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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 Addictionby
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.
“House file for bills not passed” is one of the most exciting things we as advocates can hope to see on a bill during a legislative session – at least when the bill it references targets the industry we love so much. This was seen THREE times during this session!
The legislative session has ended and we have been victorious at beating back the Tobacco21 movement for this year in addition to TWO attempts at taxation. This was no small undertaking and took tremendous footwork by not only our organization and our lobbyists but all in the vaping community. It’s no secret that this year was our most intense battle yet with old lies being renewed and new lies being created. We had to go toe to toe with a new high school organization that had their targets set on the industry. While there were high points and low points in this year’s battle, in the end we managed to once again protect over 25,000 consumers, 75 business owners and close to 900 industry employees.
I want to talk about Rep Paul Ray for just a moment. There are some who feel that we don’t go after him enough in a more direct fashion; especially for his use of children as pawns to get his legislation passed. While we do agree that using children as pawns is poor behavior for any politician, we will not directly attack him for it regardless of how many kids get bussed into the capitol. We’ve worked the Utah political scene long enough to know that when you back someone with a personal agenda (some would argue vendetta) into a corner and force them into a defensive posture, it makes them angrier and more prone to combative behavior; which during a legislative session is VERY dangerous and akin to lighting a powder keg. Actions like this can have severe consequences on the outcome and we are not willing to risk the longevity of the industry for “personal satisfaction”; at least not during an active session. To us, having the “stones” means knowing the most appropriate times to use them and when not to.
Politics is not a short game. It is a long strategic game of chess that takes weeks…months. This legislative session, we worked MANY angles behind the scenes to ensure a win which most generally do not see and you’ll rarely hear us talk about. We not only have our lobbyists we work extremely closely with during the session but other allies and supporters we don’t discuss in public as it would damage our strategy. In all this year, we worked closely with 3 other lobbyists, 4 national organizations and a few inside ‘spies’ in the capitol who were in our corner fighting for us. These are relationships that took years to develop and ones that would not have occurred if we always took an attack posture with anyone that tries to pass legislation against our industry. Good politics is not about winning or losing, it’s about finding the most suitable middle ground that all parties can live with.
On to the best part – gratitude. First off, we can’t say “thanks” enough to our lobbyists Andrew & Charlie. These guys put up with LOTS of flack from the legislators because of decisions we make and directions we take; sometimes that change on a whim. Every action we take on our side, angers some at the capitol and these guys bear almost 100% of the criticism and do it with the utmost professionalism and calm attitude. They are in our corner fighting 365 days of the year and are constantly working to improve our industry’s image to the elected leaders. Without these guys up there, this summary would be a very different one this year. They earn every penny of their fees and without solid membership in the organization, we couldn’t fight the bills in the way needed to ensure victory.
Next, we want to thank everyone who took the time to attend the various hearings this year, send emails and make phone calls. Not only did quite a few within the vaping community show up to be seen and heard, but we had our business owners. LOTS of business owners. In fact, we had more business owners participate in the session this year than any year prior. Most of the businesses closed for half the day during the HB333 hearing so all their employees could participate (a first!). We had great testimony this year from not only the UTSFA but from SFATA and VaporLoc owner Brad Parsons who brought one of his many books containing personal success stories from his customers. I (Aaron) personally would also like to thank our President Tad Jensen for agreeing to testify while I was down with the flu during the final days of the session. Testifying in front of a committee on a critical bill is never easy and he accepted the challenge with the utmost desire to protect our entire community.
We want to thank Paul Blair with Americans for Tax Reform and Jeff Stier with the National Center for Public Policy. Jeff took precious time out of his ski vacation in Park City to spend with us at the Capitol helping us convey our message of #ABillionLives and #IVapeIVote. Paul happened to be in town fighting another bill and took the time out of those discussions to help us on HB333 specifically. Lastly, we made new connections with Americans for Prosperity who agreed with us that taxation on the industry is bad and used their resources to help in the fight as well. These groups all believed in our position so much, we didn’t have to spend extra funds to hire external lobbying resources as we had planned for.
We had CASAA working hard to keep our Utah CASAA members and those around the globe informed of our fight. Fist bumps and hugs to Alex and Julie for spending time during what ended up being a heavy travel period for their organization to keep the CTAs updated and accurate. We worked closely with Libertas Utah who support our industry goals and worked hard on their side to keep these bills from gaining added support.
We also had more media attention from around the world on the bills from outlets we never would have thought of. It’s apparent that the fight for vaping is catching the attention of journalists around the world and they all appear to be awakened at the dishonesty of taxing ex-smokers.
So with that, thank you. Thanks to every vaper in Utah and around the world. Thanks to every business owner who fought to save your business. Thanks to our advocacy friends from around the country who believe in the Utah community enough to help fend off the attacks. Thanks to our elected leaders at the capitol such as Senator Mark Madsen and Senator Jim Dabakis who saw through the lies and smoke and continue to support our efforts. And thanks to each of you for continuing to have trust in the Utah Smoke Free Association to keep vaping legal and available to the adults in the state.by
My fellow Utah vapers. Everyone is certainly aware of the struggles with regulation we have been through over the last 5 years in Utah. Frankly put, we’ve been put through hell and back but we’ve survived. The 2016 legislative session is right around the corner and we’ll once again be facing another big fight – taxation. Taxation of our industry is gaining steam around the country and it’s critically important that we are aligned and ready to battle. We as an industry will not accept ANY taxation beyond the current sales tax we are paying. Sin taxes were created for the purpose of behavior control for habits that the nanny’s felt were bad for our health (cigarettes and alcohol specifically here). What has become apparent in the recent 18 months, taxing our industry has nothing to do about health or “protecting the children”. Many of our elected leaders have gone on record that they want the money to fill gaps in the state budgets; both in Utah and in many other states.
What they and the supporters of taxation do not realize is that by taxing these products, it will force EVERY small business owner to close due to the inability to compete in the market. After all, why would a consumer pay $50 for a bottle of liquid when they can get the exact same product for half that cost online. I wouldn’t pay it nor would anyone else. This proposed taxation, risks forcing over 600 of our Utah brothers and sisters out of work. When this happens, the industry loses AND the state loses. They lose all expected tax money they hoped to gain. They lose property and employment tax. They lose sales tax. And worse, they commit public health malpractice by keeping smokers smoking and possibly forcing vapers back to smoking due to the unavailability of products.
We need EVERY vaping business owner to get involved now. We plan to fight this hard and fast but we cannot do that without membership. We have plans to get the best people in the country involved in this fight but the fight is not free. Ask yourself, what will you as a business owner do if taxation forces you out of business in the next 6-8 months. There is only one way to fight this and that is by joining forces and fighting together. If we lose this battle and you’ve done nothing to support it, there will be only one person to blame.
We have several membership options available which are outlined on our membership page here http://utsmokefree.org/directory/professional/. Join the 24 existing members of the Utah Smoke Free Association who have already committed to the fight financially to save the industry. Every unsigned vapor business should join today so we can continue to fight for the rights of the industry and so you can demonstrate your commitment to remain in business in 2016 and continue the good work you do in helping Utah’s smokers make a positive change in their lives.
Either contact a member of the Board of Directors today or click the Join button below to register your intent to join.by