China’s e-cigarette boom largely unregulated, may pose health risks

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David Barboza
December 15, 2014
The Age

Shenzhen, China – In a grimy workshop, among boiling vats of chemicals, factory workers are busy turning stainless steel rods into slender tube casings, a crucial component of electronic cigarettes. Not long ago, Skorite Electronics was a tiny firm struggling to produce pen parts. Today, it is part of an enormous — and virtually unregulated — supply chain centred here that produces about 90 per cent of the world’s e-cigarettes.

This year, Chinese manufacturers are expected to ship more than 300 million e-cigarettes to countries around the world, where they will reach the shelves of department stores, 7-Elevens, gas station outlets and vaping shops.

The devices have become increasingly popular, particularly among young adults, and yet hundreds of e-cigarette manufacturers in China operate with little oversight. Experts say flawed or sloppy manufacturing could account for some of the heavy metals, carcinogens and other dangerous compounds, such as lead, tin and zinc, that have been detected in some e-cigarettes.

A worker at the Skorite factory prepares and assembles metal parts for e-cigarettes for export.
A worker at the Skorite factory prepares and assembles metal parts for e-cigarettes for export. Photo: Theodore Kaye / The New York Times
One study found e-cigarette vapour that contained hazardous nickel and chromium at four times the level they appear in traditional cigarette smoke; another found that half the e-cigarettes sampled malfunctioned and some released vapour tainted with silicon fibres.

There have also been reports in the United States of e-cigarettes that exploded after a lithium ion battery or electric charger overheated, causing burns.

“We need to understand what e-cigarettes are made of,” says Avrum Spira, a lung specialist at the Boston University School of Medicine, “and the manufacturing process is a critical part of that understanding.”

A review by The New York Times of manufacturing operations in Shenzhen found that many factories were legitimate and made efforts at quality control but some were lower-end operations that either had no safety testing equipment or specialised in counterfeiting, often with cheaper parts. The Times visited several such workshops in Shenzhen, including a counterfeiting shop set up in a garage and another that displayed a knockoff of an e-cigarette brand called “Russian 91%,” which the factory boss said was destined for the United States.

The e-cigarette industry in China has developed differently from other industries, like toys, apparel and smartphones, where global brands outsource their manufacturing here but monitor and enforce quality control standards. Chinese companies were the first to develop e-cigarettes, and that happened in a regulatory void.

In Australia, e-cigarettes can only legally be sold if they do not contain nicotine, although models that do are still readily available. In the United States, the Food and Drug Administration has just begun to move toward regulating e-cigarettes, working on rules that would force global producers, in China and elsewhere, to provide the agency with a list of ingredients and details about the manufacturing process.

But analysts say setting those rules and new manufacturing guidelines could take years. In the meantime, Chinese factories are quickening the pace, hoping to build profits and market share before regulatory scrutiny arrives and most likely forces many e-cigarette makers to close.

“This is really a chaotic industry,” says Jackie Zhuang, deputy general manager of Huabao International, a Chinese tobacco flavouring company in Shanghai and an expert on China’s e-cigarette market. “I hope it will soon be well regulated.”

Ground Zero for E-Cigarettes

In a 5-square-mile area in the northwestern part of Shenzhen called Bao’an, in a district packed with industrial parks, there are believed to be more than 600 e-cigarette producers, and many more component suppliers selling bulk orders of tube casings, integrated circuit boards, heating coils and lithium ion batteries, the essential components of the e-cigarette. If you are a manufacturer in Shenzhen and need 50,000 baked-metal casings, a local manufacturer can supply them for about $30,000 and have them delivered within hours.

Unlike the counterfeiters’ shops, the largest Shenzhen e-cigarette manufacturing operations are relatively clean, with rows of workers seated on plastic stools along a fast-moving assembly line.

In 2004, a Chinese pharmacist named Han Li helped develop the e-cigarette, which was then sold through his company, Beijing Ruyan. Other manufacturers soon followed, and by 2009, as e-cigarettes became more popular in the United States and Europe, more factories opened.

Global tobacco giants that have entered the e-cigarette market are also manufacturing in China, and they insist they are doing so with stringent controls.

Altria, formerly known as Philip Morris, sells the e-cigarette brand MarkTen. In a statement, Altria said: “MarkTen is manufactured in China for Nu Mark” — Altria’s e-cigarette subsidiary — “by an established manufacturer of e-cigarettes, which is following Nu Mark’s design specifications and quality control requirements” with “detailed quality-control measures.”

Troubled Manufacturing
Smaller manufacturers, though, are more representative of the ethos here. Tiny start-up factories buy components from suppliers, set up assembly lines and hire low-skilled migrant workers to snap, stamp, glue and solder the e-cigarette components together.

“In the e-cigarette market, you don’t need big capital — that’s why there are now so many manufacturers here,” said Qiu Weihua, the founder of Joyetech, a large Chinese firm that is trying to distinguish itself as a high-quality producer of e-cigarettes. The firm, for example, employs testers who vape and check for flaws. “The big challenge is how to make a quality product.”

The e-cigarette makers, many run by young entrepreneurs, have found markets overseas, using online platforms like Alibaba.com. But occasionally, a Western businessman like Yaniv Nahon from the US simply shows up at the factory gate. In 2010, Nahon, then 29, grew tired of selling e-cigarettes at a mall kiosk in South Florida and decided to produce his own line called vapour 123.

“A lot of our products come in smaller orders using express mail service, no questions asked,” Nahon said in an interview at a factory called Jomo in Shenzhen. “Importing this into the US isn’t difficult.”

That simplicity has made it easy for counterfeiting operations. Legitimate Shenzhen factory bosses complain about the fakes sold to wholesalers and online traders, who then mix fakes in with bulk orders of the authentic brands. Among the concerns is that some smaller manufacturers use poor-quality insulation paint on the heating coils, paint that could prove dangerous if it leached into the e-liquids.

“I worry about overseas consumers,” says Danny Zhu, who runs KangerTech, a large Shenzhen e-cigarette maker. “There are lots of small workshops here, with 10 or 20 people, and they have no quality control or safety certifications for the material they use. Some of their products are covered with a layer of paint. It’s unhealthy.”

Scientific studies hint at a host of problems related to poor manufacturing standards. A study published last year in the open access online journal PLoS One found the presence of tin particles and other metals in e-cigarette vapours and said they appeared to come from the “solder joints” of e-cigarette devices.

Another study of nearly two dozen e-cigarettes bought in the United States found large amounts of nickel and chromium, which probably came from the heating element, another suggestion that poorly manufactured e-cigarettes may allow the metals to enter into the e-liquids.

“We’ve found on the order of 25 or 26 different elements, including metals, in the e-cigarette aerosols,” says Prue Talbot, a professor of cell biology at the University of California, Riverside, and co-author of several of the studies. “Some of the metal particles are less than 100 nanometres in diameter, and those are a concern because they can penetrate deep into the lungs.”

Health advocates say they are troubled by a history of food and drug safety scandals in China, such as when manufacturers substituted diethylene glycol, an industrial solvent, for the sweetener glycerin when making toothpastes and cough medicine. That led to reports of more than 350 deaths in Panama, China and other countries in 2006 alone.

The risk of diethylene glycol showing up in e-cigarettes is real. In 2009, the FDA issued a warning about the potential health risks associated with e-cigarettes, saying laboratory studies of some samples had found the presence of toxic chemicals, including diethylene glycol, which is used in antifreeze.

Pressure on Regulators
Eventually, analysts say, global regulators could be compelled to certify e-cigarette factories and the manufacturing standards. But that could be months if not years away.

The FDA, however, is under pressure from public health advocates and medical experts.

“What if someone in China buys nicotine, solvents and flavourings, but the source of these ingredients is unknown and they’re manufactured with impurities?” says Maciej Goniewicz, a toxicologist at the Roswell Park Cancer Institute in Buffalo, New York. “That could put consumers at risk.”

Big e-cigarette makers in the United States have begun to move manufacturing from China to the US. Global tobacco companies are doing likewise. And some Chinese manufacturers, including Joyetech, are also moving their production facilities to the West.

“A lot of people don’t trust the air or water in China,” says Qiu, the boss at Joyetech e-cigarettes, “so why would they trust our e-liquid?”

The New York Times