Vapers Digest 8th September

Wednesday’s News at a glance:

Top Tobacco Researchers: It’s Time to Re-Think Anti-Vape Policies ~ Will FDA harm health, destroy businesses, and protect the cigarette industry through regulatory overkill? A preview. ~ Lithuania flavour ban – TRIS notification ~ POINT: e-Cigarette Use for Harm Reduction in Tobacco Use Disorder? Yes ~ CHEST journal point and counterpoint – E-cigarette use for harm reduction in tobacco use disorder: Yes/No? ~ E-cigarette helps to quit smoking ~ Time to look beyond tobacco cessation; here’s how ~ E-cigarettes and Clotting ~ Fight For 600 Million ~ The Promise and Peril of Synthetic Nicotine as a PMTA Loophole ~ FDA nears day of reckoning on e-cigarettes ~ Setting the record straight on heated tobacco products ~ Vapers ask BIR to check tax payment of anti-vape lobby money

Top Tobacco Researchers: It’s Time to Re-Think Anti-Vape Policies

, Inside Sources

The American Journal of Public Health (AJPH) published an article last month titled “Balancing Consideration of the Risks and Benefits of E-Cigarettes.” With 40 or 50 articles/research papers published every week on tobacco harm reduction, it is not surprising to see another commentary on e-cigarettes.

However, this particular piece was co-authored by 15 past presidents of the Society for Research on Nicotine and Tobacco (SRNT), a prime academic global organization involved with nicotine and tobacco evidence-based research.  With the credibility of the SRNT, this article could be a game-changer, especially in the United States.

Will FDA harm health, destroy businesses, and protect the cigarette industry

through regulatory overkill? A preview.

Clive Bates, The Counterfactual

This blog gives my take on how to think about the FDA’s decisions (some taken, some forthcoming) on approving or denying thousands of “pre-market tobacco applications” (PMTAs) to allow vaping products to remain on the US market.  FDA must make decisions no later than 9th September 2021, following legal action brought against the agency. FDA’s Director of the Center for Tobacco Products, Mitchel Zeller, provides the background in a February 2021 blog.

There’s a lot to be written on this, but I will settle for 16 observations and questions that will shape my take on FDA’s announcements.

POINT: e-Cigarette Use for Harm Reduction in Tobacco Use Disorder? Yes

Clive D. Bates MA MSc, Chest Journal

The case for e-cigarettes for harm reduction is straightforward. Almost all the harm caused by tobacco use arises from inhaling the products of combustion (smoke) of dried cured tobacco leaf.

 e-Cigarettes use electricity to heat a liquid to form an inhalable nicotine-bearing aerosol. There is no combustion involved; therefore, there are no products of combustion to inhale. This means the main harmful agents in tobacco smoke are either not present at detectable levels or are present at much lower concentrations than in cigarette smoke. A smoker who switches completely to e-cigarette use (“vaping”) is therefore exposed to much lower levels of the toxicants that are the main causes of smoking-related disease.

CHEST journal point and counterpoint – E-cigarette use for harm reduction in tobacco use disorder: Yes/No?

Clive Bates, The Counterfactual

The September 2021 edition of CHEST, the respiratory journal, features a point/counterpoint debate on the value of e-cigarettes for tobacco harm reduction.  I am making the case in favour (the Point) and Dr Hasmeena Kathuria (Boston University) and Dr Frank T. Leone (University of Pennsylvania) are making the case against (the Counterpoint).  We each provide a shorter rebuttal to the arguments made by the other.  We also recorded a 30-minute podcast to air these arguments face-to-face.  Recognising the broader interest in the subject, CHEST has kindly made this content open access so far.

E-cigarette helps to quit smoking

Scitech Report

New scientific paper weighs in on balancing between electronic cigarette as an effective cessation tool and risk to youth potentially taking up vaping.

While vaping has been proven to be immensely effective in helping smokers quit, the fear of a younger non-smoking population taking up vaping is preventing the public health community to acknowledge the important role vape can play.

Time to look beyond tobacco cessation; here’s how

Dr. Kiran Melkote, Business Today IN

Tobacco cessation is a noble goal without question. But will it ever be achieved in the face of government ownership of tobacco companies, increasing tobacco farming, misguided laws and foreign lobby groups pushing narrow agendas?

It is also worth questioning how change in the tobacco-use landscape can become a reality in India when there is a ban on Electronic Nicotine Delivery Systems (ENDS) which are now the most popular means to quit smoking worldwide, even as most of the other cessation methods advocated by the government, such as counselling and nicotine gums, have either failed due to poor rollout or are out of the reach of the common man?


TWO from Dave Cross, Planet Of The Vapes

E-cigarettes and Clotting

Experts have reacted to reports of an unpublished conference presentation on nicotine e-cigarettes and clotting. The presentation, “Electronic cigarettes containing nicotine increase thrombotic activity and impair microcirculation” took the form of a PowerPoint show with a pre-recorded audio narration on Monday 6 September at the European Respiratory Congress (ERS) International Congress. The ERS has repeatedly promoted flawed science to advocate for an overly cautious approach to vaping.

Fight For 600 Million

“September marks the start of the secret season which sadly sees supposed ‘tobacco control experts’ playing up to their puppet masters and denying Asia Pacific’s 600 million smokers’ access to safer nicotine products,” says Nancy Loucas, Executive Coordinator of the Coalition of Asia Pacific Tobacco Harm Reduction Advocates (CAPHRA).

The Promise and Peril of Synthetic Nicotine as a PMTA Loophole

Jim McDonald, Vaping 360

Seven anti-vaping organizations, led by the Campaign for Tobacco-Free Kids, have demanded that the FDA immediately regulate synthetic nicotine as a drug. The tobacco control organizations say synthetic nicotine will be used as a loophole by small vaping companies shut out of the flavored e-liquid market. The demand came in a Sept. 2 letter to FDA Acting Commissioner Janet Woodcock.

FDA nears day of reckoning on e-cigarettes

Katherine Ellen Foley, Politico

The Food and Drug Administration is nearing a pivotal deadline for deciding the fate of every e-cigarette on the market — and potentially reshaping the vaping industry.

The agency is reviewing millions of applications from e-cigarette makers, and must decide by Sept. 9 whether their products are “appropriate for the protection of public health”: safe for current smokers and not appealing to non-smokers. FDA has already blocked the sale of 55,000 flavored vape products from three companies that did not meet the standard.

Setting the record straight on heated tobacco products 

Guy Bentley, Reason Foundation

Most Americans have never heard of, let alone seen or used, a heated tobacco product (HTP). As the name implies, HTPs heat rather than burn tobacco when producing the vapor users inhale.

Avoiding combustion means heated tobacco products substantially reduce the user’s exposure to harmful and potentially harmful chemicals found in traditional cigarettes.

On this Day…2017

A look back at how things have moved on or otherwise…

Scientists Slam US Surgeon General

James Dunworth

The report also outraged a group of scientists and anti-smoking campaigners, Professor Polosa of the University of Catania, Dr Russell from the Centre for Substance Use Research, Dr Nitzkin, Chair of the Tobacco Control Task Force of the American Association of Public Health Physicians, and Professor Konstantinos, research fellow at the Onassis Cardiac Surgery Center in Athens, Greece.

Fixating on Adolescent Vaping 

Could Be Deadly for Adult Smokers – Jacob Sullum

The first surgeon general’s report on e-cigarettes, published last December, could have highlighted the enormous harm-reducing potential of products that simulate smoking but do not contain tobacco or burn anything. Instead Surgeon General Vivek Murthy sounded the alarm about adolescent vaping, which he called “a major public health concern.” A critique of Murthy’s report, published online yesterday by Harm Reduction Journal, shows how dangerously misguided his concerns were.

Will we ever get the truth

Behind the FDA’s devastating vaping rule? – Guy Bentley

Getting information out of government agencies is like pulling teeth at the best of times, but more often than not it can feel like an unending struggle against willful obstructionism marinated with incompetence.

That’s certainly been the experience of Jeff Stier, a senior fellow at the National Center for Public Policy Research.

Vapers ask BIR to check tax payment of anti-vape lobby money

Manila Bulletin

Vape consumers are demanding full accounting of the millions of dollars of lobby money received by local non-government organizations (NGOs) pushing for a ban on vaping and asked the Bureau of Internal Revenue (BIR) to do a lifestyle check on the people behind them to see if they are paying the right taxes.

“These people are lobbying to ban the only scientifically proven less harmful alternative to cigarettes. Makes you really think. Are they really promoting public health or simply in it for the funds?” Anton Israel, president of Nicotine Consumers Union of the Philippines said.

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