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To mark the annual US Food Drug and Law Institute Tobacco and Nicotine Products Regulation and Policy Conference (21-23 Oct), where FDA traditionally gives an update on its plans for nicotine regulation, I thought it worth noting that the centrepiece of its comprehensive strategy for nicotine seems to have disappeared.   This would be a proposed rule lowering nicotine levels in cigarettes with a view to making them sub-addictive – persuading adults to quit and adolescents to never start.  The trouble is that consumers, markets, producers, and criminal networks have a way of thwarting such bold measures.

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A study, published in EClinicalMedicine, has looked at smoking and vaping in pregnancy and infant behaviour.

 

Prof Jamie Brown, Professor of Behavioural Science and Health, and Director of the Tobacco and Alcohol Research Group, UCL, said:

“It is well-established that cigarette smoking during pregnancy increases the risk of a range of health problems. It is important to establish the risk of e-cigarettes compared with cigarettes during pregnancy. This requires studies to conduct a detailed assessment of both these behaviours during pregnancy. We know that most e-cigarette users have previously smoked. [...]

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Marijuana legalization advocates, afraid that efforts to win ballot initiatives would go up in smoke given the challenges of a pandemic, are fired up about chances in five states this fall.

The difficulty of safely getting signatures in person helped doom marijuana legalization efforts in some states, like Idaho and Missouri. But voters will decide next month whether to legalize recreational marijuana in four states, only one of which is reliably Democratic: Arizona, Montana, New Jersey and South Dakota. Mississippi will also consider a pair of ballot initiatives to legalize medical marijuana.

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In 2019, more than 50% of teens surveyed in the 12th grade say they have used an electronic vapor device in the past 30 days and slightly more than 25% of those teens say they crave the nicotine from those hits after a few hours.

That’s according to the 2019 Healthy Kids Colorado survey, and it’s evidence that Big Tobacco has found a way to ensnare a new generation with a lifelong addiction to an unhealthy product. The survey also found that of the thousands of teens who have used vaping products in the past 30 days, more than half have tried to quit.

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Supporters of a coming ban on the sale of flavored tobacco products in California asked the state attorney general on Tuesday to investigate complaints that people gathering signatures for a referendum to overturn the law have misrepresented the effort. [...] “In several instances, petition circulators for this referendum have approached voters and asked them to sign this petition under the pretense that signing the petition would support banning flavored tobacco,” attorney Lance Olson wrote. “This is categorically false, as this referendum seeks to overturn the law prohibiting the sale of flavored tobacco products.”

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Vaping is supposed to be a form of harm reduction, that is, allow nicotine addicts to have access to the drug without the harmful tars and chemicals in cigarettes that cause cancer, heart disease, and other maladies.

Last year, the Journal of the American Heart Association published a study finding that vaping posed as great a heart risk as smoking itself. That study fueled public policies at all levels of government to stifle the industry. A lot of small business people had their livelihoods destroyed or damaged as a result.

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Cabinet is prepared to table its new Control of Tobacco Products and Electronic Delivery Systems Bill, which is likely to dramatically change things for smokers in South Africa. As well as extending its reach to the vaping industry, the threat of a ‘public cigarette ban’ also looms large. Back in May – and during the middle of controversial nationwide cigarette ban – Deputy Health Minister Joe Phaahla confirmed that several alterations would be made so the government could better regulate the tobacco industry. It’s since been reported that the Bill will be sent forward for processing ‘before the end of the year’, [...]

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Similar to the debate around e-cigarettes, an increase in snus use among Norwegian adolescents has prompted debate on whether flavour options in snus should be limited. To this end, we compared use of flavoured snus among snus users with different smoking status. Questions about flavoured snus use were included in an online omnibus study conducted from 2015 to 2019 (N = 65,445) that included 16,295 ever snus users (aged 15+). Current snus users (N = 9783) were asked “Do you usually use snus that has a flavouring (liquorice, mint, wintergreen, etc.)? [...]

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Baltimore City leaders want to impose a 30% tax on the distribution of electronic smoking devices.

City Council President and Democratic nominee Brandon Scott is spearheading the proposal, which was introduced during a routine city council meeting Monday. “Taxing vapor products like combustible cigarettes for example is a move in the wrong direction, said Alex Clark, CEO of consumer organization The Consumer Advocates for Smoke Free Alternatives Association. “Increasing the cost of these products is likely to discourage people from switching to a smoke free alternative.”

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Smoking rates among Indigenous peoples have remained stubbornly high around the world, despite stigmatizing anti-smoking campaigns and massive increases in cigarette taxes. In New Zealand, a pack of cigarettes now costs the equivalent of almost $25 US.

Māori women are one of the most socially deprived groups in New Zealand, and have the highest smoking rate of any demographic there, at 36 percent. Pregnant Māori women are 35 percent more likely than the general pregnant population to be smokers. Māori men also smoke at a high rate of 31 percent.

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More than 480,000 U.S. deaths per year, as well as diseases affecting 16 million living Americans, can be attributed to cigarette smoking, according to the Centers for Disease Control and Prevention. In particular, this behavior continues to be overrepresented among those with mental illness, substance use disorders, and socioeconomic disadvantage. Led by Stephen T. Higgins, Ph.D., [...] the study sought to determine if reducing the nicotine content of cigarettes decreases smoking rates and nicotine dependence severity among adults with psychiatric disorders or socioeconomic disadvantage.

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It’s time to end the flavor trap and stop Big Tobacco from targeting Missoula kids with flavored e-cigarettes, cigarillos, hookah, chew and other products.

As Missoula physicians who treat local children, we believe the industry already has had too much lead-time in enticing youth with its deadly products and creating a new generation of users. We need to act now. After hearing the call for action from dozens of community members [...] we are excited that the Missoula City Council has introduced an ordinance to restrict the sale of all flavored tobacco products in our community.

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Anton Israel, president of the Nicotine Consumers Union of the Philippines (NCUP) said “if the FDA ignores the views of legitimate and impacted stakeholders and proceeds with the adoption of an administrative order lifted from the playbook of their anti-tobacco patrons, we would be constrained to file an anti-graft case with the Ombudsman.”

Clarisse Virgino [...] said they were “shocked and aghast by the admission of the FDA that they received money from the Union and Bloomberg Initiative. These groups are known advocates of prohibition for all forms of tobacco products [...]

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We can spot them from a mile away.  Vapers—disappearing in a huge cloud of smoke every time they take a hit.  Their cars look like fog machines if they are vaping while driving, and they are painfully visible in public as well. [...] According to a study by Sareen Singh et al. (2020), electronic cigarette use has skyrocketed in the United States, rising to unprecedented levels among young people. They examined patterns of what they term the “youth vaping epidemic,” potential harms stemming from the use of e-cigarettes, and the public health, clinical, and regulatory responses to youth e-cigarette use. 

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Some 31.3% of children grow up in an environment where at least one parent consumes products containing nicotine every day, such as tobacco or electronic cigarettes. The proportion of children whose parents use illegal drugs (cannabis, cocaine, heroin) is 1.8%, which Obsan considers low. In 2011, Switzerland changed its laws on cannabis, permitting adults to buy and use cannabis with up to 1% tetrahydrocannabinol (THC) – the active ingredient that gets smokers high.

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After a long wait, the Food and Drug Administration finally has control over the regulation of products like e-cigarettes, hookahs, and cigars. A 2016 District Court ruling stated that companies first marketing deemed tobacco products after February 2007 were required to submit a Pre Market Tobacco Product Application in order to remain compliant, but that they had until 2020 to do so.

Of course, everyone waited until the last minute. Despite the vastness of the industry, only 1451 products had been submitted as of August 2020. [...]

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Introduced in 2017, the aim of the EU Tobacco Products Directive (TPD) is to educate the public about the risks of vaping and prevent use by non-smokers and minors. Meanwhile many public health experts in the UK had been concerned that with all the restrictions set in place by the regulation, those seasoned smokers who had switched to vaping, would revert back to smoking. And sadly, past data have already indicated that this was indeed the case.

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Cigarette smokers in T&T will one day be able to get their nicotine fix in a healthier, smoke-free way.

That is if Philip Morris’ dream of a smoke-free future comes true Andrés Espinal, the director of external affairs at PMI has stated.

PMI has announced that it is committing to a major business transformation by moving away from cigarettes and other combustible tobacco products and toward healthier alternatives for nicotine delivery. During his presentation of the national budget Finance Minister Colm Imbert said that the government is of the view that there is a need to curb the consumption of tobacco.

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New Orleans, LA - A review of heat-not-burn (HNB) tobacco products from the laboratory of Dr. Jason Gardner, Professor of Physiology at LSU Health New Orleans School of Medicine, reports an association with elevated blood pressure, increased heart rate, cell death, and circulatory dysfunction shown by early studies. Additionally, chemicals found in the vapor produced by HNB devices have previously been shown to impair lung function, put users at risk of heart attack and stroke, cause cancers, increase circulating low-density lipoprotein ("bad cholesterol") and more. [...]

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The CVA is referring to a recent report released by tobacco company Altria. “Over the last several months, we’ve observed an increase in the number of age 50 and older smokers in the cigarette category,” said Altria CEO Billy Gifford. “We believe these smokers had previously switched to e-vapor products, but recently returned to cigarettes due to negative publicity and regulatory and legislative developments in the e-vapor category.”