Switching from cigs to ecigs does not significantly reduce lung cancer risk

Yeon Wook Kim and colleagues’ new paper “Electronic cigarette use after smokingcessation and lung cancer risk” shows that smokers who switch to e-cigarettes have about a 50% higher risk of developing lung cancer and about a doubling of risk of dying from lung cancer than smokers who just stop smoking. Most important, this paper isContinue reading “Switching from cigs to ecigs does not significantly reduce lung cancer risk”

E-cigarettes increase harm and should be discouraged (new paper)

Pam Ling and I recently published “E-cigarettes increase harm and should be discouraged” in Nature Human Behavior that summarizes the current evidence on e-cigarettes. The Introduction sums up the paper: Ever since they were introduced, arguments that e-cigarettes reduce tobacco harm have hinged on three assumptions: (1) nicotine aerosol from heating a liquid rather thanContinue reading “E-cigarettes increase harm and should be discouraged (new paper)”

Nicotine pouches maintain the nicotine market for tobacco companies

Nicotine pouches (like ZYN and on!) are being touted by some advocates as a “harm reduction” alternative to smoking cigarettes. Kelvin Choi and colleagues examined whether this happens in real life in their new paper “Patterns of tobacco product use among US adults who use nicotine pouches and the association between nicotine pouch use andContinue reading “Nicotine pouches maintain the nicotine market for tobacco companies”

E-cigarettes are nearly as risky as cigarettes; dual use is worse: The evidence continues to pile up

Using e-cigarettes (vaping) has been promoted as a much safer alternative to smoking cigarettes. However, a new head-to-head comparison of actual disease in e-cigarette users compared to cigarette smokers published in Public Health Reports shows that this assertion is wrong.  This new analysis of 124 studies on the association of e-cigarette use with disease outcomesContinue reading “E-cigarettes are nearly as risky as cigarettes; dual use is worse: The evidence continues to pile up”

The gateway has two doors in England, too

With some notable exceptions. e-cigarettes have been embraced by British tobacco control advocates and public health authorities more enthusiastically than anywhere else in the world, including authorities at Action on Smoking and Health (ASH) and University College London (UCL). Now, Emily Banks, Andrew Bush, Charlotta Pisinger, and Sam Egger have published Signs of increased smokingContinue reading “The gateway has two doors in England, too”

New paper by Hajek group presents misleading incomplete results about dual use when using e-cigs as cessation aid

One concern about giving smokers e-cigarettes as a smoking cessation aid is that doing so instantly converts them into dual users (smoking both cigarettes and e-cigarettes), which adds the risks of e-cigarette use to cigarette use.  Peter Hajek’s group just published Patterns of e-Cigarette Use and Smoking Cessation Outcomes: Secondary Analysis of a Large RandomisedContinue reading “New paper by Hajek group presents misleading incomplete results about dual use when using e-cigs as cessation aid”

Plain language summary of meta-analysis of ecigs and disease available

Last year we published “Population-Based Disease Odds for E-Cigarettes and Dual Use versus Cigarettes” that showed that some disease risks of e-cigarettes are indistinguishable from cigarettes and for others they on only slightly lower. This paper continues to attract interest, so I prepared a one page plain language summary, together with some frequently asked questions.Continue reading “Plain language summary of meta-analysis of ecigs and disease available”

E-cigarettes increase harm to smokers, so should not be promoted as a harm reduction strategy (in 10 slides) now available in 10 other languages

My blog post “E-cigarettes increase harm to smokers, so should not be promoted as a harm reduction strategy (in 10 slides)” has attracted a lot of interest, so I have translated it into 10 other languages. Click below to download. These translations were done with Powerpoint. If native speakers have suggestions for improvement, feel free toContinue reading “E-cigarettes increase harm to smokers, so should not be promoted as a harm reduction strategy (in 10 slides) now available in 10 other languages”

Ecig enthusiasts acting more and more like tobacco and global warming deniers

Reflecting on the problems with the paper E-Cigarettes in Historical Context—Innovation, Risk, and Regulation by Michael Pesko, Jamie Hartmann-Boyce, Rachel Fung and Neal Benowitz reminded me that, as the evidence continues to pile up that e-cigarettes increase harm for both adults and youth, e-cigarette enthusiasts are moving beyond legitimate scientific differences of opinion and actingContinue reading “Ecig enthusiasts acting more and more like tobacco and global warming deniers”

New Pesko et al paper supporting e-cigs ignores current science

Several people have asked me what I thought of the just-published paper E-Cigarettes in Historical Context—Innovation, Risk, and Regulation by Michael Pesko, Jamie Hartmann-Boyce, Rachel Fung and Neal Benowitz. Like other similar papers published by some of these people, the Pesko paper relies on the 7 year old 2018 National Academies of Science, Engineering andContinue reading “New Pesko et al paper supporting e-cigs ignores current science”