Surgeon General Reports on Tobacco Health Disparities and E-cigs available at UCSF Tobacco Center eScholarship site

Shortly after Donald Trump took office, the Surgeon General Reports Eliminating Tobacco-Related Disease and Death: Addressing Disparities (2024) and E-cigarette Use Among Youth and Young Adults (2016), together with related public education materials, disappeared from the CDC website. As of today (February 24, 2025), the e-cigarette report was back on the CDC website, but theContinue reading “Surgeon General Reports on Tobacco Health Disparities and E-cigs available at UCSF Tobacco Center eScholarship site”

Heated tobacco products increase risk of metabolic syndrome more than smoking

The tobacco companies have been aggressively promoting heated tobacco products (HTP), including Philip Morris IQOS, BAT’s glo and JTI’s Ploom, as safer alternatives to cigarettes as part of the companies’ efforts to reposition themselves as “part of the solution” to the tobacco problem. Similar to e-cigarettes, they argue that these products are safer because theContinue reading “Heated tobacco products increase risk of metabolic syndrome more than smoking”

Dual use is not an intermediate condition on the way from cigarettes to “switching completely” or quitting

Discussion of potential harm reduction associated with the use of e-cigarettes assumes that smokers will “switch completely” from cigarettes to e-cigarettes or stop both tobacco products. Advocates of this view, including the US FDA, recognize and accept that this process may include a period of dual use in which smokers use both products. Now JosefContinue reading “Dual use is not an intermediate condition on the way from cigarettes to “switching completely” or quitting”

Dual cigarette and e-cig use increases human risk of lung cancer 40 times

As summarized in an earlier blog post, exposure to e-cigarette aerosol accelerates tumore growth and spread (metastasis) among established cancers. This effect is distinct from actually causing the cancer (i.e., carcinogenesis). Indeed, propylene glycol and vegetable glycerine (PG/VG), the primary solvents in e-liquid and which have been assumed to be inert are major causes ofContinue reading “Dual cigarette and e-cig use increases human risk of lung cancer 40 times”

UCSF adds 151k Juul documents to Truth Tobacco Documents Library, bringing total to 2.9 million Juul documents

The UCSF Industry Documents Library just released 151.079 new Juul documents, bringing the total to 2,880,772 documents in the JUUL Labs collection and 17,893,389 documents in the Truth Tobacco Documents Library. This new batch of documents includes social media presence reports, marketing campaigns, focus group findings, product design, and more. In partnership with the UniversityContinue reading “UCSF adds 151k Juul documents to Truth Tobacco Documents Library, bringing total to 2.9 million Juul documents”

E-cig advocates publish results showing e-cig users have more respiratory symptoms than nonsmokers

E-cigarette advocate Riccardo Polosa, along with pro-harm reduction colleagues from around the world, recently published Respiratory symptoms among e-cigarette users without an established smoking history in the VERITAS cohort. Their paper presents strong evidence that sole e-cigarette users (i.e., people who are not also smoking cigarettes) are significantly more likely to experience respiratory symptoms thanContinue reading “E-cig advocates publish results showing e-cig users have more respiratory symptoms than nonsmokers”

FDA & NIH must support research to increase tobacco cessation reach and engagement to address populations disproportionately harmed by Big Tobacco

My colleagues and I submitted this public commento to FDA and NIH regarding their priorities for tobacco cessatio research. The Regulations.gov tracking number is m3p-2qiq-zm6w. A PDF version is available here. While it was not publicly available when we were preparing this comment, a lot of the suggestions overlap or complement the recently-released Surgeon GeneralContinue reading “FDA & NIH must support research to increase tobacco cessation reach and engagement to address populations disproportionately harmed by Big Tobacco”

Oakland City Council should advance law making bar patios smoke-free and make multi-unit housing tobacco and cannabis smoke-free at November 12 hearing

On November 12, the Oakland City Council will hold a public hearing on a proposed Oakland Smoke-Free Bar Patios and Smoke-Free Multi-Unit Housing Ordinance introduced by Councilperson Dan Kalb.  The ordinance as proposed would close a loophole that allows smoking on outdoor bar patios and also make multi-unit housing tobacco smoke-free.  Unfortunately, the current draft ordinanceContinue reading “Oakland City Council should advance law making bar patios smoke-free and make multi-unit housing tobacco and cannabis smoke-free at November 12 hearing”

UCSF adds 117k Juul documents to Truth Tobacco documents Library bringing total to over 2.7 million documents

The UCSF Industry Documents Library just released 117,446 new Juul documents, bringing the total to 2,719,964 documents in the JUUL Labs collection and 103,218,810 pages in 17,742,311 documents. in the Truth Tobacco Documents Library. This new batch of documents includes social media presence reports, marketing campaigns, focus group findings, product design, and more. In partnershipContinue reading “UCSF adds 117k Juul documents to Truth Tobacco documents Library bringing total to over 2.7 million documents”

The RCP got this right: Promotion of tobacco harm reduction is playing right into the tobacco industry’s hands

I previously published three detailed critiques of the 2024 UK Royal College of Physicians report E-cigarettes and Harm Reduction: An Evidence Review for being an incomplete and selective review of the literature in three areas — underestimating the magnitude of disease risk caused by e-cigarettes, ignoring the large body of real world evidence that e-cigarettesContinue reading “The RCP got this right: Promotion of tobacco harm reduction is playing right into the tobacco industry’s hands”