Thread by @ChaunceyGardner

@DrCaliff_FDA's @US_FDA says that e-cigarettes are “potentially less harmful forms of nicotine delivery for adults, [and] many studies suggest e-cigarettes and noncombustible tobacco products may be less harmful than combustible cigarettes.”
fda.gov/tobacco-produc…

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(2)
@DrCaliff_FDA's @US_FDA notes further: A Cochrane 2020 systematic evidence review found:

"ENDS [ecigs] may help more people stop smoking for six months or longer than using nicotine patches or gum [&] the overall incidence of serious adverse effects related to ENDS is low."

(3)
@DrCaliff_FDA's @US_FDA notes further: “Existing studies have shown that daily ENDS [e-cigarette] use is associated with significant reductions in combusted cigarette use.”
fda.gov/media/153017/d…

(4) @DrCaliff_FDA's @US_FDA has confirmed and validate the public health concept of #HarmReduction in the field of tobacco control (which the @WHO still, strangely, utterly rejects).

For example...

(5)
@DrCaliff_FDA's @US_FDA has authorized 8 tobacco “snus” products to advertise with this message:

“Using [this] instead of cigarettes puts you at a lower risk of mouth cancer, heart disease, lung cancer, stroke, emphysema & chronic bronchitis.”
fda.gov/tobacco-produc…

(6)
@DrCaliff_FDA's @US_FDA has authorized 3 nicotine vape (“e-cigarette”) products as "appropriate for the protection of public health" saying...
#HarmReduction

(7)
@DrCaliff_FDA's @US_FDA authorized these 3 nicotine vapes saying, “The manufacturer’s data demonstrates its tobacco-flavored products could benefit addicted adult smokers who switch to these products… by reducing their exposure to harmful chemicals.”
fda.gov/news-events/pr…

(8)
But here's the rub @DrCaliff_FDA. Authorizing ANY nic vape should have implications for the whole product category. They ALL work EXACTLY the same way.

As @CDCgov says, “E-cigarettes expose users to fewer harmful chemicals than burned cigarettes.”
cdc.gov/tobacco/basic_…

(9)
And here's the cold logic @DrCaliff_FDA. IF these gizmos are, indeed, SAFER than smoking, then every day that @US_FDA & @CDCgov delay promoting them for US adult smokers will, literally, CAUSE quantifiable horrible deaths from smoking-related cancer, heart & lung disease.

(10)
So, please explain, @DrCaliff_FDA, why the @US_FDA has rejected MILLIONS of independent nicotine vape products that only adults use, and just authorized only 3 nicotine vapes, made by one Big Tobacco company, that almost NO ADULTS USE.

(11/11)
Finally @DrCaliff_FDA:

Does @US_FDA EVER develop #HIV or drug #HarmReduction policies without consulting SOME people living with those issues? No.

That would be unethical.

Can you list ONE consultation, ever, that FDA has ever had with People Who Use #SaferNicotine?