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