Today (April 16, 2024) the FDA released a new web page on The Relative Risks of Tobacco Products that irresponsibly promotes e-cigarettes as a lower risk alternative to cigarettes. This recommendation is based on the 2018 National Academy of Sciences, Engineering and Medicine report on e-cigarettes that concluded that e-cigarettes reduce exposure to some toxicContinue reading “Why is the FDA still pushing e-cigs as lower risk based on ancient evidence?”
Category Archives: FDA
FDA needs to reconsider its promotion of the “continuum of risk” for e-cigarettes
As of February 22, 2024, the FDA was continuing to embrace the idea that there is a “continuum of risk” with combusted tobacco as the riskiest and e-cigarettes being substantially less risky. As a result, FDA promotes e-cigarettes as a way for smokers to reduce risk. This view is based on the fact that e-cigarettesContinue reading “FDA needs to reconsider its promotion of the “continuum of risk” for e-cigarettes”
E-cigs have similar risks to cigs for some diseases and nearly as high for others. Dual use riskier than smoking alone
It is an article of faith among e-cigarette advocates that they are substantially less risky than cigarettes. Rather than being based on the actual associations between e-cigarette use and disease, this belief is based on the fact that e-cigarettes do not burn tobacco, so avoid the toxic combustion products that cigarettes produce. In recent years,Continue reading “E-cigs have similar risks to cigs for some diseases and nearly as high for others. Dual use riskier than smoking alone”
Banning menthol leads a quarter of menthol smokers to quit
The two justifications for the FDA’s proposed product standard prohibiting menthol cigarettes and cigars are (1) it will reduce youth initiation, and (2) it will help menthol smokers to quit. Now Sarah Mills and colleagues have published a review and meta-analysis of the effects of menthol bans around the world, The Impact of Menthol CigaretteContinue reading “Banning menthol leads a quarter of menthol smokers to quit”
Replacing 50% of cigs with ecigs or HTP had no lung benefit
E-cigarette advocates and tobacco harm reduction advocates, as well as the FDA, have long promoted a 50% reduction in cigarette smoking as a positive outcome when assessing the value of e-cigarettes (recent example). The FDA’s use of this benchmark is particularly surprising because in 2021 FDA scientists published a meta-analysis of the effects of smokers reducingContinue reading “Replacing 50% of cigs with ecigs or HTP had no lung benefit”
More evidence that ecigs cause lung disease in youth like cigs; dual use is worse
Richa Mukerjee and colleagues’ new paper, “ENDS, cigarettes, and respiratory illness: Longitudinal associations among US youth,” adds strong evidence to the conclusion that e-cigarettes cause lung disease (bronchitis, pneumonia, or chronic cough) among young people (age 12-17). They used 6 years of longitudinal data (where you follow the same people forward in time) to measureContinue reading “More evidence that ecigs cause lung disease in youth like cigs; dual use is worse”
WHO issues important call to action on ecigs
The World Health Organization has released a call to action and supporting technical note that provides detailed guidance for countries on how to battle the e-cigarette epidemic. The WHO both supports countries who have prohibited the import and sale of e-cigarettes and provides detailed evidence-based guidance for those who allow sale of e-cigarettes. The Biden WhiteContinue reading “WHO issues important call to action on ecigs”
Biden follows Obama and Trump by caving to industry pressure to delay menthol ban
Last week the Biden White House announced it was delaying a decision on the FDA’s well-reasoned product standards that would end the use of menthol in cigarettes and cigars, sparking outrage from leaders in the African American community: The White House is ignoring the real human cost of delay. Based on the Biden FDA’s analysis, everyContinue reading “Biden follows Obama and Trump by caving to industry pressure to delay menthol ban”
E-cigs associated with increased heart attacks; dual use is worse
Muhammad Talal Ashraf and his colleagues recently published “Association between e‑cigarette use and myocardial infarction: a systematic review and meta‑analysis” that pools the results of epidemiological studies and found that overall e-cigarette users are more likely to have had heart attacks than nonusers (odds ratio [OR] 1.44; 95% CI 1.22-1.74). They also found that dualContinue reading “E-cigs associated with increased heart attacks; dual use is worse”
Synthetic cooling agents make e-cigarettes more attractive and easier to inhale
Sales of “ice” e-cigarettes have been increasing rapidly, with US sales growing by more than 10 times from 2017 to 2021. In 2023 57.9% of US youth used ice e-cigarettes, often combined with other flavors (such as strawberry ice, frosted mint or tobacco ice). Ice e-cigarettes are being marketed around the world. The cooling effectContinue reading “Synthetic cooling agents make e-cigarettes more attractive and easier to inhale”
Stanton Glantz blog 