Science FDA (and everyone else) needs to actively engage as they think about whether to authorize Juul and the other ecigs

When I read the FDA’s Technical Project Lead summary of its scientific justification for authorizing the sale of RJ Reynolds’ Vuse Solo e-cigarette, I was struck by the fact that it ignored the broad scientific literature on e-cigarettes and seemed to accept industry-framed arguments. For example: They ignored the evidence that as consumer products, e-cigarettesContinue reading “Science FDA (and everyone else) needs to actively engage as they think about whether to authorize Juul and the other ecigs”

E-cigarettes don’t help smokers stay off cigarettes

Last week the FDA authorized the sale of RJ Reynolds’ (BAT’s US subsidiary) Vuse e-cigarette despite heavy use by kids because “the manufacturer’s data demonstrates its tobacco-flavored products could benefit addicted adult smokers who switch to these products – either completely or with a significant reduction in cigarette consumption – by reducing their exposure toContinue reading “E-cigarettes don’t help smokers stay off cigarettes”

Thousands of chemicals in ecig liquid and aerosol

One of the main arguments that e-cig advocates have used is that the aerosol is much less toxic than cigarette smoke because it contains many fewer chemicals. For example, the article “Balancing consideration of the risks and benefits of e-cigarettes” organized by Ken Warner says “The number of chemicals in cigarette smoke, greater than 7000,Continue reading “Thousands of chemicals in ecig liquid and aerosol”

“Big Vape” is well worth reading

As I said in my review of Lauren Etter’s history of Juul, The Devil’s Playbook, my definition of a good book on tobacco is that I learn things I didn’t already know from reading it. Even after reading Etter’s book, Jamie Ducharme’s Big Vape is a good book. While all the key major events appearContinue reading ““Big Vape” is well worth reading”

Menthol: Two wrongs won’t make a right

After refusing to authorize the sale of over a million e-cigarette flavors, the FDA still has not dealt with menthol (or tobacco flavored) e-cigarettes. As detailed in an earlier blog post, I remain concerned that FDA will authorize the sale of menthol e-cigarettes using the incorrect logic that menthol e-cigarettes need to remain available asContinue reading “Menthol: Two wrongs won’t make a right”

Even more evidence that youth who start with e-cigs triple the odds that they will later smoke cigarettes

As more studies are published on the link between youth e-cigarette use and subsequent cigarette smoking youth, people continue publish meta-analyses summing up the results. The latest such meta-analysis, recently published in PLOS One by Sze Lin Yoong and colleagues, “Association between electronic nicotine delivery systems and electronic non-nicotine delivery systems with initiation of tobaccoContinue reading “Even more evidence that youth who start with e-cigs triple the odds that they will later smoke cigarettes”

No quitting benefit for e-cigs over FDA-approved therapies … and lots of dangerous dual use

The FDA Center for Tobacco Products concern about balancing potential benefits of e-cigs with demonstrated risks to youth presumes that adults using e-cigarettes will switch completely to e-cigs and that e-cigs are substantially less risky than cigarettes. Bekir Kaplan and colleagues’ new paper Effectiveness of ENDS, NRT and medication for smoking cessation among cigarette-only users:Continue reading “No quitting benefit for e-cigs over FDA-approved therapies … and lots of dangerous dual use”

“Move Fast and Vape Things” is worth watching

The New York Times just released its new one hour documentary on the origins of Juul, Move Fast and Vape Things. (You can watch a trailer and some clips from the film and link to Hulu, where the full film is available, here.) The film includes interviews with an addicted teen, the two men whoContinue reading ““Move Fast and Vape Things” is worth watching”

FDA denied over 1 million e-cig flavored products but not a single one with menthol

Despite the fact that menthol and mint are wildly popular with kids (and contribute to keeping adults addicted), the FDA Center for Tobacco Products has yet to prohibit the sale of a single menthol e-cigarette flavor. The CTP News sent out today reported: FDA Denies Marketing Applications for Over 1 Million Flavored E-Cigarette ProductsIn August,Continue reading “FDA denied over 1 million e-cig flavored products but not a single one with menthol”

E-cigs have been on the market for 15 years: If they were really reducing harm it would be obvious by now

Ever since e-cigarettes first came on the market in 2006 the argument has been that it will take time for their health benefits to be manifest. This view was restated again last month in an FDA press release that stated, “Companies who want to continue to market their flavored ENDS products must have robust andContinue reading “E-cigs have been on the market for 15 years: If they were really reducing harm it would be obvious by now”