It's pretty simple to ask any of the millions of adult smokers who have switched to nicotine vaping how they're doing. Like this (not scientific; just a social media survey).

But it borders on medical #malpractice that this is not a higher priority for the research community.
2
It's pretty simple to ask any of the millions of adult smokers who have switched to nicotine vaping how they're doing. Like this (not scientific; just a social media survey).

But it borders on medical #malpractice that this is not a higher priority for the research community.
3
It's pretty simple to ask any of the millions of adult smokers who have switched to nicotine vaping how they're doing. Like this (not scientific; just a social media survey).

But it borders on medical #malpractice that this is not a higher priority for the research community.
4
It's pretty simple to ask any of the millions of adult smokers who have switched to nicotine vaping how they're doing. Like this (not scientific; just a social media survey).

But it borders on medical #malpractice that this is not a higher priority for the research community.
5
It's pretty simple to ask any of the millions of adult smokers who have switched to nicotine vaping how they're doing. Like this (not scientific; just a social media survey).

But it borders on medical #malpractice that this is not a higher priority for the research community.
6
It's pretty simple to ask any of the millions of adult smokers who have switched to nicotine vaping how they're doing. Like this (not scientific; just a social media survey).

But it borders on medical #malpractice that this is not a higher priority for the research community.
7
It's pretty simple to ask any of the millions of adult smokers who have switched to nicotine vaping how they quit. Like this (not scientific; just a social media survey).

But it borders on medical #malpractice that this is not a higher priority for the research community.

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More from @ChaunceyGardner

Apr 22
OK, so... unlike nicotine:
- alcohol (and cannabis) intoxicate
- alcohol abuse actually DOES harm developing brains
- teen binge drinking causes 3,500 deaths every year

THREAD
👇👇👇
(2)
FAR fewer teens vape than drink. FAR fewer teens vape nicotine daily than binge drink.

It's very clear here, that vape firms do a FAR better job keeping their products away from teens than alcohol companies do.

So why the irrational #MoralPanic over teen nicotine vaping?
(3)
So... Why the irrational #MoralPanic over teen nicotine vaping?

I assume that's because 4 decades of tobacco control messaging have convinced the public and physicians that nicotine is FAR more harmful than alcohol or cannabis.
rutgers.edu/news/rutgers-l….
Read 16 tweets
Mar 5
@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…

THREAD
👇👇👇
(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…
Read 11 tweets
Dec 26, 2021
Truth-telling and "utility" (greatest good for greatest number) are 2 basic principles in healthcare ethics that may come into conflict. For example:

17% of adults are salt-sensitive (more salt => higher blood pressure). 83% can eat as much salt as they like.
THREAD
(2)
The above figure comes from this peer-reviewed paper.
ncbi.nlm.nih.gov/pmc/articles/P…

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).
Read 13 tweets
Dec 25, 2021
Classic ethics thought experiment (updated)

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). Image
...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. Image
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.

>2.3 million lives saved vs. 0.5m 'hooked'?
Read 4 tweets
Dec 7, 2021
What happens when a smoker quits by switching to nicotine vapes ("e-cigarettes")?

THREAD
👇👇👇
(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
Read 18 tweets
Nov 15, 2021
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."
Read 5 tweets

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