Thread by @vaper_the

#AusTHRInquiry2020 #PH2 begins..

@SimonChapman6criticizes #vape advocate for mentioning success, not failure. What's the failure rate of #ColdTurkey, Simon? Not heard you mention that..
#AusTHRInquiry2020 #PH2

@SimonChapman6 criticizes #vape advocate for mentioning success, not failure. What's the failure rate of #ColdTurkey, Simon? Not heard you mention that..
#AusTHRInquiry2020 #PH2

@SimonChapman6 brings up the 40-50 years lack of knowledge re harms of #cigarettes.
Technology has improved since then! 🤨
#AusTHRInquiry2020 #PH2

@DrOliviaDoll1 of @CurtinUni
#BigTobacco! #BigTobacco!! #BigTobacco!!!
#AusTHRInquiry2020 #PH2

@DrOliviaDoll1 of @CurtinUni
Advocates are mean to us, mummy!
#AusTHRInquiry2020 #PH2

More than a decade is not 'the early days', @SimonChapman6 ..
#AusTHRInquiry2020 #PH2

@hollieahughes asks @SimonChapman6 re #BigPharma money.
#AusTHRInquiry2020 #PH2

@senator_sheldon should ask @SimonChapman6 & @DrOliviaDoll1 of @CurtinUni if they have any #ConflictsOfConscience! Ideology matters.
#AusTHRInquiry2020 #PH2

Not #CherryPicking! @SimonChapman6
#AusTHRInquiry2020 #PH2

😂😂 @SimonChapman6 is criticizing #RCT which he LOVES for everything else.
#AusTHRInquiry2020 #PH2

@SimonChapman6 these are not claimed to be #DoubleBlind #RCT .. 🙄
#AusTHRInquiry2020 #PH2

Study: 2932 #vapers for 12 months..
1 does well, 2.1 do 'badly'.
That's nearly 1/3 success rate @SimonChapman6!
#AusTHRInquiry2020 #PH2

@Stirling_G #NZ evidence based?
@SimonChapman6 Disturbingly, a real and disturbing increase in uptake of #vaping by 'young people' ..
(quickly becomes 'children' and 'kids'.)
#AusTHRInquiry2020 #PH2

You haven't forgotten that youth /#smoke/, have you @SimonChapman6?
#AusTHRInquiry2020 #PH2

@DrOliviaDoll1 of @CurtinUni: #NZ let the genie out of the bottle!
#AusTHRInquiry2020 #PH2

@Stirling_G ex-#smokers back to #nicotine #vaping?
[ What's the problem with that? They're adults who DON'T relapse to #smoking? ]
#AusTHRInquiry2020 #PH2

@SimonChapman6 "Nicotine is highly addictive!"
#AusTHRInquiry2020 #PH2

@SimonChapman6 talks about TGA not being approached to add flavors to ASTHMA inhalers. They're not being approached because #BigPHarma know users will use products when /needed/, don't want expense of getting multiple products approved.
#AusTHRInquiry2020 #PH2

Once #nicotine #vape consumers go out into the 'community', like #vape shops, their chances /increase/, @SimonChapman6. 🙄
#AusTHRInquiry2020 #PH2

@SenSHenderson Does #BigTobacco have a 'dark history'?

Sure. But does #TobaccoControl have a dark CURRENCY? Sure do!
#AusTHRInquiry2020 #PH2

Wait, is @DrOliviaDoll1 of @CurtinUni talking about #BigTobacco or #TobaccoControl?
#AusTHRInquiry2020 #PH2

#THR is not a therapy, @SimonChapman6, it's an /alternative/!
#AusTHRInquiry2020 #PH2

@SimonChapman6 won't address statement re 10s of thousands dying under current Health Gov..
#AusTHRInquiry2020 #PH2

@SimonChapman6 #TobaccoControl help many..

Why not help more?

@SimonChapman6 #Vaping has yet to show evidence of that. 🙄
#AusTHRInquiry2020 #PH2

@SimonChapman6 #BigTobaccoControl wants access to #vaping to be #OpenSesame.

When? Where? References or it didn't happen..

#AusTHRInquiry2020 #PH2

@DrOliviaDoll1 of @CurtinUni Article 5.3! Article 5.3! Article 5.3!

Oh no, it's not that PMI is trying to switch ppl who #smoke from #cigarettes to #HTP. Don't. Mention. Japan! Mike.
#AusTHRInquiry2020 #PH2

@SimonChapman6
The problem was, that Banks' study was a meta analysis of /#nicotine based/ #eCigarettes! It's not #CherryPicking to exclude a product with effectively NO nicotine.
#AusTHRInquiry2020 #PH2

@SimonChapman6
It's Not. A. Bloody. Medicine!
Need to make it for people who are trained in it.
Doctors? Gimme a break - 80% of US GPs think nicotine causes cancer!
#AusTHRInquiry2020 #PH2

@mattjcan Comes in to query @SimonChapman6 re 'support for prescription model' when he just mooted evidence won't convince them!
#AusTHRInquiry2020 #PH2

@SimonChapman6 says no / little evidence on this drug (#nicotine).

What?!? It's been known for decades, and 10s of thousands of studies have been done!
#AusTHRInquiry2020 #PH2

I /intended/ to dual use, @SimonChapman6.
I'm not a #smoker now.

#AusTHRInquiry2020 #PH2
thethr.blog/accidental-qui…

@mattjcan brings up #PrecuationaryPrinciple ..
#AusTHRInquiry2020 #PH2

@DrOliviaDoll1 of @CurtinUni would be happy to see lots of ppl going to GPs for #QuitSmoking advice.

[Probably because he knows they WON'T recommend #vaping.]
#AusTHRInquiry2020 #PH2

@mattjcan grills @SimonChapman6 re interpretation of @robertjwest result ..
"I'll have to take that on notice."
#AusTHRInquiry2020 #PH2

@sdmtr now on..
#AusTHRInquiry2020 #PH2

@sdmtr #Vapers angry at "bizarre and unworkable prescription model" ..
#AusTHRInquiry2020 #PH2

@sdmtr Difficult to find 1st doctor, then pharmacist, who will deal with #nicotine #vaping.
#AusTHRInquiry2020 #PH2

@sdmtr 50+ jobs in #NZ would come to #Australia with retail regs.
#AusTHRInquiry2020 #PH2

@hollieahughes Variety works?

@sdmtr absolutely. No 'one size fits all'.
#AusTHRInquiry2020 #PH2

@senator_sheldon "Good morning Dimitri" 🙄
#AusTHRInquiry2020 #PH2

@sdmtr #Vaping is not as simple as lighting the end of a #cigarette.
#AusTHRInquiry2020 #PH2

@sdmtr #vaping is /already/ disrupting the business model of #BigTobacco.
#AusTHRInquiry2020 #PH2

@sdmtr #BigTobacco sell #HNB devices.
#AusTHRInquiry2020 #PH2

@sdmtr #Vaping is safer than #smoking.
#AusTHRInquiry2020 #PH2

@Stirling_G Asks about #GatewayEffect but clearly does not understand what it means!
#AusTHRInquiry2020 #PH2

@sdmtr #Vaping is a #Gateway OUT of #smoking.
#AusTHRInquiry2020 #PH2

@sdmtr #Vaping is a much more pleasant experience - ridiculous to suggest a #vaper would go to #smoking.
#AusTHRInquiry2020 #PH2

@SenSHenderson Would you have viable business with just devices?
#AusTHRInquiry2020 #PH2

@mattjcan #NZ trying to put the genie back in the bottle? Chang of heart?

@sdmtr #NZ has no regrets over the NZ model.
#AusTHRInquiry2020 #PH2

@mattjcan [TGA] Can approve 5000+ variants?

@sdmtr No.
#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa now on..

#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa played a role in policy & actions against #BigTobacco.
#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa - #Vaping was not invented by #BigTobacco.
#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa [#BigTobacco] "Is running scared" due to #vaping.
#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa Disruptive technology destroys the business model of selling #cigarettes.
#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa "It's time to protect #PublicHealth"
#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa #BigTobacco lost >300 /billion/ dollars due to disruptive technology - no longer a cartel.
#AusTHRInquiry2020 #PH2

@hollieahughes Vested interest of #BigPharma?

David Sweanor of @uOttawa Not rushing to get into market because unworkable.
#AusTHRInquiry2020 #PH2

@senator_sheldon Risk that #vaping / #HNB would give profit to #BigTobacco?

David Sweanor of @uOttawa Smalls companies screwed, #BigTobacco will profit with restrictive regs.
#AusTHRInquiry2020 #PH2

@senator_sheldon #Gateway?

David Sweanor of @uOttawa Key is whether gateway is path into #smoking!
#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa #Gateway /away/ from #smoking.
#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa #BigTobacco IS looking to enter #vaping market [because they have to].
#AusTHRInquiry2020 #PH2

@SenatorSiewert Defensive strategy?

David Sweanor of @uOttawa because of decline in value.
#AusTHRInquiry2020 #PH2

@SenatorSiewert Is sitch to #vaping going to replace the 300 billion?

David Sweanor of @uOttawa No. They no longer have cartel.
#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa People move to safer, cheaper, better products.
#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa Regulation encouraged move from #SnakeOil to regulated products.
#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa Has looked at long-term as well as cross-sectional studies.
#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa Let's try to put #cigarettes into history's ashtray.
#AusTHRInquiry2020 #PH2

@mattjcan: #Canada / #US envious of #Australia? Want to replicate?

David Sweanor of @uOttawa Not that I'm aware of!
#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa 2% decline in #smoking went to 8% when #vaping became popular, before being attacked. [#Canada?]
#AusTHRInquiry2020 #PH2

@mattjcan What gave rise to #BigTobacco monopoly?

David Sweanor of @uOttawa Consolidated. Make #cigarettes more efficiently (27c per pack!). Turning disadvantage to advantages. Many regs force new / small players out. Companies 'match price'.
#AusTHRInquiry2020 #PH2

David Sweanor of @uOttawa Risk proportionate regulation is key.
#AusTHRInquiry2020 #PH2

@mattjcan #BigTobacco trying to catch up? Not best outcome?

David Sweanor of @uOttawa they'd prefer status quo. Forced to adapt.
#AusTHRInquiry2020 #PH2

Break till 11:30 am AEDT (about 10 mins)
#AusTHRInquiry2020 #PH2

Coming up..

Kingsley Faulkner & @MauriceGSwanson of @tobaccofreeaust..
Should be 'interesting'. 🙄
#AusTHRInquiry2020 #PH2

Matthew Peters of Thoracic Society of Oz & NZ.
Wants to talk about studies released /after/ the submission. I wonder why? 🙄
#AusTHRInquiry2020 #PH2

Matthew Peters of Thoracic Society of Oz & NZ #DualUse not better after 6 years.
#AusTHRInquiry2020 #PH2

#DualUse! #DualUse! #DualUse! #DualUse! ..
Matthew Peters of Thoracic Society of Oz & NZ

#AusTHRInquiry2020 #PH2

Matthew Peters of Thoracic Society of Oz & NZ products should be with 'proven safe'

Nothing is proven completely safe. So do you mean relatively safe? Mostly safe? ..
#AusTHRInquiry2020 #PH2

Matthew Peters of Thoracic Society of Oz & NZ
2010-2016/18 results prove #Australia is a leader.
#AusTHRInquiry2020 #PH2

Kingsley Faulkner of @tobaccofreeaust
#TobaccoFree by 2030.
#AusTHRInquiry2020 #PH2

Kingsley Faulkner of @tobaccofreeaust
Evidence for #PrecautionaryPrinciple has strengthened.
#AusTHRInquiry2020 #PH2

@hollieahughes Agree with Skerrit '#vaping less harmful than #smoking'?

[?] Evidence since submission seriously casts doubt.
#AusTHRInquiry2020 #PH2

@hollieahughes [same qn]

Kingsley Faulkner of @tobaccofreeaust blah blah [no]. But not an authority on pharmacology.
#AusTHRInquiry2020 #PH2

Kingsley Faulkner of @tobaccofreeaust
talks about #nicotine addicts and The. Children.
#AusTHRInquiry2020 #PH2

@senator_sheldon Adverse lung effects?

Matthew Peters #smoking & #vaping comparison. (Some) Genetic changes..

/Amount/ of change not stated.
#AusTHRInquiry2020 #PH2

Kingsley Faulkner of @tobaccofreeaust(?) says @hollieahughes was saying that #vaping was 'safe'.
She challenged, he clarified 'safer'.
#AusTHRInquiry2020 #PH2

@senator_sheldon support ban on flavours?

Matthew Peters: ignores flavours (but says medical - which would kill flavours).
#AusTHRInquiry2020 #PH2

Kingsley Faulkner of @tobaccofreeaust talks of doctors 'giving #vaping a try' after trying anything else.

Most #smokers /AREN'T/ asking Drs.
#AusTHRInquiry2020 #PH2

@Stirling_G Is evidence of safer distorted?

Kingsley Faulkner of @tobaccofreeaust: Plumes of vapour makes us realise how dangerous in #COVID19. #Smokers more likely to die from COVID.
#AusTHRInquiry2020 #PH2

@MauriceGSwanson "Our achievements are leading the world without #vaping."
#AusTHRInquiry2020 #PH2

@Stirling_G #Gateway?

@MauriceGSwanson. Evidence from Banks study.
#AusTHRInquiry2020 #PH2

@MauriceGSwanson of @tobaccofreeaust Doesn't understand difference between association & causation. What a surprise.
#AusTHRInquiry2020 #PH2

#BigTobacco wants a return on investment.

I'm shocked, Shocked, I tell you. It's as if they were a public, for profit company with investors! 🙄
#AusTHRInquiry2020 #PH2

#DualUse is bad .. 'mkay?

#AusTHRInquiry2020 #PH2

Gee .. I wonder if #smoking while using #NRT [#varenicline, #zyban] ever happens?

You wouldn't think so, given the (lack) of testimony on that matter.
#AusTHRInquiry2020 #PH2

@mattjcan #QuitSmoking reduction comparable between #Australia and elsewhere?

[general] 1/5 lost. All done well.
#AusTHRInquiry2020 #PH2

"[#eCigs] don't prevent relapse" 🙄

#AusTHRInquiry2020 #PH2

"I don't think a GP should prescribe a dangerous product!"
Matthew Peters

#AusTHRInquiry2020 #PH2 #AusTHRInquiry2020 #PH2

@mattjcan Are individuals shills?

Matthew Peters [ducks question]
#AusTHRInquiry2020 #PH2

@mattjcan Shouldn't consumers make decision?

Matthew Peters [ducks question - then goes on with 'no man is an island' when pressed.]
#AusTHRInquiry2020 #PH2

Up now..

Nick Zwar of @RACGP
John Allan of @RANZCP
John Wilson of @TheRACP
#AusTHRInquiry2020 #PH2

John Wilson of @TheRACP
#PublicHealth safety must take precedence.
[#Nicotine #vaping] Treatment option of /last/ /resort/.
#AusTHRInquiry2020 #PH2

John Wilson of @TheRACP doctors used to prescribe cigarettes!

Prescribe? Seriously?
#AusTHRInquiry2020 #PH2

John Allan of @RANZCP Ppl affected by #MentalIllness #smoke more than general population.
#AusTHRInquiry2020 #PH2

John Allan of @RANZCP #smokers should have access to broad range of #TobaccoHarmReduction options.
#AusTHRInquiry2020 #PH2

John Allan of @RANZCP
Support strong regulation. Many #smokers do not present to doctors.
#AusTHRInquiry2020 #PH2

Nick Zwar of @RACGP
GPs are often 1st port of call for ppl wanting to #QuitSmoking.
#AusTHRInquiry2020 #PH2

Nick Zwar of @RACGP. We have other options than #vaping! #Nicotine is an addictive chemical!
#AusTHRInquiry2020 #PH2

Nick Zwar of @RACGP doesn't think clear link between ppl #QuitSmoking and #vaping availability.
#AusTHRInquiry2020 #PH2

Nick Zwar of @RACGP Reasonable for a Dr to consider only if patient mentions #vaping and more long-term evidence.
#AusTHRInquiry2020 #PH2

Nick Zwar of @RACGP 'context issues' without details.
#AusTHRInquiry2020 #PH2

@hollieahughes legal implications for GPs to prescribe?

John Wilson of @TheRACP. Yes.
#AusTHRInquiry2020 #PH2

@hollieahughes How will TGA model work? GP willingness?

Nick Zwar of @RACGP: Hard to predict the future. Need for education support.
#AusTHRInquiry2020 #PH2

Nick Zwar of @RACGP don't know as much about what we're prescribing.
#AusTHRInquiry2020 #PH2

@hollieahughes Pharmaceutical product?

Nick Zwar of @RACGP best assessed as a medicine.
#AusTHRInquiry2020 #PH2

Nick Zwar of @RACGP "another form of #NRT" is 'all' #vaping is.
#AusTHRInquiry2020 #PH2

Not many ppl use #NRT long term. Yeah .. because it's expensive & mostly useless!
#AusTHRInquiry2020 #PH2

@senator_sheldon How could prescription pathway be refined to improve effectiveness?

John Wilson of @TheRACP [goes off on tangent]
#AusTHRInquiry2020 #PH2

Nick Zwar of @RACGP: will be a challenge [for doctors].
#AusTHRInquiry2020 #PH2

Nick Zwar of @RACGP: "shouldn't be open ended"

Must. Stop. Using. #Nicotine!
#AusTHRInquiry2020 #PH2

@senator_sheldon: #Gateway?

John Wilson of @TheRACP. #DualUse! #DualUse! #DualUse!
#AusTHRInquiry2020 #PH2

@senator_sheldon: Strong consumer regs is NOT dropping the #PrecautionaryApproach, which is not being exercised correctly, currently!
#AusTHRInquiry2020 #PH2

#Nicotine reduction strategies? I thought it was about reducing #smoking of nicotine.

#AusTHRInquiry2020 #PH2

Somebody just alluded to #EVALI [without naming it].

#AusTHRInquiry2020 #PH2

Nick Zwar of @RACGP Don't know about long term harms.

#AusTHRInquiry2020 #PH2

Nick Zwar of @RACGP: Mixing your own will increase with increasing availability.

This does not even make sense! Further, it is not consistent with real world evidence.
#AusTHRInquiry2020 #PH2

John Allan of @RANZCP: concern for forgotten people.
#AusTHRInquiry2020 #PH2

John Allan of @RANZCP: addiction specialists only.
#AusTHRInquiry2020 #PH2

John Allan of @RANZCP: Not open to public sale.
#AusTHRInquiry2020 #PH2

Hey, John Allan of @RANZCP, if ppl have trouble accessing GPs, they have even MORE trouble accessing psychiatrists!
How many psychiatrists bulk bill?
How many psychiatrists compared to how many GPs?
#AusTHRInquiry2020 #PH2

@mattjcan #nicotine good for some #MentalHealth conditions?

John Allan of @RANZCP (?) No real evidence.
#AusTHRInquiry2020 #PH2

Morning session closes.

Reconvenes at 2:15 pm Sydney time.
#AusTHRInquiry2020 #PH2

Coming up..
@omarkhor of @ama_media
Michelle Jongenelis of @unimelb

#AusTHRInquiry2020 #PH2

@omarkhor of @ama_media We know they're a #Gateway.

#AusTHRInquiry2020 #PH2

@omarkhor of @ama_media 3 fold risk of taking up smoking.

#AusTHRInquiry2020 #PH2

How many (millions of) anecdotes does it take to form evidence, @omarkhor of @ama_media? How many 1000s of subs from ppl of #Australia!

#AusTHRInquiry2020 #PH2

Michelle Jongenelis of @unimelb Youth! Youth! Youth!
#AusTHRInquiry2020 #PH2

If people stop #smoking, Michelle Jongenelis of @unimelb, they ARE #SmokeFree. You do understand that, right?
#AusTHRInquiry2020 #PH2

@hollieahughes Prescription model. Not a fan? Would you participate in education process for GPs?

@omarkhor, @ama_media supported prescription model. Doctors in general 'may be reticent'.
#AusTHRInquiry2020 #PH2

@omarkhor of @ama_media: limit length of time consuming #nicotine.
#AusTHRInquiry2020 #PH2

They seem very enthusiastic about 'the conversation' most GPs don't have time for..
#AusTHRInquiry2020 #PH2

Calls to poisons centers are (majority) NOT poisonings & users #SelfTitrate, @omarkhor. Plus, nobody (besides #ANTZ) is suggesting 'unregulated industry'.
#AusTHRInquiry2020 #PH2

@omarkhor of @ama_media 'patients / consumers' 🙄
#AusTHRInquiry2020 #PH2

@omarkhor of @ama_media Non-nicotine #eCigs 'concern' AMA. Ban them cause pathway into #smoking!
#AusTHRInquiry2020 #PH2

Will @omarkhor of @ama_media claim #BigTobacco is making health claims about #nicotine #vaping? No .. he just mentioned it in relation to decades ago implications re #cigarettes.
#AusTHRInquiry2020 #PH2

Michelle Jongenelis of @unimelb #US 'epidemic' of youth use. And number of flavours!
Will she dare discuss #NZ & #UK (as asked)? [No.]
#AusTHRInquiry2020 #PH2

Michelle Jongenelis of @unimelb 'we don't need it'.

As a consumer, wasn't asking you, OR the #vape industry.

Oh #Gateway. Yep, tick that box..
#AusTHRInquiry2020 #PH2

@senator_sheldon Youth! Youth! Youth!

[will either mention possible /diversion/ from #smoking?]

#AusTHRInquiry2020 #PH2

A point, @omarkhor of @ama_media, regulation of retail industry can REDUCE youth access.
#AusTHRInquiry2020 #PH2

@senator_sheldon Can #eCigs have a #HarmReduction role?

@omarkhor of @ama_media No. We don't know it's less harmful. Short term use maybe. Get off the addiction!
Michelle Jongenelis of @unimelb Not enough evidence.
#AusTHRInquiry2020 #PH2

Michelle Jongenelis of @unimelb #Gateway for ex-#smokers. Claims #eCigs industry is saying safe!
#AusTHRInquiry2020 #PH2

Michelle Jongenelis of @unimelb #US battling an 'epidemic'.
#AusTHRInquiry2020 #PH2

@omarkhor of @ama_media #PlainPackaging innovative, contributed to long term success of #Australia.
#AusTHRInquiry2020 #PH2

@Stirling_G Funding for #QuitSmoking? Details?

@omarkhor of @ama_media national anti-#smoking campaign - not one for almost a decade.
#AusTHRInquiry2020 #PH2

@omarkhor of @ama_media

Wants same-old crap that never worked for me. 🤷

#AusTHRInquiry2020 #PH2

@omarkhor of @ama_media #TobaccoExcise is a very large amount of money, give more to #TobaccoControl!
#AusTHRInquiry2020 #PH2

@omarkhor of @ama_media

Seems 'not concerned at all' about limiting adult choice of #TobaccoHarmReduction options.

#AusTHRInquiry2020 #PH2

@SenSHenderson Do you have a QN?!? Get to it!

#AusTHRInquiry2020 #PH2

I DON'T and will NEVER accept a restriction on my accessing #TobaccoHarmReduction, @omarkhor!
#AusTHRInquiry2020 #PH2

@omarkhor of @ama_media. #Gateway!
#AusTHRInquiry2020 #PH2

@omarkhor doesn't understand #Toxicology101.
What a surprise.. 🙄
#AusTHRInquiry2020 #PH2

@SenSHenderson 'seeming scientific' stuff by #BigTobacco..

Have you actually /seen/ the #JunkScience spewing out of #TobaccoControl?

#AusTHRInquiry2020 #PH2

@omarkhor of @ama_media sensible regulation of #nicotine #vaping is prohibition.. 🙄
#AusTHRInquiry2020 #PH2

#BigTobacco is doing a better job of protecting us (by offering alternatives to #cigarettes) than you lot, @omarkhor.
#AusTHRInquiry2020 #PH2

Michelle Jongenelis of @unimelb 'substantial' increase in use by under 18s.
@mattjcan You agree decrease in use between 16-18?
Michelle Jongenelis small decrease.
#AusTHRInquiry2020 #PH2

@mattjcan #PrecautionaryPrinciple?

@omarkhor: damage to health . Many, many years for evidence re #smoking.
#AusTHRInquiry2020 #PH2

Coming up.. @Clive_Bates
#AusTHRInquiry2020 #PH2

@Clive_Bates
1) No doubt #vaping much less harmful from toxicology & exposure
#AusTHRInquiry2020 #PH2

@Clive_Bates
2) Act as /substitute/.
#AusTHRInquiry2020 #PH2

@Clive_Bates
3) #THR is /supportive/ to #TobaccoControl.
#AusTHRInquiry2020 #PH2

@Clive_Bates
4) Beware #UnintendedConsequences!
#AusTHRInquiry2020 #PH2

@hollieahughes #Vaping just as dangerous?

@Clive_Bates: Absolutely no evidence to support it. Ton of evidence pointing in other direction.
#AusTHRInquiry2020 #PH2

@Clive_Bates No combustion. Products of combustion cause the harms. Out of picture? Much less risk.
#AusTHRInquiry2020 #PH2

@hollieahughes 0 evidence?

@Clive_Bates Don't dismiss personal evidence. 1000s represent a form of evidence. RCTs, population studies, .. none individually decisive, but compelling.
#AusTHRInquiry2020 #PH2

@hollieahughes: Obstetricians refer pregnant women to #vaping (in #UK)?

@Clive_Bates: Some, not sure of numbers. In real world, people do use these products, so helping them is a service.

#AusTHRInquiry2020 #PH2

@Clive_Bates Humane /#HarmRedution/ approach..
#AusTHRInquiry2020 #PH2

@hollieahughes Not #Smoking / #Vaping allowed signs in #UK hospitals.

@Clive_Bates Helps both patients AND visitors.
#AusTHRInquiry2020 #PH2

@senator_sheldon Detrimental effects re #asthma?

@Clive_Bates: Asthma complicated, for ppl who #smoke, symptoms reduce when #vaping.
#AusTHRInquiry2020 #PH2

@senator_sheldon #eCigarette use as cessation product?

@Clive_Bates #eCigs are an /alternative/ product. They compete with #smoking. #QuitSmoking therapies are aimed at getting ppl off #nicotine.
#AusTHRInquiry2020 #PH2

@Clive_Bates #Australia wants to jam #vaping into 'pumped up #NRT'..
#AusTHRInquiry2020 #PH2

@senator_sheldon #eCig effectiveness compared to #QuitSmoking meds?

@Clive_Bates Almost twice as effective as #NRT in #RCT. RCTs may /underestimate/ effectiveness. Lots of #AccidentalQuitter(s).

#AusTHRInquiry2020 #PH2
thethr.blog/accidental-qui…

@Stirling_G Hajek study supports counselling (from doctors)?

@Clive_Bates No. Most ppl who #smoke don't want doctors. Visiting #vape shops, going online for info. RCTs only get part of the picture.

#AusTHRInquiry2020 #PH2

@Clive_Bates "#Tobacco prepared & packed for #smoking" is much more available than #PrescriptionModel!
#AusTHRInquiry2020 #PH2

@Clive_Bates Opening up qualitatively different pathways to #QuitSmoking.
#AusTHRInquiry2020 #PH2

@Stirling_G Flavours not 'safe'? Support availability?

@Clive_Bates: Yes. Essential for enjoyment of ppl who #smoke. #Tobacco flavour /is/ a flavour.
#AusTHRInquiry2020 #PH2

@Clive_Bates Can set standards for flavours. Can make regulations about flavour descriptions.
#AusTHRInquiry2020 #PH2

@Clive_Bates: No. #Gateway. Effect.
#AusTHRInquiry2020 #PH2

@SenSHenderson Qualifications?

@Clive_Bates Main qualification is in policy. (Much like politicians.)
#AusTHRInquiry2020 #PH2

@SenatorSiewert on asthma medicine .. and flavours. 🙄

@Clive_Bates: #PublicHealth model. Asthma inhalers /is a/ medication. [#Vaping] Encourages #smokers to move to much less harmful. Product appeal matters!

#AusTHRInquiry2020 #PH2

@SenatorSiewert Not approved by FEMA for inhalation?

@Clive_Bates GRAS but not approved for inhalation. Not /known/ to be dangerous, when becomes apparent, they are removed.
#AusTHRInquiry2020 #PH2

Apologies, that was @AUSenator!

@SenatorSiewert Safe?

@Clive_Bates This is about /#TobaccoHarmReduction/ not saying that it's completely safe!
#AusTHRInquiry2020 #PH2

@Clive_Bates: We don't have full evidence. Some harm revealed, but always much less than #smoking.
#AusTHRInquiry2020 #PH2

@Clive_Bates #PrecautionaryPrinciple misused in #Australia. No account for #UnintendedConsequences.
#AusTHRInquiry2020 #PH2

@Clive_Bates: No evidence of #qateway from #vaping to #smoking.
#AusTHRInquiry2020 #PH2

@Clive_Bates Rival explanations for /association/ [re #gateway]. #CommonLiability
#AusTHRInquiry2020 #PH2

@mattjcan #UK no truck with #vaping, things changed?

@Clive_Bates: Very significant change. Insights from academics 'something to see here'. They were influential. UK now seeks out opportunities that #TobaccoHarmReduction offers.

#AusTHRInquiry2020 #PH2

@Clive_Bates: Consumers very influential. [Usually] ignored by #TobaccoControl.
#AusTHRInquiry2020 #PH2

#AusTHRInquiry2020 #PH2 closes..

Wow! Now after a #TweetStorm covering more than 32 pages of tweets, I'm taking a break!

@threadreaderapp unroll (I'll be amazed if this works w/ such a long thread, but gotta' try!)