Vaping exploding among New Zealand youth

Like their British cousins, most public health authorities in New Zealand have embraced e-cigarettes for harm reduction. In contrast to heavily regulated cigarettes (no advertising, plain packaging, graphic warning labels, no power walls, strong smokefree laws), e-cigs were introduced to New Zealand in around 2017 without any regulations on marketing and advertising no controls onContinue reading “Vaping exploding among New Zealand youth”

47 countries have banned e-cigarettes

As tobacco industry interests ramp up pressure on the WHO Framework Convention on Tobacco Control Conference of the Parties to embrace e-cigarettes and the industry’s harm reduction marketing frame, it is important to keep in mind that many countries have rejected e-cigarettes and other ENDS completely. Here is a list that Clear the Air HongContinue reading “47 countries have banned e-cigarettes”

E-cig inventor Hon Lik is still smoking

Popular lore is that Chinese pharmacist Hon Lik invented e-cigarettes in 2003 to help people quit smoking. The Times of London reported that it didn’t work for him. Instead of “switching completely” he is a dual user, vaping and smoking at the same time. Hon Lik’s experience is what you would expect from the strongContinue reading “E-cig inventor Hon Lik is still smoking”

New meta-analysis confirms that e-cigs do not help smokers quit in the real world

Linnea Hedman and colleagues in Sweden just published a new meta-analysis of the relationship between e-cigarette use and smoking cessation, Electronic cigarette use and smoking cessation in cohort studies and randomized trials: A systematic review and meta-analysis. Like our earlier meta-analysis, did separate analyses of population-based observational studies and randomized trials of e-cigarettes provided asContinue reading “New meta-analysis confirms that e-cigs do not help smokers quit in the real world”

World Heart Federation highlights cardiovascular risks of e-cigs, calls for strict regulation, supports countries with bans

On October 18, 2021 the World Heart Federation released a policy brief “E-cigarettes: A new threat to cardiovascular health,” (press release) that provides an overview of the evidence that e-cigarette use has a wide range of adverse effects on the cardiovascular system that are reflected as an increased risk of heart attack at a populationContinue reading “World Heart Federation highlights cardiovascular risks of e-cigs, calls for strict regulation, supports countries with bans”

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”