficult).

9

Sample policies for workplaces and schools. Reliable/concise info on e-cig as a cessation tool.

10

We'd like a sense of actions in other jurisdictions (Ontario, Canada and international), as it is hard to keep track of the changing policy landscape. It is also hard to keep track of the changing research landscape, so we'd like to know what existing/emerging or planned research exists on e-cigarette safety.

11

Advocacy at the provincial and federal levels for regulation and research.

12

More research and evidence about dangers of using e-cigarettes. Regulation of the product.

13

A common position statement on the use of e-cigarettes.

14

We need more research on various components of e-cigarettes (cessation efficacy, appeal to youth, safety, second hand vapour, etc.)

15

Synthesis of the available (high quality) evidence on e-cigarettes.

16

Key messages sample policies.

17

Keep sending most up-to-date research and recommendations on e-cigs.