Millions of smokers around the world usually talks to general practioners when they get the intention to quit smoking for good. And it happens everywhere. Vaping has the potential to help rejuvenate smoking cessation in Australia and improve public health if smokers are allowed easier and legal access to appropriately regulated products. Now things have changed and new guidelines have been published. We have talked to DR. Colin Mendelsohn, Associate Professor in the School of Public Health and Community Medicine at the University of New South Wales, Sydney, Australia and a Tobacco Treatment Specialist.
The leading research points to vitamin E acetate — a substance used to dilute cannabis oil, typically in the black market — as the cause of the sickness. But according to a new Morning Consult poll, 66% of adults believed the deaths were linked to nicotine e-cigarettes such as Juul. That's an eight-point increase from a similar poll released in September, which found 58%, or 3 in 5 Americans, believed the deaths were linked to e-cigarettes. Later that month, officials at the Centers for Disease Control and Prevention linked the deaths to cannabis vaping products containing vitamin E acetate.
The researchers found that vaping could play an essential role in decreasing Australia’s stalled smoking rates. “There is evidence that vaping has increased quit attempts and reduced national smoking rates in the UK and USA, where the decline in prevalence of smoking has accelerated. This contrasts with countries such as Australia with restrictive vaping policies where such declines in prevalence are not being observed.”
Sin taxes are excise taxes imposed on goods or behaviors - like booze and cigarettes - that lawmakers deem harmful. In addition to raising revenue, the idea is that bumping taxes high enough should trigger a slowdown in the behavior. But what happens if taxpayers simply exchange the "sinful" behavior - not for a "better" response - but for another bad behavior? That's precisely what a new study funded by the National Institutes of Health suggests: raising taxes on e-cigarettes in an attempt to curb vaping may cause people to purchase more traditional cigarettes.
Why is there a lack of innovation in smoking cessation? The reasons for this lack of innovation are myriad and complex. Here are just a few reasons why there is currently little innovation in smoking cessation. From a purely financial point of view, many tobacco companies simply do not want to lose their customer base. Smoking is a profitable business, both for the industry and for the state. The tax revenue raised from cigarettes and other tobacco products is almost $20 billion (£15.5 billion) in a single year, a significant amount for the government. While the influence of tobacco lobbyists is (...)
A dental expert urged smokers to switch to electronic cigarettes (e-cigs) and heated tobacco products (HTPs) as a “harm reduction measure,” saying smoking is the leading cause of oral cancer. “We warn our patients who are smokers that smoking is the leading cause of oral cancer and strongly advise them to quit smoking. For those who cannot or do not want to quit smoking by themselves or with currently approved methods, we convince them to switch to non-combustible alternatives,” said Fernando Fernandez, president of the Philippine College of Oral and Maxillofacial Surgeons (Pcoms) during the Scientific Conversations on Tobacco Harm Reduction held recently at the Shangri-La at the Fort in Taguig City.
Vaping took centre stage in what turned out to be a concerning briefing at the 146th session of the WHO Executive Board (EB146) in Geneva on 4 February. Put on the agenda by Iraq, a nation where vaping is not a priority, the subject was introduced by the Director-General of the WHO, Dr Tedros Adhanom Ghebreyesu. Although the session had only an informative and non-decision-making status, the direction desired by the Secretariat of WHO left no room for doubt. (...) Attempting to support the predetermined anti-vape rhetoric of the session, Ranti Fayokun was summoned as a scientific expert. In a presentation that contradicted established scientific studies, she exaggerated the already ludicrously false claims about vaping. At one point confusing solid fine particles and liquid droplets, she then assured those listening that vaping (...)
The reason for the misleading rhetoric is the concern about youth vaping. And while no parent wants their kid to vape, it is a lot safer than smoking. As Britain’s Royal Society of Public Health explains with some exasperation, vaping nicotine is no more dangerous than caffeine. It is when tobacco is smoked that the real risks of cancer and heart disease arise, not from the nicotine it contains. (..) And while vaping has gone up, Brad Rodu shows that the real number of kids routinely vaping who do not smoke is under 100,000, which is not remotely close to an epidemic.
New research confirms that low numbers of young people are vaping (using e-cigarettes), with vaping more common in young people from disadvantaged households who had never smoked before. The study, led by the MRC/CSO Social and Public Health Sciences Unit, University of Glasgow and published today in BMC Public Health, also found that while disadvantaged adult smokers were less likely to have quit smoking, this inequality was smaller among those who vaped, suggesting vaping may be helping this group of smokers to quit. The findings highlight that vaping has the potential to either widen or narrow socioeconomic inequalities in health in the future. The study analysed data from almost 40,000 young people (...)
Results from the study, recently published online in Addiction, weren't surprising to researcher Matthew Carpenter, Ph.D., of the Medical University of South Carolina. He and colleagues found providing smokers with a free, two-week starter kit of nicotine replacement therapy (NRT) increased quit attempts, use of stop smoking medications, and smoking abstinence as compared with standard care in a primary care setting. The study included 652 patients from 12 of the clinics who only received advice on the importance of quitting smoking. The remaining 593 patients at 10 clinics were provided with samples of medication to use including nicotine patches and lozenges. During the study, all smokers were advised to quit through a regular conversation with their physician.
Smoking rates among adults and youth are plummeting. And while too many youth are vaping, legislators and regulators at the federal lave have recently made significant changes which are likely to improve the situation. But state legislatures around the country are poised to do what some politicians do best: Overreact. (..) The U.S. Centers for Disease Control finally acknowledges what many of us knew in August, which was that the outbreak was caused by adulterated THC oil, not water-based nicotine e-cigarettes.
Advising patients on how to stop smoking is part of a nurse’s role. Patients can be resistant to the intervention and this article, the first of five on smoking cessation, offers insights on the importance of creating optimism about stopping smoking. It describes how to give very brief advice to encourage patients to make a life-changing decision to quit, the role of stop-smoking services, and the use of products and behavioural interventions that nurses can use to help reduce smoking prevalence and improve patients’ health.
Dr Hafsa Lukwata gives a firm answer when asked about the Tobacco industry in Uganda: “We know the tobacco industry has a million tricks up its sleeve to promote tobacco consumption. We will not give up until we save the lives of innocent Ugandans.” A public health practitioner, heading the mental health program in Uganda’s Ministry of Health, Dr Lukwata has devoted her personal and professional life to tackling the scourge of Tobacco consumption in Uganda. “Ugandans have been hoodwinked to think that Tobacco growing improves their livelihoods while consumption is looked at as a leisure activity, of which none is true”, she notes. The World Health Organization (WHO) identifies tobacco as (..)
A youth vaping “epidemic” and a mysterious outbreak of lung disease in America has led to curbs on e-cigarette flavours. A backlash against vaping is perpetuating myths about nicotine-based e-cigarette products that are not backed up by scientific research.
Derriford Hospital had banned all forms of smoking from its premises in 2016. Yet in line with suggestions by Public Health England (PHE) which has fully endorsed the use of e-cigarettes for smoking cessation, the hospital’s health managers have now decided to allow vaping on the hospital’s grounds. In order to avoid any confusion, the hospital will now call itself “tobacco-free” instead of “smoke-free”, and while the plans would see the external area at the hospital becoming “vape-friendly”, signage will instruct vapers to avoid using their devices at entrances and bus stops. Painted lines and signs “will clearly define the point at which smokers are requested to extinguish their cigarettes” and where they can vape.
Feb. 5th marked two significant events. First, was the acquittal of President Donald Trump from charges of corruption. Second, and for the importance of this piece, was a House hearing that took on leaders of the vaping industry’s most significant players. House Democrats, the controlling majority in the lower chamber of Congress, have now long capitalized on the emotions and fears surrounding the vaping industry. It is primarily Democratic politicians joining hand in hand to stoke fears among communities that e-cigarettes and vaping products were (...)
At the same time the World Health Organization (WHO) was dithering about the dangers of the coronavirus, it was perpetuating another public health threat of greater magnitude. Specifically, WHO took to Twitter to claim, in the middle of the epidemic that it was slow to recognize, that “e-cigarettes increase the risk of heart disease and lung disorders and pose significant risks as they can damage the growing fetus”. These claims are false. People using non-combustible sources of nicotine have better lung function and fewer attacks. Quitting reduces death from lung and heart disease. In fact, "Quitting smoking before age 40, and preferably well before 40, gives back almost all of the decade of lost life from continued smoking."
President Trump has proposed removing the Food and Drug Administration's responsibility for tobacco regulation in his latest budget request, an ask likely to be met with backlash from tobacco control advocates. The budget request, released Monday, calls for creating an entirely new agency nested under the Department of Health and Human Services to regulate tobacco products, including e-cigarettes.
Speaking at the International Conference on Harm Reduction in Non-Communicable Diseases (NCDs), Professor David Khayat, a French oncologist, clarified the harm-reduction approach: "As an oncologist, I encourage my patients to quit. But if they can't, I must offer them alternatives."
"We need to support patients who have failed with other methods," he said. "Even when people know that smoking is bad for their health, they continue to smoke.
[...] As oncologists, our role is not to eradicate tobacco. We want to eradicate cancer. We want our patients to live. Today's alternatives are heated tobacco and e-cigarettes. [...]