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Hospital toxicologist Ryan Marino has seen up close the violent reactions of children poisoned by liquid nicotine from electronic cigarettes. One young boy who came to his emergency room experienced intense nausea, diarrhea, and vomiting, and needed intravenous fluids to treat his dehydration.

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Kids can also become dizzy, lose consciousness, and suffer dangerous drops in blood pressure. In the most severe case hes seen, doctors put another boy on a ventilator in the intensive care unit because he couldnt breathe, said Marino, of Case Western Reserve University School of Medicine.

Thousands of kids a year are exposed to the liquid nicotine in e-cigarettes, also known as vapes. For a toddler, even a few drops can be fatal.

Cases of vaping-related nicotine exposure reported to poison centers hit an all-time high in 2022 despite a 2016 law, the Child Nicotine Poisoning Prevention Act, that requires child-resistant packaging on bottles of vaping liquid. In what doctors call a major oversight, the law doesnt require protective packaging on devices themselves.

Refillable vapes are designed to hold liquid nicotine in a central reservoir, making them dangerous to kids, Marino said. Even vapes that appear more child-resistant because their nicotine is sealed inside a removable cartridge present a risk, because the cartridges can be pried open. And some disposable e-cigarettes, now the top-selling type on the market, allow users to take thousands of puffs and contain as much nicotine as multiple packs of cigarettes.

Many e-cigarettes and liquids seem designed to appeal to kids, with pastel packages, names such as Candy King, and flavors such as bubble gum and blue raspberry. That makes vapes far more tempting and hazardous than traditional cigarettes, which have lower doses of nicotine and a bitter taste that often prompts children to quickly spit them out, said Diane Calello, the executive and medical director of the New Jersey Poison Information and Education System.

Nicotine liquid is an accident waiting to happen, Calello said. It smells good and its highly concentrated. Email Sign-Up

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Sen. Richard Blumenthal (D-Conn.), who co-sponsored the 2016 legislation, said he would push to expand the childproof packaging requirement to disposable and pod-based e-cigarettes.

Every day that FDA allows flavored e-cigarette products to remain on the market is another day that children can be enticed by these dangerous, and sometimes deadly, products, he said.

Although the FDA declined to comment for this article, on Aug. 2 the agency included a special feature about nicotine poisoning in children in its “CTP Connect” newsletter.

The number of reports to poison control centers about e-cigarettes has more than doubled since 2018, according to an FDA analysis. Poison control centers reported more than 7,000 vaping-related exposures in people of all ages from April 1, 2022, to March 31, 2023.

According to the FDA, 43 of those exposures resulted in hospitalization and an additional 582 in other medical treatment. About half of poison center reports had no information about whether patients needed medical care.

Nearly 90% of exposures involved children under 5. Authors of the report say their numbers likely underestimate the problem, given that poison control centers arent contacted in every case.

A 1-year-old died from vaping-related nicotine poisoning in 2014. The new FDA report also mentions the apparent suicide of an adult via e-cigarette poisoning.

A spokesperson for the vaping industry said companies take safety seriously.

All e-liquid bottles manufactured in the United States conform to U.S. law, said April Meyers, the president of the board of directors and CEO of the Smoke-Free Alternatives Trade Association, which represents the vaping industry. Not only are the caps child-resistant, but the flow of liquid is restricted so that only small amounts can be dispensed.

Yet many vaping products are made outside the U.S., which has recently been flooded with illegal e-cigarettes, mostly from China.

The increasing number of nicotine exposures among kids especially curious toddlers who put virtually everything they can grab into their mouths likely reflects the sheer volume of e-cigarette sales, said Natalie Rine, the director of the Central Ohio Poison Center at Nationwide Childrens Hospital.

E-cigarette unit sales grew 47% from January 2020 to December 2022, rising from 15.5 million every four weeks to 22.7 million, according to a report published by the Centers for Disease Control and Prevention.

This isnt something that parents see as a really big risk, Marino said. But with the popularity of e-cigarettes, the risk isnt going away anytime soon.

One effective strategy to reduce e-cigarette sales has been to ban flavored products. California, Massachusetts, New Jersey, New York, Rhode Island, and Washington, D.C., have banned all flavored e-cigarettes, while Utah and Maryland have banned some flavors. A study showed overall e-cigarette sales dropped 25% to 31% in states after flavor bans, compared with states that didnt ban them.

Some doctors say the country needs to do more to protect children.

If the numbers are rising, then the law aint working, said Carl Baum, a professor of pediatrics and emergency medicine at Yale School of Medicine.

Pediatrician Gary Smith said the lack of child safety requirements for e-cigarette devices is a major problem. Refillable e-cigarettes are relatively easy for kids to open.

Although most poison control center reports dont include brand information, disposable e-cigarettes including Elfbar, Puff Bar, and Pop Vape were some of the most common products mentioned in the FDA analysis. Elfbar is now known as EB Design.

Expanding the federal law to include devices would be an important step, said Smith, president of the Child Injury Prevention Alliance, an Ohio-based advocacy group that works to prevent injuries in children.

In addition, federal officials should limit the nicotine concentration in vape juices to make them less toxic, as well as ban candy-like flavors and colors on packaging, Smith said.

The public health response should be comprehensive, Smith said.

Kids have been known to pick up a vape and begin puffing, in imitation of their parents, Calello said.

Even if children dont inhale the aerosol, sucking on a vape exposes their skin to nicotine, which can be absorbed into the bloodstream, said Robert Glatter, an assistant professor of emergency medicine at Lenox Hill Hospital in New York City. Glatter noted that e-cigarette liquids also contain numerous harmful chemicals, including arsenic and lead, which is toxic at any dose; carcinogens such as acetaldehyde and formaldehyde; and benzene, a volatile organic compound found in auto exhaust.

Fortunately, children who inhale nicotine get a much lower dose than those who ingest it, reducing the risk of serious harm, said Marc Auerbach, a professor of pediatric emergency medicine at Yale School of Medicine.

Only about 2% of exposures in the FDA study were recorded as having a moderate or major effect.

That may be because little kids who get into dangerous liquids from vape juice to household cleaning products or gasoline usually spill most of it, Baum said. They often end up wearing it rather than swallowing it, Baum said.

Although Stephen Thornton has seen a lot of children with nicotine exposure, he said, the human body has ways of protecting itself from toxic substances. Fortunately, when kids do ingest these e-cig nicotine products, they self-decontaminate. They vomit a lot and this keeps the mortality rate very low, but these kids still often end up in emergency departments due to all the nausea and vomiting, said Thornton, an emergency medicine physician and medical director of the Kansas Poison Control Center.

The FDA urges parents and uardians of young children to keep e-cigarettes and vaping liquid out of reach and in its original container.

For emergency assistance, call Poison Help at 800-222-1222 to speak with a poison expert, or visit poisonhelp.org for support and resources.

Liz Szabo: lszabo@kff.org, @LizSzabo Related Topics Health Industry Public Health Children's Health Vaping Contact Us Submit a Story Tip

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Business

Inflation slows to 3.6%, but food costs shoot upwards

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Inflation slows to 3.6%, but food costs shoot upwards

The rate of inflation has eased to 3.6%, according to official figures that make for better reading for the economy and chancellor ahead of the budget.

The Office for National Statistics (ONS) said the slowdown in the consumer prices index (CPI) measure, from the annual 3.8% rate recorded the previous month, was largely down to weaker housing effects, especially from energy bills.

ONS chief economist Grant Fitzner said: “Inflation eased in October, driven mainly by gas and electricity prices, which increased less than this time last year following changes in the Ofgem energy price cap.

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“The costs of hotels was also a downward driver, with prices falling this month. These were only partially offset by rising food prices, following the dip seen in September. 

“The annual cost of raw materials for businesses continued to increase, while factory gate prices also rose.”

The final part of that statement will be seen as a risk to expectations from economists that the peak pace for price increases is now behind the UK economy after a spike this year that has caused concern among interest rate-setters at the Bank of England.

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October’s data marked the first decline for the inflation rate since March.

It has been widely believed that the figure will ease gradually in the months ahead, helping to cushion household spending power from a slowdown in wage growth.

But key risks include shocks within the global economy and the impact of potential measures in the budget next week.

The chancellor’s first budget was blamed by business groups and economists for helping push up costs since April.

Then, firms passed on hikes to employer national insurance contributions and minimum pay levels imposed by Rachel Reeves.

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Reeves ‘played a bad hand poorly’

That has been reflected in many supermarket prices, for example, as they are among the biggest employers in the country. The ONS data showed that food inflation rose from 4.5% to 4.9%.

Other factors have contributed too such as high global demand for chicken and shrinking UK cattle herds pushing up beef costs.

Poor cocoa and coffee harvests have resulted in prices spiking too this year, with chocolate standing at record levels this summer.

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Chancellor reacts to increase in food prices

While food has been a main contributor to inflation, so too has energy, though bills have stabilised this year thanks largely to healthy global supplies of natural gas.

Petrol and diesel costs could become more of a problem for inflation, however.

The AA has blamed global factors for UK fuel prices nearing their highest level for seven months.

The motoring group said that but for the 5p cut in fuel duty under the last Conservative government, pump prices would have returned to pre-COVID levels.

There have been rumours that Ms Reeves could remove that reduction next Wednesday.

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Why is the economy flatlining?

She said of the ONS figures: “This fall in inflation is good news for households and businesses across the country, but I’m determined to do more to bring prices down.

“That’s why at the budget next week I will take the fair choices to deliver on the public’s priorities to cut NHS waiting lists, cut national debt and cut the cost of living.”

When asked if she recognised a contribution to rising inflation from her first budget, she responded: “Food prices fell last month and they have risen this month.

“But I do recognise that there’s more that we need to do to tackle the cost of living challenges. And that’s why one of the three priorities in my budget next week is to tackle the cost of living, as well as to cut NHS waiting lists and cut government debt.”

The Bank of England’s most recent forecasts see its 2% inflation target not being met until the early part of 2027.

Stubborn inflation in the UK has threatened the pace of interest rate cuts but policymakers are expected, by financial markets at least, to agree a further quarter point reduction next month on the back of weakness in economic growth and the labour market.

Official figures last week showed the UK’s unemployment rate rising to 5% from 4.8% and the pace of wage growth continuing its gradual decline.

Economic output during the third quarter of the year also slowed further to stand at just 0.1%.

The Bank’s rate-setting committee voted 5-4 earlier this month to maintain Bank rate at 4%.

That decision allowed for more data to come in – such as the employment and growth numbers – and, crucially, for the budget to have taken place, ahead of its next meeting.

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Technology

CNBC Daily Open: AI firms are getting money while their stocks are losing value

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CNBC Daily Open: AI firms are getting money while their stocks are losing value

Several AI applications can be seen on a smartphone screen, including ChatGPT, Claude, Gemini, Perplexity, Microsoft Copilot, Meta AI, Grok and DeepSeek.

Philip Dulian | Picture Alliance | Getty Images

Money keeps flowing into artificial intelligence companies but out of AI stocks.

In what looks like — once again — a scenario of the left hand scratching the right, Microsoft and Nvidia will be investing a combined $15 billion into Anthropic, while the OpenAI competitor has committed to buying compute power from its two newest stakeholders. At this point, it seems as if a big proportion of AI news can be summarized as: “Company X invests in Company Y, and Company Y will buy things from Company X.”

Okay, that’s unfair. There are a lot of developments in the AI world that are not about investments but, well, development. Google unveiled the third version of Gemini, its AI model, which Demis Hassabis, CEO of Google’s AI unit DeepMind, said “will be “trading cliché and flattery for genuine insight.” (But I still want an AI chatbot to compliment me on my curiosity when I ask how to cut a pear, so I’m not sure if that’s a pro for me.)

Investors, however, still appear skeptical about AI. Major names such as Nvidia, Amazon and Microsoft tumbled Tuesday stateside, giving the S&P 500 its fourth straight session in the red — the longest decline since August.

And if Nvidia — “the top company within the top industry within the top sector,” as CFRA’s chief investment strategist Sam Stovall puts it — fails to satisfy investors’ expectations when it reports earnings Wednesday, we might be seeing the S&P 500’s slide extend.

What you need to know today

The S&P 500 falls for a fourth consecutive day. Other major indexes also moved lower Tuesday stateside, while bitcoin prices dropped below $90,000 before recovering. Asia-Pacific markets dropped Wednesday, dragged down by technology stocks.

Anthropic signs deal with Microsoft and Nvidia. Microsoft announced Tuesday it will invest up to $5 billion in the startup, while Nvidia will put in up to $10 billion. That puts Anthropic’s valuation around $350 billion, according to a source.

Google announces its latest AI model Gemini 3. Alphabet CEO Sundar Pichai said Tuesday it will require “less prompting” for desired answers. The update comes eight months after Google introduced Gemini 2.5, and will be rolled out in the coming weeks.

U.S. Senators urge investigation into Trump-linked crypto firm. World Liberty Finance, heavily owned and run by the Trump family, sold tokens to a North Korean hacking organization, an Iranian crypto exchange and others, according to a corporate watchdog.

[PRO] One firm dominates a corner of the AI supply chain. That’s according to Goldman Sachs, which thinks the company could more than double its 2030 revenue forecast.

And finally…

People walk in a shopping mall in the Sanlitun area in Beijing, China, on April 4, 2025.

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Europe has rare earths but, for now, it’s at China’s mercy like everyone else

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Europe has rare earths but, for now, it's at China's mercy like everyone else

Workers transport soil containing rare earth elements for export at a port in Lianyungang, Jiangsu province, China.

China Stringer Network | Reuters

Like the U.S., Europe is also feeling the pressure to keep China sweet in order to maintain supplies of rare earth elements, which are vital for its strategic industries in the region such as auto production, green energy and defense.

Europe is heavily dependent on China for supplies of the world’s 17 rare earth elements and has been looking to calm stormy waters with Beijing over supplies, while looking for alternative sources of critical minerals — including in its own back yard.

That’s a long process, however, and for now, Europe is as vulnerable as other major consumers of rare earths, and particularly the U.S., when it comes to Beijing’s ability to turn the tap off on supplies.

Officials from Germany and the Netherlands are in Beijing this week for talks with their Chinese counterparts on China’s controls on rare earths exports and semiconductor chips which have made European industries vulnerable to global supply chain disruptions.

China dominates the rare earths market from mining to refining, with data from the International Energy Agency showing that, in 2024, China was responsible for 59% of the world’s rare earths mining, 91% of its refining and 94% of the manufacuring of permanent magnets which are commonly used in electric vehicles, wind turbines, industrial motors, data centers and defense systems.

As the world’s single largest supplier of a component that’s critical to so much manufacturing, China’s dominance has made “global supply chains in strategic sectors – such as energy, automotive, defense and AI data centres – vulnerable to potential disruptions,” the IEA noted.

That potential for disruption came to the fore this year when, in April and October, Beijing announced licensing requirements, and later export controls, on its rare earth supplies and technologies.

Those controls were suspended for a year as a result of a trade truce reached in October between China and the U.S. reached but major rare earth importers such as the U.S. and EU, which imports around 70% of rare earth supplies — and almost all of its rare earth magnets — from China, are all too aware of its vulnerabilities to geopolitical disruptions.

Barriers to diversification

Last month, European Commission President Ursula von der Leyen announced that the bloc was launching the “RESourceEU” plan aimed at reducing reliance on critical raw materials from China “in the short, medium and long term.” She said the bloc could do this by recycling existing raw materials, such as those in batteries, and by joint purchasing to stockpiling.

Von der Leyen also said the EU would boost investment in strategic projects “for the production and processing of critical raw materials here in Europe,” and would speed up work on critical raw materials partnerships with countries like Ukraine, Australia, Canada, Kazakhstan, Uzbekistan, Chile and Greenland.

“The world we face today rewards speed, not hesitation, because today’s world is unforgiving. And the global economy is completely different than it was even a few years ago. Europe cannot do things the same way anymore. We learned this lesson painfully with energy; we will not repeat it with critical materials,” she said, referencing the bloc’s reliance, before the Ukraine war, on Russian oil and gas.

EU economy resilient despite ‘complicated context': EU’s Dombrovskis

Valdis Dombrovskis, European Commissioner for Economy and Productivity, told CNBC Monday that the bloc was working to diversify its rare earth supplies but that this would take time.

“I would say there is some positive news, so China has suspended now for 12 months those additional export controls, which were announced in October, which gives us some time. But I also would say it emphasizes the need for the EU to diversify its rare earth and critical minerals supplies, because of many on those rare earths, we are depending more than 90% on China’s supplies,” Dombrovskis said.

Necessity the mother of invention?

Europe itself has reserves of rare earth materials with deposits found in Turkey, Sweden and Norway but the problem is that it doesn’t have the operations to mine those materials, let alone refine and process them — unlike China, which has decades of experience, investment and infrastructure that has fueled its global processing dominance.

Europe is also more encumbered with long approval processes and environmental standards when it comes to mining, meaning any regional plans to develop those rare earth deposits could take years. Public opposition is also a factor that has not shackled China.

A view of the NEO magnetic plant in Narva, a city in northeastern Estonia. A plant producing rare-earth magnets for Europe’s electric vehicle and wind-energy sectors.

Xinhua News Agency | Xinhua News Agency | Getty Images

The need to diversify from China quickly could cause officials to lower those barriers, however and there are already signs of action, with Europe’s first rare earth magnet production plant being opened in Estonia in September. Backed by funding from both Canada and the EU, the plant’s raw materials are coming from Australia and Malaysia.

“There’s probably a lot more deposits in Europe but … there are barriers to bringing that online,” Willis Thomas, principal consultant at CRU Group, told CNBC.

“But if we’re getting into a world where risks are being realized on trade tensions, I think that that will continue to push everyone to build out the supply chain and a bit more resilience on it, but it does take some time, and there’s limited expertise.”

What’s also worrying for Europe is that being unable to control the sources and supply of raw materials could mean that its technological and green ambitions suffer.

“Europe’s race towards net zero and digital leadership depend on materials it does not control,” Hamed Ghiaie, professor of Economics and Public Policy at ESCP Europe, and Filippo Gorelli, an analyst at Nexans, said in analysis for the World Economic Forum.

“For decades, Europe treated raw materials as a commodity issue, rather than a strategic one. That complacency is becoming costly,” they added.

“What is at stake is climate targets and economic resilience. Shortages of rare earths, gallium or germanium could slow semiconductor fabrication, AI development and even wind-power installation. In short, Europe cannot build a green or digital future on supply chains it doesn’t control,” they concluded.

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