Stories

The latest episode of Across the Pond is presented in a combination of English and Spanish, with in-person translation. In this, Martin and Lindsey are by fellow THR advocate Aylèn Van Isseldyk from Argentina and member of Asovape Argentina to discuss a global survey she is conducting to analyze both perceptions and actions related to recycling vapor products.

Switching to vaping or quitting smoking altogether reduces fatal cardiac events in heart disease patients, a South Korean study reveals. Published in the European Heart Journal, the research emphasizes the benefits of e-cigarettes in reducing Major Adverse Coronary Events (MACE). Of the patients studied, those who switched to vaping or quit smoking had lower MACE rates compared to smokers. Success rates varied with only 40.7% quitting smoking after treatment for coronary artery disease (CAD). The study concludes that vaping is a viable alternative for patients struggling to quit smoking post-treatment. The findings challenge misconceptions about nicotine's impact on heart health and suggest considering vaping as a cessation aid for smokers unable to quit completely.

ADHD diagnoses have increased, with suggestions of overdiagnosis due to social media influence. Long NHS wait times lead to patients seeking alternatives to prescribed medication. Nicotine is considered a potential treatment for ADHD, with research showing symptom reduction and cognitive benefits. While nicotine use is high among those with ADHD, further research is needed to understand its effectiveness and risks. Nicotine patches, pouches, and vapes may offer low-risk options. Consult a health professional for ADHD management. The relationship between ADHD and nicotine is complex and warrants further investigation for potential alternative treatments.

Manchester is setting an example by embracing smoke-free solutions like nicotine pouches to combat smoking. With a focus on community support and innovation, the city offers choices for smokers to transition to healthier habits discreetly. Nicotine pouches allow for customizable nicotine intake without the harmful effects of smoking, catering to busy lifestyles and aiding long-term health goals. Manchester's proactive approach aligns with global efforts to reduce smoking prevalence and create a healthier city environment. Embracing change, the city seeks a smoke-free future while preserving its vibrant culture and community spirit.

Taiwan is alarmed by the rise of "zombie vapes" containing etomidate, a dangerous substance inducing anesthesia. Taiwaneses authorities have seized a significant number of cartridges. The abuse of etomidate can lead to severe consequences, and there is a proposal to upgrade its classification. E-cigarette use among students is increasing, prompting Taiwan to ban vapes in 2023.

Australia's restrictive vaping policies, including a prescription model and retail sales ban, have not effectively prevented youth vaping uptake. Most Australian vapers obtained vapes illegally, fueling an illicit market. Public alarm over a perceived "vaping epidemic" has led to punitive measures, but focusing on prevention has not curbed youth vaping. Only a small percentage of adult vapers obtained vapes through the legal prescription pathway. Considering successful US models, Australia could implement measures like plain packaging, age restrictions, and licensed retailer sales to reduce youth access while aiding adult smokers in quitting. This approach could combat illicit sales and protect public health more effectively.

Combustible tobacco remains a major cause of preventable disease globally, leading to serious health consequences from nicotine addiction and tar exposure. As the world addresses tobacco-related illnesses, many countries are turning to Tobacco Harm Reduction (THR), an approach focused on reducing smoking's health risks by offering safer alternatives. The THR approach is particularly pressing in high-smoking regions. Ghana, in particular, stands at a crucial juncture, where embracing strategies based on controlled approaches—like "quit or switch"—could reduce tobacco-related diseases, marking a shift from the traditional "Quit or Die" stance to a more flexible, life-saving approach.

Tobacco harm reduction is a concept never discussed in prison, despite the toll smoking takes on inmates’ health and the lack of safer alternatives behind bars. But for those exiting the prison system, they find a new freedom in the plethora of safer nicotine options, including vaping, which offer a path to better health and control over their finances and well-being.

With concerns over youth e-cigarette use (1.63 million middle and high school students in 2024), flavored nicotine pouches have also become increasingly popular. As cigarette smoking declines, tobacco companies are focusing on "smokeless" products like oral nicotine pouches, often placed between the lip and gum. Unlike snus, these pouches contain nicotine powder instead of tobacco leaf, which prevents the FDA from classifying them as smokeless tobacco products. Brands like Zyn, On!, and Velo are now the second most popular nicotine products among students.

The introduction of disposable vapes impacted the positive trend of tobacco harm reduction in the UK. Despite being seen as a safer alternative, their popularity among teenagers raised concerns. Environmentalists criticized their impact on lithium use. The government recently announced a ban on disposable vapes from July next year, citing environmental reasons, but efficacy in reducing underage vaping is uncertain. Similar bans in the past did not curb smoking. Enforcement of existing laws and addressing illegal sales to minors may be more effective. Failure of the ban could result in further legislation, highlighting the need for proactive solutions over bans.