Using e-cigarettes (vaping) has been promoted as a much safer alternative to smoking cigarettes. However, a new head-to-head comparison of actual disease in e-cigarette users compared to cigarette smokers published in Public Health Reports shows that this assertion is wrong. This new analysis of 124 studies on the association of e-cigarette use with disease outcomesContinue reading “E-cigarettes are nearly as risky as cigarettes; dual use is worse: The evidence continues to pile up”
Tag Archives: health
What the BAT chief scientist had to say about causality half a century ago
E-cigarette advocates, global warming deniers and social media companies continue to sidestep the implications of research showing dangers of their products by, among other things, retreating behind the high walls of claims that the evidence is not “causal.” To put these claims in context, it is worth re-reading the last couple paragraphs from our bookContinue reading “What the BAT chief scientist had to say about causality half a century ago”
Spinola et al support Brazil’s e-cigarette ban while defending implementation criticism
Shortly before the 11th WHO Framework Convention On Tobacco Control Conference of the Parties in November 2025, Vitoria Borges Spinola, Lucas Porto Santos, Hamilton Roschel, Bruno Gualano, and Megan E. Roberts published “Weak enforcement of Brazil’s E-cigarette ban and the expansion of a dangerous illicit market” in The Lancet Regional Health – Americas arguing thatContinue reading “Spinola et al support Brazil’s e-cigarette ban while defending implementation criticism”
FDA broke the law when it did not allow TPSAC to vote on whether to allow PMI to make modified risk claims for ZYN
The FDA held a meeting of its Tobacco Products Scientific Advisory Committee (TPSAC) on January 22, 2026 to discuss Swedish Match’s application to make the modified risk tobacco product (MRTP) claim for its ZYN flavored nicotine pouches “Using ZYN instead of cigarettes puts you at a lower risk of mouth cancer, heart disease, lung cancer,Continue reading “FDA broke the law when it did not allow TPSAC to vote on whether to allow PMI to make modified risk claims for ZYN”
The gateway has two doors in England, too
With some notable exceptions. e-cigarettes have been embraced by British tobacco control advocates and public health authorities more enthusiastically than anywhere else in the world, including authorities at Action on Smoking and Health (ASH) and University College London (UCL). Now, Emily Banks, Andrew Bush, Charlotta Pisinger, and Sam Egger have published Signs of increased smokingContinue reading “The gateway has two doors in England, too”
FDA should not authorize marketing ZYN nicotine pouches as having lower risk because the claim is likely to be misinterpreted to mean ZYN has been approved by FDA for cessation and consumers do not understand that they need to switch completely to get the purported benefits
My colleagues at UCSF and Stanford have submitted this public comment to FDA opposing its approval of Swedish Match (owned by Philip Morris International) claim that ZYN is less dangerous because it will be misunderstood as saying FDA endorsed ZYN (PDF). The TPSAC tracking number is mk4-kxvh-7j9n and the general docket tracking number is mk5-q1p5-yauhContinue reading “FDA should not authorize marketing ZYN nicotine pouches as having lower risk because the claim is likely to be misinterpreted to mean ZYN has been approved by FDA for cessation and consumers do not understand that they need to switch completely to get the purported benefits”
FDA should not authorize marketing flavored ZYN nicotine pouches as modified risk products because Swedish Match failed to provide evidence specific to ZYN demonstrating that they will benefit the health of the population, including youth
My colleagues at UCSF and Stanford have submitted this public comment to FDA opposing its approval of Swedish Match (owned by Philip Morris International) claim that ZYN is less dangerous (PDF). The TPSAC tracking number is mk4-k6rg-rvku and the general docket tracking number is mk5-q1p5-yauh on Regulations.gov. Here is the comment: FDA’s should not authorizeContinue reading “FDA should not authorize marketing flavored ZYN nicotine pouches as modified risk products because Swedish Match failed to provide evidence specific to ZYN demonstrating that they will benefit the health of the population, including youth”
New paper by Hajek group presents misleading incomplete results about dual use when using e-cigs as cessation aid
One concern about giving smokers e-cigarettes as a smoking cessation aid is that doing so instantly converts them into dual users (smoking both cigarettes and e-cigarettes), which adds the risks of e-cigarette use to cigarette use. Peter Hajek’s group just published Patterns of e-Cigarette Use and Smoking Cessation Outcomes: Secondary Analysis of a Large RandomisedContinue reading “New paper by Hajek group presents misleading incomplete results about dual use when using e-cigs as cessation aid”
National Academy of Medicine calls out CDC for misrepresenting NAM position on vaccines and autism
This blog focuses on tobacco and cannabis and public health, so I have refrained from commenting on broader public health issues. But, I am making an exception to disseminate the National Academy of Medicine’s statement pointing of that the CDC’s November 12, 2025 update to its webpage on autism misrepresented NAM’s position on vaccines andContinue reading “National Academy of Medicine calls out CDC for misrepresenting NAM position on vaccines and autism”
Plain language summary of meta-analysis of ecigs and disease available
Last year we published “Population-Based Disease Odds for E-Cigarettes and Dual Use versus Cigarettes” that showed that some disease risks of e-cigarettes are indistinguishable from cigarettes and for others they on only slightly lower. This paper continues to attract interest, so I prepared a one page plain language summary, together with some frequently asked questions.Continue reading “Plain language summary of meta-analysis of ecigs and disease available”
Stanton Glantz blog 