Thread by @vaper_the

What Skerrit is saying in regard to not bringing #tobacco under the prescription model is complete rubbish. The @TGAgovau site explicitly mentions novel #nicotine products - #SLT & #HTP.

Huh.. @hollieahughes just said they're due to report by /18th/ December. I'd thought it was the 1st of December.
#AusTHRInquiry2020

Emily Banks 'sum total of world experience' .. yeah, with some heavy #CherryPicking.
The Oz #ANTZ /all/ seem to be loving 'the #GatewayEffect' which is a 'real thing'.. 🙄
#AusTHRInquiry2020

Does Emily Banks actually believe that #nicotine, in and of itself, is addictive? Is #NRT addictive, Emily?
#AusTHRInquiry2020

Oh yes, haul out the #GatewayEffect again Emily..
#AusTHRInquiry2020

#CommonLiability /cannot/ be 'factored out'.
#AusTHRInquiry2020

#THR is more effective as a consumer item than in an #RCT. But if you consider it a medication, it can never achieve that!
#AusTHRInquiry2020

.@MattCanavan is really not letting Emily off the hook re the numbers!
#AusTHRInquiry2020

@mattjcan, sorry.
#AusTHRInquiry2020

https://twitter.com/vaper_the/status/1327038854109437953

Hey, CSIRO guy! Is there any evidence #nicotine #ecigs are LESS effective than available #QuitSmoking methods?
Even setting the basic #HumanRight aside!
#AusTHRInquiry2020

'majority quit #ColdTurkey' Emily Banks.
Not anymore! Not in countries where #nicotine #vaping is a retail item.
#AusTHRInquiry2020

They have all this confidence in the #GatewayEffect, yet never seemed to ask why it might happen.
Gross incompetence.
#AusTHRInquiry2020

'prolong #smoking'. Emily Banks
Yeah, what about the 30 year average to #QuitSmoking using 'proven' methods? SMH
#AusTHRInquiry2020

@SenatorSiewert is on the ball with asking comparative effectiveness.
#AusTHRInquiry2020

Hey @CSIRO guy! Myself and many others, including the chair of the committee, were not /trying/ to #QuitSmoking!
#AusTHRInquiry2020
thethr.blog/accidental-qui…

You could just say 'no' Emily, you can't provide that number. 🙄
#AusTHRInquiry2020

It's already /been/ modeled, @CSIRO guy.
#AusTHRInquiry2020

0.2% never #smokers #vape regularly.. @mattjcan
#AusTHRInquiry2020

@HaydenMcRobbie, Ron Borland, @CoralGartner & Wayne Hall are up next in the #AusTHRInquiry2020. Real soon now..

I wish more would opt for 'phone only'. The audio in the video is often shaky, and it's their words that matter!
#AusTHRInquiry2020

@HaydenMcRobbie seems to /understand/ #HarmReduction.
#AusTHRInquiry2020

@hollieahughes is asking about the actual #nicotine consumer. [Roaring cheer]
#AusTHRInquiry2020

Yeh .. @HaydenMcRobbie the 'majority' of ppl who #smoke wanting to #QuitSmoking was what .. 52%? What about us 48%?
#AusTHRInquiry2020

Ron Borland participated in a study that suggested #nicotine #vaping was accelerating the drop in #smoking rates..
#AusTHRInquiry2020

"The dose makes the poison" Ron Borland
#AusTHRInquiry2020

Ron Borland - #SLT use shows a marked reduction in toxins.
#AusTHRInquiry2020

@HaydenMcRobbie - keep #nicotine #vaping low in /never/ #smokers - not ppl who #smoke..
#AusTHRInquiry2020

Well, lack of success in getting doctors to prescribe #varenicline & #bupropion (/approved/ as #QuitSmoking medications by .@TGAgovau) doesn't bode well for an 'education campaign' re #nicotine #vaping, does it @Stirling_G? 🤔
#AusTHRInquiry2020

@mattjcan questioning 'abundant' precaution. Very sensible guy..
#AusTHRInquiry2020

@CoralGartner & Wayne Hall pointing out the unintended consequences of being overly cautious ..
#AusTHRInquiry2020

Ron Borland re #PrecautionayPrinciple: "do no harm"
#AusTHRInquiry2020

@SenSHenderson seems to think we're inundated with industry health / safety claims for #nicotine #vaping.
Where? When? .. What? 😕
#AusTHRInquiry2020

@HaydenMcRobbie is talking about /choice/ - essential for a pleasurable consumer item.
#AusTHRInquiry2020

Ron Borland talks about Scandinavia & the reduced toxin levels of #snus ..
#AusTHRInquiry2020

Ron Borland - the precautionary principle is getting rid of #smoking!
#AusTHRInquiry2020

Ron Borland 'net health effect' more plausible than #GatewayEffect.
#AusTHRInquiry2020

@SenSHenderson commenting on the population as a whole, but #Australia neglects to give due attention to health & available alternatives of current /#smokers/!
#AusTHRInquiry2020

#AusTHRInquiry2020 breaks for lunch, so you can all stop shouting and cheering at your streaming devices for a bit.

Professors Robert Beaglehole & @DrChrisBullen in next session of the #AusTHRInquiry2020 due to start in 6 mins (though the committee sessions are already running over time / late).

Professors Robert Beaglehole & @DrChrisBullen now on..
#AusTHRInquiry2020

Professor Robert Beaglehole speaks on availability of #nicotine #vape in #NewZealand as a consumer product..
#AusTHRInquiry2020

Professor Robert Beaglehole - evidence that #vaping is acceptable to #Maori and those w/ #MentalHealth conditions.
@DrChrisBullen smoking is high (80%) in ppl w/ #MentalHealth conditions.
#AusTHRInquiry2020

Ben Yudun(?) - people enjoy #vaping.
#AusTHRInquiry2020

Ben Yudun: NZ people are preferring consumer product [#vaping] to (free!) #NRT.
#AusTHRInquiry2020

Ben Yudun: 99.2% of 14 yo who #vape are current/former #smokers.
#AusTHRInquiry2020

@DrChrisBullen - wide availability is important for consumer acceptance / switching.
#AusTHRInquiry2020

@DrChrisBullen: no #COI in @CochraneTAG reviews.
#AusTHRInquiry2020

@DrChrisBullen: evidence #vaping helps #QuitSmoking is robust.
#AusTHRInquiry2020

@AUSenator whinging about past mistakes again .. 🙄
#AusTHRInquiry2020

Time to focus on /solutions/, @AUSenator!
#AusTHRInquiry2020

Robert Beaglehole: #eCigs cheap, work & widely acceptable..
#AusTHRInquiry2020

Robert Beaglehole: kids who #vape, do other things. Unlikely they'll move to #smoking for 20-30 years. Not becoming dependent on #vaping #nicotine.
#AusTHRInquiry2020

@SenatorSiewert: Asking about advertising limits..
#AusTHRInquiry2020

@SenatorSiewert: #DualUse?
#AusTHRInquiry2020

@DrChrisBullen: rigid framework for research doesn't necessarily follow real world experiences.
#AusTHRInquiry2020

@DrChrisBullen: cutting down #smoking not ideal, but better for health.
#AusTHRInquiry2020

@SenSHenderson asks about Professor Beaglehole & @WHO and their views.
#AusTHRInquiry2020

Professor Robert Beaglehole "painfully aware" about @WHO.
#AusTHRInquiry2020

Professor Robert Beaglehole: @WHO has taken a 'reactionary view' of #nicotine #vaping.
#AusTHRInquiry2020

Ben Yudun: High compliance with #SmokeFree areas in #NewZealand, /despite/ no regs to force them.
Who'd a thunk, #vapers can be polite?!?
#AusTHRInquiry2020

Ampol up next: #AusTHRInquiry2020

Ampol: We can be trusted on #ciggies, should be trusted on #vaping. Willing to trial #nicotine #vaping & #HTP products with due consultation with governments.
#AusTHRInquiry2020

@hollieahughes
@mattjcan
@SenatorSiewert
@SenSHenderson (phone only)
@Stirling_G
@AUSenator
@senator_sheldon

Ampol: If #vape sales successful, would expect downturn in sales of #cigarettes.
#AusTHRInquiry2020

Ampol: #Cigarettes sales are currently a significant part of (non fuel) sales.
#AusTHRInquiry2020

@senator_sheldon is putting the heat on the Ampol guy!
#AusTHRInquiry2020

@senator_sheldon hey: they consult with government agencies, do you know that the #Australian gov is raking in 17+ /billion/ a year from #smoking? Why aren't they facing the same questions as retailers?
#AusTHRInquiry2020

Ampol: Like to be able to offer our customers a healthier choice.
#AusTHRInquiry2020

Ampol: Everybody selling #tobacco products is 18+.
#AusTHRInquiry2020

@mattjcan asking re product accessibility (as opposed to chemists)
Ampol: Many open 24 hours.
#AusTHRInquiry2020

Ampol: Customers are relying on us for basics, rather than going to big centers (#COVID19).
#AusTHRInquiry2020

@mattjcan: notes chemists would need large 'infrastructure changes' to install the locked + non observable areas that retailers like Ampol /already/ have.
#AusTHRInquiry2020

Ampol would be offering choice to customers that there are /alternatives/, @SenSHenderson. Not. Health. Advice!
#AusTHRInquiry2020

Ampol has entered into dangerous waters with references to long term effects! Unknown for the long term!
#AusTHRInquiry2020

Dianne Gorman: importance of choice & help of other #vapers! Range of flavors is by adult demand.
#AccidentalQuitter as well!
#AusTHRInquiry2020
thethr.blog/accidental-qui…

Dianne Gorman: real problem is inhaling #smoke. #Vaping doing its job as harm reduction.
#AusTHRInquiry2020

James Reid: Finally found a way out of #smoking. #Vaping!
#AusTHRInquiry2020

James Reid: (Then) along came #vaping. Everything changed!
#AusTHRInquiry2020

James Reid: prescription model won't work. Why restrict access to most effective #NRT available?
#AusTHRInquiry2020

@hollieahughes: what was cost differential?
James Reid:
25 #ciggies a day - 30$ a day.
Averaging $5-10 in juice after initial outlay.
#AusTHRInquiry2020

James Reid: 10$ a week #vaping - $200+ #smoking.
#AusTHRInquiry2020

James Reid: despair with #ColdTurkey, success with #vaping.
#AusTHRInquiry2020

@hollieahughes: are we nothing but anecdotes?
James Reid: why are critics not engaging with us?
Dianne Gorman: Dep of Health saying "we don't matter" is depressing.
#AusTHRInquiry2020

Hayley Dekker Lennon: #Vaper's voices need to be heard more!
#QuitSmoking overnight. Same for dad, sister and brother in-law.
#AusTHRInquiry2020

Hayley Dekker Lennon: Enemy to health is [combustible] #tobacco.
#AusTHRInquiry2020

@senator_sheldon: asks about #nicotine prescription of James Reid: Personal Import Scheme - had supportive doctor.
#AusTHRInquiry2020

James Reid: had nicotine seized by @TGAgovau. No info till /he/ chased it up with them.
#AusTHRInquiry2020

James Reid: @ATHRA_AU page (for doctors only) makes (PIS) prescriptions straight-forward.
#AusTHRInquiry2020

James Reid: #DicingWithDeath to be forced to deal with higher strength #nicotine for #vaping.
#AusTHRInquiry2020

James Reid: Early Hon Lik devices a bit 'rough around the edges'.
#AusTHRInquiry2020

@SenatorSiewert: Lived experience important to us!
#AusTHRInquiry20201

Dianne Gorman: Against prescription approach.
#ColdTurkey to #QuitSmoking was .. disastrous.
Did not want medical advice to quit.
#AusTHRInquiry2020

Dianne Gorman: Hand to mouth action is important.
#AusTHRInquiry2020

Dianne Gorman: sometimes could not be bothered adding #nicotine! 👍
#AusTHRInquiry2020

Dianne Gorman: DoH needs to go into #vape stores.
Choice is critical.
#AusTHRInquiry2020

Dianne Gorman: Thought I'd die a #smoker.
#AusTHRInquiry2020

Hayley Dekker Lennon: Buys pre-mixed #nicotine because kids around house.
[ Very lucky to have started OS where retail choices available. Was able to find strengths and flavours easily. ]
#AusTHRInquiry2020

Dianne Gorman: If you can't buy #nicotine, #vaping doesn't help!
#AusTHRInquiry2020

@AUSenator: Should #prescription medications have doctor oversight?
Dianne Gorman: Yes, but #nicotine is not a /medicine/?
#AusTHRInquiry2020

Dianne Gorman: #Vape store employees are ex #smokers who know things medicos don't.
#AusTHRInquiry2020

@mattjcan: might #smokers not be inclined to seek medical approval?
James Reid: If it came to needing a doctor for #nicotine, many'd just go back to #cigarettes.
#AusTHRInquiry2020

James Reid: #vape shops have /personal experience/ expertise!
#AusTHRInquiry2020

Dianne Gorman: There are people in their 70's who would have difficulty getting going with #vape (because of non retail access, dealing with computers).
#AusTHRInquiry2020

Hayley Dekker Lennon: Reduced #smoking when pregnant. Switched to #vaping when son was 9-10 months old.
#AusTHRInquiry2020

@ColinMendelsohn & @AlexWodak of @ATHRA_AU coming up next. Stay tuned!
#AusTHRInquiry2020

@ColinMendelsohn Discussion of #vaping should come down to what is the net #PublicHealth effect?
#AusTHRInquiry2020

@ColinMendelsohn #Vaping is not a #QuitSmoking method, but a form of #HarmReduction. Not medicines, don't make health claims. Prescription model is unworkable.
#AusTHRInquiry2020

@AlexWodak Drug #HarmReduction is usually relentlessly resisted at first, but always very effective.
#AusTHRInquiry2020

@AlexWodak #HarmReduction is third pillar of national #tobacco strategy.
#AusTHRInquiry2020

@AlexWodak consumers rush to low risk alternatives when available.
#AusTHRInquiry2020

@hollieahughes: #Gateway? Advances in science change our understanding over what we had on #cigarettes?
@AlexWodak: Don't hear '#cannabis is #gateway to heroin' any more. No evidence. Direct evidence to the contrary! More than enough knowledge to proceed.
#AusTHRInquiry2020

@ColinMendelsohn if smoking were made available today, we would know very quickly that they're harmful.
#AusTHRInquiry2020

@hollieahughes: Variety of machines? As opposed to doctors.
@ColinMendelsohn: #vaping is quite complex. Range of devices, flavors, strengths. It's a journey.
#AusTHRInquiry2020

@ColinMendelsohn accessing products online is difficult. Failed deliveries causes ppl to go back to #smoking.
#AusTHRInquiry2020

@AlexWodak accepted '#tobacco money' that came /via/ governments.

[ Been waiting for someone to point that out - for all these salaried/employed gov reps. 😂😂👍 ]

#AusTHRInquiry2020

@AlexWodak case for high (not extremely high) #TobaccoTax. Most #smokers very low incomes. Cruel & punitive. Especially with exit door to #vaping difficult.
#AusTHRInquiry2020

@ColinMendelsohn one problem is with relapse. #Vaping helps stop that.
#AusTHRInquiry2020

@ColinMendelsohn People terrified of going back to #smoking if they cannot get #nicotine for #vaping.

#AusTHRInquiry2020

@ColinMendelsohn GPs have been, will be hard to educate.

#AusTHRInquiry2020

@ColinMendelsohn Doctors amazed with results.
#Vaping is most popular quitting method OS.
Vaping 70% more effective than #NRT.
Banks report negated effect by including study with minimal/no #nicotine level.
#AusTHRInquiry2020

@mattjcan RCT changes behavior? Works better being watched?
@ColinMendelsohn RCTs don't capture all relevant advantages of real world use.

#AusTHRInquiry2020

@ColinMendelsohn '95%' came from a comprehensive review of both @PHE_uk and @RCPLondon. Toxins / biomarkers much reduced, medical conditions from #smoking improve.

#AusTHRInquiry2020

@ColinMendelsohn Nutt study was only a small part of the total evidence considered!

#AusTHRInquiry2020

@Stirling_G needs some education of association vs causation!
Have at it @ColinMendelsohn! 👍

#AusTHRInquiry2020

@ColinMendelsohn #Gateway is not consistent with /real/ /world/ /effect/.

#AusTHRInquiry2020

@ColinMendelsohn: @ATHRA_AU raised $31,000 from /#vapers/!

#AusTHRInquiry2020

@ColinMendelsohn pays most costs from his own pocket!

#AusTHRInquiry2020

@AUSenator seems to not be interested in comparing #vaping and /#SMOKING/ re #COPD & #asthma. 🙄
Completely does not get it! #Vaping is an /alternative/ to #SMOKING.

#AusTHRInquiry2020

@ColinMendelsohn Flavors a very important part of getting #smokers to switch.

#AusTHRInquiry2020

@ColinMendelsohn suspect flavours are not used.

#AusTHRInquiry2020

@ColinMendelsohn public messaging that #vaping is for adult #smokers is needed.

#AusTHRInquiry2020

@ColinMendelsohn in #Australia, most popular quit method is #vaping. Number going to doctors is very small, don't have confidence in going to GP.

#AusTHRInquiry2020

@SenSHenderson: I (and many others) are /not/ looking for health advice!

#AusTHRInquiry2020

@SenSHenderson: One in seven ppl who #vape, #QuitSmoking accidentally. A doctor /cannot/ help /us/.

#AusTHRInquiry2020
thethr.blog/accidental-qui…

@ColinMendelsohn lower risk to non #nicotine users:
- Target it as being for adult #smokers
- Restrict advertising / marketing.

[ Promote to smokers, you ask, @SenatorSiewert? ]
#AusTHRInquiry2020
thethr.blog/thr2smokers/

@ColinMendelsohn Don't expect 30 years evidence for medical products, bleaches or hair products.
Double standard for #vaping.

#AusTHRInquiry2020

@senator_sheldon: Prohibit #vaping sales to never #nicotine users?

@ColinMendelsohn support adult choice.
@AlexWodak not feasible to enforce. Some suggestion that uptake of #vaping by US youth is a /diversion/ from #smoking!

#AusTHRInquiry2020

#AusTHRInquiry2020 wraps up!

Hoped to hear from @Clive_Bates (listed in program).
Maybe soon? He'd probably be a good follow up to @SimonChapman6, if for .. some reason Simon is called to give evidence.