@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…
"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.
(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.
Now, let's consider how truth-telling and utility come into conflict...
(3) The dilemma for public health is this: If we tell EVERYONE to reduce their salt intake, this will help the 17% who are salt-sensitive. It may save lives.
But that requires us to violate truth-telling (i.e., it requires public health authorities to lie to 83% of adults).
Trolley Problem: You can flip the track and save the lives of 5 adult smokers. But the cost of doing so is one teen becoming dependent on nicotine.
Note: Death is final. Dependence is not (e.g., 2/3rds of teen smokers later quit).
...OK. Let's be more accurate. Teens who vape today may later quit. In fact, nearly 2/3rds of them just did quit (over the past two years).
Adult smoking shortens the lives of 50% of lifelong smokers by ~10 years. So that's not certain either. But death remains final.
So... Why 5 to 1?
4.6 million US adult vapers have quit smoking completely (this does not include smokers who quit with ecigs and later quit vaping). cdc.gov/mmwr/volumes/6…
0.5 million US high school students vape nicotine daily.
What happens when a smoker quits by switching to nicotine vapes ("e-cigarettes")?
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(2) when a smoker switches to nicotine vapes
Excess lifetime cancer risk drops >10,000-fold, and is “lower than guideline values defined by EPA and WHO.” 2nd hand vapor risks are obviously even lower than that. sciencedirect.com/science/articl…
(3) when a smoker switches to nicotine vapes
A more conservative estimate found lifetime cancer risk drops “only” 99.5%. Lifetime cancer risk from smoking is 18%. 0.05% of that = 9 in 10,000 (a risk so low it would be difficult to measure). tobaccocontrol.bmj.com/content/27/1/10
1/2 @CJBoyd_Research: No one vapes THC in "ENDS." THC vs. nicotine vapes = different devices.
Your study found “wheezing or whistling” in teens who vaped THC. And it found that teens who vape nicotine ("ecigs") have no respiratory symptoms. None. sciencedirect.com/science/articl…
2/2 So, consider the logic of your statement on @CNN:
"Without a doubt, e-cigarettes are unhealthy and not good for lungs." ["Of course, we couldn't find any harms from nicotine vaping ('e-cigarettes'), but it just stands to reason there must be some."] cnn.com/2021/03/03/hea…
PS: I cannot state strongly enough how the community of millions of adult ex-smokers who use #SaferNicotine to avoid toxic forms of tobacco HATE the term "ENDS."
And how much we hate @CDCgov's insistence that some people vape THC in "Electronic NICOTINE Delivery Systems."
REMINDER
If nicotine vapes ("e-cigarettes") are, in fact, safer than smoking, and help smokers quit, they are (obviously) profoundly different from recreational drugs like alcohol, caffeine & cannabis.
So, what if we just ask ex-smokers who vape how they're doing?
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(2) Among ex-smokers who quit by switching to nicotine vapes, 93% say their health improved. 62% say "improved dramatically." The 5% who said "no change" said "I was healthy to begin with."
Healthier. This is so different from daily screaming headlines.
(3) Among ex-smokers who quit by switching to nicotine vapes ("e-cigarettes"), 90% say they now have fewer and less sever lung infections. We're healthier. Does no one care?
LED candles (tea candles). No combustion. Our passive protest against #COP9FCTC efforts to - literally - kill us and other #SaferNicotine user like us.
LED candles (tea candles). No combustion. Our passive protest against #COP9FCTC efforts to - literally - kill us and other #SaferNicotine user like us.
LED candles. No combustion. Our passive protest against #COP9FCTC efforts to - very literally - kill us and other #SaferNicotine user like us, plus 1.1 billion smokers.