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Hands For A Billion Lives Demonstration

On Saturday October 22nd at 2:22pm at the Utah State Capitol and in hundreds of locations world-wide at the exact same time in their time zone, communities joined hands in silent demonstration. Today, we joined hands as a visual demonstration of support for the 1 billion smokers who will die needlessly due to smoking-related disease if our government insists on overregulation and taxation thereby destroying the only hope of stopping over 480,000 deaths in the US.

A new award winning and Oscar nominated documentary “A Billion Lives” tells the history about collusion and corruption between our government, health agencies and big industry set to kill off the vaping industry and seal the fate of 1 billion smokers worldwide. This movie is premiering on November 3rd in Salt Lake City and the community is standing up for the truth that scientists around the world are saying can save lives.

We ask for everyone’s support of the public’s right to accurate and evidence based information on vapor products thereby allowing them to choose a safer alternative for themselves and their loved ones. Please see the short 3 minute video below of our demonstration on the capitol grounds.
Stories from our community:

 

From LM Fisher: Today, my husband Kevin Fisher & I participated in Hands for a Billion Lives here in Utah at the state capitol. We are glad that we went!

I wanted to remember and honor our dear friend Fiamma Palermo, who lost her battle to lung cancer in May this year, 2016. Although going through many months of chemo & radiation, the cancer in her lungs, from 55 years of smoking cigarettes prevailed. Fiamma (aka Karen Lee, aka Sweets) was a positive force in the vaping industry and a big advocate for it. Proof that vaping works, proof that smoking cigarettes kill, even though she had stopped smoking. Proof that vaping can help, as it added much valued time to her life, that was ultimately cut short from her years of smoking.

She cared for each and every one of us who vape, and specially cared to get cigarette smokers transitioned into vaping. Fiamma touched many many of our lives. May you rest in peace dear friend! We are always grateful the our paths crossed!

 

From Michael Gene:

Day 77, admission, and 3 part post.

I wish I could say that day 77 has left me 100% smoke free but it hasn’t. In the last 3 weeks I’ve smoked a total of 5 cigarettes, last one yesterday at work. 56 days straight and then I slipped a bit, but I didn’t fall flat on my face. And, that’s OK, I’ve never professed to be perfect, only human, and extremely motivated when I take on an endeavor of personal change. The only other one greater was changing me in order to give my kids the best life possible as a single father. So, in a way they are one in the same endeavor.

Say what you will about vaping, there’s plenty of jokes about it, but it’s not a fad for me. It’s been the tool that has kept my from lighting up 2305 times since I committed 77 days ago. It could have been 2310 times, but those 5 snuck in there. That’s a 0.21645% failure rate on my part. Or, better yet, a 99.78355% success rate in 77 days for a man that smoked for 31 years. Vaping as the best NRT for me, yeah it is working. You either support me or you don’t, if you don’t, well you don’t put the food on the table or the roof over my kids heads, I do.

Now, I recognize that I left two huge holes in my post so let me sew those up. It’s not a joke to me, it’s not funny, I’m adding potential years back on my life, so go be funny somewhere else if you’re gonna make a stupid joke in reply. And two, for anyone that is going to reply and say something about being addicted to nicotine, well, here’s food for thought. The nicotine I do intake vaping is much, much less harmful for me physically than the food we eat off of store shelves. And, tenfold less harmful than that fast food meal. So, to all the naysayers, educate yourself, and look at your personal habits before you comment, ever again about my vape posts.

To all the NRT vapers out there, this is to you.

Butson out….

 

From Kevin Fisher:

My wife LM Fisher and I spent part of our afternoon in a silent protest at our states capital in Salt Lake City UT to have access to a safer alternative to tobacco products!

The picture below is my Mom and Dad James and Nora Fisher. Both of my parents passed away from smoking related illnesses. It is no secret that I am a vaper and I am very proud to be so. My mom passed away in 2006 and my dad followed in 2008. Both had quick smoking 4 or 5 years before their passing. I honest believe that if they had the choice/freedom to choose a healthier alternative I might of had more time on this earth with them. My dad is retired military (USN) passed away from lung cancer, this was probably the most difficult thing to ever witness in my life…..I am smoke free thanks to vaping, I am almost nicotine free thanks to vaping.

I know if they were still with us today they would be very proud of the demon I have conquered.

fisher

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2nd showing of A Billion Lives

Thanks to the hard work by UTSFA member Riverwalk Vapors, Salt Lake City will have a 2nd showing for A Billion Lives.

The United Nations’ World Health Organization projects that a billion people will die this century from smoking. This award winning and Oscar contending documentary highlights the lies and corruption by top governments and health agencies around the world intent on allowing smokers to die all in the name of money.

Big brother has lied again…They’re trying to force an entire industry out of business that is helping people to stop smoking.    ~ Herman Cain

The truth about the corruption will be aired at 10pm on Thursday November 10th at Brewvies Cinema Pub in Salt Lake City. Smoking related disease kills Utah smokers at a rate of nearly 5 times that of the opioid epidemic and our state is not doing enough to fix the problem.

“The makers of this film did their due diligence, the narrative of this movie is immaculate.”     ~Kevin Crowley

Tickets are $13 each (with an add’l $1 processing fee) and must be purchased online via: https://www.tugg.com/events/a-billion-lives-bukd. The ticket fees cover the cost of the theater rental, fees for distribution (Tugg), production company costs and a percentage of the ticket sales are returned to the Utah Smoke Free Association to support statewide advocacy.

We encourage everyone in the community to reach out directly to their elected representatives to alert them to this premier and suggest they make the time to view it. The UTSFA is happy to provide tickets to them at no cost to them or the taxpayers but they will need to request it directly from us.

We have created a Facebook event to help show support and provide a location for people to discuss the event https://www.facebook.com/events/1365334500152088/

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Casino night advocacy fundraiser

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The Utah Smoke Free Association and the Wyoming chapter of SFATA have teamed up for our 2nd annual Advocacy Casino Night fundraiser to support vaping advocacy. The majority of all proceeds raised will go to support the Right to be Smoke-Free Coalition (www.r2bsmokefree.org) and their legal fund for the FDA lawsuit and 100% of all proceeds will stay in advocacy.

Following Wyoming and Federal laws, this event is open to the public and you must be 18 or older with a valid government issued ID to enter – MUST HAVE CURRENT AND VALID ID TO ENTER, NO EXCEPTIONS

Admission is $10 (cash only) for entry only or $15 (cash only) if you want event entry PLUS the gift bag, casino points, beverage coupon & 5 prize tickets (only 50 gift bags available).

We have Casino Parties of Utah providing gambling fun for all participants from 5-9pm with Blackjack, Craps and Roulette tables. There will be food provided along with soda, beer and malt beverages (21+ strictly enforced) for an additional cost. We are also working on bringing in advocacy experts to talk to everyone about the federal and state battles to help each of you fight back against the unjust regulations.

Please see our Facebook event for full details: https://www.facebook.com/events/562646627270722/

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August 8th 2016

aug8Today marks the last day before the deeming regulations kick in. As of tomorrow, the landscape of the vapor industry as we know it changes dramatically. This is just a snapshot of what this means for our beloved industry:

  • Vapor businesses are being forced to lie to consumers and are not allowed to make any claims through advertising, public statements, or their customers that these products are at least 95% less harmful, have fewer or no additives, has no tar or carbon monoxide when compared to other tobacco products. This ONLY applies to businesses though so for the consumers, keep preaching the truth because you are now the only voice of truth we have.
  • Shops, manufacturers and advocacy organizations are no longer allowed to give away free samples to the consumers; this applies to flavor sampling and giving away free product via rewards (“Buy 2 get 1” IS acceptable however). Customers MUST pay for sampling BEFORE you can sample a new flavor. For our retailers, you will need a SKU set up in you POS where you can record and show evidence of the charge. If you are a consumer, today August 7th, is the last day you can sample without paying so get out there TODAY and support your local vape shops to try as many of the new lines that have been introduced in the last few months.
  • No new products, improvements to existing products or innovations may be introduced to the market. This means:
    • No new liquids that were not previously sold or marketed prior to August 8th can be introduced.
    • Retailers must stop building coils & changing cotton
    • Retailers cannot teach a customer how to assemble their device and use it safely, fill their tanks, drip e-liquid on cotton or offer a repair service.
  • All retailers MUST check your government issued photo ID for EVERY customer who appears under the age of 27 – no exceptions. Even if you are a customer who has frequented the location for years, you must produce your ID for every single transaction if you appear under 27.

We know this is a difficult time for everyone and as of Monday, our retailers and manufacturers will be officially entering into a new time of uncertainty. We ask all consumers to remain patient with the businesses while they work to ensure they meet all the necessary regulations. There is still much work to be done on their side to meet the upcoming further deadlines so please be understanding. We would like to ask all consumers to funnel their frustration towards the federal fight. There are a few things you can do to help:

  1. Visit august8th.org to fill out the form and urge your federal representatives to support HR2058 and the Cole/Bishop Amendment.
  2. Participate in the #WeAreVapor call to action by taking a photo in front of your favorite shop and posting to social media and tagging your federal representatives http://utsmokefree.org/2016/07/vta-consumer/
  3. Support the Right2Be Smoke Free Coalition by donating money to help fund the lawsuit against the FDA https://www.r2bsmokefree.org/donations/fda-contribution/
  4. Every vapor business should be supporting advocacy through joining or financially supporting an organization of your choice who helps fight the local battles. There are national organizations such as SFATA, CASAA, AVA, and VTA who are focused heavily on the national FDA fight and they need & deserve your support too.

We ask all customers to please NOT get angry at your retailer as they must do all this to follow federal laws to avoid stiff penalties. This is NOT the time to give up but you should NOT stay calm. We must work TOGETHER instead of against one another and focus our attention on the preservation of the industry that each one of you fought hard to build. Write your congressman, send in letters to the editor of your local papers, donate money to the cause but do not just sit back expecting advocates to fight the fight. This is a time that our #VapeFam must come together to fight. This is a battle that will take EVERYONE to participate in to help win back the industry that was founded to save lives….#ABillionLives

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Utah Online Sales Prohibition

banned

Despite our best efforts, the state of Utah would rather destroy than protect the health of our adults and children.

As of July 1 2016, a consumer online sales prohibition goes into effect for all e-cigarette and vapor products; e-liquid, hardware, accessories…all of it. This means that no matter the location of the vendor, any business selling to a Utah resident without being physically face to face with the customer will now be illegal. This is devastating news for the over 35,000 consumers statewide. Around half of these consumers have no access to specialty retailers to purchase quality products due to our draconian zoning regulations which forces them to purchase online. We fear that this will drive these non-smokers to return to smoking combustible tobacco and elevating the states smoking rates after historic declines thanks in part to vapor products.

The prohibition is due to language that was added into 2015 HB415 that was not discussed nor debated and was a DELIBERATE bait and switch tactic by Representative Paul Ray. He knew the language was there yet when the bill was presented to the industry,fraud the public, the legislative committees and his peers he chose NOT disclose the true intent.  We find this conduct unbecoming of an elected state representative and is the most unethical action in the 6 years of legislative activity to destroy an industry founded to eradicate combustible tobacco. In the professional world we all live in, this would amount to nothing less than fraud and we would be sued for it.

 

The online ban was Rep. Ray’s method to control the illegal purchasing by underage youth since there is little that can be done to punish them for their illegal behavior. Unfortunately by taking this path, he has done nothing more than to force ADULT consumers outside the Northern, Central and Southern Wasatch Front back to smoking deadly combustible tobacco since the zoning regulations prohibit the opening of qualified vapor specialty retailers. This is bad for the public health and bad for the consumers, their children and loved ones who will once again be forcibly exposed to second hand tobacco smoke.

The UTSFA has been working on resolving this for a few months but we only received news on Wednesday that there was nothing we can do at this time. We are working on other avenues but it will take time and funding to resolve thus there is nothing that can be done about this in the short term.

If you are a consumer in Utah who will be affected by this, we strongly encourage you to reach out to your representatives and senators and ask that they repeal this ban in the upcoming session. Without a voice, your elected representatives do NOT know that you are affected. You can find your elected reps here: http://le.utah.gov/GIS/findDistrict.jsp

If you would like to help the UTSFA fight this unconstitutional ban, you may donate once or as often as you can afford to help us take the steps to keep vaping available for adult consumers statewide.


 

The Utah Smoke Free Association is a registered in the state of Utah and federally recognized as a 501(c)4 non-profit trade association.  Therefore we are not a charitable organization and donations or pledges are not tax deductible as such.

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Is Nicotine Carcinogenic?

Nicotine molecule chemical structure on blackboard. Chemical structure of nicotine from cigarettes written on blackboard by teacher in education of health. Nicotine molecule on green chalkboard.

People smoke for the nicotine but die from the tar” ~Michael Russell

Because of comments made by Representative Paul Ray at this week’s Health & Human Services Committee (starts at about 1hr 33min) where he claimed on public record that nicotine was carcinogenic, we felt it necessary to make sure the public was aware of the real truth rather than his desperate rhetoric he pulls from his bag of tricks.

First off, we want to address the comment regarding nicotine being a carcinogen. According to a study ordered by the Division of Lung Diseases of the National Heart, Lung, and Blood Institute (NHLBI), nicotine is not a significant risk of causing cancer hence all NRTs on the market today are rated as such by the FDA or other health agencies. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2725009/

Nicotine by itself does not cause cancer, but dozens of other chemicals found in tobacco products do“, according to researcher Virginia Reichert, NP; http://www.medpagetoday.com/Pulmonology/LungCancer/2039

 

 

addictionNext, we want to address the addictive nature of nicotine. According to numerous studies performed, it is the cocktail of ingredients and MAOIs in commercial tobacco which make it highly addictive. It is the substance giving the subjective pleasure of smoking. Smokers smoke for the nicotine, but die from the tar and toxic smoke.

In another study on the long-term effects of inhaled nicotine, the study could not find any increase in mortality, in atherosclerosis or frequency of tumors in the subject rats compared with controls. http://www.ncbi.nlm.nih.gov/pubmed/8614291

Since so much credence is given to the FDA and their words of wisdom, the FDA has determined that there are no significant safety concerns with respect to long-term nicotine use. More specifically, the agency published a “Notice of Findings” in the Federal Register indicating that the long-term use of the nicotine-containing products was safe and does not appear to have significant potential for abuse or dependence. While this study was targeting Nicotine Replacement Therapy products, the nicotine used in ENDS is the same quality and source that the pharmaceutical giants use in their products. Therefore, just because the private market is using the liquid nicotine, does not change the carcinogenic nature of it.

https://www.federalregister.gov/articles/2013/04/02/2013-07528/modifications-to-labeling-of-nicotine-replacement-therapy-products-for-over-the-counter-human-use

Another study of Alzheimer’s patients showed that those who used nicotine without A conceptual look at Alzheimers disease, and some of the problems it brings.smoking were better able to remember and pay attention than those who didn’t. Another study showed that nicotine boosted cognitive function in older people who didn’t have Alzheimer’s, but were showing signs of age-related mental decline.

According to Dr. Paul Newhouse, director of Vanderbilt University’s Center for Cognitive Medicine; “nicotine by itself isn’t very addictive at all and seems to require assistance from other substances found in tobacco to get people hookedIt seems very safe even in nonsmokers. In our studies we find it actually reduces blood pressure chronically. And there were no addiction or withdrawal problems, and nobody started smoking cigarettes. The risk of addiction to nicotine alone is virtually nil.”

http://www.tampabay.com/news/health/study-finds-nicotine-safe-helps-in-alzheimers-parkinsons/2175396

We can’t say this loud enough but ask that he and others in public health making any of these claims to actually review ALL research to avoid making public statements that are dangerous to the public you serve. Just one month of continued smoking is more dangerous than a lifetime of ENDS usage.

research

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UTSFA Officer Nominations

The Utah Smoke Free Association is a consumer driven non-profit 501(c)4 trade organization comprised of a consumer governed Board of Directors. All positions are volunteer and shall serve a term of 12-24 months unless the position is resigned. All Officer positions will be nominated by the public and voted on by the UTSFA General Members along with the existing Board of Directors. Officers are not required as part of our By-Laws but add to the leadership and help spread the work out amongst a larger group.

We are currently accepting nominations for 3 positions:

  • President
  • Vice-President
  • Social Media Manager

Nominees must be passionate about the vaping industry and who have a passion for advocating to keep our industry legal and active in the Utah community. The leadership team meets regularly throughout the year to address legislative issues, work to improve the industry image through media and public relations, and work with the industry on compliance.

The time commitment can range from a few hours each week to a few hours each month depending on current activities. You must have skills in building and maintaining relationships but no prior experience is required; just a passion to serve the community which has helped so many people over the last 10 years. Self-nomination is acceptable and encouraged!

All nominations close at midnight on 31 May 2016. The Board of Directors will review all nominations and elections will begin on or about June 3rd.

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First Do No Harm

ignorance

Sometimes I’m amazed at people. Oftentimes it’s for the amazing talents or feats of a particular individual. Unfortunately, mostly it’s due to the amazing ability some people have to ignore fact and never move outside their mind filled with lies and prejudice; even at possible great harm to others. Case in point, read this recent post about the recent groundbreaking study out of the UK (go ahead, I’ll wait).

Now, imagine an individual in a position of influence at the state level. Someone who has the power to create and pass laws at will. Got him pictured? Good. *Note* it’s probably not who you are thinking. Now imagine him sitting behind his computer or smart phone and receiving an email with details of the new study. No embellishment. No commentary. Just actual information directly from the report. Not hard to imagine, right? One would think that someone intelligent enough to get himself elected, go through medical school and be a highly respected member of society would mean they actually take the time to educate himself and has an open enough mind to recognize that science can change and, well, facts are facts. Well…..a man much wiser than I once said “People don’t want to hear the truth because they don’t want their illusions destroyed“.

So with that said, allow me to post some of his response to me and his capitol peers (in red italics) regarding this groundbreaking study he was essentially hand delivered but refused to read prior to responding. If you ask me who it was, I won’t tell you. I’m not the type of person to put an elected leader on blast publicly or hit “Reply to All” and make him appear foolish. That behavior in politics is foolish in it’s own right and simply is not productive. I just want to show my readers his foolishness so hopefully, maybe, he or one of his peers will see this and open their eyes to the truth. [edit – I’ve now received two responses so will try and address both at the same time]

  • I notice that you choose your terms carefully to avoid using the word Nicotine
    • Actually sir, none of the words are mine nor did I carefully choose anything nor avoid using any term. These are the words of the MOST RESPECTED MEDICAL ORGANIZATION IN THE BLOODY WORLD! Look em up. The Royal College of Physicians has over 35,000 doctors in it’s ranks and has been around longer than any and has influenced more groundbreaking health policy than any other.
  • Anyone who uses nicotine for any length of time whether vaping, smoking, chewing, or in patches or gums, will have a prolonged and difficult period of withdrawal if and when they try to break free of it.
    • According to the FDA, you know, those guys out East who YOU want to regulate our industry; well, they claim completely the opposite. The actually published a Notice of Findings in the Federal Register indicating that the “long-term use of the nicotine was safe and does not appear to have significant potential for abuse or dependence.”
    • Big Pharma uses study data from smokeless tobacco use in Sweden (Snus) as their basis for Nicotine Replacement Therapy. They claim, and the FDA supports the fact that “long-term nicotine consumption without smoke has no clinical significance.”
    • Lastly, according to Dr. Paul Newhouse, the director of Vanderbilt University’s Center for Cognitive Medicine (who has done extensive research into beneficial effects of nicotine on the brain); “Nicotine by itself isn’t very addictive at all. Nicotine seems to require assistance from other substances found in tobacco to get people hooked.”
  • Nicotine is the second most addicting substance that we know of (second only to heroin and the opioids).  And it is addicting in whatever form you take it.
    • While I’ll concede that nicotine creates a dependence, not addiction (there is a monumental difference and terminology is important), in those who use it; I bring you back to Dr Newhouse’s research above. His research, and that of virtually every producer of NRT products shows that “It seems very safe even in nonsmokers. In our studies we find it actually reduces blood pressure chronically. And there were no addiction or withdrawal problems, and nobody started smoking cigarettes. The risk of addiction to nicotine alone is virtually nil.”
  • Independent of the form it is taken in has been shown to cause cancers in intestines, lung, pancreas and breast.  It accelerates macular degeneration which causes blindness, and worsens emphysema and raises blood pressure.
    • I’m beginning to see something here now. When you think of vapor products, you must be able to cognitively separate nicotine from smoking. They are two separate subjects here. When nicotine is combine with tobacco smoke, you are 100% correct in that. However, nicotine by itself has never been shown to cause any cancers or the other issues you mention. Never. Ever. In fact, even the FDA, NIH and virtually every cancer center study in the world shows this.
  • Your industry continues to be dependent, as it has for many decades now, on getting yet another generation of the young addicted to nicotine
  • From second responder: We have a whole new group of people working for the tobacco companies that are simply not going to give up the billions of dollars generated from their addicted clients
    • Ahhh even more is clear. For reference, I do not work for nor does this organization receive funding from Big Tobacco. This industry is NOT Big Tobacco. This industry was NOT founded by Big Tobacco. The small business owners have zero financial ties to Big Tobacco. This industry, was founded by a…wait for it…MEDICAL DOCTOR! The over 15,000 small business owners and over 10 million adult consumers in the US are all ex-smokers who have a single goal, to eradicate combustible tobacco and Big Tobacco globally.
    • For a great history lesson (if you are even still reading at this point), here is a fantastic timeline of the industry.

I could continue but this post is already very long and frankly, I have more important things to work on than to respond to rhetoric that is spewed forth by someone who is too narrow minded to open their mind to the fact that science changes. Scientific study after study is proving that a prohibitionist approach is killing people. Claiming that we don’t know enough or there are not enough studies is doing nothing but proving ignorance or incompetence and I honestly have done everything possible to educate you. If your public that you represent along with over 300 scientific studies AND the largest, most respected and most prestigious medical organization in the world cannot convince you; then I wish you all the best in your career and I’ll pray for your patients.

I close by reminding you of an oath you took when you started your profession so very many years ago. Primum non nocere, which for those not speaking Latin is a phrase that means “first, do no harm; one of the core principals of the Hippocratic Oath. An oath YOU had to take in order to get through your prestigious university to get that fancy piece of paper on your office wall. This oath requires that you maintain an open mind and treat patients with the latest information available; not shove your head in the sand (or in other dark places) and ignore the facts.

Doing nothing or ignoring the facts is no different than doing actual harm to those you have pledged to care for. Doing nothing is tantamount to medical malpractice and the 1200 lives you allow to die because of your chosen ignorance is nothing short of genocide. But if you don’t believe in scientific advances don’t worry, it’s only A Billion dirty smokers Lives on the line….Nobody loves them, right?

harm

 

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Society For The Study Of Addiction

ssa

The Society For The Study Of Addiction has released a study titled “A framework for evaluating the public health impact of e-cigarettes and other vaporized nicotine products” which contains the following conclusions:

  • In the US, increasing e-cigarette use has been accompanied by an unusually large reduction in adult and youth smoking prevalence.
  • These products expose users to substantially lower levels of toxicants than combustible cigarettes.
  • A multi-criteria decision analysis estimated that exclusive VNP use is associated with 5% of the mortality risks of smoking. This is comparable to the estimated risks of low-nitrosamine smokeless tobacco.
  • Studies using major biomarkers of cancer and other chemicals in e-cigarettes indicate substantially lower (e.g. 9–450 times) levels compared to cigarette smoke.
  • For dual users, VNP use may translate to a lower quantity and duration of cigarettes smoked. Both may decrease lung cancer and chronic obstructive pulmonary disease (COPD) risk.
  • The potential to reduce risk is likely to depend upon the age of initial dual use. Although much use now begins at later ages, VNP use is likely to occur at earlier ages in more recent cohorts of smokers, and thereby provide a greater reduction in cigarette use and toxic exposures over longer periods of use.
  • Initiating VNP use before cigarette smoking may delay or prevent smoking initiation and thereby reduce smoking risks.
  • The population health impact depends critically upon whether the never smoker who tries VNPs would have smoked cigarettes in the absence of VNPs.
  • Studies of youth and young adult use from the United States and other countries using different use measures have found current smokers to be at least 15 times more likely to use VNPs than never smokers.
  • Adolescents and young adults who use VNPs are most likely to be those at higher risk of initiating cigarette smoking.
  • Young VNP experimenters are more likely to engage in other risky behaviors and have executive function deficits like those found in cigarette smokers. These findings suggest that a common liability model is more plausible than a gateway from VNP use to cigarette smoking.
  • Because VNPs are more widely available and often more appealing to smokers than conventional NRT, they have the potential for having a larger impact on the rate of smoking cessation in the population.
  • Concerns have been raised that cigarette smoking will be re-normalized by VNP use. This issue can be addressed by the media and public health campaigns that encourage norms that are hostile to cigarette smoking and at the same time distinguishing clearly between VNP and cigarette risks, discouraging dual use and encouraging exclusive VNP use.
  • The availability of VNPs may provide a justification for stronger policies to discourage cigarette smoking because smokers, particularly those of lower socio-economic status and with mental health issues, are given a less risky and potentially less costly alternative way to service their need for nicotine.
  • Cigarette companies that have entered the smokeless tobacco market have encouraged dual rather than exclusive use, and are likely to do the same with VNPs. By contrast, VNP companies that are unaffiliated with cigarette manufacturers want smokers to switch completely from cigarettes to VNPs.
  • Product content regulations that create regulatory hurdles that only large firms can surmount are likely to favor the cigarette industry and discourage innovation by firms outside the cigarette industry.
  • Cigarette companies do not control VNPs as they do the rest of the tobacco business; many manufacturers of e-cigarettes such as NJOY do not sell cigarettes, and there are thousands of vape shops that are independent of the cigarette industry
  • Retailer point-of-sale restrictions, which limit subsidies by cigarette manufacturers to provide shelf space and price promotions, can reduce price discounting and discourage advertisement displays. This could provide greater shelf space for VNP products to be sold by independent firms.
  • From a public health perspective, VNP policies should aim to discourage experimental and regular use of VNPs by never smokers who would not have smoked otherwise while encouraging innovations in VNP products that promote smoking cessation. The evidence suggests a strong potential for VNP use to improve population health by reducing or displacing cigarette use in countries where cigarette prevalence is high and smokers are interested in quitting.
  • The primary aim of tobacco control policy should therefore be to discourage cigarette use while providing the means for smokers to more easily quit smoking, even if that means switching for some time to VNPs rather than quitting all nicotine use.

The use of vaporized nicotine products (VNPs), especially e-cigarettes and, to a lesser extent, pressurized aerosol nicotine products and heat-not-burn tobacco products, are being adopted increasingly as an alternative to smoking combusted products, primarily cigarettes. Considerable controversy has accompanied their marketing and use. We propose a framework that describes and incorporates patterns of VNP and combustible cigarette use in determining the total amount of toxic exposure effects on population health. We begin by considering toxicity and the outcomes relevant to population health. We then present the framework and define different measures of VNP use; namely, trial and long-term use for exclusive cigarette smokers, exclusive VNP and dual (cigarette and VNP) use. Using a systems thinking framework and decision theory we considered potential pathways for current, former and never users of VNPs. We then consider the evidence to date and the probable impacts of VNP use on public health, the potential effects of different policy approaches and the possible influence of the tobacco industry on VNP and cigarette use.

– Content courtesy of No More Casualties and the Society For The Study Of Addiction

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Nicotine without smoke


rcp-report

Today the Royal College of Physicians, the world’s oldest and most respected medical organization, has released a new 200 page report titled “Nicotine without smoke: Tobacco Harm Reduction” which concludes, among other things:

  • Smokers can be reassured and ENCOURAGED to use e-cigs, and the public can be reassured that e-cig are MUCH SAFER than smoking.
  • E-cigs are NOT a gateway to smoking.
  • E-cigs do NOT result in normalization of smoking.
  • Regulation should NOT be allowed to significantly inhibit the development and use of harm-reduction products by smokers.
  • E-cigs appear to be EFFECTIVE when used by smokers as an aid to QUITTING SMOKING.
  • E-cigs are marketed as consumer products and are proving MUCH MORE POPULAR than NRT as a substitute and COMPETITOR for tobacco cigarettes.
  • The hazard to health arising from long-term vapor inhalation is UNLIKELY TO EXCEED 5 PERCENT of the harm from smoking tobacco.
  • Evidence indicates that e-cigs are being used almost exclusively as SAFER ALTERNATIVES to smoked tobacco, by confirmed smokers who are trying to REDUCE HARM to themselves OR OTHERS from smoking, or to quit smoking completely.
  • In the interests of public health it is important to PROMOTE THE USE of e-cigs, NRT and other non-tobacco nicotine products as WIDELY as possible as a SUBSTITUTE for smoking in the UK.

This report aims to provide a fresh update on the use of harm reduction in tobacco smoking, in relation to all non-tobacco nicotine products but particularly e-cigarettes. It concludes that, for all the potential risks involved, harm reduction has huge potential to prevent death and disability from tobacco use, and to hasten our progress to a tobacco-free society.

A copy of the report can be downloaded here: Nicotine without smoke

Should you wish to discuss the report, the Utah Smoke Free Association is happy to discuss the findings at a time of your choosing. For any questions or concerns about any of the specific findings, we encourage you to reach out directly to the Royal College of Physicians or the UK Centre for Tobacco & Alcohol Studies  which is funded by the UK Clinical Research Collaboration who were the authors of the report.

We encourage all readers of this to forward this information to your legislators, mayors, city councils and health departments for their review and education.

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