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In 2018, the U.S. Food and Drug Administration (FDA) and then-Surgeon General Jerome Adams declared a so-called youth vaping epidemic. Lawmakers across the country, from city council members, to state leaders, to Congress, have been attempting to reduce youth use of e-cigarettes and vaping products ever since. Addressing youth use of any age-restricted product is laudable, but it should not come at the expense of adult users of such products. And all policies introduced by well-intended lawmakers threaten adult access either through bans, arduous regulations, or unfair taxation. 

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With the Covid-19 scourge receding, you can expect that various pressure groups and public health officials will renew their wrongful war against e-cigarettes. This segment of What’s Ahead exposes the falsehoods of this perverse crusade.

For example, e-cigarettes are not the equivalent of tobacco cigarettes. They contain no tobacco! And they are 95% safer than regular smokes.

As British health officials have recognized, vaping is a highly effective way for people to give up cigarette smoking, thereby saving numerous lives.

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Tobacco smoking and e-cigarette use are strongly associated, but it is currently unclear whether this association is causal, or due to shared factors that influence both behaviours such as a shared genetic liability. The aim of this study was to investigate whether polygenic risk scores (PRS) for smoking initiation are associated with ever use of e-cigarettes. [...] Our results indicate that there may be a shared genetic aetiology between smoking and e-cigarette use, and also with socioeconomic position, externalising disorders in childhood, and risky behaviour more generally. [...]

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Ethnic minority groups may be missing out on a means of reducing smoking. A household survey in England has found it is less common for smokers of Asian, Arab, and other ethnicities to use e-cigarettes to try to reduce their cigarette consumption or when they are not allowed to smoke than those of White ethnicity.

This comparative underuse of e-cigarettes is important because ethnic minority groups in England appear to be at higher risk of smoking-related diseases. NICE guidance says that reducing smoking prevalence could reduce those health inequalities more than any other measure.

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Vaping advocates in the Asia-Pacific region have launched a petition that urges the World Health Organisation (WHO) to respect consumer rights and end lies against innovative nicotine products.

“Stop lying to us and only provide guidance based on sound scientific facts, methodologies and principles,” the Coalition of Asia Pacific Tobacco Harm Reduction Advocates (CAPHRA) and other consumer advocacy groups said in the Right2Switch petition.

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The tobacco giant is concerned over the FDA’s nicotine messaging and what they view as misconceptions about the substance.
Richmond, Va.-based Altria Group asked the Food and Drug Administration [...] to clarify the agency’s position on nicotine.

CSP Daily News reports that Altria wants the Center for Tobacco Products to “correct the deeply entrenched public misperceptions regarding the health risks of nicotine.” “Left unaddressed, these widespread nicotine misperceptions could discourage adult smokers from switching to non-combustible tobacco products that may present lower health risk as compared to combustible cigarettes,” Magness said in a letter.

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Chinese regulations on tobacco management are to be revised in order to strengthen supervision and administration of e-cigarettes and other new tobacco products. Shares of e-cigarette and e-vapor companies hit after the official statement was released on Monday.

A clause is planned to be added to the Detailed Rules for the Implementation of the Tobacco Patent Sales Law of China as Article 65, saying that "regulations on e-cigarettes and other new tobacco products shall be implemented with reference to the relevant provisions on cigarettes in the regulations," read a statement [...]

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Dr. Oyston explains that tobacco kills twice as many people as Covid.
Vaping is much safer than smoking and teens who vape are unlikely to smoke which may be why teen smoking levels are at historically low levels.
Vaping is an effective way to quit smoking.
Unfortunately, the medical establishment sees vaping as a threat and has told lies and overestimated the risk of vaping, acting like anti-vaxxers. [...]

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Agroundbreaking study from Italy with adults who have schizophrenia spectrum disorders found that using JUUL vapes helped some 40 percent of participants to stop smoking traditional cigarettes by the end of 12 weeks. This finding is of enormous importance because smoking prevalence among people with this diagnosis is a staggering 60 to 90 percent, and there are no signs of the numbers decreasing.

“Smoking is the primary cause of the 15-25 years mortality gap between users of mental health services and the general population,” said Riccardo Polosa, one of the lead researchers. [...]

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Canada looked set to embrace tobacco harm reduction, similar to the United Kingdom. At least until July 2019, when a research paper by a group of high-profile public health scholars in the United States, the UK and Canada appeared in the BMJ [...]
The authors concluded that, in Canada as in the US, there was an increase in youth vaping between 2017 and 2018.

It was the typical tale. However, the researchers also determined that in Canada, unlike in the US, there had also been a significant uptick in youth smoking—lending credence to an often-debunked and challenged theory of a “gateway” from vapes to combustible cigarettes.

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A relatively new form of getting high from marijuana in the form of a pen, mostly running among the younger generation, could land someone with a felony charge because of its higher concentration of tetrahydrocannabinol. [...] Over the decades, recreational marijuana users have found ways to get high from concentrations of tetrahydrocannabinol in a myriad of ways — joints, baked goods and rechargeable pens.

“All of these versions [of getting high from marijuana] are just extracting the THC, the active ingredient in marijuana, and delivering it in a number of ways,” said Haley Zettler, a University of North Texas professor who has researched substance use.

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The health dangers of smoking cigarettes have been well-documented and, to a large extent, that message has been well-received. The percentage of Americans who smoke has been dropping for decades.

Yet, that trend appears to have taken a hit last year. [...] "Quitting smoking is one of the most difficult things a person can do, and it's hard to quit when everything is going well in life," Linda Bailey, CEO of the North American Quitline Consortium, told The Washington Post.

"The stress and anxiety created by the pandemic really caused people not to be able to think about quitting. They were worried about the pandemic. [...]

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The National Authority for Combating Drugs (NACD) has instructed all relevant ministries and institutions to take immediate action to stop the use and commercialisation of heated tobacco products (HTPs) [...] and Electronic Delivery of Nicotine Systems (EDNS) [...]

They said their institution had received information that there were many people still using these products and secretly doing business selling them in Cambodia.

According to the directive dated March 18, the NACD has received information that some Cambodians, especially young people, have continued to use EDNS as well as new HTPs.

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A study produced by the American Centers for Disease Control and Prevention (CDC) found that nearly three-quarters of hospitalized COVID patients were either obese or overweight. At the same time across the European Union, health ministries have put more resources into keeping their populations healthy, using education and incentive programs to encourage children and youth to exercise, eat healthy foods, and more. Several of these initiatives have been funded and promoted by Bloomberg Philanthropies, the chief charity vehicle of American billionaire media executive Michael Bloomberg. [...]

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The research involved sub-cytotoxic exposure to cells in a 3D human bronchial model (MucilAirTM) to nicotine-containing vape aerosol, combustible cigarette smoke and fresh air control under strict laboratory conditions. [...] "Within this model, exposure to combustible cigarette smoke triggered significant changes in gene expression, indicating - amongst other effects - changes in oxidative stress and inflammation markers," confirmed Matt Stevenson, Pre-Clinical Toxicology Manager at Imperial Brands. "Conversely, the vape aerosol generated only a minimal response, similar to that observed in the air control."

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Never heard of ‘popcorn lung’ before? If you vape, then there’s a good chance you’re familiar with it. But, it won’t hurt to recap the basics…

Popcorn lung (aka bronchitis obliterans) is a rare type of lung disease, caused by a chemical called diacetyl. Its name originates from the artificial buttery flavour which can be found in popcorn, fruit-flavoured drinks, caramel and some dairy products.

After workers in a popcorn factory became unwell after breathing in the harmful chemical, many leading manufacturers decided to remove it from their products to ensure the safety of their employees and consumers too. [...]

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Research for the Scottish Grocers’ Federation (SGF) found only 24% of people agreed that access to such products, or information about them, should be restricted.

With almost half those questioned were opposed to this – with 24% saying they “strongly disagreed” and a further 24% who said they “tended to disagree”. That includes 66% of 16 to-24-year-olds who were opposed to such restrictions. As the research was released, the SGF said it was time for politicians and public health leaders to join with them to “ensure e-cigarettes are properly positioned to help Scotland meet its smoke-free target”.

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The government agency Statistics Canada has found signs that there is a generational difference in nicotine habits among Canadians. Vaping is more popular among the young, while more older people smoke cigarettes.

Vaping is defined as the act of inhaling and exhaling vapour produced by an electronic cigarette, vape mod, vaporizer or vape pen. Some people take up vaping in order to curtail or quit smoking. But the Canadian government’s health departments says vaping can have negative effects. It notes that most products contain nicotine and vaping can lead to nicotine addiction. [...]

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The banning of menthol cigarettes, the mint-flavored products that have been aggressively marketed to Black Americans, has long been an elusive goal for public health regulators.

But Covid-19 and the Black Lives Matter movement have put new pressure on Congress and the White House to reduce racial health disparities. And there are few starker examples than this: Black smokers smoke less but die of heart attacks, strokes and other causes linked to tobacco use at higher rates than white smokers do, according to the Centers for Disease Control and Prevention. [...]

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Health experts and advocates on Wednesday asked senators to raise to 21 or 25 years old the minimum age of persons who may be allowed to purchase or use vape, e-cigarettes and vapor products to curb its harmful effects on minors. The bills [...] propose to prohibit the purchase, sale, distribution and use of such products for children below 18 years old. [...]

“Scientific studies have shown the age of maturation actually occurs at the age of 25 years. Now, if we are thinking of changing the minimum age of purchase maybe what we should do is even increase it to 25 years,” said Philippine College of Physicians executive director and doctor Encarnita Blanco-Limpin.