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Juul Labs, the dominant e-cigarette company, illegally marketed its vaping products as a less harmful alternative to traditional cigarettes, the Food and Drug Administration said on Monday, casting a deepening shadow over the safety of e-cigarette devices.

The agency issued a warning letter to Juul, saying that the company violated federal regulations because it had not received federal approval to promote and sell its vaping products as a healthier option.

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The State Laboratory is to begin testing vaping products on behalf of the HSE as concerns grow worldwide about the long-term effects of using e-cigarettes.

Last week the laboratory [...] issued a tender seeking information about machines capable of analysing vaping products. The HSE wants the laboratory to test e-cigarettes and liquid refill cartridges for their nicotine content and other additives to determine whether they meet Irish standards or if they pose health risks.

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[...] On Friday, Sen. Dick Durbin demanded that the acting commissioner of the Food and Drug Administration ban the sale of all unapproved e-cigarettes within 10 days. Such a ban would apply to every single vaping device currently sold in the United States. That means that, overnight, e-cigarette users would no longer have any vaping options. This wouldn’t stop people from using nicotine—just as drinkers kept imbibing during Prohibition, vapers would likely return to the combustible cigarettes that still kill more than 400,000 Americans every year. [...]

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I don’t smoke and I don’t vape, and if that also describes you, I would argue that it would be good advice to keep it that way.

 

If you smoke, I would urge you to stop doing so. If you find it difficult to do so, I would argue that it would still be good advice for you considering shifting to e-cigarettes.

If you currently vape, then you have a decision to make about whether to continue to do so. On this, I wouldn’t be comfortable giving advice. Hopefully, though, that decision will be guided by facts and evidence.

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[...] Two leaked papers from WHO’s Eastern Mediterranean Regional Office (EMRO) suggest that WHO is building up to an attempt to treat reduced risk products no differently to cigarettes or with even greater hostility.

EMRO Paper on Electronic Nicotine Delivery Systems
EMRO Paper on Heated Tobacco Products

I do not have time for a line by line critique of these wretched documents, and to be honest, none is needed. There are common themes that describe the contents sufficiently: [...]

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While the recent deaths and illnesses associated with vaping are tragic, the confounding of traditional nicotine-vaping with illicit black-market THC-vaping could have dire consequences.

In this snippet of our exclusive interview with Public Health England, hear Dockrell discuss how vaping is 95% less harmful than smoking and learn the science behind this determination.

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A new study has discovered nicotine-filled vapes could help people give up smoking faster.

However, researchers from Lancet Respiratory Medicine say the e-cigarette had to be used in conjunction with other nicotine-based therapy - patches, gum, lozenges - to be most effective.

University of Auckland Associate Professor and lead investigator Dr Natalie Walker says the research is also significant because of the 1124 participants, 40 per cent identified as being Māori.

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Tobacco alternatives such as e-cigarettes and heat-not-burn devices were hot topics at the 3rd Asia Harm Reduction Forum (AHRF) in Seoul, especially with regards to its role in curbing smoking habits.

Experts from 18 countries called on global public health authorities to adopt feasible solutions that can help smokers give up cigarettes for good. Putting a blanket ban on ENDS would be a disservice to smokers who could have chosen a less harmful alternative to cigarettes, said AHRF keynote speaker Dr Konstantinos Farsalinos.

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Scotland could become the first country in Europe to crack down on vaping amid concerns that children might take up e-cigarettes.

Holyrood will consider restricting publicity and promotion by vape companies, preventing them from advertising on billboards, bus shelters or in leaflets.

Joe FitzPatrick, the Scottish public health minister, confirmed that the Scottish government was looking at ways to cut down children’s exposure to the products. He said: “This will make Scotland the first country in Europe to do so. [...]

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E-cigarette maker Juul is breaking the law in advertising its nicotine pods as a safer alternative to traditional cigarettes and tool to help people quit smoking, said Rep. Raja Krishnamoorthi, chairman of the House panel that oversees consumer product investigations. [...] “The subcommittee urges FDA to evaluate the admissions and statements … and expeditiously take all appropriate enforcement action to protect the American public from the fraudulent and unapproved medical claims made by Juul,” Krishnamoorthi said in the letter sent Thursday.

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A public health professor is warning a ban on e-cigarettes in Canada could create a black market for the product, and suggests stricter regulations are a better way to curb the surge in popularity of vaping amongst youth.

"We can't wish them away... to the extent that we have many, many Canadians using these products, I don't think pushing those folks outside the legal market makes sense," said David Hammond, a University of Waterloo professor whose research on chronic disease has recently focused on vaping.

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As U.S. doctors fear a spate of serious illnesses may be linked to vaping, one smoking cessation expert warns that Health Canada has been caught "flat-footed" by the popularity of e-cigarettes.

"Those of us who've been involved in tobacco control issues for decades are astonished that we now seem to have lost sight of the lessons of the past," said Dr. Andrew Pipe, a professor in the Faculty of Medicine at the University of Ottawa.

There is now a "major public health issue, of the fact that we may be spawning a new generation of nicotine addicts," [...]

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It is clear to me that in its investigation of more than 400 cases of acute respiratory failure tied to the vaping of certain products, the CDC is doing everything it can to undermine the proven connection between most of these cases and illicit marijuana vape carts, while exaggerating a potential, but completely unproven connection with traditional electronic cigarettes. This was highlighted last Friday with the complete split between the FDA and CDC with respect to their public communications and warnings regarding the disease outbreak.

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Many experts have considered vaping a much safer alternative to smoking, urging people—pregnant people included—to use e-cigarettes instead of real cigarettes; after 15 years on the market, millions of Americans are daily users of vapes or e-cigarettes, which have less toxins than cigarettes but other unstudied chemicals and heating elements. But now, researchers from the University of North Carolina at Chapel Hill have found that the nicotine and chemicals in e-cigarettes can actually make it much harder for an embryo to implant in the uterus, according to a study [...]

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When the news broke that Michigan Gov. Gretchen Whitmer, a Democrat, intends to ban absolutely all flavors—including mint and menthol—for six months, I was astonished and upset. The governor unilaterally acted through her executive power to order an emergency administrative action. [...] Until any challenge is taken, Whitmer essentially destroyed an entirely legal industry across a state with more land area than the entirety of North and South Korea.

“As governor, my number one priority is keeping our kids safe,” said Whitmer upon announcing her executive action." [...]

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In June of 2019, Mayor London Breed signed an ordinance effective January 2020 to suspend the sales and distribution in San Francisco of electronic cigarettes that have not undergone premarket review by the U.S. Food and Drug Administration (FDA).

This legislation by Supervisor Shamann Walton and unanimously approved by the San Francisco Board of Supervisors represents a logical and powerful public policy strategy to enforce the law. [...]

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With over 267 million tobacco users in India, the country needs a solution to its tobacco problem. Rushing into unilateral approaches to this multifaceted problem by banning e-cigarettes needs careful thought and reflection. By suggesting an outright ban on the less harmful alternative option, Electronic Nicotine Delivery Systems (ENDS), the Indian Council of Medical Research (ICMR) could be missing the point. Studies by credible International institutions show that e-cigarettes are less harmful than tobacco cigarettes. [...]

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Health officials have identified one potential cause of the mysterious vaping-related illness that has sickened more than 200 people and claimed at least two lives: vitamin E acetate, an oil found in some marijuana-based vaping products. But there’s still a lot they don’t know. [...]
Parents have been anxious, as many patients so far have been teenagers and young adults. Health officials are scrambling — the Centers for Disease Control and Prevention have advised those who are concerned to not use e-cigarette devices.

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E-cigarettes may damage the heart, scientists have concluded, and have called for Public Health England (PHE) to stop recommending vaping.

Researchers looked at 38 studies into the cardiovascular impact of vaping and found worrying signs of damage in nearly three quarters of tests. [...] Asked whether PHE should now change its advice, Martin McKee, Professor of European Public Health at the London School of Hygiene and Tropical Medicine, who co-authored the new analysis said: “The simple answer is yes.”

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On Wednesday Democratic Governor Gretchen Whitmer issued an executive order banning the sale of flavored e-cigarettes across Michigan in an effort to discourage teens and other young people from vaping. The governor says it’s a public health emergency and she has the unilateral power to ban vaping in her state. Gregory Conley, President of the American Vaping Association joins RegWatch to discuss these questions and hear Gov. Whitmer explain the rationale behind her decision.

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