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I am among the one in five people in the UK who smoke, contributing packet by packet to the £18billion we spend yearly on tobacco products.

My parents have kept the habit their whole lives, as did both sets of grandparents before them. Having started in my early 20s and maintained a box-a-day addiction ever since, in many ways I’m a walking target for tobacco companies.

In theory, that should also make me a target for health interventions, too. But I see the gory pictures on the box and ignore them, I pay the extra duty each time it’s upped, and I continue to light up despite knowing the implications.

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Recently, the CDC published overwhelmingly positive news: Youth vaping is down by 60% or more since the high watermark (in 2019) of kids using e-cigarettes. But you’d have to use your own calculator to figure that out if you only read the CDC’s report on the data. And the FDA Center for Tobacco Products’ interpretation also plays fast and loose with the numbers, suggesting many more teens and youth are using e-cigarettes than what the data actually show.

I agree with the CDC and the FDA: Youth should not vape or use tobacco products of any kind, especially combustible cigarettes. [...]

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New Zealand (Aoteaora) [...] released an ‘aggressive’ action plan to be smoke-free by 2025. The goal is to reduce daily smoking in all population groups to 5% or less. The plan explicitly supports smokers who cannot quit to switch to less harmful alternatives such as vaping. It places aggressive restrictions on smoking while giving a significant advantage to vaping. [...] Australia’s approach is clearly designed to discourage vaping and this is reflected in our slowly declining smoking rate. Vaping in Australia involves a complex process of finding a doctor to write a prescription and ordering supplies from overseas or in some cases from a pharmacy.

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Smoking rates are falling – but not fast enough. Interventions have made a very significant impact, but if we don’t up our game and go faster we will not reach the UK’s 2030 Smoke Free goal. 

E-cigarettes remain the most popular quit aid, but rates of e-cigarette use remain unchanged since 2013. Rosanna is proud that regular e-cigarette use amongst children remains very low, showing regulations do work.

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Clinicians could promote e-cigarettes for harm reduction to people who smoke but cannot stop, but many clinicians feel uneasy doing so. In a randomised controlled trial (RCT), primary care clinicians offered free e-cigarettes and encouraged people with chronic diseases who were unwilling to stop smoking to switch to vaping. We interviewed clinicians and patients to understand how to adopt harm reduction in routine practice.

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British American Tobacco (BATS.L)said it sees 2021 as a "pivotal year" as it backed its full-year profit and sales forecasts on Tuesday buoyed by strong demand for its "new categories" products.

Its shares, down 3% this year, rose 1.75% to 2,671 pence in morning trading after the FTSE-listed company also flagged a possible share buyback.

 

The company said an additional 3.6 million customers used its "new categories" products - e-cigarette, tobacco heating and oral nicotine - in the year to end-September, bringing its total non-combustible user base to 17.1 million.

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Some studies have shown that nicotine, an addictive substance in electronic cigarettes, increases the risk of cardiovascular and respiratory disorders. But to get a full understanding of its potential health effects, a real-time nicotine monitoring device is needed. Such a device could also help vapers — as well as non-vapers who encounter second-hand smoke — measure their exposure. Now, researchers report in ACS Sensors that they have developed a battery-free, wearable device that could accomplish this task.

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In these posts, we’ll be aiming to summarise key points both for those who don’t have the time/funds to attend the conference or watch every talk. You can find previous Summit write ups (bar last year’s) here. You can also see quick summaries for the E-Cig Summit Day 2

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The Spanish government has taken the decision to control the sale and distribution of e-cigarettes, as there is currently no clear and effective system of control regarding the sale of such nicotine-containing devices.

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Fernando Fernández Bueno, surgical oncologist at the Gómez Ulla Military Hospital and member of the Platform for the Reduction of Harm caused by Tobacco, explained that “vaping is 95% less harmful than traditional tobacco because e-cigarettes do not emit the carcinogens that tobacco does.” He added, “some people still say that vaping is worse than smoking. But there is nothing worse than smoking.”

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Testing of seized vaping products from Canberra businesses has revealed dangerous and banned ingredients in two-thirds of the products, with all the products found to contain nicotine.

A joint operation conducted by ACT Health and the Therapeutic Goods Administration seized a "large number of vaping products" from three Canberra businesses in October and investigations were continuing, the bodies said in a joint statement. [...] "It is especially concerning that two thirds of the products were not labelled as containing nicotine," the statement said.

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Electronic cigarettes with cigarette-like nicotine delivery may help some people stop smoking cigarettes, according to a new study [...] By switching to e-cigarettes, the researchers said tobacco users may reduce their exposure to certain carcinogens, or cancer causing substances.

For six months, the research team followed 520 smokers who were looking to reduce their cigarette consumption by at least 50% but had no plans to quit. They observed whether the use of various electronic nicotine delivery systems (ENDS) – used by around 10 million U.S. adults – led to reduced cigarette consumption. [...]

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China has just amended its tobacco monopoly law to include e-cigarettes, as Filter reported. This means that vaping products and their manufacturers will be regulated strictly by the Chinese government under the same process as cigarettes. It is unclear exactly what the new regulations will mean in practice—we know that companies will be required to obtain production licenses. But it could be that China is about to revolutionize global tobacco harm reduction.

China National Tobacco Corporation (CNTC), the world’s largest tobacco company, sells more than 40 percent of the world’s cigarettes and is wholly owned by the Chinese government. [...]

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The University of Waterloo says it will be one of several schools from around the globe taking part in a $10-million study on e-cigarettes and other new nicotine products.

 

“Understanding the use of these products among both youth and adults is critical to understanding which policies are the most effective in decreasing tobacco use and curbing youth uptake of e-cigarettes,” said professor David Hammond, who is leading a youth study in the area.

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New research [...] finds that reported exposure by youth to tobacco marketing was associated with co-use of tobacco and cannabis on a given day. To reach this result, researchers examined daily locations of youth, their travel patterns, and their exposure to tobacco retail marketing to learn about how these factors contribute to youth tobacco and cannabis use and co-use. [...] Dr. Sharon Lipperman-Kreda says that "this study highlights the importance of policies and interventions addressing young people's exposure to and perception of exposure to tobacco marketing at the point of sale in the broader environment to reduce tobacco and cannabis use and co-use."

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The culmination of many years of hard mahi, the plan will accelerate our progress towards a smokefree future and tackle the harm smoked tobacco products cause the people of New Zealand.

Many organisations, services, advocates, academics, researchers, community champions, individuals and whānau have played an important part in getting us here.

While smoking rates are heading in the right direction, we still have more work to do. We must move away from a business-as-usual approach and try something new. No one single intervention will help us to achieve a smokefree 2025. It will take a multi-faceted approach and evidence-based measures to stamp out smoking.

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The Denver City Council approved a ban on most flavored tobacco and vaping products Monday night.

Come July 2023, the only places adults will be able to legally buy any flavored smokables in the city will be at hookah lounges or shops selling pipe tobacco and handmade cigars. [...] The vote brings to a close a months-long debate between council members who argued that limiting access to flavored products was essential to fighting youth smoking and vaping and members who viewed the ban as government overreach more likely to hurt small business owners than make a dent in the youth nation’s vaping epidemic.

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Emmanuel Mwape (Lusaka, 1991) is an award-winning Zambian filmmaker and cinematographer for producing fiction and non-fiction films in his native country and abroad. [...] Chalo is a word in our local language that means “world”; and “Saving Chalo” can be translated exactly as “Saving the world”. It is a short film project that focuses on the character Justina, who lost her husband to cancer due to smoking cigarettes, and who now wants to save the community by introducing safer nicotine products through her cooperative. [...]

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HEALTH Secretary Sajid Javid’s bid to ban smoking outside pubs and clubs has been slapped down by colleagues.

He pushed for a pavement ban but the audacious idea was killed off by “outraged” cabinet ministers.
New Communities Secretary Michael Gove — who enjoys the odd smoke — delivered a killer blow to Mr Javid’s plan when he insisted that stretched local authorities would never be able to police the ban.

The policy, recommended by the Government’s Health Promotion Taskforce, would have outlawed smoking directly outside venues such as pubs and restaurants.

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Smoking is big business in the United States. Almost 250 billion cigarettes are sold every year to smokers, totaling more than $228 billion in sales. But these figures only show one part of tobacco's economic impact as smoking-related illnesses in the U.S. cost more than $300 billion a year, including both direct medical care and lost productivity.

Not all communities are impacted equally by the harm caused by smoking. While smoking rates have fallen significantly in recent decades, disparities remain regarding the LGBTQ+ community. [...]

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Philip Morris International Limited has implored all current adult smokers of cigarettes that intend to continue smoking to switch to smoke-free products as soon as possible.

[...] a former chief executive of Philip Morris International, Andre Catantzopoulos, said a smoke-free future was attainable and that the benefits it could bring to the people who would otherwise continue to smoke are enormous.

He noted that PMI needs the cooperation of governments and civil society to elicit a consensus that smoke-free alternatives, when subject to proper oversight and regulation, are part of a sound tobacco policy.