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This paper aims to overview the need for tobacco harm reduction, the consumer products that facilitate tobacco harm reduction and the barriers to its implementation. The worldwide endemic of tobacco smoking results in the death of over seven million smokers a year. Cigarette quit rates are very low, from 3%–12%, and relapse rates are high, from 75%–80% in the first six months and 30%– 40% even after one year of abstinence. In addition, some smokers do not desire to quit. Cigarette substitution in tobacco harm reduction is one strategy that may reduce the burden of morbidity and mortality.

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Instagram is a visual social media platform which is wildly popular, particularly with young people. Researchers interested in public health at Aalto university in Finland studied how vaping is represented on the platform. By using artificial intelligence, they were able to analyze hundreds of thousands of posts from a 6-month period last year, and found that a large portion of posts are promoting controversial flavored e-liquids to young audiences. The research worked by downloading every image on Instagram that had a caption including "#vaping" on the network for June to November 2019. "We knew this would be predominantly promotional material," said Dr. Aqdas Malik from the department of computer science who studies public health and the internet, "but we were interested in what types of images these would be, and who was posting them." What the neural network showed was that 40% of the images—the largest proportion out of the 6 categories—were of (...)

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Governments worldwide should not ban alternative smoking products, or they will miss an "enormous" opportunity to phase out traditional cigarettes, tobacco giant Philip Morris warned.

This came as the US Food and Drug Administration gave the company approval last week to market its four heat-not-burn tobacco devices as "modified risk tobacco products."

Philip Morris International chief executive Andre Calantzopoulos called the authorization a "historical moment" for public health.

"For so many years, tobacco control policies have focused on restrictive measures in order to convince people to quit [smoking]," he said, [...]

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Today's announcement of new national regulations restricting e-cigarette advertising is a much-needed advancement that will reduce youth vaping and help protect youth from becoming addicted to nicotine. The Canadian Cancer Society applauds Minister of Health Patty Hajdu and the federal government for adopting these important regulations. The regulations include an extensive ban on e-cigarette advertising, with an exception for locations where youth do not have access. The regulations come into effect on August 7, 2020, although for certain retail locations the implementation date is September 6, 2020. Youth vaping in Canada has more than tripled in just four years. Data from the Canadian Student Tobacco, Alcohol and Drugs survey found that (...)

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Your doctor could be asking you a new question next time you go in for a check-up: do you vape?
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Doctors are becoming increasingly concerned over the use of e-cigarettes and vapes amid fears the industry isn’t regulated properly. The Medical Journal of Australia has published a call for further investigation of vaping by doctors from researchers at Alfred Health, led by Dr Eli Dabscheck.

Dr Dabscheck and his colleagues advised physicians to start asking patients about e-cigarette use and warning them about the potential dangers, but notes more research is required to determine what those dangers are.

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Canadian province Nova Scotia has published a ridiculous list of prohibitions on vaping products – criminalising most vapers in the process. It was celebrated in the media by calls for legislators to go even further. In Tax Information Bulletin 5111, notice is given of amendments to the Revenue Act and Revenue Act Regulations - Prohibitions on Vaping Products. As of 12:01 am, September 15, “there will be limitations on the possession, sale and transfer of Vaping Products.” The incredible list is as follows (...)

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The Food and Drug Administration (FDA) has issued a modified risk tobacco product (MRTP) marketing order for the IQOS tobacco heating system, a major step toward Philip Morris International’s stated goal of achieving a “smoke-free world.”

FDA Center for Tobacco Products Director Mitch Zeller said that IQOS, developed by Philip Morris International (PMI) as their next-generation flagship product, has been approved for an exposure modification marketing order. As a result, PMI can market the product in America as a replacement to what the industry calls “traditional combustible tobacco products,” [...]

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The country has begun its recovery efforts from the coronavirus pandemic, and we are attempting to get back to normal, catching up on those things we missed while the world stopped to deal with the threat. While there has been promising and positive research released in the last few months related to vaping and vapor products, much of it seems to have gotten lost in the mix as news outlets almost exclusively covered the pandemic, rightfully so. Now, however, as the executive director of the Tennessee Smoke Free Association, I believe the public should have this latest information. First came the news that tobacco or non-nicotine vaping products were not responsible for a string of hospitalizations and deaths, as originally publicized — instead, the primary cause was tainted THC in illegal marijuana vaping products. The misinformation was an unfortunate blow to the e-cigarette and vaping industry, and we are still working to correct the image of vapor products. Second, two recent studies show (...)

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UAE doctors warned against the use of all inhalation devices after the US Food and Drug Administration gave its support to the marketing of a new cigarette alternative.

In a landmark ruling, the FDA approved the promotion of the iQOS, a heated tobacco stick.

The nicotine product was developed by Philip Morris International (PMI).

As there was no burning, the levels of harmful chemicals were significantly reduced compared to cigarette smoke, according to the company.

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Following 43 months of evaluation, the U.S. Food and Drug Administration (FDA) on 7 July authorized the marketing of IQOS in the country, Philip Morris International’s (PMI) electrically heated tobacco system, as a modified risk tobacco product (MRTP). The finding recognizes the harm-reduction effects of the “heat-not-burn” technology, which provides smokers with nicotine, while substantially reducing the risks associated with the combustion of conventional cigarettes. While rates of smoking have decreased in wealthy countries, they have grown in poorer nations. In sub-Saharan Africa, cigarette consumption increased by over 50 percent between 1980 and 2016. Of deaths among African adults caused by second-hand smoke, over 60 percent are among women who live and work with smokers. Six lessons can be learned from the decision by the USFDA and similar regulatory bodies in Europe (...)

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A new Access Initiative for Quitting Tobacco was launched on Friday by Director General Tedros Adhanom Ghebreyesus of the World Health Organisation (WHO), HH Princess Dina Mired, President of the Union for International Cancer Control (UICC) and Thibault Mongon, Executive Vice President of Johnson & Johnson (J & J), during the WHO COVID-19 media briefing. 

Jordan will be the first country in the world to benefit from the new initiative that aims at helping its high rate of smokers quit smoking, according to a WHO statement.  

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Juul CEO K.C. Crosthwaite announced the board appointment earlier this month. He pointed out that during her tenure as health minister, Ambrose played a part in efforts to introduce regulations with the aim of combating the marketing of flavoured vaping products and set in place a tax on cigarettes. In recent months, Juul has been incessantly accused by lawmakers, health entities and angry parents alike, of fueling the current alleged teen vaping “epidemic”. Since its merger with Big Tobacco company Altria, the manufacturer has understandably lost credibility as having harm reduction at heart, and also been on the receiving end of multiple lawsuits.

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At about 9pm on Sunday, more than a dozen new pieces of legislation were thrust upon SA.

They cover everything from alcohol, cigarettes and wearing a mask to when you can leave your home.

The laws, gazetted by cooperative governance and traditional affairs (Cogta) minister Nkosazana Dlamini-Zuma, take effect immediately.

“The sale, dispensing and distribution of liquor is prohibited,” the Act states, giving legal force to the announcement made by President Cyril Ramaphosa on Sunday night.

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Lung cancer is responsible for 30% of all cancer deaths worldwide and is expected to kill 154,050 Americans this year, with over 80% of cases directly attributable to smoking. Chronic inflammation plays a central role in the pathogenesis of smoking-induced lung cancer. Smoking is characterized by neutrophilic inflammation and reduced mucociliary clearance in the lung, which, at least in part, can be explained by exposure to LPS and other endotoxins. Smoking-related lung tumors are characterized by (...)

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From next year, access to e-cigarettes and related products containing liquid nicotine will require a doctor’s prescription. This is to ensure liquid nicotine is handled like the poisonous, addictive substance it is and not promoted to young people. It’s good news for public health and bad news for the tobacco and e-cigarette industries.

This restriction comes into effect from January 1 2021, six months later than originally proposed.

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An article carried across ex-Fairfax Media titles provoked outrage when it contained a lazy falsehood about a leading advocate of vaping. Tobacco harm reduction expert Colin Mendelsohn was accused of receiving funds from the tobacco industry. Following a wave of protest, Fairfax Media's partner company published apologies, but heavily edited vaper comments on its online articles. Owners said nothing would change, but critics predicted a swing to restricted coverage of events – something that has come to fruition as 70 employees wrote to the owners last week.

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Cigarette sales have decreased by about 20m a month after plain packaging rules and tougher taxes were introduced three years ago, researchers have found.

Prof Anna Gilmore, director of the Tobacco Control Research Group (TCRG), said: “The underlying rate of decline in tobacco sales almost doubled after these policies were implemented.”

The number of cigarettes sold in the UK was falling by about 12m a month before the measures were introduced in May 2017, according to the TCRG, which is based at the University of Bath.

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Extending the United States cigarette flavour ban to include menthol products could encourage existing smokers to quit and lower the rates of people starting to smoke, according to a study published in the open access journal BMC Public Health. Under the 2009 Family Smoking Prevention and Tobacco Control Act, the United States Food and Drug Administration (FDA) banned flavours in cigarettes, citing their appeal to youth and young adults. Although initially exempt, the FDA has recently announced its intention to also ban menthol in cigarettes (...) Dr David Levy, lead author of the study said: "Previous studies suggest that the frequency of menthol smoking has remained consistent, despite declines in non-menthol smoking. Although the role of menthol flavouring in those who start and quit smoking is well-documented, it has been less clear how a menthol ban may impact these behaviours. Our study aims to examine this by utilising studies focused on the US and comparable regions."

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America's Food and Drink Administration (FDA) has authorized the marketing of an electronic tobacco heating product, designed to completely replace cigarettes within the next ten to fifteen years. The IQOS device, developed by cigarette manufacturer Philip Morris International (PMI) - the company behind leading brands including Marlboro, Virginia Slims and Benson & Hedges - releases a nicotine-containing vapor which the company claims is less harmful to smokers. By phasing traditional cigarettes out, the company plans to be smoke-free by 2035. In a statement, the company said that the FDA's decision "demonstrates that IQOS is fundamentally different from combustible cigarettes, and a better choice for adults who would otherwise continue smoking."

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Fraser is adamant about what’ll happen if he can’t access liquid nicotine: smoking is the last option. “I would figure out a way to get either the nicotine salt, or whatever, to add to liquid, or just go to a place and buy it,” he laments. “I would still rather go through that than smoke.” On June 19, the Federal Government announced its intention to further restrict liquid nicotine — which Fraser uses for vaping. Currently, it’s illegal to buy or sell liquid nicotine in Australia, but a loophole exists, via the Therapeutic Goods Administration’s (TGA) Personal Importation Scheme, which allows anyone to import prescribed, but unregulated, medicine from overseas. “The goal was to not ever smoke a cigarette,” he explains. Under the proposed plan (...)