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On Wednesday, the New England Journal of Medicine published a new study that reported the results of a one-year randomized, clinical trial in which e-cigarettes were compared to nicotine replacement therapy (NRT) to aid smoking cessation. [...] the American Lung Association is saying that despite this clinical trial demonstrating that e-cigarettes are probably much more effective than NRT for smoking cessation, they would rather smokers continue smoking than make a quit attempt using electronic cigarettes.

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Electronic cigarettes should be seen as a normal consumer product and not be regulated under the Tobacco Products Directive, according to Giovanni Carucci, vice president EU affairs at British American Tobacco (BAT).

Carucci said the next European Commission should consider the differences between e-cigarettes and traditional cigarettes and act accordingly when it revisits the two most important acts related to the tobacco industry: The directives on tobacco products and on the tobacco excise duty.

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Two new studies of e-cigarettes may bolster the U.S. government’s efforts to stem what it calls a growing epidemic of youth vaping.

 
 

Children and teens who had used e-cigarettes were four times more likely to have taken up cigarette smoking than those who didn’t vape, according to a study published Friday in the Journal of the American Medical Association. Almost 179,000 youth who have tried cigarettes and more than 43,000 who are currently smoking would not be if they had never started vaping, the study found.

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E-cigarette prohibitions have quietly been spreading around the globe in recent years. Singapore, Thailand and Brazil, are just a few countries with complete e-cigarette bans, while many others either heavily regulate sales or disallow nicotine-based vape liquids.

Hong Kong is the latest region to propose strict regulations, recently beginning the process for a blanket ban on the sale, importation or promotion of e-cigarettes. [...]

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[...] Parental smoking is a major risk factor for youth smoking. This bill would make it harder for smokers to quit, unintentionally increasing risk for youth as more children will grow up in families with parents who smoke. This may seem counterintuitive, but if policymakers could rely on intuition, you wouldn’t need science or scientists like me to improve your policies.

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San Francisco, already notorious for its opposition to tobacco harm reduction, has upped the stakes yet again as a city legislator pushes for a total ban on e-cig sales. Similar anti-vaping laws continue to spread across the USA, although one Wisconsin town has decided to exempt vape shops from their workplace vaping ban – and the fact that’s seen as a victory tells us just how bad things are getting. There’s been a bigger win in India though, where Delhi’s High Court has frozen a national ban on vapour products.

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U.S.-based electronic cigarette company Juul Labs Inc is hoping to launch its products in India by late 2019, a person familiar with the strategy told Reuters, marking one of its boldest bets to expand away from its home turf. After recruiting Uber India executive Rachit Ranjan as a senior public policy strategist, Juul this month hired India-based Mastercard executive Rohan Mishra as head of government relations.

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Regulatory scrutiny of e-cigarettes in the United States and pressure on tobacco sales generally have cast a cloud over trading at Imperial Brands.

City analysts yesterday questioned whether the London-listed tobacco group would hit its full-year targets after it issued a mixed trading update in advance of its half-year results.

The scepticism came despite Imperial Brands saying that it was on track to reach its annual net revenue and earnings expectations. [...]

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A new proposal introduced in the Grand Canyon State aims to regulate electronic cigarettes and vaping devices as tobacco products to address the increased number of young people using these products. However, legislation classifying e-cigarettes or tobacco harm reduction (THR) as tobacco products would be a disservice to public health.

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Official attitudes toward vaping and nicotine use in general vary widely. In the United Kingdom, vaping is essentially encouraged by government health agencies. Because smoking creates a costly burden for the U.K.’s National Health Service, the country stands to save money if smokers switch to e-cigarettes instead.

Most other countries also allow a regulated vaping market, but are less enthusiastic in their endorsement of the practice. [...]

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The latest study released this week from the Queen Mary University of London found 18 per cent of e-cigarette users were smoke-free after a year, compared to 9.9 per cent of people using nicotine-replacement products. The government’s position is that existing evidence indicates that e-cigarettes are not harmless products [...]

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Adult smokers are a highly stigmatized population, yet people rarely acknowledge that this is the case. The denial of this truth not only makes smokers vulnerable to receiving unequal treatment in society, but impedes their efforts to quit.

Consider a brief personal anecdote. Recently, a friend mentioned that she has a co-worker with health problems. This co-worker is also a smoker of more than 30 years. The co-worker credits switching to e-cigarettes with eliminating his chronic cough and improving his stamina.

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A major new study provides the strongest evidence yet that vaping can help smokers quit cigarettes, with e-cigarettes proving nearly twice as effective as nicotine gums and patches. The British research, published Wednesday in the New England Journal of Medicine, could influence what doctors tell their patients and shape the debate in the U.S.

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In an almost uniform response to the impending exit of Food and Drug Administration Commissioner Scott Gottlieb, city and county public health officials are urging the Trump administration to go bigger in its response to adolescents' growing use of e-cigarettes.

The issue, they say, is reaching crisis levels and many worry the FDA's much-touted efforts are falling short. [...]

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Almost half of the people who followed Juul Labs Inc on Twitter last year were not old enough to legally purchase e-cigarettes in the United States, according to a study published on Monday. Researchers analyzed data collected in April 2018 on public followers of Juul’s Twitter account (@JUULvapor) with at least one public tweet. About 45 percent of those who followed Juul were 13 to 17 years old, according to the study published online in JAMA Pediatrics.

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A rise in teen vaping has created a frenzy within the U.S. Food and Drug Administration, as well as in state legislatures across the country. Just last week, San Francisco introduced legislation to ban the sale of e-cigarettes until the FDA conducts a full review of the product. Lost in the panic, however, has been a conversation about addiction. We don’t want to encourage bad habits among teens, but we must ensure our policies on e-cigarettes don’t make it harder for addicted adult smokers to quit.

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Half of Swiss boys and a third of girls aged 15 have tried e-cigarettes at least once, suggests a survey of addiction among schoolchildren. The finding has alarmed the group Addiction Switzerland, which carried out the study of 11,000 children between the ages of 11 and 15.

This is a higher rate than for smokers of conventional cigarettes. The figure for vaping was 21% for boys and 13% for girls. The addiction surveyexternal link, conducted last year, included the e-cigarette and vaping categories for the first time.

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For researchers at the Yale Tobacco Center for Regulatory Science, the similarities between cigarettes and e-cigarettes are helpful for closing this knowledge gap. According to co-leader of the Center Suchitra Krishnan-Sarin, both products contain the addictive chemical nicotine, which in high-enough doses, can prove to be harmful to the brains of young children and teenagers. “The teen brain is very sensitive to the effects of nicotine,” she said. [...]

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More than 100 cancer patients, survivors, and their family members fanned out across Beacon Hill on Thursday to push for a ban on all flavored tobacco products, including the nicotine liquid used in vaping, as well as steep new taxes on e-cigarettes.

“They are marketed and sold to our youth and our youth are getting sick and they have no idea what the consequences are,” Representative Danielle W. Gregoire, a Marlborough Democrat [...] told the advocates before they set off on their lobbying blitz at the State House.

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The All Party Parliamentary Group on Smoking and Health put forward the idea earlier this month, and now a leading doctor, Imperial College London respiratory specialist Dr Nicholas Hopkinson, has written in the British Medical Journalarguing the case for the change.

Helping existing smokers to quit is important, says Dr Hopkinson, who also chairs the Action on Smoking and Health campaign group, but "the most vital element" is to prevent young people from starting in the first place.