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While it is a welcome development that the Therapeutic Goods Administration has recognised the potential benefits of these products as smoking cessation aids, the problem with these new rules is that in practice it will make it very difficult for Tasmanians to access them. According the TGA, there is not a single GP in Tasmania who is registered to prescribe these products. So vaping Tasmanians will need to seek a prescription through a telehealth appointment.

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The State Council of China amended its tobacco monopoly law Friday to include regulations for e-cigarettes and vaping. This result comes after months of deliberation by the Chinese government to regulate electronic tobacco consumption.

E-cigarette sales have been functioning in the grey area of the law since they became popular in China. Following the amendment, they will be regulated and supervised just like conventional tobacco products. The tobacco industry in China is fully controlled by the government. Companies and retailers have to obtain special permits before being allowed to sell tobacco products.

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The U.S. International Trade Commission ruled Wednesday that Philip Morris International and Altria must stop the sale and import of the Iqos tobacco device.

The decision is the result of a patent case filed by rival R.J. Reynolds. The trade agency found that the cigarette alternative infringed on two of Reynolds’ patents.

 

The import and sales ban will take effect in two months after an administrative review that requires President Joe Biden’s signature. Philip Morris said it plans to appeal the trade agency’s decision, and an Altria spokesperson said the two companies are working together on contingency plans.

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Earlier this year, a public consultation about the proposal to ban flavours was meant to close on the 19th of January, but had been extended to the 2nd of February. A statement published on the Netherlands’ Government website, had revealed that the consultation was extended “due to popular demand.” In line with this, a press release by the WVA had highlighted that the country had witnessed the largest number of responses ever collected in a public consultation on health matters. More importantly, an overwhelming majority of the responses, 98.54%, had opposed the ban. This equated to 746 responses out of the total 757 submissions [...]

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Dr. Kgosi Letlape, head of the Africa Medical Association, has hailed snus for its ability to help cut smoking rates across Scandinavia. He also expressed frustration at moves to ban Swedish snus and other reduced-risk nicotine products.

Snus, said Letlape, is “probably the best thing that ever happened in the Scandinavian countries” when it came to reducing smoking and tobacco mortality. Letlape also criticized the WHO’s existing Framework Convention on Tobacco Control (FCTC) calling it a “patchwork” focusing almost exclusively on combustible cigarettes that “wasn’t designed for any harm reduction products”.

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Choosing nicotine patches over quit smoking tablets does not reduce a person’s risk of heart attack or stroke, an Australian study has found, leading researchers to suggest the pills should be offered as a first line of treatment to people wanting to stop.

The new study, conducted by the National Drug and Alcohol Research Centre, used linked pharmaceutical dispensing, hospital and death records from people who received prescription quit smoking medicine between 2011 and 2015.

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 According to data released Thursday by the Centers for Disease Control, teen vaping fell by over 40% in the U.S. during 2021. In this episode of RegWatch, Greg Conley, the president of the American Vaping Association, unpacks the youth use data, talks about the impact of FDA’s marketing denial orders, and discusses the legal fight for relief.

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In the absence of guidance from the Therapeutic Goods Administration (TGA), authors writing in the Medical Journal of Australia have provided advice to GPs about prescribing e-liquids for e-cigarettes to smokers trying to quit tobacco cigarettes. [...] Dr. Miranda Ween, [...] and Dr. David Chapman, from the University of Technology Sydney, wrote that although the TGA had released a Standard for Nicotine Vaping Products (TGO 110) effective from 1 October 2021, the order "does not refer to e-cigarettes themselves (which remain unapproved by the TGA as smoking cessation devices), but rather the nicotine-containing liquids (e-liquids) used in them."

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Philip Morris International Inc. and partner Altria Group Inc. will be barred from importing the IQOS heated-tobacco sticks into the U.S. after they lost a legal battle with British American Tobacco Plc before a U.S. trade agency. Philip Morris pledged to challenge what it called a “puzzling” decision.

Philip Morris and Altria infringe two patents owned by BAT’s subsidiary Reynolds American Inc., the U.S. International Trade Commission said in a notice posted on the agency’s website. The import ban -- and an order to stop selling any products already imported -- will take effect in 60 days [...]

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Tobacco control is working—slowly. The number of people smoking worldwide has declined and tobacco-attributable deaths are falling. This progress is evident in WHO's fourth report on international tobacco trends, released on Nov 16, which estimates 1·30 billion tobacco users globally in 2020, compared with 1·32 billion in 2015. 60 countries are now on track—versus 32 countries 2 years ago—to achieve the voluntary global target of a 30% reduction in tobacco use between 2010 and 2025. Such progress is welcome. But as tobacco elimination nears, progress will become more difficult and incremental gains will be harder won. Accelerated advocacy and action are required.

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In a recent three-week period, a major Western Australian hospital treated a teenager suffering seizures after vaping too much nicotine, a toddler with cardiac issues after drinking e-cigarette liquid, and a death attributed to drinking e-cigarette liquid.

It is cases like these which public health physician Prof Emily Banks hopes will be prevented through new vaping laws which came into effect on Friday.

They mean nicotine-containing vaping products can only be obtained via a prescription from a doctor. “These laws are a result of a comprehensive review of the worldwide evidence,” Banks said.

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Since they hit the market, e-cigarettes have been touted as a safe alternative to tobacco cigarettes for adult smokers. When research began to suggest otherwise, many questioned whether smoking was still to blame for adverse effects, since most vapers are either “dual users” who also smoke cigarettes or have a prior history of smoking.

Now, a team of researchers at the Keck School of Medicine of USC has demonstrated that - independent of the effects of prior smoking – using e-cigarettes is linked to adverse biological changes that can cause disease. [...]

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A new study from the Barcelona Institute for Global Health (ISGlobal) has indicated that infants and young people who are exposed to tobacco smoke may see their metabolism and physiology permanently altered.

The analysis is the first to investigate links between early-life environmental exposures and epigenetic age in children, or the measure of biological age in an individual. The study found that persons exposed to tobacco smoke before birth or in early childhood demonstrated accelerated epigenetic ageing, something that has been linked to a higher risk of metabolic, cardiovascular or neurodegenerative diseases.

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As a junior doctor in the UK, Kevin Murphy said he was “hideously addicted” to nicotine and would creep off the hospital campus to have a smoke, wearing disposable gloves and, on his way back, chewing as many mints as possible.

Before doing medicine, he’d worked as a radiographer and had seen “loads of lung cancer”. Then he was at his mother’s side when her 40-a-day habit for 40 years ended in lung cancer too. [...] Dr Mendelsohn says tobacco harm reduction with safer nicotine products is an additional, evidence-based tool for helping smokers quit, but many doctors remain misinformed about it and about the safety of nicotine.

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An estimated 2.06 million U.S. middle and high school students are using electronic-cigarettes with Puff Bar, Vuse and Juul among the most popular products, according to data from a 2021 survey analyzed by health officials.

The data, published on Thursday in the U.S. Centers for Disease Control and Prevention (CDC) Morbidity and Mortality Weekly Report, showed the use of the potentially addictive nicotine devices may have declined from 3.6 million students in 2020.

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According to the National Health and Morbidity Survey (NHMS) 2019, more than an estimated 27,200 deaths in Malaysia were related to smoking tobacco.

 

The NHMS reported that the prevalence of current smokers was 21.3%, i.e. an estimated 4.8 million Malaysians aged 15 years and above were smokers.

 

Smoking was 30 times higher in males than females.

The highest prevalence was in the 30-34 years age group.

 

Smoking was more prevalent in those with primary and secondary education, and least with tertiary education.

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The 1988 U.S. Surgeon General's Report titled 'Nicotine Addiction' was a comprehensive treatise setting out the evidence that tobacco is addictive and showing that nicotine lies at the heart of this addiction. It likened tobacco to drugs such as cocaine and heroin, and provided a powerful rationale for combining public health and clinical approaches to prevent and combat tobacco addiction. The main conclusions of the report have stood up well to more than 30 years of further research, but there are areas where our thinking needs to be updated. [...]

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There’s a major loophole happening with the sale of e-cigarettes: synthetic tobacco. Dr. Andrew Ordon shares that as a physician he’s really concerned and public health expert Dr. Michael Siegel shares that it’s a loophole that needs to be closed. Plus, Dr. Siegel takes issue with headlines about e-cigarettes, like it causes severe lung disease, which he shares is true of THC vapes, not e-cigarettes.

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In a startling revelation, the use of tobacco among women has gone up four times in the state during the past five years, the National Family Health Survey (NFHS-5) has confirmed.

In contrast, men have started showing reluctance towards use of tobacco as it has come down by 32.81 per cent between 2015-16 and 2020-21, the national survey conducted by the Union Ministry of Health and Family Welfare has revealed. However, the use of tobacco among both women and men in Punjab was much below the national average.

The development assumes significance as the initiatives undertaken by the state government against the use of tobacco have started showing positive results.

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On November 12, the U.S. Court of Appeals for the Sixth Circuit rejected an electronic cigarette manufacturer's application of a stay of the Food and Drug Administration's order rejecting its application seeking approval of some of its vaping products. Now that e-cigarette company, Breeze Smoke, has filed an emergency application for a stay with Justice Kavanaugh. [...] While it is possible that there are substantive differences between the relevant product applications, the FDA did not engage in the sort of review expected of a regulatory agency. [...]