Michael R. Bloomberg, who has dedicated almost $1 billion to help anti-tobacco efforts, is now getting into the marketing campaign to fight vaping, asserting a $160 million push to ban flavored e-cigarettes.

Mr. Bloomberg, the previous mayor of New York Metropolis, mentioned that his Bloomberg Philanthropies would intention to ban the flavored e-cigarettes in at the least 20 cities and states.

His announcement on Tuesday was amongst a collection of developments meant to intensify stress and scrutiny on the vaping business, amid a sudden and largely unexplained public well being scare that has linked vaping to 6 deaths and a whole bunch of sicknesses.

In New York, Gov. Andrew M. Cuomo vowed on Monday to introduce a invoice to ban the sale of e-flavored cigarettes, and directed the state Division of Well being to subpoena firms that market or promote so-called thickening brokers, that are typically added to black market vaping merchandise. A state laboratory, which detected the brokers in vaping merchandise collected from New York’s sufferers, discovered that they have been almost pure vitamin E acetate oil, which officers have mentioned is a possible explanation for the sicknesses.

That very same day, the American Medical Affiliation referred to as vaping “an pressing public well being epidemic,” and urged folks to keep away from the usage of any e-cigarette merchandise till well being officers realized extra concerning the causes of the sicknesses, which have remained unresolved.

The newest loss of life, tied to a extreme lung sickness believed to be associated to vaping, was introduced on Tuesday, in Kansas. As well as, greater than 450 instances of illness have been reported throughout 33 states, spurring pressing calls to motion by state lawmakers.

Michigan final week grew to become the primary state to ban the sale of flavored e-cigarettes. New York, Massachusetts and California have thought-about doing the identical, with some New York lawmakers proposing going even additional, with a blanket ban on all vaping gadgets.

The F.D.A. has the authority to control e-cigarettes federally, however e-cigarette firms wouldn’t have to submit their merchandise to the company for public well being evaluate till Might 2020.

“This can be a horrifying public well being phenomenon,” Mr. Cuomo mentioned at a information convention on Monday.

In New York, at the least 41 folks had fallen ailing as of Monday, in response to the state well being division — up from 34 folks simply 4 days earlier.

The flurry of proposals might point out a shift in public opinion towards vaping, which within the early years of its recognition was usually seen — particularly by youngsters — as a modern image of rebellious cool. Supporters additionally touted it as a instrument to wean people who smoke off conventional cigarettes.

Between 2011 and 2015, e-cigarette use by highschool college students grew 900 p.c, in response to a 2016 report by america surgeon common. A examine in December funded by the Nationwide Institutes of Well being discovered that 37 p.c of 12th graders surveyed had reported vaping prior to now 12 months, in comparison with simply 27 p.c the 12 months earlier than.

However over the previous few years, as medical doctors more and more warned of habit and the still-scarce analysis on the subject, authorities officers started to behave. San Francisco in June banned not simply flavored vaping merchandise however all e-cigarettes, changing into the primary metropolis within the nation to take action. Greater than a dozen states prohibit vaping in public areas the place smoking is prohibited.

Nonetheless, some lawmakers perceived a scarcity of urgency earlier than the near-panic set off by the current explosion of sicknesses.

A invoice to ban the sale of flavored e-cigarettes has been launched within the New York State Legislature yearly since 2017. The invoice didn’t move earlier than the legislative session resulted in June, partly due to aggressive lobbying by the tobacco and e-cigarette industries, in addition to by a coalition of grownup e-cigarette customers who satisfied legislators to desert the invoice, mentioned Assemblywoman Linda Rosenthal, one of many invoice’s sponsors.

The trouble might fare higher in January, due to Mr. Cuomo’s assist and the involvement of Mr. Bloomberg and his allies. Although Mr. Bloomberg didn’t specify which cities or states he would concentrate on, his basis mentioned in a information launch that it might work with the Marketing campaign for Tobacco-Free Youngsters and the Middle for Illness Management over three years to finish advertising practices that attraction to kids, take away flavored e-cigarettes from and pause on-line e-cigarette gross sales.

Mr. Bloomberg’s basis has fought tobacco use all over the world, funding media campaigns and inspiring bans on tobacco promoting and taxes on tobacco merchandise.

In an opinion piece on Tuesday, Mr. Bloomberg, together with Matthew L. Myers, the pinnacle of Marketing campaign for Tobacco-Free Youngsters, wrote that the battles towards smoking and vaping have been inextricably linked. “We all know Large Tobacco’s playbook. We’ve seen this earlier than,” the lads wrote.

Ms. Rosenthal, who additionally plans to introduce a invoice to ban all e-cigarettes till they obtain F.D.A. approval, mentioned momentum had shifted “completely” in favor of bans.

“Individuals teeter between, ‘That is the appropriate factor to do’ and ‘Perhaps we must always depart folks to their very own gadgets.’ However elected officers have a accountability to guard public well being,” she mentioned. “This can be a prime instance of that.”

Nonetheless, vaping producers have already indicated they intend to struggle makes an attempt to curtail the business.

Austin Finan, a spokesman for Juul, mentioned the corporate supported efforts to curb underage use. However he mentioned allowing sure flavors, resembling menthol, was vital to serving to people who smoke stop conventional cigarettes. Ms. Rosenthal’s invoice would enable solely tobacco flavoring.

The New York State Vapor Affiliation, which represents vaping producers and distributors, was much less conciliatory. The group mentioned on Monday that the governor’s blanket suggestion that folks cease vaping altogether was overzealous, given the well being division’s speculation that the sicknesses have been tied to black-market merchandise.

“If a foul batch of penicillin causes sickness and loss of life, C.D.C. doesn’t suggest folks cease utilizing all antibiotics,” Spike Babaian, a spokeswoman for the affiliation, mentioned. “After reaching all-time low smoking charges, these deceptive statements will price 1000’s of lives when New Yorkers return to cigarettes.”


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