Dozens of countries have issued regulations simply prohibiting the import and sale of e-cigarettes. These policies are under attack in Brazil and Thailand (again). Industry advocates argue that a better policy would be to legalize and regulate these products. The actual evidence tells a very different story. While policies prohibiting the import and sale ofContinue reading “Regulations prohibiting import and sales of e-cigs work; Brazil and Thailand should keep them”
Category Archives: e-cigarettes
New well-done RCT shows that giving smokers free e-cigarettes creates more dual users than switchers or quitters
Matthew J. Carpenter and colleagues recently published what is probably the most informative randomized controlled clinical trial of the effect of giving current cigarette smokers free e-cigarettes on their nicotine consumption: Effect of unguided e-cigarette provision on uptake, use, and smoking cessation among adults who smoke in the USA: a naturalistic, randomised, controlled clinical trial. They recruitedContinue reading “New well-done RCT shows that giving smokers free e-cigarettes creates more dual users than switchers or quitters”
Juul damages vascular function in people as much as a cigarette
There are several studies in people showing that earlier generations of e-cigarettes inhibit normal blood vessel function as well as studies in animals showing that this is the case for a wide variety of e-cigarettes, including Juul. Now Ziyad Ben Taleb and colleagues have shown that Juul inhibits blood vessel function just like cigarettes doContinue reading “Juul damages vascular function in people as much as a cigarette”
FDA tiptoes toward enforcement of rules prohibiting unauthorized ecigs
It is currently illegal to sell almost every e-cigarette on the market. (The exceptions are a few e-cigarettes produced by RJ Reynolds, NJOY and Logic Technologies.) But FDA has been very slow to take strong formal enforcement actions. As of October 2022, FDA, working through the Department of Justice, had sought injunctions against 6 small-timeContinue reading “FDA tiptoes toward enforcement of rules prohibiting unauthorized ecigs”
FDA should finalize its updated list of Harmful and Potentially Harmful Constituents by December 2023
In April 2022, I pointed out that one of the nerdy, but very important, parts of the FDA tobacco product regulatory process is the list of “Hazardous and Potentially Hazardous Compounds” (HPHC) list that FDA released in 2012. This list contains 93 bad chemicals — mostly carcinogens — that FDA identified as important when assessingContinue reading “FDA should finalize its updated list of Harmful and Potentially Harmful Constituents by December 2023”
FDA (and others) should integrate the relationship between cannabis and tobacco use
My UCSF colleagues and I submitted a public comment to the FDA Center for Tobacco Products regarding its upcoming strategic plan urging FDA to more strongly integrate the crossover between tobacco and cannabis use into its planning. While FDA does not (yet) have jurisdiction over cannabis, there is no question that growing cannabis use hasContinue reading “FDA (and others) should integrate the relationship between cannabis and tobacco use”
FDA should prioritize direct measures of health and behavioral effects over indirect measures or assumptions in making regulatory decisions
Last week I posted by oral testimony to the FDA listening session for developing its strategic plan, “FDA CTP should prioritize direct epidemiological population measures of health and behavior over indirect measures or assumptions.” My UCSF colleagues and I also subsequently submitted a written public comment amplifying the points in the oral testimony, including citations forContinue reading “FDA should prioritize direct measures of health and behavioral effects over indirect measures or assumptions in making regulatory decisions”
Streaming programs in Germany promoting tobacco use, too
Earlier studies have documented lots of smoking and other tobacco use in popular US and Indian streaming media programs, with most of exposure coming from programs produced by American companies, most notably Netflix and Amazon. Now Matthis Morgenstern and colleagues (including me) have shown that the same thing is true in popular German streaming programs.Continue reading “Streaming programs in Germany promoting tobacco use, too”
Juul 2: Facebook merges with a drug cartel
E-cigarette company Juul has applied to the FDA for permission to market its Juul 2 e-cigarette, which allows two-way communication with the device, nominally to prevent youth use. Juul reports that the Juul 2 pairs with a phone app to verify a user’s age: “The user must upload their photo ID and take a real-timeContinue reading “Juul 2: Facebook merges with a drug cartel”
More evidence that comprehensive smokefree laws are a good idea: Less youth vaping
It’s been well-established for a long time that tobacco control policies, particularly comprehensive 100% smokefree laws and taxes, are associated with less smoking among youth. Now Brian Kelly and colleagues recently published “Tobacco Policy & ENDS Policy Influences on Adolescent Vaping across U.S. States” have extended this literature to state e-cigarette laws. They linked theContinue reading “More evidence that comprehensive smokefree laws are a good idea: Less youth vaping”