Vaping: Under-18s

I beg to move,

That this House has considered vaping among under-18s.

It is a privilege to serve under your chairmanship, Mr Sharma, and it is great to welcome many colleagues from across the House to this important debate. I completely recognise that vaping has a vital role to play in supporting adults to give up tobacco smoking. However, vaping is a public good only if it is helping people to end addictions that they already have, not creating new ones, especially in our vulnerable young folk.

It is not an exaggeration to say that we are seeing an epidemic among our young people, which can be attributed to an increasingly popular and powerful market for disposable vapes. Action on Smoking and Health—ASH —said in its survey of 11 to 17-year-olds in Great Britain that 15.8% of 11 to 17-year-olds had tried vaping in 2022, up from 11.2% in 2021. It also said that in 2022, 7% of 11 to 17-year-olds were current users of vapes, up from 3.3% in 2021.

It is currently illegal for young people under 18 to purchase vapes. Does my hon. Friend agree that we have a problem implementing the existing regulations, rather than anything else?

I completely agree, and I want to stress that key point: it is illegal to sell vapes to under-18s. I will be asking the Minister about that. I know that the Government are moving on it, and we need to address it going forward.

Similarly, an NHS survey in 2021 said that 9% of 11 to 15-year-olds, and 18% of 15-year-olds, had used vapes. Those are alarming statistics. ASH England also noted that the most frequently used e-cigarettes among young people are disposable vapes, with an astonishing increase from 7.7% in 2021 to 52% in 2022. Although this is not the main focus of my speech, I will point out that, quite aside from the health concerns associated with such a marked rise in the sale and consumption of disposable vapes, they are a major environmental concern, with over 1 million of them thrown away every week. It is estimated that the lithium used in those batteries equates to about 10 tonnes of lithium per year, which is equivalent to the lithium used in approximately 1,200 electric vehicle batteries.

My hon. Friend will be aware of my ten-minute rule Bill to ban disposable vapes for exactly the reasons he has described: the effects on children’s health particularly, and on the environment. Does he agree that the Government should support the Bill?

I very much agree with my hon. Friend. I thank her for intervening and I welcome her medical expertise in this debate.

I have touched on some of the environmental concerns, and there are also concerns about fires related to disposable vapes. However, at the heart of my speech is the impact that such a frightening level of vape use is having on our young people, even as young as primary age. I urge our policymakers not to underestimate it. There are increasing reports suggesting that the use of vapes has negative effects on heart and lung health, and may be associated with tooth and gum disease. Other issues reported include coughs, shortness of breath and headaches. Nicotine, which these products often contain, is highly addictive with potentially harmful effects on the adolescent brain, which is still developing.

Enforcement is absolutely vital in this industry, but does my hon. Friend agree that there is a danger of demonising vaping for adult smokers? Vaping is 95% risk free, according to ASH, which he has mentioned, the British Heart Foundation, the British Lung Foundation, Public Health England and so on. It is therefore a vital part of a smoker’s ability to come off tobacco use. It quite literally saves lives, and therefore should be promoted to smokers.

I totally agree. As I said, the use of vaping to help adults get away from tobacco smoking has significant health benefits, but today we are talking about stamping out its use by people who are not trying to give up smoking. We are trying to protect our young people, but I totally concur with my hon. Friend.

My hon. Friend is being very generous in taking interventions. I concur with his last point, but does he agree that one of the issues that we face is advertising? Vapes are stacked up like sweeties in all sorts of outlets, which presents them as rather benign and makes them attractive to younger users.

I totally concur. My hon. Friend has read my mind: I am about to talk about the advertising, the colourful labelling, the fruit flavours and so on, which draw in young people.

I have asked a number of parliamentary questions about vaping, and the recurrent theme in the Government’s answers is that they acknowledge that vapes are not risk free, and that nicotine is highly addictive and can be harmful. Some studies suggest that vaping among young people can be a gateway to risky behaviour such as drinking and tobacco smoking, which would be a perverse thing to happen. Vaping is supposed to get adults off smoking, but if it is leading young people into smoking, that is not a good thing.

The hon. Gentleman is making a powerful speech about the detriment to health of vaping for under-18s. He mentioned a study, but does he agree that there is not sufficient research on under-18s, so we do not know exactly how safe or unsafe these products are?

I agree. That is exactly right: there is a paucity of data. I will ask the Government and the Department of Health and Social Care to create the datasets so that we can make evidence-based decisions.

Concerningly, ASH Scotland suggests that children with mental health issues including mood disorders and eating disorders, who are among the most vulnerable people in society, are potentially more likely to use vapes. That is a real concern. I am passionate about mental health, especially among our young people, and I urge the Government to continue to protect the most vulnerable. That has been the hallmark of this compassionate Conservative Government.

Anecdotally, we hear much about the impact of these products. We hear reports of children’s sleep patterns being disrupted. They set their alarms for 2 o’clock or 3 o’clock in the morning so that they can vape in the middle of the night to avoid withdrawal symptoms the next day. At school, there have been reports of students leaving lessons and even walking out of examinations because they simply cannot last without the use of a vape. If vaping is having a detrimental impact on our young children’s life chances, this is a matter not merely of health but of social and educational development. One teacher in my constituency noted that the issue is so widespread that vapes are being illicitly traded in the school playground.

I want to touch on the marketing of vapes to under-18s, as colleagues have done. A particular issue with the vaping market is the flagrant targeting of under-18s as potential consumers through trendy advertising on social media. Products are promoted with bright colours and inviting fruit flavours—sweet flavours such as mango, bubblegum and cherry ice.

The Office for Health Improvement and Disparities annual review of vaping reveals that 39% of ex-smokers use fruit-flavoured vapes, against 17% who use tobacco. There absolutely are issues with marketing, advertising and presentation to young people, but does my hon. Friend agree that an overly simplistic blanket ban of flavours might have the serious unintended consequence of preventing some potential vapers from vaping, meaning that they would carry on smoking and thus massively increasing their chances of an early death?

Again, this is about the differentiation between adult use of vaping products and young people’s use of vaping products.

I am grateful to the hon. Member for making such an excellent speech. Does he agree that recruiting a new generation of addicts is the business model that the industry has forever driven, no matter whether the product kills or harms? The industry itself needs to be tackled on the issue.

I agree with the hon. Member. The industry needs to take a close look at itself, but it is also the case that a lot of the vapes that are ending up with children are coming through illicit means. We need to have a targeted approach to look at how best we can prevent our young people from accessing those products.

My hon. Friend made a very good point about advertising. We need to get across the nuanced message that vaping may be beneficial to people who want to quit smoking—although I would argue that it could become an alternative addiction rather than a stop-smoking aid—but we must also prevent children from using vapes. In the past, nuanced advertising for formula milk stated that breast milk was better at the beginning but that formula milk was a reasonable alternative for six month olds. Could a form of words be used in vaping adverts to make it clear that the products should be for people who smoke, not for those who do not?

I agree with my hon. Friend that if we can get more nuance into the advertising and labelling of vapes, that would help articulate to people the benefits of using them for the legitimate purpose of getting off tobacco smoking. It could also serve as a stern warning that young people should not take the products, because of their significant health risks. As ASH notes, 57% of e-cigarette use among 11 to 17-year-olds involves fruit flavours. Clearly and deliberately, the marketing of fruit-flavoured and trendy products is driving demand among our young people. We need to be very careful.

Aside from the nicotine, there are questions over whether the flavourings and chemicals inhaled also impact on the health risks to people who vape. For instance, in 2019 The American Journal of Physiology: Lung Cellular and Molecular Physiology reported that the flavouring chemical cinnamaldehyde was associated with decreased mucociliary clearance in the respiratory tract due to dysregulation of mitochondrial function. That presents a compelling case to treat this issue as an urgent priority and, as the hon. Member for Newport West (Ruth Jones) has said, to gather much-needed data in the area. We can then demonstrate the reality of what dangers our young people are potentially being exposed to in the long term.

As one teacher in my constituency has noted, the prevailing view seems to be that the use of such products is completely harmless. As the evidence I have mentioned suggests, however, that is very much not the case, as has also been acknowledged by health experts and, indeed, the Government.

Worse still, the potential impacts assume that the products are being sold in accordance with Government regulations. However, we have seen an increase in illicit and non-compliant trade of e-cigarettes. Checks on imports of these products find that regulations are regularly flouted, including higher numbers of puffs per vape and higher nicotine levels than those permitted. That also demonstrates that any Government action needs to remember online trading as well, not just physical sales in shops.