每五推，發33P，發到爆為止
今天很精彩，忙炸。
我並沒有崩潰，很遺憾讓某些人失望，因為這草案出來前，巷子內的大概早就看完了。
既然今天國健署正式預告草案了，我也來把世界衛生組織對電子煙最新建議貼出來。
還是那句話，敬請行政單位舉辦電子煙公聽會，凝聚社會共識，加速修法，保護國人
健康與兒少健康，謝謝。
這篇報導有寫入小弟我的說法，歡迎參考。
https://tw.appledaily.com/life/20200529/BH2IROIQ7X4MNM6747J4GIYE34/
WHO FCTC 菸草減害專家 王郁揚
無煙台灣基金會FSFT
台灣菸草減害協會TTHRA
台灣威卜 菸草減害網路媒體
以下為世界衛生組織 最新電子煙規管建議：
電子尼古丁傳遞系統與無尼古丁傳遞系統 （簡要）
Electronic nicotine and non-nicotine delivery systems: a brief (2020)
https://reurl.cc/z8oKZp
關鍵訊息與結論 Key messages and conclusions
*尼古丁電子煙＆無尼古丁電子煙不是無害。
*雖然發病率和死亡率的長期影響尚未充分研究，尼古丁電子煙＆無尼古丁電子煙對使用的
青少年、孕婦和成人不安全。 雖然這些族群的使用者可能會增加他們健康風險，但對於
未懷孕的成年人，從燃燒菸草的香菸完全轉換到乾淨和適當規管的尼古丁電子煙＆無尼古
丁電子煙可能減少他們的健康諷險。
*世界衛生組織(WHO)、美國國家學院(National Academies of Sciences, Engineering
and Medicine)以及疾病管制中心(CDC)已經對這潛力有所認知。
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).
根據世界衛生組織指出，尼古丁電子煙＆無尼古丁電子煙的關鍵政策是「適當的」規管這
些產品，以將造成菸草流行的結果最小化，並優化對公共健康的潛在益處。當最大化菸民
潛在益處的同時，應避免不吸菸的人開始使用尼古丁，特別是年輕人。
在現有科學證據和並非所有國家擁有必須的規範能力與監控能力的現實下，想達到這樣的
規管平衡非常具有挑戰性。
決定規管尼古丁電子煙＆無尼古丁電子煙的世界衛生組織成員國或可考慮下方世界衛生組
織 菸草控制框架公約 締結國會議(WHO FCTC COP)的意見已達政策目標。
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):
＊預防非菸民與年輕人(特別注意脆弱群族)開始使用尼古丁電子煙＆無尼古丁電子煙。
將尼古丁電子煙＆無尼古丁電子煙可能潛在健康風險降至最小並保護非使用者暴露在電子
煙霧中。
＊預防未經證實的尼古丁電子煙＆無尼古丁電子煙健康陳述。
＊從所有尼古丁電子煙＆無尼古丁電子煙商業以及其他投資利益相關中，包括菸草產業利
益，保護菸草控制活動。
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.
決定規管尼古丁電子煙＆無尼古丁電子煙的國家應該考慮以下：
Countries that decide to regulate EN&NNDS should consider:
＊注意對特定類型尼古丁電子煙＆非尼古丁電子煙搖擺中的市場中，因規管措施而產生的
意外結果。
＊對宣稱健康的尼古丁電子煙＆非尼古丁電子煙列為醫療產品和治療裝置，當該宣稱經過
科學認證，可授權他們使用該健康宣稱。
＊禁止或限制尼古丁電子煙＆非尼古丁電子煙廣告、促銷、贊助、規範銷售通路(包括線上
銷售)、嚴格執行最低購買年齡、同時意識到最高原則是：限制使用尼古丁電子煙＆非尼古
丁電子煙的年輕人與成年人進而使用菸草產品。
＊藉由標準化將尼古丁電子煙＆非尼古丁電子煙健康風險降至最低。
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:
尼古丁電子煙＆非尼古丁電子煙的主機與零組件製造商須通過有效的電子設備安全規範，
包括廢棄物與電子設備安全拋棄。
電子液體內容物，限制每個卡夾或每瓶的尼古丁含量並避免某些成分，例如致癌物、致突
變物或生殖毒性物質，和那些促進吸入或尼古丁攝取與成癮的成分，例如氨基酸、咖啡因
、著色劑、必須脂肪酸、葡萄糖醛酸內酯、益生菌、牛磺酸、維生素和礦質營養。
現沒有充分證據建議禁止(或不禁止)可能對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;
＊電子液體包裝必須使用兒童安全容器和標示告知使用者尼古丁電子煙產品的成癮本質。
＊對非使用者健康風險最小化，取締室內空間或任何禁菸場所使用尼古丁電子煙＆非尼古
丁電子煙，直到證明二手氣霧對旁人不會造成健康風險。
＊限制特定香精的程度和數量可降低年輕人開始使用尼古丁電子煙＆非尼古丁電子煙。
＊設置監控系統以監測尼古丁電子煙＆非尼古丁電子煙消費方式的演變並檢測涉及尼古丁
電子煙＆非尼古丁電子煙的健康或安全事件–鑑於當前對市場動態變化，對於各國而言，
開始監控市場上的尼古丁電子煙＆非尼古丁電子煙產品並評估其影響極為重要 價格和消費
規範（包括使用強度，設備類型，電子液體的成份和使用原因以及人口統計學特徵和吸煙
狀況來監控尼古丁電子煙＆非尼古丁電子煙使用的人口模式）。
＊因為市場正在快速轉型，稅率可能需要隨著時間調整。
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，決定增稅的國家應考慮以下：
In addition, countries that decide to impose an excise tax should consider:
＊採用國家稅收管理，產品規管和菸草控制政策水平所決定的最佳稅收結構，例如，稅收
管理強和產品規管強的國家可能會發現，特別消費稅的選擇有利，而稅收管理強的國家產
品監管不力可能會發現從價税制度是一種選擇；設置產品特徵以提高任何稅收結構的有效
性，而不論上下文如何；並以與該國菸草產品相同的方式徵稅（在大多數國家/地區，徵稅
的來源是製造/進口點）。
＊某些類型的尼古丁電子煙在特定環境中幫助一些菸民戒菸，但證據沒充足道足以由世界
衛生組織發出，使用任何類型的尼古丁電子煙＆無尼古丁電子煙可讓全部菸民作為戒菸工
具。
＊關於尼古丁電子煙＆無尼古丁電子煙政策最後且重要的告誡（無論其性質如何），這政
策同時落實高強度菸草控制政策，會大幅受益，以削弱任何使用尼古丁電子煙＆無尼古丁
電子煙轉換抽菸的潛在發展軌跡。