1/
When it comes to #THR advocacy, there are 2 things that are a bee in my bonnet. Misinformation and the lack of agreeing on common goals/working to achieve them is the other. In honor of #WNTD22, I'm redoing a thread from a while ago. #ChangeTheConversation
👇👇 THREAD👇👇
When it comes to #THR advocacy, there are 2 things that are a bee in my bonnet. Misinformation and the lack of agreeing on common goals/working to achieve them is the other. In honor of #WNTD22, I'm redoing a thread from a while ago. #ChangeTheConversation
👇👇 THREAD👇👇
3/
From @Dr_KiranMelkote
"Tobacco control organizations have become mired in the “hows” and have lost sight of the “whys” – we have a common goal. Let’s join hands to save lives and improve public health."
#ChangeTheConversation
timesofindia.indiatimes.com/life-style/hea…
From @Dr_KiranMelkote
"Tobacco control organizations have become mired in the “hows” and have lost sight of the “whys” – we have a common goal. Let’s join hands to save lives and improve public health."
#ChangeTheConversation
timesofindia.indiatimes.com/life-style/hea…
4/
“We must not focus our efforts so narrowly on preventing tobacco use by youth that we send smokers the message that we have abandoned them -- that their addiction is their own fault and that we don't care about them.”
washingtonpost.com/archive/opinio…
“We must not focus our efforts so narrowly on preventing tobacco use by youth that we send smokers the message that we have abandoned them -- that their addiction is their own fault and that we don't care about them.”
washingtonpost.com/archive/opinio…
5/
Decisions made about THR are likely to shape TC policy for decades to come, with potentially profound implications for public health. Clarity in analysis and debate is essential if we are to make the right decisions on these weighty questions.
pubmed.ncbi.nlm.nih.gov/12573173/
Decisions made about THR are likely to shape TC policy for decades to come, with potentially profound implications for public health. Clarity in analysis and debate is essential if we are to make the right decisions on these weighty questions.
pubmed.ncbi.nlm.nih.gov/12573173/
6/
Both sides see how divisive the discussion is. When are we all going to break bread together and talk? I dream about this!!!!
“There is a contentious and ongoing debate regarding what role the concept of “harm reduction” should play for smokers..." truthinitiative.org/our-top-issues…
Both sides see how divisive the discussion is. When are we all going to break bread together and talk? I dream about this!!!!
“There is a contentious and ongoing debate regarding what role the concept of “harm reduction” should play for smokers..." truthinitiative.org/our-top-issues…
7/
“...we hope that continued discussion about the promise and perils of e-cigarettes is based on a balanced view of the available science, rather than an ideology that opposes harm reduction..."
pubmed.ncbi.nlm.nih.gov/22471757/
“...we hope that continued discussion about the promise and perils of e-cigarettes is based on a balanced view of the available science, rather than an ideology that opposes harm reduction..."
pubmed.ncbi.nlm.nih.gov/22471757/
8/
“…but to reach that middle ground that you mentioned, that balanced position does require healthy debate where we genuinely engage with the nuances around these arguments..."
bbc.co.uk/sounds/play/m0…
“…but to reach that middle ground that you mentioned, that balanced position does require healthy debate where we genuinely engage with the nuances around these arguments..."
bbc.co.uk/sounds/play/m0…
9/
I admire this man's patience. I respect how much he cares about people who smoke.
…much of the discussion over goals and trade-offs relies on “deeply held values and feelings' ' that “dominate much of our thinking”.
@jgitchell
I admire this man's patience. I respect how much he cares about people who smoke.
…much of the discussion over goals and trade-offs relies on “deeply held values and feelings' ' that “dominate much of our thinking”.
@jgitchell
10/
#TheSRNTfifteen
“The use of nicotine-containing electronic- or e-cigarettes has divided the tobacco control community along a spectrum from fervent opponents to enthusiastic supporters.”
ajph.aphapublications.org/doi/full/10.21…
#TheSRNTfifteen
“The use of nicotine-containing electronic- or e-cigarettes has divided the tobacco control community along a spectrum from fervent opponents to enthusiastic supporters.”
ajph.aphapublications.org/doi/full/10.21…
11/
I'd prefer to see everyone wanting to end death by smoking. Anyone agree?
“We challenge the public health and scientific community to move away from characterizing scientists as “opponents” or “supporters” of e-cigarettes...”
ajph.aphapublications.org/doi/10.2105/AJ…
I'd prefer to see everyone wanting to end death by smoking. Anyone agree?
“We challenge the public health and scientific community to move away from characterizing scientists as “opponents” or “supporters” of e-cigarettes...”
ajph.aphapublications.org/doi/10.2105/AJ…
12/
YES! I'm very willing to see olive branches!
“Still, the letter is a relatively balanced response, and can be read as a rare olive branch in an ongoing exchange where common ground remains shaky at best.” @Alex_Norcia
filtermag.org/common-ground-…
YES! I'm very willing to see olive branches!
“Still, the letter is a relatively balanced response, and can be read as a rare olive branch in an ongoing exchange where common ground remains shaky at best.” @Alex_Norcia
filtermag.org/common-ground-…
13/
“To succeed, participants from all sectors in the ongoing harm reduction debate need to take a step back and work together to reach greater common ground.”
@ScottGottliebMD
fda.gov/news-events/sp…
“To succeed, participants from all sectors in the ongoing harm reduction debate need to take a step back and work together to reach greater common ground.”
@ScottGottliebMD
fda.gov/news-events/sp…
14/
What happens when we listen to each other? Ask @jimmcmanusph
“People of widely differing opinions and views spoke, and the audience was one of the most mixed I have seen at a scientific and policy event like this.”
jimmcmanus.wordpress.com/2015/11/15/how…
What happens when we listen to each other? Ask @jimmcmanusph
“People of widely differing opinions and views spoke, and the audience was one of the most mixed I have seen at a scientific and policy event like this.”
jimmcmanus.wordpress.com/2015/11/15/how…
15/
“Reaching consensus is important because a nicotine policy is integral to the target of reducing tobacco caused disease, and the contentious issues need to be resolved before the necessary political changes can be sought.”
ncbi.nlm.nih.gov/pmc/articles/P…
“Reaching consensus is important because a nicotine policy is integral to the target of reducing tobacco caused disease, and the contentious issues need to be resolved before the necessary political changes can be sought.”
ncbi.nlm.nih.gov/pmc/articles/P…
16/
“The harm reduction debate has at times been divisive. There has been no unifying set of principles or goals articulated to guide tobacco control efforts.”
ncbi.nlm.nih.gov/pmc/articles/P…
“The harm reduction debate has at times been divisive. There has been no unifying set of principles or goals articulated to guide tobacco control efforts.”
ncbi.nlm.nih.gov/pmc/articles/P…
17/
“Divisive, dominant perspectives on e-cigarettes move the field of nicotine and tobacco science away from scientifically rigorous discourse on this important public health topic, which involves millions of lives at stake."
academic.oup.com/ntr/article/23…
“Divisive, dominant perspectives on e-cigarettes move the field of nicotine and tobacco science away from scientifically rigorous discourse on this important public health topic, which involves millions of lives at stake."
academic.oup.com/ntr/article/23…
18/
We need to encourage those with money and power that it's time to talk. That we ALL deserve a voice.
“The billionaire philanthropist who finances campaigns against vaping won’t listen to dissenting views” @MarcGunther
medium.com/the-great-vape…
We need to encourage those with money and power that it's time to talk. That we ALL deserve a voice.
“The billionaire philanthropist who finances campaigns against vaping won’t listen to dissenting views” @MarcGunther
medium.com/the-great-vape…
19/
"... it implies a reciprocal obligation to be open to challenging data and to pursue philanthropic aims with a restless curiosity ..."
docs.google.com/document/d/1sz…
"... it implies a reciprocal obligation to be open to challenging data and to pursue philanthropic aims with a restless curiosity ..."
docs.google.com/document/d/1sz…
20/
"The often emotional debate would benefit from dispassionate data-based evaluation of evidence.”
academic.oup.com/ntr/article/21…
"The often emotional debate would benefit from dispassionate data-based evaluation of evidence.”
academic.oup.com/ntr/article/21…
21/
Despite continuing ambivalence among some health officials about the wisdom of embracing harm reduction as a public health policy, numerous consumers will be taking steps in this direction...
page 202
nap.nationalacademies.org/catalog/10029/…
Despite continuing ambivalence among some health officials about the wisdom of embracing harm reduction as a public health policy, numerous consumers will be taking steps in this direction...
page 202
nap.nationalacademies.org/catalog/10029/…
22/
Continued dialogue and debate are essential as we enter a new and uncertain era of products purporting to reduce tobacco harm.
A lot of excellent minds are focused on addressing the pressing questions. To date, however, answers have eluded them.
tobaccocontrol.bmj.com/content/13/2/1…
Continued dialogue and debate are essential as we enter a new and uncertain era of products purporting to reduce tobacco harm.
A lot of excellent minds are focused on addressing the pressing questions. To date, however, answers have eluded them.
tobaccocontrol.bmj.com/content/13/2/1…
23/
...could be achieved by convening yet another strategic dialogue on harm reduction that is led by one of the governmental agencies, a scientific organization and/or by respected scientists who are not strongly associated with one particular ideology.
pubmed.ncbi.nlm.nih.gov/32335031/
...could be achieved by convening yet another strategic dialogue on harm reduction that is led by one of the governmental agencies, a scientific organization and/or by respected scientists who are not strongly associated with one particular ideology.
pubmed.ncbi.nlm.nih.gov/32335031/
24/
We should not and can not continue to engage in the divisive and shameful conflict that the e-cigarette era has visited upon the tobacco-control community; the lives of too many people are at stake.
drive.google.com/file/d/1CBmxmT…
We should not and can not continue to engage in the divisive and shameful conflict that the e-cigarette era has visited upon the tobacco-control community; the lives of too many people are at stake.
drive.google.com/file/d/1CBmxmT…
25/
Zeller went on to discuss the all-too-familiar argument about the potential pros and cons of e-cigs and vaping, wondering if tobacco-control groups and vaping advocates were “having the wrong debate.”
cspdailynews.com/tobacco/4-take…
Zeller went on to discuss the all-too-familiar argument about the potential pros and cons of e-cigs and vaping, wondering if tobacco-control groups and vaping advocates were “having the wrong debate.”
cspdailynews.com/tobacco/4-take…
26/
Common Ground Between the Vaping and
Public Health Community
ncbi.nlm.nih.gov/pmc/articles/P…
If both groups rally around what is in their own and the public's best interest-the end of combustible tobacco--all will benefit significantly.
Common Ground Between the Vaping and
Public Health Community
ncbi.nlm.nih.gov/pmc/articles/P…
If both groups rally around what is in their own and the public's best interest-the end of combustible tobacco--all will benefit significantly.
27/
Civil Dialogue on Tobacco, Nicotine, and Alternative Products - Harm Reduction
arch.virginia.edu/gallery/doc/IE…
There is a need for greater civil engagement between a growing number of stakeholders and experts...
Civil Dialogue on Tobacco, Nicotine, and Alternative Products - Harm Reduction
arch.virginia.edu/gallery/doc/IE…
There is a need for greater civil engagement between a growing number of stakeholders and experts...
28/
After all, progress rarely happens without some degree of conflict, but I would argue that it never happens without a willingness to remain civil, to find common ground and compromises. @CarrieLWade
filtermag.org/in-the-tobacco…
After all, progress rarely happens without some degree of conflict, but I would argue that it never happens without a willingness to remain civil, to find common ground and compromises. @CarrieLWade
filtermag.org/in-the-tobacco…
29/
Since closer collaboration between vape-shop managers and health care professionals might benefit smokers who want to quit...we suggest policy makers and health care professionals look for opportunities for mutual information exchange.
ncbi.nlm.nih.gov/pmc/articles/P…
Since closer collaboration between vape-shop managers and health care professionals might benefit smokers who want to quit...we suggest policy makers and health care professionals look for opportunities for mutual information exchange.
ncbi.nlm.nih.gov/pmc/articles/P…
30/
Bob’s story, and the millions of others like it, should be a call to action to shift the debate around the risks and benefits of vaping to include all ages of nonsmokers and smokers. Great story by @akleykamp (more people should listen to her!)
filtermag.org/older-smokers-…
Bob’s story, and the millions of others like it, should be a call to action to shift the debate around the risks and benefits of vaping to include all ages of nonsmokers and smokers. Great story by @akleykamp (more people should listen to her!)
filtermag.org/older-smokers-…
31/
On one side — the side that has commanded the most widespread support — is the goal of reducing high rates of adolescent e-cigarette use (vaping). On the other is the goal of harnessing vaping’s potential to help smokers quit. #TheSRNTfifteen mentioned
nejm.org/doi/full/10.10…
On one side — the side that has commanded the most widespread support — is the goal of reducing high rates of adolescent e-cigarette use (vaping). On the other is the goal of harnessing vaping’s potential to help smokers quit. #TheSRNTfifteen mentioned
nejm.org/doi/full/10.10…
32/
"But permanent belligerence will leave us in a slow-moving stalemate. If there is to be a war, can we please make it a common front against disease and death and not a rerun of the battles of the last century?"
^^^ what @Clive_Bates said.
tobaccoreporter.com/2022/05/01/fig…
"But permanent belligerence will leave us in a slow-moving stalemate. If there is to be a war, can we please make it a common front against disease and death and not a rerun of the battles of the last century?"
^^^ what @Clive_Bates said.
tobaccoreporter.com/2022/05/01/fig…
33/
The rates of smoking among youth will continue to decline by helping their parents and role models stop smoking. That’s a public health win for everyone, even Matt Myers.
@aier @InsideSourcesDC @Protectaxpayers @KimMurrayTPA @TobaccoFreeKids
aier.org/article/campai…
The rates of smoking among youth will continue to decline by helping their parents and role models stop smoking. That’s a public health win for everyone, even Matt Myers.
@aier @InsideSourcesDC @Protectaxpayers @KimMurrayTPA @TobaccoFreeKids
aier.org/article/campai…
34/
"If the two opposing sides worked together, I wonder how many more lives could be saved?"
Original: dl-online.com/opinion/letter…
WB Machine: web.archive.org/web/2022052708…
"If the two opposing sides worked together, I wonder how many more lives could be saved?"
Original: dl-online.com/opinion/letter…
WB Machine: web.archive.org/web/2022052708…
35/
How much evidence is enough?... This is part of the balancing that we have to do....when we do have a pressing urgency to reduce smoking.
~ Prof. Robin Mermelstein
Starts at: 15:35
vimeo.com/711219434/dfa3…
How much evidence is enough?... This is part of the balancing that we have to do....when we do have a pressing urgency to reduce smoking.
~ Prof. Robin Mermelstein
Starts at: 15:35
vimeo.com/711219434/dfa3…
36/
I not only want to know how much evidence is enough, but I also want to know how much death is enough?
I not only want to know how much evidence is enough, but I also want to know how much death is enough?
37/
This thread linked below covers only a few of the heartaches I've known that were caused by smoking.
This thread linked below covers only a few of the heartaches I've known that were caused by smoking.
https://twitter.com/imaracingmom/status/1501268256258072581But my tears have not been enough. We're still at war with each other.
38/
I dream of this war coming to an end. I dream of all of us working together to save lives. Yes, I've dreamed of attending a conference where everyone who wanted to had a voice. It was called CollabCo - The Collaboration Conference to end Death By Smoking.
I dream of this war coming to an end. I dream of all of us working together to save lives. Yes, I've dreamed of attending a conference where everyone who wanted to had a voice. It was called CollabCo - The Collaboration Conference to end Death By Smoking.
39/
I wonder if it will happen in the few years that are left of my life? When are we going to get tired enough of horrible and unnecessary deaths to work together to fix this? I think, I dream, and I write.
Part 1: mommavape.blogspot.com/2022/02/change…
Part 2: mommavape.blogspot.com/2022_02_27_arc…
I wonder if it will happen in the few years that are left of my life? When are we going to get tired enough of horrible and unnecessary deaths to work together to fix this? I think, I dream, and I write.
Part 1: mommavape.blogspot.com/2022/02/change…
Part 2: mommavape.blogspot.com/2022_02_27_arc…
40/
As more and more put out the call to #ChangeTheConversation, I add their words to my collection.
But I have to wonder - will we just talk the talk or will we finally walk the walk?
And how many more people will die before we get there?
As more and more put out the call to #ChangeTheConversation, I add their words to my collection.
But I have to wonder - will we just talk the talk or will we finally walk the walk?
And how many more people will die before we get there?
41/
ENDS were met by ...an open mind by most researchers and tobacco policy advocates (TPA). Today ...big international tobacco companies have their own ENDS products. That may explain the change in attitude among TPA ...to a much more negative outlook. academic.oup.com/ntr/article/17…
ENDS were met by ...an open mind by most researchers and tobacco policy advocates (TPA). Today ...big international tobacco companies have their own ENDS products. That may explain the change in attitude among TPA ...to a much more negative outlook. academic.oup.com/ntr/article/17…
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