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”

Spinola et al support Brazil’s e-cigarette ban while defending implementation criticism

Shortly before the 11th WHO Framework Convention On Tobacco Control Conference of the Parties in November 2025, Vitoria Borges Spinola, Lucas Porto Santos, Hamilton Roschel, Bruno Gualano, and Megan E. Roberts published “Weak enforcement of Brazil’s E-cigarette ban and the expansion of a dangerous illicit market” in The Lancet Regional Health – Americas arguing thatContinue reading “Spinola et al support Brazil’s e-cigarette ban while defending implementation criticism”

Congress revives CDC Office on Smoking and Health

Last year the Trump Administration eliminated the CDC Office on Smoking and Health and fired the FDA Center for Tobacco Products leadership, paving the way for FDA to even more closely embrace the tobacco industry’s “harm reduction” marketing messages.  OSH ran the effective “Tips from Former Smokers” advertising campaign, supports state health department tobacco controlContinue reading “Congress revives CDC Office on Smoking and Health”

UCSF makes 60,000 more Juul documents public, bringing total to 4.9 million documents so far

The UCSF Industry Documents Library added close to 60,000 Juul Labs documents produced by the Settling States in the multistate litigation against Juul Labs. Files include memos, emails, flavor focus group reports, prospective investor reports, support tickets and more. This brings the total number of Juul Labs files to 4.9 million documents and growing! CheckContinue reading “UCSF makes 60,000 more Juul documents public, bringing total to 4.9 million documents so far”

RFK Jr strongly endorses tobacco industry harm reduction argument for ecigs and nicotine pouches

In a video interview circulated by Danny Gillis owner of SevierVapor and Executive Director Tennessee Smoke Free Association, Health and Human Services Secretary Robert F. Kennedy, Jr strongly endorses e-cigarettes and nicotine pouches for “harm reduction.” He also cites industry arguments that nicotine helps people with Alzheimer’s disease and dimentia (at 50 seconds in theContinue reading “RFK Jr strongly endorses tobacco industry harm reduction argument for ecigs and nicotine pouches”

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”

National Academy of Medicine calls out CDC for misrepresenting NAM position on vaccines and autism

This blog focuses on tobacco and cannabis and public health, so I have refrained from commenting on broader public health issues. But, I am making an exception to disseminate the National Academy of Medicine’s statement pointing of that the CDC’s November 12, 2025 update to its webpage on autism misrepresented NAM’s position on vaccines andContinue reading “National Academy of Medicine calls out CDC for misrepresenting NAM position on vaccines and autism”

California Enacts World’s First Thirdhand Smoke Disclosure Law

California has enacted the first law, AB455, that requires sellers of single-family homes to disclose in writing any known indoor smoking, vaping, or thirdhand smoke contamination to prospective buyers. It also also directs the California Department of Toxic Substances Control to update its Homeowner’s Guide to Environmental Hazards to include thirdhand smoke information, a taskContinue reading “California Enacts World’s First Thirdhand Smoke Disclosure Law”

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”