JUUL, iQOS and E-Cigarettes

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Orlylicious
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JUUL, iQOS and E-Cigarettes

#1

Post by Orlylicious » Tue Sep 10, 2019 11:26 pm

We were happy smokers for many years, most of my entertainment friends smoked too. Then Green Smoke came out, it was a cigarette-shaped battery with a screw on Marlboro flavored (or other) cartridge. The change was incredible on respiration and all the things tobacco and the additives did. It really helped stop using tobacco cigarettes. Then one of the tobacco companies bought them, and closed it down. That's when we found JUUL. My Dad went from cigars to Green Smoke and they still have the cigar flavor at other vendors; he has stents but the Yale and VA doctors have had no problem with it. I'm literally down to a few tobacco cigarettes a week because of JUUL (I like the Mango and Mint) and it's a lot cheaper and easier.

It seems people are vaping marijuana products (that's been around with their own vapers for a while, not sure how they are using them in a JUUL) and that's a leading cause of the problem. My point is that while we should do everything possible to prevent kids from using them, banning them for adults will drive people back to tobacco cigarettes which does much more damage (to health, air ducts, furniture, fire hazards, etc). Of course best is not doing any nicotine product, but in these stressful days it's not easy to do. I hope we don't see blanket bans when some players like JUUL are making efforts like not selling flavors in stores and changing up marketing.

Philip Morris has its own coming out soon and is FDA approved:

FDA clears iQOS, Philip Morris International's device that ...
https://www.cnbc.com/2019/04/30/fda-cle ... bacco.html
The FDA just cleared a new tobacco product. Here’s what it is
PUBLISHED TUE, APR 30 2019 4:12 PM EDT UPDATED TUE, APR 30 2019 4:33 PM EDT
Angelica LaVito @ANGELICALAVITO

KEY POINTS
The FDA cleared iQOS, Philip Morris International’s device to heat tobacco.
Altria will sell iQOS in the U.S., with plans to introduce it in Atlanta this summer.

Philip Morris International won authorization from the Food and Drug Administration to sell iQOS, a device that heats tobacco rather than burning it, in the U.S.

Here’s what you need to know.

What are heat-not-burn tobacco products?
As the name suggests, the device heats tobacco but doesn’t burn it. Igniting tobacco causes it to undergo a chemical process that emits toxins in cigarettes.

Unlike e-cigarettes, which use nicotine-laced liquid, heat-not-burn products use real tobacco. Tobacco sticks are warmed to a temperature that’s high enough to release an aerosol but not hot enough to cause combustion. This process may significantly reduce risk compared with smoking while satisfying users’ nicotine cravings.

Philip Morris has already launched iQOS in more than 40 markets around the world. Rivals British American Tobacco and Japan Tobacco also sell heat-not-burn products internationally.
***
Is iQOS safe?
PMI says iQOS is not risk-free, rather it’s less risky than conventional cigarettes.

The company stresses quitting smoking is the best way to reduce risk and that iQOS is meant for adult smokers who want to continue using tobacco, not kids or non-smokers. PMI has found exclusively using iQOS significantly lowers users’ risk of harm than if they were to continue smoking cigarettes.

″...[T]hrough the FDA’s scientific evaluation of the company’s applications, peer-reviewed published literature and other sources, the agency found that the aerosol produced by the IQOS Tobacco Heating System contains fewer toxic chemicals than cigarette smoke, and many of the toxins identified are present at lower levels than in cigarette smoke,” the FDA said in a statement.

Still, public health groups aren’t sold. American Lung Association CEO Harold Wimmer in a statement said the organization is “deeply concerned about the health impacts of this new product.”

The FDA is still reviewing PMI’s application that if approved would allow it to market iQOS as being safer than cigarettes.

When might I see iQOS on shelves?
Altria plans to start selling iQOS in Atlanta this summer. There, Altria will open an iQOS store and numerous mobile stores. Heatsticks, Marlboro-branded tobacco sticks that are used with the iQOS device, will be available in about 500 retail stores, including Circle K, Murphy USA, QuikTrip, RaceTrac, Speedway and other retailers, Altria said.

The company will take the insights from Atlanta and scale iQOS “quickly and efficiently,” CEO Howard Willard said in a statement.
Of course there need to be regulations, there are lots of companies making knock off pods for JUUL... Juul Pods | Vapor4Life is a huge distributor of nic salt pods: https://www.vapor4life.com › vape-pods › juul-pods

Press release from the FDA:
FDA warns JUUL Labs for marketing unauthorized modified risk tobacco products, including in outreach to youth
Agency sends additional letter requesting more information on several issues, including outreach and marketing practices, as part of ongoing

For Immediate Release: September 09, 2019

Today, the U.S. Food and Drug Administration issued a warning letter to JUUL Labs Inc. for marketing unauthorized modified risk tobacco products by engaging in labeling, advertising, and/or other activities directed to consumers, including a presentation given to youth at a school. The agency also sent a letter to the company expressing concern, and requesting more information, about several issues raised in a recent Congressional hearing regarding JUUL’s outreach and marketing practices, including those targeted at students, tribes, health insurers and employers. These letters are the latest in a series of actions the agency has taken as part of its continued commitment to providing strong oversight of e-cigarettes and other electronic nicotine delivery systems (ENDS) and the latest development in the FDA’s ongoing investigation related to JUUL.

“Regardless of where products like e-cigarettes fall on the continuum of tobacco product risk, the law is clear that, before marketing tobacco products for reduced risk, companies must demonstrate with scientific evidence that their specific product does in fact pose less risk or is less harmful. JUUL has ignored the law, and very concerningly, has made some of these statements in school to our nation’s youth,” said Acting FDA Commissioner Ned Sharpless, M.D. “In addition, we’re troubled about several issues related to JUUL’s outreach and marketing practices that came to light in a recent Congressional hearing. We will continue to scrutinize tobacco product marketing and take action as appropriate to ensure that the public is not misled into believing a certain product has been proven less risky or less harmful. We remain committed to using all available tools to ensure that e-cigarettes and other tobacco products aren’t being marketed or sold to kids. We’ve also put the industry on notice: If the disturbing rise in youth e-cigarette use continues, especially through the use of flavors that appeal to kids, we’ll take even more aggressive action.”

As stated in the warning letter, the FDA has determined that JUUL has marketed its products as modified risk tobacco products without an appropriate FDA order in effect. JUUL’s labeling, advertising, and/or other activities directed to consumers represent, or would be reasonably expected to result in consumers believing, that the products 1) present a lower risk of tobacco-related disease or are less harmful than one or more other commercially marketed tobacco products; 2) contain a reduced level of a substance or present a reduced exposure to a substance; and/or 3) do not contain or are free of a substance or substances.

The warning letter identifies several statements, including statements discussed in testimony from a July 2019 Congressional hearing on JUUL. According to that testimony, a JUUL representative speaking with students at his presentation in a school stated that:

JUUL “was much safer than cigarettes” and that “FDA would approve it any day.”
JUUL was “totally safe.”
A student “…should mention JUUL to his [nicotine-addicted] friend…because that’s a safer alternative than smoking cigarettes, and it would be better for the kid to use.”
“FDA was about to come out and say it [JUUL] was 99% safer than cigarettes…and that…would happen very soon….”
Additionally, a “Letter from the CEO” that appeared on JUUL’s website, and also in an email that JUUL sent to a parent in response to her complaint that the company sold JUUL products to her child, states: “[JUUL’s] simple and convenient system incorporates temperature regulation to heat nicotine liquid and deliver smokers the satisfaction that they want without the combustion and the harm associated with it.”

The FDA has requested that JUUL provide a written response within 15 working days describing its corrective actions and its plan for maintaining compliance with the Federal Food, Drug, and Cosmetic Act (FD&C Act), including its plan to prevent the same or similar violations. Failure to ensure compliance with FD&C Act may result in the FDA initiating further action, including, but not limited to, civil money penalties, seizure, and/or injunction.

Further, the agency sent an additional letter to JUUL that notes that despite commitments JUUL has made to address this epidemic, JUUL products continue to represent a significant proportion of the overall use of ENDS products by children. Some of this youth use appears to have been a direct result of JUUL’s product design and promotional activities and outreach efforts.

The letter outlines several additional issues of concern, including statements and representations made as part of JUUL’s “Make the Switch” campaign and JUUL’s “Switching Program” presentation to the Cheyenne River Sioux Tribe, such as:

“‘[JUUL is] a smart, really well thought-out alternative to smoking.’ Make the switch.”
“I think [JUUL is] an amazing invention…I don’t know how we lived without that. The alternative for adult smokers.”
“Elimination of combustible cigarettes is crucial to reduce risk of harm”
“Improve the lives of the world’s one billion adult smokers”
The agency is concerned these statements and representations may convey that switching to JUUL is a safer alternative to cigarettes, in that using JUUL products poses less risk or is less harmful than cigarettes. The FDA is requesting documents and information about these practices, including any and all scientific evidence or data, such as consumer perception studies, related to whether these statements and representations explicitly or implicitly convey that JUUL products pose less risk, are less harmful, present reduced exposure, are safer than other tobacco products or that the products are smoking cessation products.

The FDA is also asking JUUL to explain why it uses nicotine salts, which was described at the Congressional hearing as masking the harshness of nicotine. The agency further asks JUUL why it uses a nicotine concentration of 5% in its products, which the agency is concerned could potentially increase their addictiveness. The FDA is requesting documents and information on, among other things, JUUL’s use of nicotine salts in its e-liquids and the concentration of nicotine in its products.

The FDA has requested that JUUL provide the requested documents and information to the agency within 30 days of the date of the letter.

The agency previously requested documents from JUUL Labs in April 2018 to examine the reportedly high rates of youth use and the youth appeal of JUUL products. The FDA has also conducted an unannounced inspection of JUUL’s corporate headquarters. Additionally, the agency has conducted inspections of several of JUUL’s contract manufacturing facilities to determine compliance with all applicable FDA laws and regulatory requirements.

As part of the agency’s Youth Tobacco Prevention Plan, the FDA continues work on all fronts to tackle the troubling epidemic of youth e-cigarette use through all available regulatory tools. This includes taking action against manufacturers and retailers who illegally market or sell these products to minors, investigating counterfeit e-cigarette products, educating youth about the dangers of e-cigarettes, and implementing the policies necessary to keep them out of the hands of America’s kids.

Separately, the FDA continues to work closely with the U.S. Centers for Disease Control and Prevention and state and local public health partners to investigate the recent respiratory illnesses associated with vaping as quickly as possible and the agency is committed to taking appropriate actions as the facts emerge.

The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nation’s food supply, cosmetics, dietary supplements, products that give off electronic radiation, and for regulating tobacco products.

###
https://www.fda.gov/news-events/press-a ... each-youth

Meanwhile in Congress:
Vaping-related disease spurs calls for tighter rules in Congress
By SARAH OWERMOHLE and RACHEL ROUBEIN 09/10/2019 08:14 PM EDT

Lawmakers are seizing on the outbreak of a vaping-related illness to push for more aggressive regulation of the young but fast-growing e-cigarette industry. Democrats and increasing numbers of Republicans want age restrictions, flavor bans, and marketing crackdowns. They want the FDA to move faster to investigate and regulate e-cigarettes, touted by the industry as a way to reduce harm from traditional cigarette smoking but which has also led to what the FDA calls an “epidemic” of youth vaping of nicotine.

Health authorities haven’t fully untangled what’s causing the respiratory disease, which has potentially affected more than 450 and killed six. Public health officials across 33 states have linked many of the cases to vaped forms of marijuana and its component CBD — both of which are in legal but in regulatory limbo. Counterfeit or black market nicotine vapes may also have a role — and legal vapes haven’t been totally ruled out, but they aren’t dominating the public health investigation into the illness.

Yet anti-tobacco lawmakers and children’s health advocates are using the moment to demand more regulation of e-cigarettes, including industry powerhouse Juul. They want to go further than Senate Majority Leader Mitch McConnell’s bill, which would raise the age for buying all tobacco to 21. And they want consistent national standards, not a state-by-state patchwork as some areas of the country plow ahead on flavor bans.

McConnell, who is pushing the bill alongside Virginia Democrat Tim Kaine, hasn’t spoken about his bill in public in months, and his office Tuesday referred to his earlier statements about doing “everything we can to keep these harmful products out of high schools and out of youth culture." The McConnell-Kaine bill is part of a broader health care cost bill, including drug prices and “surprise” medical bills, that’s passed the Senate HELP committee but does not appear likely to come to the floor quickly.

Senate Finance ranking member Ron Wyden (D-Ore.) also proposed just last week that the committee advance legislation to tax e-cigarettes at the same rate as traditional cigarettes to remove the “on-ramp” for kids, he told POLITICO. Many Republicans are still lined up with McConnell, wanting to raise the purchase age but leaving the rest to states and the FDA. Some, like Indiana Sen. Todd Young, who has sponsored legislation to raise the legal age to 21, say they’re open to tougher measures. Sen. Mitt Romney of Utah, urged the FDA to pull e-cigarette products off the market.

In the House, Rep. Donna Shalala (D-Fla.) is in talks with Republicans about her broader bill with House Energy and Commerce Chairman Frank Pallone (D-N.J.). The legislation, which she believes will get a markup soon, would raise the tobacco purchasing age to 21, ban flavors and restrict advertising. And while there are 33 co-sponsors on the bill, just one — New York’s Pete King — is a Republican. But that was before the lung disease emerged, and Shalala now says, “We’ll get Republican votes on it.” “What we need to do is keep the focus on kids. [That’s how] we win the debate nationally with the American people,” she added.

Longtime vaping critic Sen. Dick Durbin (D-Ill.) has called on FDA acting Commissioner Ned Sharpless to act on the e-cigarette industry right now — or resign. Durbin has another meeting with Sharpless this week, he told POLITICO, just a few days after the FDA warned Juul against marketing its products as much safer than tobacco. "As of last week, they'd done nothing,” Durbin said of the FDA. “As of this week, they've done something at least confronting Juul with its health claims, which should have been done long ago.”

An Energy and Commerce subcommittee will hold a hearing this Sept. 25 on the vaping-related illness and e-cigarette regulation. Pallone and Oversight and Investigations subcommittee chair Rep. Diana DeGette (D-Colo.) said in a statement that they “are greatly concerned that e-cigarette products continue to be disseminated and used while consumers lack information” on their health impact.

The FDA released a statement late Tuesday saying it’s doing everything it can to get to the bottom of the illness, and protect young people. “We’re committed to taking appropriate actions as the facts emerge and keeping the public informed as we have more information to share,” it said. Cigarette smoking remains a leading cause of death and disease in the United States, and no tobacco product should be considered safe to use,” it added. Meanwhile, lawmakers on both sides of the aisle are questioning whether the FDA should step up regulation of the e-cigarette industry, where no products have gone through federal review yet. A federal court order this summer moved the FDA deadline to May 2020, but in the meantime, hundreds of vapes remain on the market in regulatory limbo.

The efforts to address teen vaping has bipartisan appeal in a Congress fiercely divided over health policy. Many lawmakers say the unregulated landscape of e-cigarettes — and scarce research on vaping’s purported benefits over smoking — is fueling a public health epidemic with no end in sight. “This has to be dealt with,” said Rep. Jan Schakowsky (D-Ill.), who represents the state with the first reported vaping-related death. “I would like to see these e-cigarettes absolutely banned, but part of the problem is, we know so little about what's actually in it.”

Critics argue that these bills would not touch what increasingly appears to be a key culprit in the outbreak: marijuana vapes, including THC-based products that give people a ‘high’ and recently legalized hemp-derived CBD, which has boomed in popularity and is in a regulatory void as FDA races to draw up regulations. Marijuana is still a touchy subject on the Hill, and legislation rescheduling pot — which would allow for more research and potentially let FDA set some regulatory ground rules — is less likely to head to President Donald Trump’s desk than broader tobacco bills. Many Democratic lawmakers are also hesitant to narrow in on marijuana vapes when the broader e-cigarette industry has been in their sights for months now.

Longtime proponents of marijuana legalization point to the current outbreak as an example of why federal action is needed. "We can’t continue to keep our heads in the sand on the federal level while this is happening at the state level,” said Sen. Cory Gardner (R-Colo). “This is all an argument for why we need to legalize and regulate. We need to have standards. We need to make sure people know what's going on,” said Rep. Earl Blumenauer (D-Ore.), a longtime proponent of marijuana legalization.

Several Democrats, including DeGette and Michigan Rep. Rashida Tlaib, drew parallels between the vaping industry’s strategies and cigarette companies’ moves when they were put under the spotlight in the 1990s. Tlaib pointed to Michigan Gov. Gretchen Whitmer’s recent order to temporarily ban e-cigarette flavors as evidence the federal government should take a stronger stance. “I think there’s been new momentum because parents are now starting to see this, that their children are targeted by these companies and their flavors,” she said. She compared e-cigarette makers responses’ to criticism — that they are helping smokers switch off more dangerous tobacco products — to “gaslighting.”
https://www.politico.com/story/2019/09/ ... es-1722637

Anybody doing that in a school should be fired, no question. But adults have rights too and hopefully there will be a compromise. This is going to stir a lot of passion, next congressional hearings are end of the month and JUUL is working on responses to the FDA's inquiries. Yes to regulation, yes to advertising restrictions, but bans are taking the rights of adults away and pushing back to tobacco cigarettes, which everyone I know who uses them is really happy with the results (gums and patches didn't work at all, and a common side effect of Chantix is brain seizures!). So it's a balance.
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Re: JUUL, iQOS and E-Cigarettes

#2

Post by Orlylicious » Wed Sep 11, 2019 2:39 pm

Timing was pretty good on this topic, we will see... I wonder what authority they'd use to ban flavored JUUL pods. They do NOTHING about guns, but Mango pods they're jumping on.

If all guns are good, it's the people who fire them, what's the difference with JUUL pods? They don't vape themselves 8-) And it's going to be the same reaction, there's going to be a huge run on these pods and they'll start bringing them in from overseas... same idea as when "Obama is going to take your guns away". Timing is terrible, they could have worked with JUUL instead of just dropping this news.

Lots of Twitter comments.

Mango.JPG













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Re: JUUL, iQOS and E-Cigarettes

#3

Post by Sterngard Friegen » Wed Sep 11, 2019 3:26 pm

Vape related illnesses? How about deaths.

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Re: JUUL, iQOS and E-Cigarettes

#4

Post by Orlylicious » Wed Sep 11, 2019 4:10 pm

Compared to the 480K tobacco deaths per year, what is it now, 6 with vaping? And it's not the authorized vapes, what they're finding is that people are vaping THC, apparently they use a Vitamin E substance that is causing big problems. Only speaking for myself and my friends, we like having an alternative to tobacco cigarettes. If it's back to tobacco flavor, OK, but the hysteria is over the top to us. On the other hand, the alt right is catching on that doing this opens the door to banning other products like G-U-N-S.
480,000
Cigarette smoking is responsible for more than 480,000 deaths per year in the United States, including more than 41,000 deaths resulting from secondhand smoke exposure. This is about one in five deaths annually, or 1,300 deaths every day. On average, smokers die 10 years earlier than nonsmokers.Nov 28, 2018
Fast Facts | Fact Sheets | Smoking & Tobacco Use | CDC
https://www.cdc.gov › tobacco › data_statistics › fact_sheets › fast_facts


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Re: JUUL, iQOS and E-Cigarettes

#5

Post by Somerset » Wed Sep 11, 2019 5:27 pm

Orlylicious wrote:
Wed Sep 11, 2019 4:10 pm
Compared to the 480K tobacco deaths per year, what is it now, 6 with vaping? And it's not the authorized vapes, what they're finding is that people are vaping THC, apparently they use a Vitamin E substance that is causing big problems. Only speaking for myself and my friends, we like having an alternative to tobacco cigarettes.
But all you've done is exchange one dangerous habit for another.

How many new smokers has vaping created?

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Re: JUUL, iQOS and E-Cigarettes

#6

Post by tek » Wed Sep 11, 2019 5:37 pm

in Massachusetts:
On September 11, 2019, Commissioner Bharel declared possible cases of unexplained e-cigarette or vaping-associated pulmonary disease reportable to the Massachusetts Department of Public Health pursuant to 105 CMR 300.150.
https://www.mass.gov/clinical-advisory/ ... -pulmonary
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Re: JUUL, iQOS and E-Cigarettes

#7

Post by sad-cafe » Wed Sep 11, 2019 6:25 pm

6 years cigarette free thanks to vaping.

50 bucks a month verses 75$ + a week for cigs and while it is still nicotine, I have gone from 36 nicotine strength to 3 in 6 years. I feel in one more year I won't be vaping at all.


I smoked for over 25 years so yea-I am proud of this.

My former son-in-law smoked 3 packs of cigs a day and has been cig free for 8 years now thanks to vaping

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Re: JUUL, iQOS and E-Cigarettes

#8

Post by Orlylicious » Wed Sep 11, 2019 6:28 pm

Yay for you sad-cafe! That's been our experience too, less and less smoking of anything. With JUUL hardly ever even want a tobacco cigarette, it's miraculous, also smoked for many years. Proud of you!!! :bighug:

Somerset, I hear you and agree, young people should not be using these products. But adults should be able to choose. Seems bizarre that in San Francisco you can smoke marijuana, but not a JUUL. For us, vaping has been much better -- even our doctors at Cleveland Clinic agreed because there are so many more chemicals in combustible cigarettes. Haven't tried the iQOS yet but open to it.

Tek, that report is helpful; it seems like people having these problems are vaping THC, not JUUL pods.
All patients reported vaping in the weeks and months prior to hospital admission. Many have acknowledged recent use of tetrahydrocannabinol (THC)-containing products; however, no specific product has been identified in all cases, nor has any product been conclusively linked to this clinical syndrome. Some cases have reported using only nicotine-containing products. Evaluation for infectious etiologies has been negative among nearly all patients.
Now schools are installing a $1000 per unit product, tax dollars at work.




UK government press release:
Press release

E-cigarettes around 95% less harmful than tobacco estimates landmark review
Expert independent review concludes that e-cigarettes have potential to help smokers quit.


Published 19 August 2015
From: Public Health England
e-cigarettes
An expert independent evidence review published today by Public Health England (PHE) concludes that e-cigarettes are significantly less harmful to health than tobacco and have the potential to help smokers quit smoking.

Key findings of the review include:

the current best estimate is that e-cigarettes are around 95% less harmful than smoking
nearly half the population (44.8%) don’t realise e-cigarettes are much less harmful than smoking
there is no evidence so far that e-cigarettes are acting as a route into smoking for children or non-smokers
The review, commissioned by PHE and led by Professor Ann McNeill (King’s College London) and Professor Peter Hajek (Queen Mary University of London), suggests that e-cigarettes may be contributing to falling smoking rates among adults and young people. Following the review PHE has published a paper on the implications of the evidence for policy and practice.

The comprehensive review of the evidence finds that almost all of the 2.6 million adults using e-cigarettes in Great Britain are current or ex-smokers, most of whom are using the devices to help them quit smoking or to prevent them going back to cigarettes. It also provides reassurance that very few adults and young people who have never smoked are becoming regular e-cigarette users (less than 1% in each group).

However, the review raises concerns that increasing numbers of people think e-cigarettes are equally or more harmful than smoking (22.1% in 2015, up from 8.1% in 2013: ASH Smokefree GB survey) or don’t know (22.7% in 2015, ASH Smokefree GB survey).

Despite this trend all current evidence finds that e-cigarettes carry a fraction of the risk of smoking.

Emerging evidence suggests some of the highest successful quit rates are now seen among smokers who use an e-cigarette and also receive additional support from their local stop smoking services.

Professor Kevin Fenton, Director of Health and Wellbeing at Public Health England said:

Smoking remains England’s number one killer and the best thing a smoker can do is to quit completely, now and forever.

E-cigarettes are not completely risk free but when compared to smoking, evidence shows they carry just a fraction of the harm. The problem is people increasingly think they are at least as harmful and this may be keeping millions of smokers from quitting. Local stop smoking services should look to support e-cigarette users in their journey to quitting completely.

Professor Ann McNeill, King’s College London and independent author of the review, said:

There is no evidence that e-cigarettes are undermining England’s falling smoking rates. Instead the evidence consistently finds that e-cigarettes are another tool for stopping smoking and in my view smokers should try vaping and vapers should stop smoking entirely.

E-cigarettes could be a game changer in public health in particular by reducing the enormous health inequalities caused by smoking.

Professor Peter Hajek, Queen Mary University London and independent author of the review said:

My reading of the evidence is that smokers who switch to vaping remove almost all the risks smoking poses to their health. Smokers differ in their needs and I would advise them not to give up on e-cigarettes if they do not like the first one they try. It may take some experimentation with different products and e-liquids to find the right one.

Professor Linda Bauld, Cancer Research UK’s expert in cancer prevention, said:

Fears that e-cigarettes have made smoking seem normal again or even led to people taking up tobacco smoking are not so far being realised based on the evidence assessed by this important independent review. In fact, the overall evidence points to e-cigarettes actually helping people to give up smoking tobacco.

Free Stop Smoking Services remain the most effective way for people to quit but we recognise the potential benefits for e-cigarettes in helping large numbers of people move away from tobacco.

Cancer Research UK is funding more research to deal with the unanswered questions around these products including the longer-term impact.

Lisa Surtees, acting director at Fresh Smoke Free North East, the first region where all local stop smoking services are actively promoted as e-cigarette friendly, said:

Despite making great strides to reduce smoking, tobacco is still our biggest killer. Our region has always kept an open mind towards using electronic cigarettes as we can see the massive potential health benefits from switching.

All of our local NHS Stop Smoking Services now proactively welcome anyone who wants to use these devices as part of their quit attempt and increase their chance of success.

Background
PHE’s remit letter for 2014 to 2015 requested an update of the evidence around e-cigarettes. PHE commissioned Professors Ann McNeill and Peter Hajek to review the available evidence. The review builds on previous evidence summaries published by PHE in 2014.

The full list of authors of the report are:

McNeill A, Brose LS, Calder R, Hitchman SC: Institute of Psychiatry, Psychology & Neuroscience, National Addiction Centre, King’s College London and UK Centre for Tobacco & Alcohol Studies

Hajek P, McRobbie H (Chapters 9 and 10): Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry Queen Mary, University of London and UK Centre for Tobacco & Alcohol Studies

Implications of the evidence for policy and practice: Based on the findings of the evidence review PHE advises that:

e-cigarettes have the potential to help smokers quit smoking, and the evidence indicates they carry a fraction of the risk of smoking cigarettes but are not risk free

e-cigarettes potentially offer a wide reach, low-cost intervention to reduce smoking in more deprived groups in society where smoking is elevated, and we want to see this potential fully realised

there is an opportunity for e-cigarettes to help tackle the high smoking rates among people with mental health problems, particularly in the context of creating smokefree mental health units

the potential of e-cigarettes to help improve public health depends on the extent to which they can act as a route out of smoking for the country’s eight million tobacco users, without providing a route into smoking for children and non-smokers. Appropriate and proportionate regulation is essential if this goal is to be achieved

local stop smoking services provide smokers with the best chance of quitting successfully and we want to see them engaging actively with smokers who want to quit with the help of e-cigarettes

we want to see all health and social care professionals providing accurate advice on the relative risks of smoking and e-cigarette use, and providing effective referral routes into stop smoking services

the best thing smokers can do for their health is to quit smoking completely and to quit for good. PHE is committed to ensure that smokers have a range of evidence-based, effective tools to help them to quit. We encourage smokers who want to use e-cigarettes as an aid to quit smoking to seek the support of local stop smoking services

given the potential benefits as quitting aids, PHE looks forward to the arrival on the market of a choice of medicinally regulated products that can be made available to smokers by the NHS on prescription. This will provide assurance on the safety, quality and effectiveness to consumers who want to use these products as quitting aids

the latest evidence will be considered in the development of the next Tobacco Control Plan for England with a view to maximising the potential of e-cigarettes as a route out of smoking and minimising the risk of their acting as a route into smoking

From October this year it will be an offence to sell e-cigarettes to anyone under the age of 18 or to buy e-cigarettes for them. The government is consulting on a comprehensive array of regulations under the European Tobacco Products Directive.
https://www.gov.uk/government/news/e-ci ... ark-review

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Re: JUUL, iQOS and E-Cigarettes

#9

Post by Lunaluz » Wed Sep 11, 2019 6:38 pm

I used to be a heavy smoker and my health was suffering, I can' tell you how many times I tried and failed to quit. I heard about e-cigarettes and tried them, then I learned about vaping. I have never picked up another cigarette since. My lung function has improved greatly, I don't stink, my house does not stink, my car is cleaner. You can step down the nicotine with vaping, I also ditched the other 99 crazy chemicals in cigarettes by vaping. There is not enough research about vaping, kids should not be doing this in the first place. What I have observed with younger vapers is, they inhale the vape as much as they can and exhale to show off a huge cloud of vape. That is unhealthy and risky, vapes were not meant to be used in that way. I don't vape THC or partake in that at all, Boeing takes a dim view on pot use of any kind, not worth my job to mess with that.
Some of what I have read is that some people are using vape liquid that is sold on the street as many of them can't buy it legally, black market vape liquids would be very risky. I am very careful about what I buy, I would never buy black market vape liquid. I have been vaping since 2010 and I enjoy it and I have stepped down the nicotine. I literally think vaping has improved my health rather than continue to smoke cigarettes. People won't want to give up their vapes and end up back on cigarettes, so I think the black market vape liquid market will expand and more people will be put at risk for poisoning and death if it is banned. I know a lot of people won't agree with me, but there are a lot that will.

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Re: JUUL, iQOS and E-Cigarettes

#10

Post by Orlylicious » Wed Sep 11, 2019 6:54 pm

:like: Congratulations Luna! Totally agree with you. Until I found the Green Smoke cigar flavor for my Dad, he simply wouldn't give them up... but with the e-cigarette, he's almost totally off them and gets the same satisfaction.
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Re: JUUL, iQOS and E-Cigarettes

#11

Post by Lani » Thu Sep 12, 2019 2:54 am

I've been following e cigs for a few years while I had an office next door to the anti-drug person. She hated medical marijuana (until she had some pain relief from CBD oil). She hated e-cigs, as cold turkey was the only way to go (or fail, as she did).

The Brits welcomed them, finding great health benefits (over cigs), and blasted the US for making them unacceptable and declaring them as bad as cigarettes. On thing about universal healthcare - you find out much faster what is helpful and what is dangerous.

The UK isn't having the problems that the US is with them. I suspect that is due to different ingredients. So far, the only thing in common in the products used by the people who became sick was that an oil was involved - thc, cbd, or vitamin E acetate.
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Re: JUUL, iQOS and E-Cigarettes

#12

Post by tek » Thu Sep 12, 2019 5:20 am

Orlylicious wrote:
Wed Sep 11, 2019 6:28 pm


Now schools are installing a $1000 per unit product, tax dollars at work.




same as it ever was ;)
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Re: JUUL, iQOS and E-Cigarettes

#13

Post by Slim Cognito » Thu Sep 12, 2019 8:47 am

I never smoked, but did get a medical MJ card last year. I usually do oil under the tongue at bedtime with a CBD salve during the day but my MJ doctor suggested (several months ago, before this news broke) I try vaping for acute pain so I bought one. I've never bogarted it, just one hit and off to bed. And not every night, maybe 3-4 nights a week. It's a THC pen. It took me forever to get the hang of it, especially since I'd never smoked, but I finally reached the point where I could take a drag and not cough for the next 60 seconds. Aaaaand now I'm afraid of it. I'm glad I didn't stock up. The one I have now, probably close to empty, is my last. I hate giving up the quick relief it provided, but when I recently had my labs taken, my CO2 was up slightly. The doc said not enough to be concerned, just one point over high-normal, but those results came at the same time the news about the deaths was breaking. Of course, that was before the news broke, as well, so I wasn't able to address it directly.


I need to find out more details about what exactly killed those people. Is the product inherently dangerous, or was it used in a dangerous way?
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Re: JUUL, iQOS and E-Cigarettes

#14

Post by Somerset » Thu Sep 12, 2019 12:11 pm

tek wrote:
Thu Sep 12, 2019 5:20 am



same as it ever was ;)
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Re: JUUL, iQOS and E-Cigarettes

#15

Post by Slim Cognito » Thu Sep 12, 2019 1:03 pm

My son is a former navy corpsman who works at the VA in Phx. I'd asked him for advice about my own THC vape pen and he sent me this link.

https://www.rollingstone.com/culture/cu ... DImEygV6I4

I don't know if it applies to all of the deaths and injuries, but it sounds like (some of) the problem may lie with black market vape pens, at least in the case of THC.

This revelation is vindicating for those like the admin behind DankbustersOfficial, an Instagram account warning cannabis users against purchasing black-market THC cartridges. The admin, who asked to remain anonymous, tells Rolling Stone that while bootleg THC cartridges have been widely prevalent since cartridges were introduced to the market a little more than a decade ago, they’ve become much more common as the market has exploded in recent years, with vendors advertising counterfeit and bootleg products on Snapchat and Instagram. “People have been told by their connects that this stuff is clean and safe, so I have to rewrite an entire narrative in their minds,” the admin says. Some of the products from brands like Mario Carts are wholly unregulated and sold by black-market dealers who buy empty packaging, then fill the pens themselves and sell them for cheap.


According to photos Gerking provided to Rolling Stone, one of the cartridges involved in the reports was labeled West Coast Carts, a brand popular on Instagram. Another, Dank Vapes, is a black market brand of ambiguous origins, according to a recent investigation from the website Inverse. Neither business appears to be registered with the manufactured cannabis safety branch of the California Department of Public Health. Further, Dank Vapes has been determined to contain various pesticides, according to lab testing conducted by the cannabis testing app Doja. Requests for comment sent to a Hotmail account on the “official” West Coast Brands’ Instagram went unreturned, as did a request sent to one of the many accounts purporting to be the “official” Dank Vapes on Instagram.

Other common culprits are counterfeit versions of dispensary brands, such as Bulletproof Vapes, with dealers purchasing fake dispensary product testing stickers as a way of making them look more legitimate. Either way, some common contaminants, according to the lab tests DankbustersOfficial has conducted alongside third-party cannabis testing company BelLabs, include pesticides like myclobutanil, a fungicide that, when vaporized, converts into hydrogen cyanide, a substance that is extremely toxic when inhaled and was used as a chemical weapon by the French army during World War I. There are also concerns that “heavy metals, such as lead, from the cartridge and its heating coils may also contaminate the products,” says Bonnie Goldstein, the medical director for Canna-Centers Wellness & Education and a medical advisor for the cannabis brand database Weedmaps. The DankBusters Official admin says he’s even seen a house fly inside a counterfeit Smart Cart before.


Lab testing of Pirzada’s patient’s cartridge revealed that it tested positive for not just THC, but also vitamin E. If inhaled, oils like Vitamin E can cause lipoid pneumonitis, a rare condition that results from fat particles being inhaled into the lungs, says Pirzada. When she submitted the results to the Department of Health, it informed her that there were two other cases of THC cartridges testing positive for vitamin E oil, though she says the cartridge is currently being retested for other substances.
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Re: JUUL, iQOS and E-Cigarettes

#16

Post by Orlylicious » Thu Sep 12, 2019 1:41 pm

THC vape pens have gotten really popular since they doesn't have the smell and combustion issues. I'm hearing most of the issues are related to what you're saying Slim, black market and illegal uses. The UK and other countries are seeing it as a way to transition from tobacco, if people go back to combustible cigarettes that's even worse. We'd have no problem if it was tobacco flavored... that's what Green Smoke was... the other flavors are great, but if that's the compromise it would be fine. There's also a lot of tricks kids are doing, ghosting, zero vaping, drawing way too hard on them to make as much smoke as possible. Those are bad uses. But ultimately, there are millions of vapers in the USA, the number of cases compared to users is still very low. JUUL has been proactive, it's places like Vapor4Life that are selling knockoffs cheaper that have no regulation.

From The Sun today, covering a young person in Indiana, chart shows how UK health officials see it:
UK eCig.JPG
https://www.thesun.co.uk/news/9915907/t ... cigarette/
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Re: JUUL, iQOS and E-Cigarettes

#17

Post by Slim Cognito » Thu Sep 12, 2019 2:16 pm

Thanks Orly! So do we have clarification as to exactly what trump is banning? Is he banning any vape merchandise that *isn't* tobacco flavored? And if this is to help the kids who are getting addicted to the nicotine, won't that just push them over to cigarettes, which are far worse?

If the black market vape pens are cutting the THC with vitamin E oil, does that mean trump is going to also ban my THC vape pen that I buy from a FL state-approved dispensary?

Is this just payback to the tobacco lobby to thin the competition herd?
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Re: JUUL, iQOS and E-Cigarettes

#18

Post by Orlylicious » Thu Sep 12, 2019 4:55 pm

It's not clear yet Slim... in the next few weeks the proposed rules are scheduled to be announced. Since the Feds still don't recognize medical marijuana (that's the kind of thing our D contenders should be talking about), who knows what they will come up with. Usually the GOP screams about the "nanny state" so it's unclear if this will even go anywhere (the last FDA head moved the review back to 2022, but a judge moved it forward to 2020).

Opinion column in WaPo:
The e-cigarette hysteria is getting out of hand
By Robert Gebelhoff Assistant editor and Opinions contributor
September 12 at 1:22 PM

President Trump’s announcement Wednesday that he will seek to ban most flavored e-cigarettes comes from a good place — a rarity in this administration. But that doesn’t make a ban any less stupid.
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A far better approach to addressing e-cigarettes than banning flavors is the path recently outlined by Gottlieb. The government should empower the FDA to fully regulate the industry. The FDA’s forthcoming application process for e-cigarette manufacturers will help separate legitimate e-cigarette products from juices with dangerous ingredients. And regulators and retailers must continue to enforce the age restrictions on vaping products, including liquids, online and at physical stores.

But most importantly, the administration must let science — not hysteria — guide our policy. E-cigarettes have the potential to help and to hurt. We cannot be blind to one effect because we’re ideologically disposed to see the other.
https://www.washingtonpost.com/opinions ... -out-hand/
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Re: JUUL, iQOS and E-Cigarettes

#19

Post by neonzx » Thu Sep 12, 2019 8:24 pm

To which Trump replied, Fuck the law. I don't give a fuck about the law. I want my fucking money.

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Re: JUUL, iQOS and E-Cigarettes

#20

Post by Orlylicious » Fri Sep 13, 2019 11:39 pm

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Re: JUUL, iQOS and E-Cigarettes

#21

Post by TexasFilly » Fri Sep 20, 2019 3:09 pm

Walmart to stop selling all e-cigarettes at U.S. stores, citing ‘regulatory complexity and uncertainty’

Walmart will stop selling e-cigarettes at its U.S. stores, the company said Friday, as vaping-related deaths and illnesses are rising across the country.

The retailer attributed its decision to “growing federal, state and local regulatory complexity and uncertainty regarding e-cigarettes" and said it would sell through its existing inventory before exiting the market altogether. Walmart, which has 5,000 U.S. locations, is the country’s largest retailer.


The company will also stop selling all-related devices and accessories, including cartridges and pods. A Walmart spokeswoman said e-cigarette products were a “relatively small category overall” for the company and that they expect to sell through existing products in the next few months.
https://www.washingtonpost.com/business ... certainty/
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