How e-cigarettes compromise children’s human rights

The new paper “How e-cigarettes compromise children’s human rights” by Tom Gatehouse and colleagues provides more evidence to inform e-cigarette policy making by reminding the delegates to the FCTC Conference of the Parties next week that they need to prioritize protecting kids over any “harm reduction” benefits for adults that the tobacco industry claims forContinue reading “How e-cigarettes compromise children’s human rights”

E-cigarettes increase harm to smokers, so should not be promoted as a harm reduction strategy (in 10 slides)

The tobacco industry has used claims of reduced harm to sell its products since the 1950s with its efforts to promote “safe cigarettes.” “Harm reduction” claims have been central to marketing of e-cigarettes since they were commercialized in 2003.  The tobacco industry and its allies continue to use claims of reduced harm to argue againstContinue reading “E-cigarettes increase harm to smokers, so should not be promoted as a harm reduction strategy (in 10 slides)”

International Pediatric Association publishes position paper concluding that “e-cigarettes are not an effective harm reduction strategy for adults and pose a serious risk to nicotine naïve youth”

On October 10, 2025, the International Pediatric Association (IPA) published a landmark position paper, “E-Cigarettes and the Nicotine Epidemic: Statement From the International Pediatric Association,” in Pediatrics, the international peer-reviewed journal published by the American Academy of Pediatrics. The paper concluded, “In contrast to early hopes and assumptions, e-cigarettes are not an effective harm reductionContinue reading “International Pediatric Association publishes position paper concluding that “e-cigarettes are not an effective harm reduction strategy for adults and pose a serious risk to nicotine naïve youth””

FDA’s product standard setting a maximum level of nicotine should be expanded to all tobacco products including e-cigs and nicotine pouches

My colleagues at UCSF and Stanford and I have submitted this public comment to the FDA on its prposed nicotine standard urging that the standard be extended to all tobacco products (PDF). The regulations.gov Comment Tracking Number: mfj-v5cz-15yf. The scope of FDA’s proposed tobacco product standard setting a maximum level of nicotine in tobacco productsContinue reading “FDA’s product standard setting a maximum level of nicotine should be expanded to all tobacco products including e-cigs and nicotine pouches”

FDA setting a maximum level of nicotine in tobacco products without exceptions for HTP and waterpipe will improve health

My colleagues at UCSF and Stanford and I have submitted this public comment to the FDA supporting a product standard limiting nicotine in tobacco products and opposing exceptions for heated tobacco products and waterpipe (PDF). The Comment Tracking Number in regulations.gov is mfj-vc5x-sbgb .FDA’s proposed tobacco product standard setting a maximum level of nicotine inContinue reading “FDA setting a maximum level of nicotine in tobacco products without exceptions for HTP and waterpipe will improve health”

Our public comment supporting creation of Calif Unflavored Tobacco List with some suggestions for improvements

I previously suggested people provide public comments supporting the California Attorney General’s procedures to create an Unflavored Tobacco Products List to facilitate implementation and enforcement of California’s flavored tobacco product ban and indicated our preliminary ideas. You can read all 24 comments that were submitted here. All support continuing the survey; about half the commentsContinue reading “Our public comment supporting creation of Calif Unflavored Tobacco List with some suggestions for improvements”

Support CDC plan to reinstate NYTS by Aug 15 deadline to submit supportive public comments

In April 2025, the Trump Administration pulled the plug on the National Youth Tobacco Survey in the middle of collecting the 2025 sample, essentially blinding the federal government and the public from important detailed information on youth tobacco use. Now, they are proposing to reinstate it. If implemented properly, this is an important decision. ItContinue reading “Support CDC plan to reinstate NYTS by Aug 15 deadline to submit supportive public comments”

FDA ignores current science to give Juul a pass

Not surprisingly, on July 17, 2025, FDA authorized the sale of Juul tobacco and menthol e-cigarettes.  I wish I could say that I am “not surprised” because during the 2024 campaign President Trump announced that he would “save vaping,” but, on reading FDA’s scientific justification (the Technical Product Lead report [TPL]), I found that theContinue reading “FDA ignores current science to give Juul a pass”

Three year study finds that fourth-generation e-cigarettes like Juul associated with continued smoking and vaping

Most studies of the association between e-cigarette use and smoking and nicotine cessation have been conducted with the earlier generation e-cigarettes, which do not deliver nicotine as effectively as the fourth generation e-cigarettes pioneered by Juul. (These e-cigarettes use protonated nicotine [also called nicotine salts] to increase nicotine delivery to the user.) Our meta-analysis ofContinue reading “Three year study finds that fourth-generation e-cigarettes like Juul associated with continued smoking and vaping”

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”