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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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Vapers experience DNA changes, according to a recent paper published in Nature, and the changes are similar to those seen in smokers – although much less pronounced.

Crucially, this evidence was based on a few people by examining changes in their DNA at the time of the analysis, similar to creating a snapshot image, without considering any potential future change in vaping or smoking behaviour. The study does not provide real-world evidence of vaping-associated ill health in humans. Positively, the study attempts to separate the effects of vaping itself from the effects of damage caused by tobacco smoking. [...]

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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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Nicotine pouches to be put under the upper lip are a new category of products that are being rapidly developed and marketed as consumer goods with little research or regulatory oversight. We have identified research gaps in assessing their harm and benefit potential, and possible regulatory science approaches to inform the policies that can allow a maximization of the category’s public health potential while minimizing unintended consequences.

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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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On the face of it, it seems odd that a case has to be made for the promotion of safer nicotine products (SNPs) as part of a global tobacco harm reduction (THR) strategy. But making this case, in large part, is the aim of a report published by the U.K.-based public health agency Knowledge-Action-Change (KAC) [...] And it has to be said that the case needs to be made, as becomes clear [...] that it is a “moral imperative” that the World Health Organization and its allies retrench from their current “intransigent and obstructive position of not only refusing to accept any positive health benefits from SNPs but actively campaigning against their use.”

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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 figures for 2020 are expected to show a small increase in the number of smokers Britain for the first time since the 1970s. Ministers are committed to a ‘smoke-free’ Britain by 2030 which would see fewer than five per cent of the adult population smoking tobacco. Tobacco industry insiders say sales have been up during the pandemic as more people struggled with the anxiety and stress caused by lockdowns.

Earlier this year Health Sec Sajid Javid allowed doctors to prescribe vaping to smokers who want to quit.

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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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The World Health Organization (WHO) has come under fire for advancing and crafting ‘draconian laws’ on tobacco control which are allegedly intended to ‘kill’ tobacco smokers, more so in Low and Middle-Income Countries (LMICs), which largely depend on tobacco production.
Renowned global governance experts and human rights defenders argue that WHO policies on tobacco control are dictatorial and run counter to the promotion of social and economic rights of LMICs while “killing smokers with combustible cigarettes”.

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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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In November, two major treaties had their Conference of the Parties (COP) meetings. [...] Both aim to address a globally significant problem, and both aim to achieve radical transformations in the markets for energy and tobacco, respectively. In tobacco and nicotine, we see a different debate. As with climate change, almost everyone agrees there is a problem. Using WHO figures, smoking causes about 8 million premature deaths annually, and many millions more fall severely ill with various forms of cancer, heart disease and respiratory conditions. But in public health, we are sharply divided into two camps—the transformers versus the abolitionists.

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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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Philip Morris (PM.N) will reach its target of 50% sales from smoke-free products by 2025 through organic revenue growth rather than mergers and acquisitions, its CEO told Reuters.

The maker of Marlboro cigarettes has spent more than $8 billion on reduced risk products since it began developing them a decade ago, Chief Executive Jacek Olczak said in an interview during the Reuters Next conference.

 

About 30% of revenue at Philip Morris now comes from "smoke-free" products such as iQOS tobacco heating devices, Olczak added on Thursday.

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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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A decline in New Zealand’s national smoking rate has seen small business representatives call on the Australian Government to implement a similar vaping consumer model.

The New Zealand Government’s annual health update showed the national smoking rate had dropped from 13.7 per cent to 10.9 per cent, following the legalisation of nicotine containing vaping products to be sold in retail stores in 2020. [...] Theo Foukkare, AACS CEO, said the New Zealand model shows that by offering consumers access to nicotine containing e-cigarettes and vaping products more people will come off tobacco.

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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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Ever since the Royal College of Physicians (RCP) recognized the case for tobacco harm reduction (THR) in a 2007 report and Public Health England concluded that e-cigarettes were at least 95 percent less harmful than combustible cigarettes in 2015, the United Kingdom has been a forerunner in including reduced-risk products in its tobacco control strategy. The country’s 2017 Tobacco Control Plan (TCP), published by the department of health, stresses the importance of innovation and less harmful alternatives. Most anti-smoking and public health organizations as well as medical institutions in the U.K. support vape products as a reduced-risk alternative to cigarettes.

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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.

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We find a strange adherence and affection for the prohibition of products in our country even though such products are allowed to be manufactured and traded legally worldwide. As a consumer, we strongly feel bans can be placed on products and related services only if there is a risk that they may cause serious injury, illness, or death. Globally, countries are engaged in harmonising laws and standards to promote Universal Quality and Safety Standards in the interest of public health. It has been well documented that bans have done little to protect the consumer, rather they encourage accelerated growth of contraband products.