This document discusses e-cigarettes and various myths regarding their use. It notes that while e-cigarettes may contain fewer chemicals than combustible cigarettes, they are still unsafe and unregulated. Their marketing appeals to youths and promotes rebelling. E-cigarette use is rising among youths and students in Hong Kong. The document calls for a total ban on e-cigarettes and new tobacco products to protect public health.
Tobacco Harm Reduction - an introductionClive Bates
This document provides an introduction to tobacco harm reduction and alternative nicotine products such as e-cigarettes. It summarizes statements from public health organizations that find e-cigarettes to be much less harmful than combustible cigarettes. Research shows e-cigarettes help smokers quit at the population level and are effective cessation tools. The document argues for risk-proportionate regulation and taxation of nicotine products to incentivize smokers to switch to less harmful options and further reduce smoking rates.
This document summarizes information presented at a tobacco harm reduction conference on the public health benefits of tobacco harm reduction. It discusses estimates of the relative harm of nicotine products, value propositions for smokers to switch to lower-risk alternatives like e-cigarettes, real-world examples of smokers switching successfully to e-cigarettes, and projections of global cigarette consumption trends with and without the introduction of reduced-risk nicotine products. It also examines how moral panics have emerged around issues like e-cigarette poisoning, use by youth, hidden toxicants, and youth-oriented flavors.
Bad science - 10 insights for advocatesClive Bates
1. Science and evidence is often overrated, and intuitions come before strategic reasoning.
2. Arguments should be proportional to the issue; don't bring a knife to a gun fight.
3. Authority from experts can be leveraged; a quote from the Royal College of Physicians said e-cigarette risks are unlikely to exceed 5% of smoking risks, and may be lower.
This document outlines six insights on harm reduction:
1. Policies should focus on actual harm rather than products themselves. Harm from smoking, alcohol, drugs, gambling, etc. should be the focus.
2. Policies themselves can cause unintended harm, such as bans on e-cigarettes increasing smoking rates in some cases. The potential harms of policies must be considered.
3. Context is important when considering harm reduction policies. What works in one situation may not be effective in another due to differing contexts.
4. Policies should consider who is actually at risk rather than entire populations. For issues like obesity and salt, not all groups face the same degree of risk.
5. Appro
India - Economic Times - Consumer Freedom Conclave - 24 Feb 2022Clive Bates
Tobacco harm reduction: the biggest public health win of the 21st Century?
1. Tobacco harm reduction
2. Risk communication
3. Policymaking
4. Cause of opposition
5. Innovation
Respect Vapers Ireland - webinar on tobacco harm reductionClive Bates
This document summarizes six key things to know about tobacco harm reduction:
1. Smoking prevalence remains high despite efforts. New reduced risk nicotine products like e-cigarettes can help obsolete cigarettes.
2. Expert reviews find e-cigarettes are much less harmful than smoking and can help smokers quit. However, risk perceptions are often exaggerated.
3. The public health benefit comes from addicted smokers switching to less harmful options, not from promoting e-cigarette use alone.
4. Policies should balance appropriate youth protections with supporting harm reduction for adults. Overly restrictive policies can backfire by perpetuating smoking.
Innovation for Consumers: E-cigarettes and novel tobacco products - Part of t...Clive Bates
This document discusses e-cigarettes and novel tobacco products. It argues that they are substantially less harmful than combustible cigarettes and have the potential to significantly reduce smoking rates and associated deaths. However, regulations should balance this potential benefit with preventing unintended consequences like perpetuating smoking or increasing youth uptake. The document proposes risk-proportionate regulations and taxes to incentivize switching from cigarettes, along with standards, marketing restrictions, and age limits, while ensuring products remain appealing to smokers trying to quit. The goal is harm reduction for populations according to the WHO framework convention on tobacco control.
Tobacco Harm Reduction - an introductionClive Bates
This document provides an introduction to tobacco harm reduction and alternative nicotine products such as e-cigarettes. It summarizes statements from public health organizations that find e-cigarettes to be much less harmful than combustible cigarettes. Research shows e-cigarettes help smokers quit at the population level and are effective cessation tools. The document argues for risk-proportionate regulation and taxation of nicotine products to incentivize smokers to switch to less harmful options and further reduce smoking rates.
This document summarizes information presented at a tobacco harm reduction conference on the public health benefits of tobacco harm reduction. It discusses estimates of the relative harm of nicotine products, value propositions for smokers to switch to lower-risk alternatives like e-cigarettes, real-world examples of smokers switching successfully to e-cigarettes, and projections of global cigarette consumption trends with and without the introduction of reduced-risk nicotine products. It also examines how moral panics have emerged around issues like e-cigarette poisoning, use by youth, hidden toxicants, and youth-oriented flavors.
Bad science - 10 insights for advocatesClive Bates
1. Science and evidence is often overrated, and intuitions come before strategic reasoning.
2. Arguments should be proportional to the issue; don't bring a knife to a gun fight.
3. Authority from experts can be leveraged; a quote from the Royal College of Physicians said e-cigarette risks are unlikely to exceed 5% of smoking risks, and may be lower.
This document outlines six insights on harm reduction:
1. Policies should focus on actual harm rather than products themselves. Harm from smoking, alcohol, drugs, gambling, etc. should be the focus.
2. Policies themselves can cause unintended harm, such as bans on e-cigarettes increasing smoking rates in some cases. The potential harms of policies must be considered.
3. Context is important when considering harm reduction policies. What works in one situation may not be effective in another due to differing contexts.
4. Policies should consider who is actually at risk rather than entire populations. For issues like obesity and salt, not all groups face the same degree of risk.
5. Appro
India - Economic Times - Consumer Freedom Conclave - 24 Feb 2022Clive Bates
Tobacco harm reduction: the biggest public health win of the 21st Century?
1. Tobacco harm reduction
2. Risk communication
3. Policymaking
4. Cause of opposition
5. Innovation
Respect Vapers Ireland - webinar on tobacco harm reductionClive Bates
This document summarizes six key things to know about tobacco harm reduction:
1. Smoking prevalence remains high despite efforts. New reduced risk nicotine products like e-cigarettes can help obsolete cigarettes.
2. Expert reviews find e-cigarettes are much less harmful than smoking and can help smokers quit. However, risk perceptions are often exaggerated.
3. The public health benefit comes from addicted smokers switching to less harmful options, not from promoting e-cigarette use alone.
4. Policies should balance appropriate youth protections with supporting harm reduction for adults. Overly restrictive policies can backfire by perpetuating smoking.
Innovation for Consumers: E-cigarettes and novel tobacco products - Part of t...Clive Bates
This document discusses e-cigarettes and novel tobacco products. It argues that they are substantially less harmful than combustible cigarettes and have the potential to significantly reduce smoking rates and associated deaths. However, regulations should balance this potential benefit with preventing unintended consequences like perpetuating smoking or increasing youth uptake. The document proposes risk-proportionate regulations and taxes to incentivize switching from cigarettes, along with standards, marketing restrictions, and age limits, while ensuring products remain appealing to smokers trying to quit. The goal is harm reduction for populations according to the WHO framework convention on tobacco control.
Albania National Association of Public health - Harm Reduction ConferenceClive Bates
Seven insights into tobacco harm reduction (20 min version) 20th December 2021.
1.The problem is smoking
2. Smoke-free alternatives
3. Quitting smoking with smoke-free alternatives
4. Health concerns
5. Youth vaping
6. Policy and unintended consequences
7. Innovation (and its enemies)
Prohibition or profit motive: competing visions for the endgameClive Bates
This document discusses competing visions for reducing tobacco-related harm and cigarette consumption globally by 2040. It summarizes the view that prohibition of cigarettes is unlikely to succeed and may backfire, while introducing reduced-risk nicotine products could displace smoking if regulated appropriately. Charts show global cigarette consumption trends and hypothetical scenarios where safer nicotine products capture market share from cigarettes. The argument is made for an approach that balances public health, individual rights, and business interests to maximize harm reduction opportunities.
Seven insights into tobacco harm reductionClive Bates
1st Tobacco Harm Reduction Malaysia Scientific Meeting
21 November 2021.
1. The problem is smoking
2. Smoke-free alternatives
3. Quitting smoking with smoke-free alternatives
4. Health concerns
5. Youth vaping
6. Policy and unintended consequences
7. Innovation (and its enemies)
Regulation: why less is more... E-cigarette Summit 12 November 2013 - Clive B...Clive Bates
My presentation covering why 'less is more' when it comes to regulating low risk alternatives to cigarettes such as e-cigarettes. Too much regulation will limit appeal, increase costs, raise barriers to entry and inhibit innovation. I also urge a focus on the huge potential benefits of low-risk alternatives to smoking instead of obsession over minor or implausible risks.
Vaping and tobacco: six things you need to know about harm reductionClive Bates
1. Smoking has not gone away
2. Technologies to obsolete cigarettes
3. Risks and risk (mis)perceptions
4. The public health mechanism and the pleasure principle
5. The youth vaping epidemic – a harder look
6. Policymaking and perverse consequences
What is wrong (and right) about the Tobacco Products Directive approach to E-...Clive Bates
These are the visual aids for my talk on the truly dreadful European Union Tobacco Products Directive as it applies to e-cigarettes, and why Totally Wicked has a legal case against it.
NYU College of Global Health - E-cigarette seminar - New YorkClive Bates
E-Cigarettes: The Tectonic Shift in Nicotine and Tobacco Consumption: Opportunity or Threat to Saving Lives?
Clive Bates
Friday, October 19, 2018
NYU School of Law, Greenberg Lounge
40 Washington Square South, New York, New York
FDLI - Lesson for the US from other jurisdictions - the United Kingdom -29 Oc...Clive Bates
Presentation on the most significant differences between US and UK/EU regulation of tobacco and vaping products. FDLI Tobacco and Nicotine Products Regulation and Policy Conference
This document discusses various issues related to the regulation of e-cigarettes and vaping. It notes that over-regulation can diminish returns and impose unnecessary costs and restrictions. Too much regulation could compromise product design and appeal, and allow larger tobacco companies to dominate at the expense of smaller manufacturers. There is concern that changing public perceptions of e-cigarettes, driven by misinformation about potential health risks that are not supported by science, could undermine their ability to help smokers quit and reduce harm. The document advocates an evidence-based approach to regulation and public messaging, highlighting that e-cigarettes are much less harmful than smoking and show promise as a smoking cessation tool.
1. The document discusses the potential for e-cigarettes and other reduced risk nicotine products to significantly reduce smoking-related harm and death on a global scale. It outlines scenarios where low-risk nicotine products could drive down the number of smokers from over 1 billion currently to just 5% of the global adult population by 2050.
2. However, it notes that an over-regulated environment that reduces product appeal and diversity could limit the public health benefits by decreasing the number of smokers who switch to less harmful alternatives. The document argues for a balanced, evidence-based approach that recognizes both the massive potential gains and relatively minor risks of low-risk nicotine products.
3. In conclusion, it advocates that
Tobacco harm reduction - meetings with Hill staff Clive Bates
This document discusses efforts to reduce smoking and associated harms. It notes that while 36.5 million Americans smoke, consuming 264 billion cigarettes in 2015, smoking causes over 480,000 deaths per year at a cost of over $300 billion. New reduced-risk nicotine products like e-cigarettes and heated tobacco have potential to significantly reduce smoking's toll if made accessible through sensible regulation rather than restrictive policies that protect the cigarette trade. The Royal College of Physicians reviewed evidence that e-cigarettes are much less harmful than smoking and effective for smoking cessation. Most youth e-cigarette use involves just flavors without nicotine. Banning flavors could undermine harm reduction efforts. The proposed Cole-Bishop bill offers a responsible
Effects of alternative nicotine delivery systems on cigarette consumption and...Clive Bates
This document summarizes a presentation on the effects of alternative nicotine delivery systems like e-cigarettes on cigarette consumption and smoking prevalence. It discusses data showing declines in smoking rates in countries where vaping products are widely available and accepted like the US, UK, and Sweden. Studies suggest vaping helps increase smoking cessation rates at a population level. The rise of Juul products in the US may have accelerated declines in youth smoking rates there in recent years. Countries in Asia have also seen significant drops in cigarette sales as heat-not-burn tobacco and vaping products gain popularity. However, public health attitudes can influence how quickly reduced risk alternatives are adopted.
The MRTP process - Seven provocations - FDLI webinar 30 July 2020Clive Bates
My presentation for a Food and Drug Law Institute webinar on the FDA's Modified Risk Tobacco Product process for making risk-related claims about tobacco and nicotine products
Competent or careless? Directions in European policy on low-risk nicotine pr...Clive Bates
Presentation to ENDS conference, 20 April 2021.
Discussion of (1) the threat posed by upcoming EU regulatory developments on tobacco/nicotine; (2) the importance of understanding the underlying public health model; (3) the danger of perverse unintended consequences; (4) the adolescent vaping narrative and what is wrong with it; (5) the proactive alternative - risk-proportionate regulation.
Is nicotine reduction a viable policy for tobacco control? No, Definitely not...Clive Bates
My critique of the proposal that regulators should reduce the concentration of nicotine in cigarettes to a sub-addictive level - effectively a prohibition of cigarettes as we know them.
Presentation at SRNT 2017 in Florence, Italy on 8 March 2017.
This document provides information on vaping and tobacco harm reduction. It discusses how smoking kills over 96,000 people annually in the UK and notes that median smokers lose 10 years of life expectancy. It then examines smoking prevalence data in different areas and populations in the UK. The document discusses evidence that vaping is substantially less harmful than smoking and may help smokers quit. It notes concerns that restrictive policies could perpetuate smoking. The summary concludes by outlining a framework for risk-proportionate regulation of tobacco and nicotine products.
This document discusses tobacco harm reduction strategies for engaging healthcare professionals in Nigeria. It defines harm reduction as improving lives without focusing solely on abstinence. Tobacco harm reduction aims to provide safer nicotine delivery alternatives to cigarettes like e-cigarettes and smokeless tobacco. Healthcare professionals can advocate for harm reduction, educate about reduced risk products, and support spiritual and physical wellbeing to help people quit smoking. Embracing harm reduction strategies is key to achieving global smoke-free goals.
1) The document discusses electronic cigarettes (e-cigarettes) in Pakistan, including their rise in popularity as a potential smoking cessation method. It provides background information on e-cigarettes and reviews several studies on awareness and use in Pakistan and other countries.
2) The prevalence of smoking is high among youth and students in Pakistan. One study found 6.2% of medical students reported using e-cigarettes. However, data on e-cigarette prevalence and awareness in Pakistan is limited.
3) The COVID-19 pandemic has led to significant changes in smoking behaviors worldwide. Providing smoking cessation support, including for e-cigarette use, could help many motivated individuals quit successfully during the
This study compared characteristics and consumption patterns of dual users (combustible cigarette and e-cigarette users) to e-cigarette only users. The study found that e-cigarette only users consumed higher levels of nicotine in e-juice and more e-juice per month than dual users. Dual users consumed nicotine significantly sooner after waking than e-cigarette only users. A regression analysis indicated that higher e-juice consumption and later first nicotine exposure after waking were associated with being an e-cigarette only user. The findings provide insight into differences between dual and e-cigarette only users to inform regulation and health messaging about e-cigarettes.
Albania National Association of Public health - Harm Reduction ConferenceClive Bates
Seven insights into tobacco harm reduction (20 min version) 20th December 2021.
1.The problem is smoking
2. Smoke-free alternatives
3. Quitting smoking with smoke-free alternatives
4. Health concerns
5. Youth vaping
6. Policy and unintended consequences
7. Innovation (and its enemies)
Prohibition or profit motive: competing visions for the endgameClive Bates
This document discusses competing visions for reducing tobacco-related harm and cigarette consumption globally by 2040. It summarizes the view that prohibition of cigarettes is unlikely to succeed and may backfire, while introducing reduced-risk nicotine products could displace smoking if regulated appropriately. Charts show global cigarette consumption trends and hypothetical scenarios where safer nicotine products capture market share from cigarettes. The argument is made for an approach that balances public health, individual rights, and business interests to maximize harm reduction opportunities.
Seven insights into tobacco harm reductionClive Bates
1st Tobacco Harm Reduction Malaysia Scientific Meeting
21 November 2021.
1. The problem is smoking
2. Smoke-free alternatives
3. Quitting smoking with smoke-free alternatives
4. Health concerns
5. Youth vaping
6. Policy and unintended consequences
7. Innovation (and its enemies)
Regulation: why less is more... E-cigarette Summit 12 November 2013 - Clive B...Clive Bates
My presentation covering why 'less is more' when it comes to regulating low risk alternatives to cigarettes such as e-cigarettes. Too much regulation will limit appeal, increase costs, raise barriers to entry and inhibit innovation. I also urge a focus on the huge potential benefits of low-risk alternatives to smoking instead of obsession over minor or implausible risks.
Vaping and tobacco: six things you need to know about harm reductionClive Bates
1. Smoking has not gone away
2. Technologies to obsolete cigarettes
3. Risks and risk (mis)perceptions
4. The public health mechanism and the pleasure principle
5. The youth vaping epidemic – a harder look
6. Policymaking and perverse consequences
What is wrong (and right) about the Tobacco Products Directive approach to E-...Clive Bates
These are the visual aids for my talk on the truly dreadful European Union Tobacco Products Directive as it applies to e-cigarettes, and why Totally Wicked has a legal case against it.
NYU College of Global Health - E-cigarette seminar - New YorkClive Bates
E-Cigarettes: The Tectonic Shift in Nicotine and Tobacco Consumption: Opportunity or Threat to Saving Lives?
Clive Bates
Friday, October 19, 2018
NYU School of Law, Greenberg Lounge
40 Washington Square South, New York, New York
FDLI - Lesson for the US from other jurisdictions - the United Kingdom -29 Oc...Clive Bates
Presentation on the most significant differences between US and UK/EU regulation of tobacco and vaping products. FDLI Tobacco and Nicotine Products Regulation and Policy Conference
This document discusses various issues related to the regulation of e-cigarettes and vaping. It notes that over-regulation can diminish returns and impose unnecessary costs and restrictions. Too much regulation could compromise product design and appeal, and allow larger tobacco companies to dominate at the expense of smaller manufacturers. There is concern that changing public perceptions of e-cigarettes, driven by misinformation about potential health risks that are not supported by science, could undermine their ability to help smokers quit and reduce harm. The document advocates an evidence-based approach to regulation and public messaging, highlighting that e-cigarettes are much less harmful than smoking and show promise as a smoking cessation tool.
1. The document discusses the potential for e-cigarettes and other reduced risk nicotine products to significantly reduce smoking-related harm and death on a global scale. It outlines scenarios where low-risk nicotine products could drive down the number of smokers from over 1 billion currently to just 5% of the global adult population by 2050.
2. However, it notes that an over-regulated environment that reduces product appeal and diversity could limit the public health benefits by decreasing the number of smokers who switch to less harmful alternatives. The document argues for a balanced, evidence-based approach that recognizes both the massive potential gains and relatively minor risks of low-risk nicotine products.
3. In conclusion, it advocates that
Tobacco harm reduction - meetings with Hill staff Clive Bates
This document discusses efforts to reduce smoking and associated harms. It notes that while 36.5 million Americans smoke, consuming 264 billion cigarettes in 2015, smoking causes over 480,000 deaths per year at a cost of over $300 billion. New reduced-risk nicotine products like e-cigarettes and heated tobacco have potential to significantly reduce smoking's toll if made accessible through sensible regulation rather than restrictive policies that protect the cigarette trade. The Royal College of Physicians reviewed evidence that e-cigarettes are much less harmful than smoking and effective for smoking cessation. Most youth e-cigarette use involves just flavors without nicotine. Banning flavors could undermine harm reduction efforts. The proposed Cole-Bishop bill offers a responsible
Effects of alternative nicotine delivery systems on cigarette consumption and...Clive Bates
This document summarizes a presentation on the effects of alternative nicotine delivery systems like e-cigarettes on cigarette consumption and smoking prevalence. It discusses data showing declines in smoking rates in countries where vaping products are widely available and accepted like the US, UK, and Sweden. Studies suggest vaping helps increase smoking cessation rates at a population level. The rise of Juul products in the US may have accelerated declines in youth smoking rates there in recent years. Countries in Asia have also seen significant drops in cigarette sales as heat-not-burn tobacco and vaping products gain popularity. However, public health attitudes can influence how quickly reduced risk alternatives are adopted.
The MRTP process - Seven provocations - FDLI webinar 30 July 2020Clive Bates
My presentation for a Food and Drug Law Institute webinar on the FDA's Modified Risk Tobacco Product process for making risk-related claims about tobacco and nicotine products
Competent or careless? Directions in European policy on low-risk nicotine pr...Clive Bates
Presentation to ENDS conference, 20 April 2021.
Discussion of (1) the threat posed by upcoming EU regulatory developments on tobacco/nicotine; (2) the importance of understanding the underlying public health model; (3) the danger of perverse unintended consequences; (4) the adolescent vaping narrative and what is wrong with it; (5) the proactive alternative - risk-proportionate regulation.
Is nicotine reduction a viable policy for tobacco control? No, Definitely not...Clive Bates
My critique of the proposal that regulators should reduce the concentration of nicotine in cigarettes to a sub-addictive level - effectively a prohibition of cigarettes as we know them.
Presentation at SRNT 2017 in Florence, Italy on 8 March 2017.
This document provides information on vaping and tobacco harm reduction. It discusses how smoking kills over 96,000 people annually in the UK and notes that median smokers lose 10 years of life expectancy. It then examines smoking prevalence data in different areas and populations in the UK. The document discusses evidence that vaping is substantially less harmful than smoking and may help smokers quit. It notes concerns that restrictive policies could perpetuate smoking. The summary concludes by outlining a framework for risk-proportionate regulation of tobacco and nicotine products.
This document discusses tobacco harm reduction strategies for engaging healthcare professionals in Nigeria. It defines harm reduction as improving lives without focusing solely on abstinence. Tobacco harm reduction aims to provide safer nicotine delivery alternatives to cigarettes like e-cigarettes and smokeless tobacco. Healthcare professionals can advocate for harm reduction, educate about reduced risk products, and support spiritual and physical wellbeing to help people quit smoking. Embracing harm reduction strategies is key to achieving global smoke-free goals.
1) The document discusses electronic cigarettes (e-cigarettes) in Pakistan, including their rise in popularity as a potential smoking cessation method. It provides background information on e-cigarettes and reviews several studies on awareness and use in Pakistan and other countries.
2) The prevalence of smoking is high among youth and students in Pakistan. One study found 6.2% of medical students reported using e-cigarettes. However, data on e-cigarette prevalence and awareness in Pakistan is limited.
3) The COVID-19 pandemic has led to significant changes in smoking behaviors worldwide. Providing smoking cessation support, including for e-cigarette use, could help many motivated individuals quit successfully during the
This study compared characteristics and consumption patterns of dual users (combustible cigarette and e-cigarette users) to e-cigarette only users. The study found that e-cigarette only users consumed higher levels of nicotine in e-juice and more e-juice per month than dual users. Dual users consumed nicotine significantly sooner after waking than e-cigarette only users. A regression analysis indicated that higher e-juice consumption and later first nicotine exposure after waking were associated with being an e-cigarette only user. The findings provide insight into differences between dual and e-cigarette only users to inform regulation and health messaging about e-cigarettes.
CON T EMPORARYP ED I AT R I C S . C O M A U G U S T 2 0.docxmccormicknadine86
This document discusses teen vaping and the risks associated with electronic nicotine delivery systems (ENDS) like e-cigarettes. It summarizes that vaping among teens has increased dramatically in recent years, with over 3 million middle and high school students reporting e-cigarette use in 2015. The document explores the health risks of vaping nicotine and other substances to the developing brains of youth. It also discusses how targeted advertising and appealing flavors attract teens to vaping without awareness of health risks. The document calls for public awareness efforts and parental guidance to address this emerging public health issue.
More teens now use e-cigarettes than traditional tobacco cigarettes or any other tobacco product according to a national study. Specifically, 9% of 8th graders and 16% of 10th graders reported using e-cigarettes in the past 30 days compared to only 4% and 7% respectively reporting tobacco cigarette use. E-cigarette use has grown rapidly among teens in recent years and may serve as a gateway to nicotine addiction and reversal of long-term declines in youth smoking. However, many teens do not view e-cigarettes as harmful to health. Further research is still needed to fully understand the long-term health impacts of e-cigarette use.
More teens now use e-cigarettes than traditional tobacco cigarettes or any other tobacco product according to a national study. Specifically, 9% of 8th graders and 16% of 10th graders reported using e-cigarettes in the past 30 days compared to only 4% and 7% respectively reporting tobacco cigarette use. E-cigarette use has grown rapidly among teens in recent years and may serve as a gateway to nicotine addiction and reversal of long-term declines in youth smoking. However, many teens do not view e-cigarettes as harmful to health. Further research is still needed to fully understand the long-term health impacts of e-cigarette use.
10 provocations on why FDA's regulation of tobacco and nicotine is failing the American public. My presentation to the US E-cigarette Summit 2022 in Washington DC, with bonus content of additional background slides added in.
The document discusses electronic cigarettes (e-cigarettes), how they work, their components, and benefits compared to traditional cigarettes. It works by vaporizing a liquid solution when the user inhales. The vapor produced contains nicotine but none of the toxins in cigarette smoke. E-cigarettes are presented as less harmful and more socially acceptable than traditional cigarettes. The document also provides background information on Mizoram state in India, including its high tobacco consumption rates, and discusses marketing of e-cigarettes.
This study compared the effects of cigarette smoke, e-cigarette vapor, and pure nicotine on cell viability using HeLa cells. Various concentrations of smoke and vapor condensates collected from a mechanical smoking system were applied to cells for 24 hours. An MTT assay then measured cell viability. Cigarette smoke exposure resulted in lower viability than e-cigarette vapor, but higher than pure nicotine. The results provide insight into the acute toxicity of these substances and whether e-cigarettes may be less harmful than cigarettes.
Tobacco smoking is a major public health threat for both
smokers and nonsmokers. There is accumulating evidence
demonstrating that smoking causes several human
diseases, including those affecting the cardiovascular system.
Indeed, tobacco smoking is responsible for up to 30% of heart
disease–related deaths in the United States each year.1 This
is the single most preventable risk factor related to the
development of cardiovascular disease, bringing about a trend
toward tobacco harm reduction that started years ago.2 As
tobacco usage declined over time in the United States,
industries introduced an alternative known as electronic
cigarettes (e-cigarettes) claiming they were a healthier
alternative to tobacco smoking.3
Since then, the number of e-cigarette users has increased
significantly because of the perception that they serve as a
healthy substitute to tobacco consumption with minimal or no
harm, a lack of usage regulations (although that has now
changed), and the appealing nature of these devices, among
other reasons.4 Consequently, e-cigarettes became the most
commonly used smoking products, especially among youth,
with more than a 9-fold increase in usage from 2011 to
2015.5 Based on these considerations, it is clear that there
are many unanswered questions regarding the overall safety,
efficacy of harm reduction, and the long-term health impact of
these devices.
Besides their potential negative health effects on users,
there is increasing evidence that e-cigarettes emit considerable
levels of toxicants, such as nicotine, volatile organic
compounds, and carbonyls, in addition to releasing particulate
matter (PM).6,7 Thus, they possess a potential harm to
nonusers either through secondhand or thirdhand exposure.
This is especially the case in vulnerable populations, such as
children, elderly, pregnant females, and those with a history of
108
E
lectronic cigarettes, or “e-cigarettes,” are de-
vices that consist of a battery-operated ele-
ment which heats a mixture of propylene gly-
col, vegetable glycerin, liquid nicotine and flavor-
ings for the user to inhale. Whereas their overall
safety, as well as their role in smoking cessation, is
the topic of ongoing debate,1 there is no doubt that
the prevalence of e-cigarette use has increased rap-
idly among all age groups.2,3 Among adolescents,
nationally-representative estimates indicate that
past 30-day use for e-cigarettes is higher than con-
ventional cigarettes, and a considerable proportion
of e-cigarette users are dual users of cigarettes.4
That is, a nontrivial number of adolescents—2.2%
of 8th graders, 4.3% of 10th graders and 7.3% of
12th graders— reported using both e-cigarettes and
cigarettes in the past 30 days.4 Several e-cigarette
product features are raising concerns about the
potential to appeal to youth. For example, charac-
teristics such as candy flavorings and easy access
have been implicated as reasons for youth experi-
mentation.5 E-cigarettes also are marketed heavily
on the Internet. A content analysis of e-cigarette
retail websites found frequent appeals to youth
such as use by celebrities, enhanced social activ-
ity, and romance.6
Adolescent Dual Product Use
Increasingly, youth who use tobacco products
are using more than one type of product.7,8 Be-
tween 2002 and 2011, rates of poly-tobacco use
increased significantly among users under age 26.9
According to estimates from the National Youth To-
bacco Survey, the majority of current tobacco us-
ers in middle and high school report use of more
than one tobacco product.10,11 Thus, use of mul-
tiple tobacco products by youth is more common
than exclusive use of one product alone. As such,
it is important to understand the correlates asso-
ciated with and characteristics of adolescent us-
ers of multiple tobacco products. To date, evidence
Maria Cooper, Post-doctoral Fellow, Kathleen R. Case, Pre-
doctoral Fellow, MeLisa R. Creamer, Faculty Associate, and
Cheryl L. Perry, Professor and Regional Dean, University of
Texas Health Science Center at Houston, School of Public
Health, Austin Regional Campus, Austin, TX. Alexandra Lou-
kas, Professor, University of Texas at Austin, Department of
Kinesiology and Health Education, Austin, TX.
Contact Dr Loukas; [email protected]
E-cigarette Dual Users, Exclusive Users
and Perceptions of Tobacco Products
Maria Cooper, PhD; Kathleen R. Case, MPH; Alexandra Loukas, PhD;
MeLisa R. Creamer, PhD; Cheryl L. Perry, PhD
Objectives: We examined differences in
the characteristics of youth non-users,
cigarette-only, e-cigarette-only, and dual
e-cigarette and cigarette users. Methods:
Using weighted, representative data, lo-
gistic regression analyses were conducted
to examine differences in demographic
characteristics and tobacco use behav-
iors across tobacco usage groups. Multi-
ple l.
Tobacco Harm Reduction by Somchai Bovornkitti* in Crimson Publishers: Telemedicine and e-Health open access journals
Cigarette smoke contain approximately 250 different chemicals known to be harmful to human health. Thousands of harmful chemical substances produce by the combustion of tobacco. The health impacts such as cancer and chronic lung disease are not only associated with smokers but also people who are exposed to secondhand smoke. Tobacco Harm Reduction is a concept to minimize the impacts of tobacco on the individual and on society at large. A key component of this strategy is using alternative source of nicotine as a substitute to tobacco cigarettes. Electronic cigarette and heated tobacco are alternatives that might have potential in reduce harm from smokes. This paper elaborates on available research associated with electronic cigarette and heated tobacco with harm reduction and risk perspective.
https://crimsonpublishers.com/tteh/fulltext/TTEH.000522.php
For more Open access journals in Crimson Publishers
Please click on: https://crimsonpublishers.com/
For more Articles on Telemedicine and e-Health open access journals
please click on link: https://crimsonpublishers.com/tteh/index.php
Please follow the below link for our LinkedIn page
https://www.linkedin.com/company/crimsonpublishers
The Impact of Trying Electronic Cigarettes on CigaretteSmoki.docxrtodd33
The Impact of Trying Electronic Cigarettes on Cigarette
Smoking by College Students: A Prospective Analysis
Erin L. Sutfin, PhD, Beth A. Reboussin, PhD, Beata Debinski, MHS, Kimberly G. Wagoner, DrPH, MPH, John Spangler, MD, MPH, and Mark Wolfson, PhD
There has been considerable growth in the
availability, marketing, sales, and use of elec-
tronic nicotine delivery systems, often referred
to as “e-cigarettes,” over the past several years.
Product sales in the United States have doubled
every year since 2008, and securities analysts
estimate the e-cigarette market is now approx-
imately a $2.5 billion industry.1 E-cigarette use
has rapidly increased among adolescents and
adults. From 2011 to 2012, rates of ever using
e-cigarettes among US middle and high school
students doubled from 3.3% to 6.8%.2 Similar
increases have been seen among US adults.3,4
Recent data suggest that e-cigarette use is
highest among young adults. Data from the
2012---2013 National Adult Tobacco Survey
show that young adults aged18 to 24 years had
a higher prevalence of e-cigarette use (8.3%)
than did the adult population as a whole
(4.2%).5 Similarly, with data from dual frame
surveys of national probability samples of
adults, McMillen et al. found that current
e-cigarette use in 2013 by young adults aged18
to 24 years (14.2%) was higher than was that
among adults aged 25 to 44 years (8.6%), 45
to 65 years (5.5%), and older than 65 years
(1.2%).4
Available data on e-cigarette use by college
students are limited, with most coming from
single-state or individual campus studies.6---9
College students are an important group to
study for several reasons. First, young adult-
hood is a period of many life transitions and
accompanying stress.10 The tobacco industry is
well aware of this vulnerable period and
recognizes it as a promising period for tobacco
use initiation and transition to addiction.11
Thus, college students are a target market for
the tobacco industry.11,12 College students are
often early adopters of novel products and
have historically been at the forefront of
societal changes in substance use that later
materialize in the general population.13 In
a cross-sectional study of college students in
North Carolina in 2009, Sutfin et al.6 found
that college students’ lifetime prevalence of
e-cigarette use was 4.9%, which was higher
than were rates of use among other adults at
the time,14,15 suggesting that college students
were early adopters of e-cigarettes.6
Additionally, there was an association be-
tween e-cigarette use and sensation seeking in
bivariate, but not multivariable, models. How-
ever, membership in Greek letter organizations
was associated with e-cigarette use in multi-
variable models. These data suggest that col-
lege students may be drawn to e-cigarettes
owing, at least in part, to their novelty. Finally,
college students are an important group to
study because they have a unique pattern of
cigarette smoking that is often marked by so.
This document summarizes a study on assessing the knowledge, attitudes, and beliefs of college students at risk of becoming first-time electronic cigarette users. The study found high awareness but also openness to trying e-cigarettes among students. Based on testing message designs with the target group, designs depicting a hand with text, an aerosol spray can, and an infographic were most effective. The study concluded these three designs should be implemented and evaluated for an e-cigarette health communication campaign on campus.
This study surveyed 797 people through Amazon Mechanical Turk to understand perceptions of e-cigarettes among smokers and non-smokers. The results showed that smokers (72%) were more likely than non-smokers (14%) to have tried e-cigarettes. Smokers perceived e-cigarettes as cheaper than cigarettes and more helpful for quitting smoking, while non-smokers held the opposite beliefs. The top reasons for smokers wanting to try e-cigarettes were for help quitting smoking, while non-smokers cited curiosity; concerns about safety and cost deterred smokers while non-smokers did not want to smoke. The findings suggest tailoring public health messages about e-cigarettes separately for smokers
This document describes a study assessing the knowledge, attitudes, and beliefs of university students at risk of becoming first-time electronic cigarette users. The study involved surveying 455 students, identifying 39 at-risk participants. Most students were aware of e-cigarettes and many had tried them or were contemplating using them. Based on pre-testing different communication designs with the at-risk group, three designs - a hand with text, aerosol spray can, and infographic - tested most favorably and will be implemented in a campus health communication campaign to educate students on e-cigarette risks. The project aims to contribute to the university's initiative to discourage first-time e-cigarette use among students.
Smoking has negative effects on students' health, finances, and behavior according to a research paper. It discusses how smoking is harmful to students' health due to the 4000 chemicals in cigarettes. It also negatively impacts students financially as money spent on cigarettes would be better spent on other needs or saved. Additionally, smoking can lead to negative behaviors in students such as stress, aggression, and losing focus in class. The paper recommends preventing youth smoking through parental influence, education, and following Islamic rulings against the consumption of tobacco.
Primary Care Interventions for Prevention and Cessation of Tob.docxLacieKlineeb
Primary Care Interventions for Prevention and Cessation of Tobacco Use
in Children and Adolescents
US Preventive Services Task Force Recommendation Statement
US Preventive Services Task Force
Summary of Recommendations
The USPSTF recommends that primary care clinicians provide interventions, including education or
brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents. B
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and
harms of primary care–feasible interventions for the cessation of tobacco use among school-aged
children and adolescents.
I
See the Figure for a more detailed summary of the recommendation for clinicians. See the Practice Considerations section for more information on effective
interventions to prevent initiation of tobacco use and for suggestions for practice regarding the I statement. USPSTF indicates US Preventive Services Task Force.
IMPORTANCE Tobacco use is the leading cause of preventable death in the US. An estimated
annual 480 000 deaths are attributable to tobacco use in adults, including from secondhand
smoke. It is estimated that every day about 1600 youth aged 12 to 17 years smoke their first
cigarette and that about 5.6 million adolescents alive today will die prematurely from a
smoking-related illness. Although conventional cigarette use has gradually declined among
children in the US since the late 1990s, tobacco use via electronic cigarettes (e-cigarettes) is
quickly rising and is now more common among youth than cigarette smoking. e-Cigarette
products usually contain nicotine, which is addictive, raising concerns about e-cigarette use
and nicotine addiction in children. Exposure to nicotine during adolescence can harm the
developing brain, which may affect brain function and cognition, attention, and mood; thus,
minimizing nicotine exposure from any tobacco product in youth is important.
OBJECTIVE To update its 2013 recommendation, the USPSTF commissioned a review of the
evidence on the benefits and harms of primary care interventions for tobacco use prevention
and cessation in children and adolescents. The current systematic review newly included
e-cigarettes as a tobacco product.
POPULATION This recommendation applies to school-aged children and adolescents younger
than 18 years.
EVIDENCE ASSESSMENT The USPSTF concludes with moderate certainty that primary
care–feasible behavioral interventions, including education or brief counseling, to prevent
tobacco use in school-aged children and adolescents have a moderate net benefit. The
USPSTF concludes that there is insufficient evidence to determine the balance of benefits
and harms of primary care interventions for tobacco cessation among school-aged children
and adolescents who already smoke, because of a lack of adequately powered studies on
behavioral counseling interventions and a lack of studies on medications.
RECOMMENDATION The USPSTF recommends that.
Society for research on nicotine and tobacco conference abstracts srnt 2014Georgi Daskalov
This document summarizes six research studies presented at the 2014 Society for Research on Nicotine and Tobacco conference. Three key findings are:
1) A study found that cytisine, a plant-derived alkaloid, was as effective as nicotine replacement therapy for smoking cessation and had fewer side effects.
2) A randomized controlled trial found that sending smokers placebo nicotine patches by mail, which induced more quit attempts, led to higher long-term smoking abstinence rates than asking smokers to obtain active patches themselves.
3) Qualitative research identified factors that prevented youth and young adult smokers and non-smokers from initiating e-cigarettes, such as health concerns, cost, and social dis
A study of 1,300 college students found that of the 43 students whose initial nicotine exposure was from e-cigarettes, only 1 went on to smoke regular tobacco cigarettes. This contradicts claims that e-cigarettes act as a gateway to smoking. While some public health groups worry e-cigarettes could increase youth nicotine addiction, this study found that the vast majority of students who started with e-cigarettes were not currently using nicotine or tobacco products. The issue of whether e-cigarettes truly lead youth to smoking, and increased nicotine addiction, or if they can benefit public health requires more research.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central19various
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Mercurius is named after the roman god mercurius, the god of trade and science. The planet mercurius is named after the same god. Mercurius is sometimes called hydrargyrum, means ‘watery silver’. Its shine and colour are very similar to silver, but mercury is a fluid at room temperatures. The name quick silver is a translation of hydrargyrum, where the word quick describes its tendency to scatter away in all directions.
The droplets have a tendency to conglomerate to one big mass, but on being shaken they fall apart into countless little droplets again. It is used to ignite explosives, like mercury fulminate, the explosive character is one of its general themes.
10. E-CIGARETTES IN HONG KONG
• The current use rate of e-cigarettes among
young smokers aged 15-19 years (15.8%)
was significantly higher than that of smokers
aged 30 years or above.
• Ever use of e-cigarettes among primary 2 to
primary 4 students increased by 55% from
2016-2017 to 2017-2018.
• Currently, e-cigarettes with nicotine are not
banned in Hong Kong
14. BUT THE TRUTH IS…
•E-cigarettes aren’t good for our HEALTH, our CHILDREN
and our air quality
•E-cigarettes are not safe
•E-cigarettes are unregulated
•Smoking cessation and claim benefits over conventional e-
cigarettes are UNPROVEN
15. WHAT CAN YOU DO?
To protect yourself, your family and community…
• Help us to convey these message about the danger of e-cigarettes to
your community.
Log into https://www.smokefree.hk for more information!
• Join us to SUPPORT TO ENACT THE TOTAL BAN OF E-CIGARETTES
AND OTHER NEW TOBACCO PRODUCTS IN HONG KONG!
16.
17. don’t let the size fool you. SIGN to STOP
ALL CIGARETTES
ARE H ARM FU L
衞生署控煙酒辦公室
Tobacco and Alcohol Cont rol O ce
Depart ment of Healt h
18. References1. National Academies of Sciences Engineering, and Medicine. Public health consequences of e-cigarettes Washington, DC: The National Academies Press; 2018.
2. Hedman L, Backman H, Stridsman C, et al. Association of electronic cigarette use with smoking habits, demographic factors, and respiratory symptoms
3. National Academies of Sciences Engineering, and Medicine. Public health consequences of e-cigarettes Washington, DC: The National Academies Press; 2018
4. Glantz SA, Bareham DW. E-Cigarettes: Use, Effects on Smoking, Risks, and Policy Implications. Annual Review of Public Health. 2018;39(1):215-35.
5. Rigotti NA, Chang Y, Tindle HA, et al. Association of e-cigarette use with smoking cessation among smokers who plan to quit after a hospitalization: A prospective study. nnals of Internal Medicine. 2018;168(9):613-20.
6. http://smokefree.hk/UserFiles/resources/about_us/cosh_reports/COSHRN_C20.pdf. JAMA Network Open. 2018;1(3):e180789.
7. Primack BA, Soneji S, Stoolmiller M, Fine MJ, Sargent JD. Progression to traditional cigarette smoking after electronic cigarette use among US adolescents and young adults. JAMA pediatrics. 2015;169(11):1018-1023.
8. Conner M, Grogan S, Simms-Ellis R, Flett K, Sykes-Muskett B, Cowap L, et al. Do electronic cigarettes increase cigarette smoking in UK adolescents? Evidence from a 12-month prospective study. Tobacco Control.
2018;27(4):365-72
9. Vasiljevic M, Petrescu DC, Marteau TM. Impact of advertisements promoting candy-like flavoured e-cigarettes on appeal of tobacco smoking among children: an experimental study. Tob Control. 2016;Dec 1;25(e2):e107-12.
10. Statistics and market data on Consumer Goods & FMCG. https://www.statista.com/markets/415/consumer-goods-fmcg.
11. Electronic Cigarette Market by Product Type, Flavor and Distribution Channel – Global Opportunity Analysis and Industry Forecast, 2017–2023.
https://www.researchandmarkets.com/research/pjkd84/global_electronic?w=5.
12. https://www.fda.gov/TobaccoProducts/PublicHealthEducation/ProtectingKidsfromTobacco/ucm405173.htm
13. http://www.monitoringthefuture.org//pressreleases/18drugpr.pdf
14. Glantz SA, Bareham DW. E-Cigarettes: Use, Effects on Smoking, Risks, and Policy Implications. Annual Review of Public Health. 2018;39(1):215-35.
15. https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm620184.htm
16. https://www.federalregister.gov/documents/2018/11/05/2018-24126/eliminating-youth-electronic-cigarette-and-other-tobacco-product-use-the-role-for-drug-therapies
17. Nicotine in tobacco is exempted from being regulated as “Part 1 poison” under Cap. 138: see regulation 8 of and Schedule 2 to the Pharmacy and Poisons Regulation (Cap.138A).
Editor's Notes
E-cigarettes heat a solution using battery power (called the “e-liquid”) in a cartridge (also known as a “tank”) with a metallic coil to deliver an aerosol that users inhale through a mouthpiece in a way that simulates the act of cigarette smoking..
They may look like conventional tobacco products such as cigarettes or cigars, or they can take the form of other ordinary items such as pens, USB memory sticks and other larger cylindrical or rectangular devices. The e-liquid is a chemical mixture typically composed of propylene glycol, glycerin, flavourings, and other additives.
There is now conclusive evidence that, in addition to nicotine, most e-cigarette products contain and emit numerous potentially toxic substances which are harmful to health. Studies have demonstrated that formaldehyde, an irritant and cancer-causing chemical, could be formed during “vapourisation” of e-liquids. Besides, most e-cigarettes contain propylene glycol, a known irritant when inhaled. Inhalation of irritants may induce airway disorders such as asthma and other inflammatory lung diseases.
E-cigarettes give off more than just “water vapor.”
E-cigarettes produce a vapor (also referred to as aerosol) upon each inhalation that resembles and tastes like the smoke produced by cigars and cigarettes. While the health effects of the vapor are unknown, initial lab tests conducted by the FDA found detectable levels of toxic cancer-causing chemicals, including an ingredient used in anti-freeze.
Instead of comparing the aerosol from e-cigarettes to secondhand smoke, we should be comparing it to clean air.
We’ve worked hard for the right to breathe clean air and e-cigarette vapor doesn’t meet this standard.
The exact dose of nicotine the e-cigarette user will receive depends entirely on how fast and how hard they drag from the device.
The as advertised “safer and healthier” product is simply the most extreme way of pumping nicotine into the brain on demand. There is no research that proves it is safer.
Years ago filtered cigarettes were supposed to be a “safer way” of smoking.
Filtered cigarette users inhaled more deeply and frequently with each filtered cigarette they smoked.
The same is to be expected with e-cigarette users – They may find them as fuel but never satisfy their nicotine addiction.
Despite what manufacture tells you, Research on the efficacy of e-cigarettes for smoking cessation meanwhile is inconclusive to date. There is limited evidence that e-cigarettes may be effective aids to promote smoking cessation. Studies say published in 2018 revealed that the odds of quitting smoking was 27% lower in those who used e-cigarettes compared with those who did not use e-cigarettes, which implied that smokers who used e-cigarettes were significantly less likely to stop smoking cigarettes. In fact, people who smoke e-cigarettes are more likely to take up conventional cigarettes in the future.
e-cigarettes contain harmful chemicals including formaldehyde, polycyclic aromatic hydrocarbons(“PAHs”) and poly-brominated diphenyl ethers (“PBDEs”), etc. Formaldehyde and PAHs are known carcinogens that are hazardous to health. PBDEs are associated with thyroid hormone disruption, reduction of fertility, affect fetal development.
Long-term use of e-cigarettes is expected to increase the risk of various heart and lung diseases, cancers as well as some other diseases associated with smoking. In addition, e-cigarettes increase exposure of non-smokers and bystanders to a number of toxicants and nicotine in second- and third-hand smoke.
There are also concerns about the quality control of e-cigarettes, such as uneven delivery of inhaled nicotine, leakage of chemicals, inconsistent labelling of content and potential fire danger. We observe that the e-cigarettes sold locally are mostly manufactured by small manufacturers with limited quality control to ensure quality and consumer safety. Some battery-activated heating element in e-cigarettes may be unsafe. There were cases of e-cigarette explosion during heating or charging reported in oversea countries.
According to the Tobacco Control Policy-related Survey 2015 conducted by COSH, The current use rate of e-cigarettes among young smokers aged 15-19 years (15.8%) was significantly higher than that of smokers aged 30 years or above.
According to the School-based Survey on Smoking conducted by the School of Public Health, the University of Hong Kong in 2016-2017, 2 340 Primary 4-6 students (1.4%) had ever used e-cigarettes (down from 2.6% in 2014/15). The number of ever and current e-cigarette users among Secondary 1-6 students was 29 380 (8.7%) and 2 770 (0.8%) respectively (a slight decrease from 9.0% and 1.3% respectively in 2014/15). Among those primary school students who had ever used
both e-cigarettes and conventional cigarettes, nearly 70% tried e-cigarettes first.
On the other hand, the Hong Kong Council on Smoking and Health’s surveys showed that ever use of e-cigarettes among primary 2 to primary 4 students
increased by 55% from 2016-2017 to 2017-2018.In Hong Kong, any e-cigarettes with nicotine are categorized as pharmaceutical products and must be registered with the Pharmacy and Poisons Board of Hong Kong before sale or distribution. According to the Smoking (Public Health) Ordinance, no person shall smoke an e-cigarette in statutory no-smoking areas.
So now we come back to that question, why do we care about e-cigarettes?
Clearly, E-Cigarettes is very appealing, especially to youth.
Glamorous marketing of these products includes tv and magazine ads, online promotions, social media, billboards and even shout outs from celebrities.
These advertisements dress up e-cigarettes as a better smelling, cheaper and guilt free alternative to smoking.
The tobacco industry is using the same marketing tricks for e-cigarettes that they once used for traditional tobacco products. Since e-cigarettes are not regulated, marketing strategies which are illegal for tobacco products are fair game when it comes to e-cigarettes.
The volume of e-cigarette marketing is increasing daily. This amplified attention could lead to the re-normalization and social acceptability of smoking cigarettes.
Most e-cigarettes do not provide details on their ingredients and only address the variety of flavours. They are marketed as non-addictive, aid for smoking cessation, accredited and environmentally friendly which mislead consumers on their safety and attract the youth to use.
Youngsters are the main target of the marketing strategies adopted by Hong Kong and overseas e-cigarette suppliers and sellers. The price is set at an affordable level for them.
The flavours, designs and packaging of e-cigarettes are diverse. The flavours include fruits, soft drink and tobacco.
Most e-cigarettes are sold on consignment at retail outlets and shopping centres specializing in trendy items, or through online platforms such as social media. It is very difficult to monitor the safety claims of products sold and verify the buyers’ ages at online platforms.
Clearly, E-Cigarettes is very appealing, especially to youth.
Glamorous marketing of these products includes tv and magazine ads, online promotions, social media, billboards and even shout outs from celebrities.
These advertisements dress up e-cigarettes as a better smelling, cheaper and guilt free alternative to smoking.
The tobacco industry is using the same marketing tricks for e-cigarettes that they once used for traditional tobacco products. Since e-cigarettes are not regulated, marketing strategies which are illegal for tobacco products are fair game when it comes to e-cigarettes.
The volume of e-cigarette marketing is increasing daily. This amplified attention could lead to the re-normalization and social acceptability of smoking cigarettes.
Most e-cigarettes do not provide details on their ingredients and only address the variety of flavours. They are marketed as non-addictive, aid for smoking cessation, accredited and environmentally friendly which mislead consumers on their safety and attract the youth to use.
Youngsters are the main target of the marketing strategies adopted by Hong Kong and overseas e-cigarette suppliers and sellers. The price is set at an affordable level for them.
The flavours, designs and packaging of e-cigarettes are diverse. The flavours include fruits, soft drink and tobacco.
Most e-cigarettes are sold on consignment at retail outlets and shopping centres specializing in trendy items, or through online platforms such as social media. It is very difficult to monitor the safety claims of products sold and verify the buyers’ ages at online platforms.
Clearly, E-Cigarettes is very appealing, especially to youth.
Glamorous marketing of these products includes tv and magazine ads, online promotions, social media, billboards and even shout outs from celebrities.
These advertisements dress up e-cigarettes as a better smelling, cheaper and guilt free alternative to smoking.
The tobacco industry is using the same marketing tricks for e-cigarettes that they once used for traditional tobacco products. Since e-cigarettes are not regulated, marketing strategies which are illegal for tobacco products are fair game when it comes to e-cigarettes.
The volume of e-cigarette marketing is increasing daily. This amplified attention could lead to the re-normalization and social acceptability of smoking cigarettes.
Most e-cigarettes do not provide details on their ingredients and only address the variety of flavours. They are marketed as non-addictive, aid for smoking cessation, accredited and environmentally friendly which mislead consumers on their safety and attract the youth to use.
Youngsters are the main target of the marketing strategies adopted by Hong Kong and overseas e-cigarette suppliers and sellers. The price is set at an affordable level for them.
The flavours, designs and packaging of e-cigarettes are diverse. The flavours include fruits, soft drink and tobacco.
Most e-cigarettes are sold on consignment at retail outlets and shopping centres specializing in trendy items, or through online platforms such as social media. It is very difficult to monitor the safety claims of products sold and verify the buyers’ ages at online platforms.
However, the truth about e-cigarettes is that…
So who we are and what we do? Protecting the public health has topped the priority list of Hong Kong Council on Smoking and Health since its establishment. COSH has been sparing no efforts on raising public awareness on tobacco hazards and encouraging smokers to quit smoking through a series of education and publicity programmes for all walks of life. We also proactively advocate the Government for strengthening the tobacco control policies and collaborate with different sectors of the community to strive for a smoke-free Hong Kong.