Teenagers in Maryland will be unable to buy tobacco products, including electronic smoking devices, when a new law goes into effect on Oct. 1.
Meanwhile, U.S. officials continue to investigate a spate of illnesses and deaths associated with vaping.
The reports to the center come from 46 states and the U.S. Virgin Islands, with the median age for cases being 23 years old.
The Maryland Department of Health, local health departments, and local law enforcement agencies will enforce the new law. Both state and local enforcement agencies are authorized to conduct “random, unannounced inspections at retail sites and to use persons younger than 21 years of age to conduct enforcement activities,” according to the state’s health department.
Penalties that sellers can face for breaking the law include criminal and civil fines. First violations incur a fine of $300, a second violation increases the fine to $1,000, and subsequent violations within two years are $3,000.
Meanwhile, the nation’s largest retailer, Walmart, said weeks ago it would no longer sell e-cigarettes.
The spate of lung injuries associated with e-cigarette use or vaping suggests that THC products “play a role in the outbreak,” the center said on Sept. 27.
The investigation is continuing, the agency noted, adding that the exact cause of the illnesses and deaths still “remains unknown at this time.”
Seventy-seven percent of those with the reported injuries used THC-containing products or both THC-containing products and nicotine-containing products, according to a Sept. 27 morbidity and mortality weekly report by the center.
While E-cigarettes have been marketed as tools to help people quit smoking, the devices face heightened regulatory scrutiny in the wake of the recent illnesses. President Donald Trump on Sept. 11 said he’s authorizing the Food and Drug Administration to finalize rules banning the sale of all flavored e-cigarettes.