Stories

A recent survey published in ERJ Open Research shows that seven out of ten European homes are smoke-free, but progress varies across countries. Greece has the highest percentage of smoking-permitted homes. Research indicates slow growth in smoke-free homes with stronger tobacco control measures needed. Factors influencing smoke-free homes include education level, age, gender, and having children. Women, older individuals, and those with higher education are more likely to have smoke-free homes. The study suggests gradual yearly increases in smoke-free homes but emphasizes the need for faster progress through stronger tobacco control policies. Plans to expand the study include researching vaping in homes and promoting smoke-free environments.

The rise in adult consumers choosing reduced-risk oral nicotine products over traditional tobacco is attributed to clearer regulations and harm reduction strategies. Manufacturers offer a variety of forms, flavors, and strengths to meet consumer demands. However, a perception issue remains, with confusion around the health impacts of nicotine products. To improve understanding and acceptance, regulatory advocacy, quality standards, and transparency are key. Concerns include unregulated manufacturers and potential bans, urging collaboration with regulators and education campaigns.

I have written to Ya’ara Saks, Canada’s Minister of Mental Health and Addictions, arguing against a resurgent interest in banning vape flavours.

The rise of vaping among young people in Vietnam is driven by easy access, affordability, and trendy designs. Health risks are a concern, with minors like 13-year-old Duy getting addicted and facing peer pressure. The Ministry of Health reports a significant increase in underage vaping, posing a threat to efforts in reducing cigarette smoking. The tobacco industry promotes vapes as safer, but they contain addictive nicotine. Vaping is not a reliable way to quit smoking and can lead to dual use. The government is taking steps to regulate and restrict the production, sale, and advertising of vaping products to protect youth health and prevent smoking uptake.

Hong Kong health authorities warn of e-cigarettes being used for drug abuse due to cartridges filled with narcotics. The Tobacco and Alcohol Control Office reported cases of space oil, a popular drug, being indistinguishable from regular e-liquids. Easy to conceal and with rapid effects, e-cigarettes are favored by drug users globally. Space oil contains etomidate, an anesthetic needing prescription, classified as a Part 1 poison.

Korea plans to tighten regulations on synthetic nicotine e-cigarettes, considering their harmful health effects. The government aims to redefine tobacco products to include vapes using synthetic nicotine, as currently, only those made from tobacco leaves are regulated. Recent bills proposed at the National Assembly seek to bridge legal loopholes regarding such products. The Ministry of Health supports these efforts to raise awareness about the dangers of synthetic nicotine, known to be as addictive as heroin.

Despite a ban on nicotine pouches in Belgium a year ago, they are still widely available in local shops, including hidden in unconventional places like washing machines and chip boxes. Non-compliance with the ban led to seizures, fines, and challenges in online sales. Efforts to enforce the ban involve cooperation between health authorities, police, and planned bans in neighboring countries. This shows the ongoing struggle to regulate the nicotine market effectively.

The vaping sector in Spain is facing a critical threat with the release of a draft anti-tobacco decree, which is seen as more of an anti-vaping measure. The proposed regulation includes a ban on all e-liquid flavors except tobacco flavor, which critics argue undermines efforts to help people quit smoking.

Harry Shapiro emphasizes that the battle against smoking, nicotine, and vapes is ultimately a battle against individuals. He co-authors reports showing a significant global shift towards safer nicotine products, indicating a decline in smoking rates. Despite obstacles from governments and anti-tobacco groups, Shapiro advocates for easier access to these products to reduce tobacco-related harm. The report highlights success in countries like Sweden, emphasizing the role of consumer activism. Shapiro urges governments to support safer alternatives through taxation and flavor regulations. Overall, he believes in the lasting presence of safer nicotine products despite challenges.

MEPs from various political groups in the European Parliament are finalizing a joint resolution urging member states to extend public smoking bans to include heated tobacco, e-cigarettes, and other aerosol-emitting products. The resolution proposes restrictions in outdoor areas such as restaurants, workplaces, healthcare and educational facilities, transport hubs, and recreational areas. It also calls on the European Commission to study the risks of secondhand exposure to aerosols and combat the black-market sale of vaping products, with support from the EU4Health programme. The resolution will be debated on 27 November and voted on the following day.