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"A rational approach to #eCigarettes - challenging ERS policy on #TobaccoHarmReduction."
John Britton, Jacob George, .@LindaBauld, .@LeicesterLungs / Sanjay Agrawal, John Moxham, .@DeborahArnott, Ann McNeill, Nicholas Hopkinson
#EuropenRespiratoryJournal… Key messages for a rational approach to vaping and e-cigarettes
1) People #smoke #tobacco because of #nicotine addiction, but the major harms come not from the nicotine but from toxic substances in the smoke.
2) #Pharmacotherapy (e.g. dual #NRT or #varenicline) combined with psychological support should be made available to all #smokers to help them to quit and should be considered as the first line approach.
3) #Ecigarettes are an effective means to deliver #nicotine, with a much lower risk of harm than continuing to #smoke.
4) People who choose to use #eCigarettes to cut down or #QuitSmoking should be offered psychological support and access to #smoking cessation services.
5) People who choose to use #eCigarettes should be advised that they need to switch completely in order to derive substantial #health benefits.
6) People using #eCigarettes should be advised to try to quit them too in the long term, but not at the risk of relapsing to #smoking.
7) Never-#smokers should avoid #eCigarettes.
8) #Ecigarettes should continue to be subject to restrictions on age of sale, on advertising and on the strength of #eLiquids, as set out in the #EU #TobaccoProductsDirective.
9) Respiratory clinicians must continue to campaign for the full implementation of the #WHO #MPOWER strategy designed to assist implementation of the Framework Convention on Tobacco Control, as this is the most powerful tool to deliver a #SmokeFree generation.
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