An unbalanced consideration of the risks and benefits of e-cigarettes

Several people have asked me what I thought of the recent essay by Balfour et al and a group of former presidents of the Society for Nicotine and Tobacco Research, “Balancing consideration of the risks and benefits of e-cigarettes,” that argues that concerns over youth e-cigarette use needs to be “better balanced” against the valueContinue reading “An unbalanced consideration of the risks and benefits of e-cigarettes”

FDA’s recent press release raises 3 issues on how CTP is judging e-cigs

On August 26, 2021, FDA denied marketing orders for around 55,000 flavored e-cigarettes because the manufacturers had not made the case that authorizing the sale of these products was “appropriate for the protection of public health,” the standard in the 2009 Family Smoking Prevention and Tobacco Control Act that gave the FDA jurisdiction over tobaccoContinue reading “FDA’s recent press release raises 3 issues on how CTP is judging e-cigs”

California holds youth vaping below half the national average while almost eliminating smoking

The recently-released Results of the Statewide 2019-20 California Student Tobacco Survey found that California is still making excellent progress in reducing youth tobacco use, doing much better than the US as a whole. This is particularly significant because California has never focused its tobacco control program on youth, but rather treated them as part ofContinue reading “California holds youth vaping below half the national average while almost eliminating smoking”

New studies for UK, Netherlands and Flanders and US confirm gateway effects of e-cigs to combusted tobacco products

Three new studies add to the already overwhelming case that e-cigarettes are a gateway to combusted product use; two of these studies also show that combusted tobacco use predicts later e-cigarette use among youth. These studies are benefit from the fact that the data were collected relatively recently, which is important because e-cigarette technology isContinue reading “New studies for UK, Netherlands and Flanders and US confirm gateway effects of e-cigs to combusted tobacco products”

New WHO report highlights falling cigarette use and challenges that new tobacco products pose to public health and implementation of the FCTC

On July 27, 2021 the WHO released the WHO report on the global tobacco epidemic 2021: addressing new and emerging products, its eighth such report. The good news is that it documents solid progress in reducing tobacco use. After over a century of growth, “between 2007 and 2019, smoking rates decreased from a global averageContinue reading “New WHO report highlights falling cigarette use and challenges that new tobacco products pose to public health and implementation of the FCTC”

“The Devil’s Playbook” is a great read

My definition of a good book on tobacco is that I learn things I didn’t already know from reading it. Lauren Etter’s new book, The Devil’s Playbook, easily meets and surpasses this standard. Deeply researched beginning with key events in the 1980s, she documents the rise and decline on Juul e-cigarettes and how, at leastContinue reading ““The Devil’s Playbook” is a great read”

How industry documents are made public matters: UCSF Library recommendations

An important aspect of the North Carolina Juul legal settlement as well as several of the opioid settlements have been provisions making the discovery documents public. As the tobacco experience richly demonstrates, these documents can educate the public, the media and policymakers and lead to positive change. An important technical detail is how the documentsContinue reading “How industry documents are made public matters: UCSF Library recommendations”

Thai youth ecig use stays low since country banned imports and sales

While countries like the USA struggle with exploding e-cig use among youth, in Thailand, which bans the import and sales of e-cigarettes (which under Thai law also includes heated tobacco products), youth use remains stable and low. Roengrudee Patanavanich and colleagues (including me) recently published “Use of E-Cigarettes and Associated Factors among Youth in Thailand”Continue reading “Thai youth ecig use stays low since country banned imports and sales”

ecig use during pregnancy increases risk of low birth weight baby

Annette Regan and colleagues recently expanded the range of adverse health effects associated with e-cigarette use to low birth weight babies for women who smoked during pregnancy. In their paper “Adverse Birth Outcomes Associated With Prepregnancy and Prenatal Electronic Cigarette Use,” published in Obstetrics and Gynecology, they used data from the national PRAMS (Pregnancy RiskContinue reading “ecig use during pregnancy increases risk of low birth weight baby”

NC Juul settlement: It’s a start

On June 28, 2021, North Carolina Attorney General Josh Stein announced the first settlement of a state lawsuit against Juul for its marketing to youth “to hold JUUL accountable for its instrumental role in sparking the epidemic of youth vaping and its resulting nicotine addiction.”  While the settlement represents a first step, a close readingContinue reading “NC Juul settlement: It’s a start”