Category Archives: Health Care

Harm Reduction: Cliff Notes

I’ve been searching for quite a few years for someone louder in the tobacco control and public health sectors, for a hero. Someone to correct easily repeated disinformation and outright lies. Someone with balls. Cliff Douglas notes harm reduction with precision.

In a surprising tweet, Cliff Douglas did just that. How? He released a document titled “It is Time to Act with Integrity and End the Internecine Warfare Over E-Cigarettes” in a tweet (here) on March 4th, 2021. It’s about damn time.

In dealing with e-cigarettes, he explains the tobacco control community is “letting down tens of millions of adult smokers, their families and friends”, along with “healthcare providers, and government decision-makers.”

He calls to “pursue rational, social justice-oriented approaches to tobacco harm reduction” and later states: This is clearly a social justice issue.”

opposition to even considering positive scientific findings related to the promise of vaping for cessation and harm reduction is widely reinforced by confirmation bias“…

Crafted with direct language to his colleagues, he’s quick pointing out valid concerns for vaping products not being ‘approved’ by the Food and Drug Administration (FDA), but states the issue is “factually separate from whether these products are in fact helping a significant number of adult users quit smoking“. That’s harm reduction.

Also discussed is the rise in cigarette sales due to a massive “negative coverage on e-cigarettes” and bans on “all flavors” in e-cigarettes because of youth use (<– that’s an important link), while ignoring adults wanting to choose safer alternatives.

Not mincing words on the 2019 “Evali” fiasco, he states: “To be clear, EVALI is caused by vitamin E acetate added to illicit THC vaping products“, adding his niece returned to smoking because of the misleading headlines.

“Stop skirting the truth when it feels inconvenient”


Is this statement from Cliff Douglas too late?

I certainly hope not. During the middle of a real health crisis – the covid pandemic, politicians are distracted by pushing for a vape mail ban to restrict access to adult consumers, and because of pubic opinion of a fake ‘epidemic‘, outright flavor bans are still being pushed to ban less smoking by politicians like Senator Mitt Romney and Congressman Raja Krishnamoorthi for products children cannot legally obtain.


Blackballing – Blacklisting

With the leadership Cliff Douglas portrays, I hope to see others willing to have the courage to speak out. I say that because fear of being shunned – literally blackballed by their professional peers for explaining data, research, and science, is a thing.

I say again, blacklisting that’s a thing in the public health sector. I’ll let two examples from professionals – where they will turn, with vile contempt, on themselves…

In 2009, Dr Michael Siegel explained his experience of stepping out of line with the anti-smoking narrative:

“Importantly, only one perspective on this issue was presented to us in the trainings. There was no room for disagreement or challenge. These ideas were presented as scientific facts, not subject to debate. In fact, if we were to challenge the ideas, the implication was that we – ourselves – might be accused of working for Big Tobacco or receiving secret payoffs.”

Dr. Siegel’s statement is found here.

Highly respected public health warrior, Dr. Marewa Glover, (Centre of Research Excellence, Indigenous Sovereignty & Smoking) – knows all too well how vindictive the community can be. After decades dedicating her life, well respected experience, the damage already done, she was eventually given an apology (here).

She also gave Patrick and I keen insight to fundamentalist anti-tobacco stigmatization – cynical optimists I call them, who use deliberate behavioral methods – to ‘help’ and manipulate smokers with cognitive dissonance, projecting a ‘spoiled identity’, “barbarian whipping school” style – on Smoke Free Radio last year (here).

What about employees of big, bad tobacco companies? Do they get their say? Well, personally, as much scrutiny as they’re always under, (and public health isn’t), I trust them way more than you might think.

Thanks to Skip for the next two links:

Speaking of being under a microscope, Dr. Gilchrist, the head of Scientific and Public Communications for Philip Morris International… Her twitter says she’s an “Advocate for “better”. Science Lady” (who I admire and follow on Twitter):

I can think of countless times when others in the scientific community have been afraid to support us publicly – despite supporting our smoke-free vision and the evidence – because they feared for their reputation, job or funding if they were to do so.

Dr. Gilchrist’s quote is found here:
Speaking out when it’s not safe – for your reputation

Next, from Nicotine Policy, Neil McKeganey and Christopher Russell:

There is a real danger here of creating an academic environment in which allegation or suspicion has supplanted proof when it comes to scientific misconduct.

This quote can be found here:
Tobacco Industry Funded E-Cigarette Research and the Rise of Academic McCarthyism

Like most of my regular readers, I’ve searched for – and found – a few individuals in the public health and tobacco control sectors willing to stand up, unabashedly state facts, call out the preposterous junk science, and stop the manipulation of information about vaping products.

Then they’ve been ostracized. Who wins? Certainly those valuing their pride overrides the very public’s health they’re paid by and employed to, to “protect”.

Consumers need the truth

If less smoking “at any cost”, is the “end game”, and is their only goal, they’ve done a piss poor job of trying to convince me and millions of smokers and families looking for answer(s) buried in their constant attempts to be the “popular kid” on campus spewing contrived sociopolitical and pseudo “science”. That’s not harm reduction.

My hope is this powerful statement by Mr. Douglas encourages others in all facets of leadership roles in public health, to do the same. I’ve revised my statement: “I’m for whatever works for the informed consumer. Patch, gum, Heat Not Burn, vaping, snus, acupuncture, books, hypnosis, counseling, Hale, Juul, etc. Do I “like” them all? No. It’s not about or me, or what “I” like. What may work as a choice for a consumer is first.” That’s harm reduction.

I implore EVERYONE in public health to consider what Mr. Douglas asks in his tweet below. His paper is linked for your convenience just below his tweet.

Here’s Cliff’s Paper:

It is Time to Act with Integrity and End the Internecine Warfare Over E-Cigarettes


I’ll repeat myself: If less smoking, “at any cost”, is the “end game” and is their only goal, the words in the tweet below should be used at all times. “No neighbor left behind”. That’s harm reduction.

I’ll be covering You Don’t Know Nicotine again very soon.

I’ll paraphrase Skip Murray (I affectionately call her #CrankyOldBroad). None of this should be “us” against “them”. It shouldn’t be about who’s “winning”. It should be about helping one another. Period. That’s harm reduction.

Like my last blog, it’s a matter of public health, and it’s personal.

Let’s get to work, public health.



Added March 10th, 2021:

This is Philippines, not USA...

but gives insight to the obvious influence of “non-profit” “charitable” organizations…

“Suansing noted that in addition to receiving funds from the Bloomberg Initiative, the FDA also admitted to soliciting and accepting funding from another anti-tobacco and anti-vaping organization, The International Union Against Tuberculosis and Lung Disease (The Union).”

Suansing calls ‘deplorable’ FDA’s premature issuance of vape, HTP regulations

It’s FREE, have you joined CASAA? Have you added your testimony here?

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Your comments are NEVER filtered, always encouraged and welcome at the bottom this blog. There is definitely more to come.

Keep ON #Vaping On.

Kevin

Vaping In The News – January 5th, 2019

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Vaping In The News covers media stories on smoking, vaping, snus, heat not burn, e-cigarettes, exposing tobacco control, public health, government, regulations, policies and more worldwide.

“The largest threat to Public Health is an informed consumer.”




Managing nicotine ~ THR4Life ~ Self-determining nicotine consumption ~ I bought my dad a Juul  ~ Dr. Gottlieb ~ Poison Control ~ Surgeon General Jerome Adams ~ Voices Of Vapers ~ VapeTithing ~ FDA Comments




Managing nicotine without smoke to save lives now: Evidence for harm minimization

    • Products that do not burn tobacco are substantially less harmful than deadly smoke.
  • E-cigarettes do help smoker’s switch or quit smoking especially if used daily.
  • Youth use of e-cigarettes is experimental and not a gateway to lifetime smoking.

Managing nicotine without smoke to save lives now: Evidence for harm minimization


THR4Life

As a member of THR4Life, I, (and the Board of Directors) are excited to announce THR4Life was selected to receive a non-profit advertising campaign for the Detroit Lakes region from Leighton Broadcasting.

Because of the nomination, the national board will receive:

  • A client discovery session
  • Free production on up to 3 radio ads
  • A 13-week, 21 ads per week branding schedule on select Leighton Broadcasting radio stations.

Thank you to all those who voted and nominated THR4life, and thank you to Leighton Broadcasting!


Self-determining nicotine consumption

Maybe patches and gums have never been enough strength? Is it the delivery system?

Stop the neanderthal fear-mongering, Tobacco CONtrol.

#YouDontKnowNicotine.

Self-determining nicotine consumption will assist people who smoke give up behavior


I bought my dad a Juul e-cigarette to see if he’d give up his Marlboros.

CNBC reporter Angelica LaVito bought her father a Juul – and he “hasn’t smoked a cigarette in 30 days.”

I bought my dad a Juul e-cigarette to see if he’d give up his Marlboros. Here’s what happened


Scott Gottlieb

A.J. is one of the people I follow on Twitter. Government officials are assumed to have a staffer manning their social media accounts. I – along with many others have tweeted at, to and above the “Dr. Gottlieb” account –  thousands of times. This, of all things, got a response from Gottlieb. While we know he now knows there’s a mute button, we’re not sure if he’s utilized it.

Finally a bit of levity from Dr. Gottlieb.


Lunar Rover

This blog is sponsored by LUNAR ROVER|Premium eLiquid. They not only produce cocktail and fruit flavors, they also have a range of tobacco flavors ranging from 0-18 strength.

Here’s a great deal from Lunar Rover!

Simply usevapinglinks” at checkout for 15% off your entire cart!

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Poison Control

To be clear, the numbers below are *calls* to poison centers, not visits or treatment. Jake Jacobsen (@Jake2001 on Twitter) has been and continues to compile these each month.

“Here are the final numbers for 2018 from the U.S. American Association of Poison Control Centers. (AAPCC) Again, common household products continue to be much more prevalent.” – Jake

To my knowledge, no “epidemic” or crisis has been issued or discussed for laundry pods or hand sanitzer. Huh.

Poison 2018


Surgeon General

The Surgeon General has decided to take matters to his own personal twitter account to discuss e-cigarette use and ‘epidemic’ proportions of said use in youth. This seems to take a bit of heat of Dr. Gottlieb directly (on purpose?) – and of course, there is a disclaimer on the account: “Tweets/RT don’t represent endorsement or my employer.”

I, among others, have decided to take him to task. “Past month” use is not equal to “daily use” and therefore does not constitute any meaning of ‘epidemic’.

Alcohol is 30.20% for “past month” use. Quite high! On the surface, I would call that a huge concern.

The Surgeon General conveniently displays data. No one has uttered a word of an epidemic of alcohol use.

Daily use of alcohol is significantly lower, reported at 1.20%. That’s an extremely dramatic drop in what on the surface looks like a very high and concerning number for “use”.

The only conclusion is for me, they didn’t ask – or report it – on purpose. If it were truly and epidemic, certainly daily use would be the most intriguing and telling figure for what would be an “epidemic” and the most important question asked.

Author note: In or out of context, he’s sharing “national sentiment” and lack of balance.

His job description as Surgeon General is to provide “Americans with the best scientific information available on how to improve their health and reduce the risk of illness and injury.”

If you’re interested, you can also see what Dr. Adams has said in his non-representation of his employer about “feelings” and 30-day-use here.

Surgeon General Feelings

I call bullshit, Dr. Adams. Fraud, corruption and conflict comes to mind. Those are my feelings. I suppose that’s what feelings are for. Imagine my feelings when I found while in your role as Indiana State Health Commissioner – overseeing Indiana’s Tobacco Prevention and Cessation Commission – you owned (or still own?) stock in tobacco companies.

Huh.


Voices of Vapers

Speaking of A.J…. he’s joined Lindsey Stroud!

In this episode of Voices of Vapers, A.J. Moll, Executive Director of Missouri Smoke Free talks about his efforts in Missouri, his extensive research on tobacco harm reduction, and the recent Twitter antics from U.S. Surgeon General Jerome Adams.

Vaping in the Show-Me State & Misconstruing Data (Guest: A.J. Moll)


VapeTithing

Speaking of Fig Ramsey… I’m still in awe of his drive, determination, commitment and – well, #Figshair.

#FundTheFuture. Listen to Fig.

VapeTithing? Do that! #FundTheFuture!


FDA Comments

Your government at “work”.

The Food and Drug Administration is requesting comments for the “potential role of drug therapies to support youth e-cigarette cessation”.

Don’t let my editorial comments fool you, but remember, the standard and idiotic blanket statement of nicotine being “more addictive than heroin or cocaine” rings loudest in my ear.

This comment from you they seek, is for children. To have nicotine therapy.

These “therapies” below include “keep trying thirty times and experience 93% failure rates”. The last one has that pesky side effect of and includes suicidal thoughts.

They’ve lost their minds revenue. Need to build that back up.

  • Nicorette Gum
  • Nicorette CQ
  • Habitrol
  • Nicotrol NS
  • Nicotrol Inhaler
  • Nicorette Lozenge
  • Nicorette Mini-lozenge
  • Zyban (buprofin)

The public hearing will be held on January 18, 2019, from 9 a.m. to 5 p.m. The public hearing may be extended or may end early depending on the level of public participation. Persons seeking to present at the public hearing must register by January 8, 2019. Persons seeking to speak at the public hearing must register by January 15, 2019. Persons seeking to attend, but not present at, the public hearing must register by January 15, 2019. Section III provides attendance and registration information.

Electronic or written comments will be accepted after the public hearing until February 1, 2019.

Note: Because I’ve seen way to many negative entries in these in the past, my strong suggestion is for everyone to make their comment(s), and make them clear – and polite.

The Role for Drug Therapies; New Date for Public Hearing; Request for Comments


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I proudly joined David Georlitz on his latest podcast: David G Model Citizen.


You can find me here trying to be cordial on Facebook

You can find me here being a bit more evil on Twitter

You can find me here on Instagram

You can also find me on LinkedIn


Are you familiar with Tobacco Harm Reduction For Life?


Are you familiar with GONZO GIVES?  VapeTithing? Do that! #FundTheFuture!


It’s FREE, have you joined CASAA? Have you added your testimony here?


Keep up with the latest here with the Foundation for a Smoke-Free World




Medical, Research, Science Professionals:

Research:


Politics:

E-Cigarette Politics

A Billion Lives

A Billion Lives


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#YouDontKnowNicotine

Your comments are NEVER filtered, always encouraged and welcome on this blog. There is definitely more to come.

Keep ON #Vaping On.

Kevin

Vaping In The News – December 30th, 2018

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Vaping In The News covers media stories on smoking, vaping, snus, heat not burn, e-cigarettes, exposing tobacco control, public health, government, regulations, policies and more worldwide.

 

“The largest threat to Public Health is an informed consumer.”


You Don’t Know Nicotine ~ Influence ~ Glantzlation ~ Speaking of Glantz ~ Largest study ever confirms reduced harm from vaping ~ Better to Smoke 19 Cigarettes than to Vape One Juul Pod ~ Hill, Martha Ware ~ How did you prepare for the day you planned to quit smoking? ~ The price of appeasing PHE’s anti-smoking propaganda ~ Vaping Is Not the Real Health & Safety Threat in Kentucky High Schools


You don’t know nicotine

“Convincing smokers that nicotine is addictive is a multi-billion dollar global lie.”

The “nicotine addiction” lie is about 30 years old.

I’m      barely      able      to      contain      myself.

#YouDontKnowNicotine


Influence

I’m constantly and actively looking, like most consumers, for anything detrimental (new risks, more risks, less risks) that makes sense to my amateur and laymen’s eye.

I’ll let this speak for itself:

“No significant changes were observed when comparing the concentrations of exhaled breath in vaping and no vaping days. Even the exhaled breath nicotine concentrations in both conditions were similar. As expected, toluene, xylenes, benzene, ethylbenzene, and naphthalene did not show increases in the vaping days since combustion was not involved.”

Influence of electronic cigarette vaping on the composition of indoor organic pollutants, particles, and exhaled breath of bystanders


Glantzlation

Glantzian: An analysis that keeps reformulating the data until it makes the authors point.

Glantzlation: The authors reformulated point.

Stanton Glantz Says Vapers Should Smoke Cigarettes, Instead


Speaking of Glantz:

Across my eye came an intriguing title. I was excited. At the top it has Glantz’s name on it, and – at the time of this being published, it is blank. So much for evidence.

E-cigarettes: Stick to the Evidence.


Largest study ever confirms reduced harm from vaping

“Vapers had a 10-98% lower concentration of toxins compared to smokers for the toxins measured”

Largest study ever confirms reduced harm from vaping


Better to Smoke 19 Cigarettes than to Vape One Juul Pod

Dr. Siegel takes the truth to task.

“By focusing on the nicotine content, rather than the formulation, the “truth” campaign and CDC are obscuring the most important information that people need to understand.”

“Truth” Campaign to Kids: Better to Smoke 19 Cigarettes than to Vape One Juul Pod


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Hill, Martha Ware

Martha and I could have well been friends.

“Martha loved teaching, her garden, smoking cigarettes, watching TV, and sitting on the couch. She hated computers, dirty laundry, negotiation, and doing things on other people’s terms.” 👏

Hill, Martha Ware


How did you prepare for the day you planned to quit smoking?

I am a huge fan of Chris Price. He speaks of the coffee-shaped hole…

How did you prepare for the day you planned to quit smoking?


The price of appeasing PHE’s anti-smoking propaganda

As I plod along into my fifth year of this blog – It is primarily about vaping. In the process, I see Glantz, the anti-smoking rhetoric, the propaganda – and I’ve found it best to question everything, as I explain partially in this blog. As C. Frank Davis does in his.

Perspective:

The price of appeasing PHE’s anti-smoking propaganda


Vaping Is Not the Real Health & Safety Threat in Kentucky High Schools

Brad Rodu breaks it down a bit.

Vaping Is Not the Real Health & Safety Threat in Kentucky High Schools


We’re still waiting on “daily” use.




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I proudly joined David Georlitz on his latest podcast:David G Model Citizen.


You can find me here trying to be cordial on Facebook

You can find me here being a bit more evil on Twitter

You can find me here on Instagram

You can also find me on LinkedIn


Are you familiar with Tobacco Harm Reduction For Life?


Are you familiar with GONZO GIVES?  VapeTithing? Do that!


It’s FREE, have you joined CASAA? Have you added your testimony here?


Keep up with the latest here with the Foundation for a Smoke-Free World




Medical, Research, Science Professionals:

Research:


Politics:

E-Cigarette Politics

A Billion Lives

A Billion Lives


think

Your comments are NEVER filtered, always encouraged and welcome on this blog. There is definitely more to come.

Keep ON #Vaping On.

Kevin

#YouDontKnowNicotine

Vaping In The News – November 3rd, 2018

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Vaping In The News covers media stories on smoking, vaping, snus, heat not burn, e-cigarettes, exposing tobacco control, public health, government, regulations, policies and more worldwide.

“The largest threat to Public Health is an informed consumer.”


Vape shop owner considers suing Gallatin Co. Health Dept. ~ Metal emissions from e-cigarettes: a risk assessment analysis of a recently-published study ~ Truth’s JUUL Study: Deception and Confusion ~ Gottlieb has lost his mind: cognitive dissonance ~ Climbing Mountains ~ I have a dream




Vape shop owner considers suing Gallatin Co. Health Dept.

I have been intrigued by what Deanna and Ron Marshall have allowed us to see so far. The owners of Freedom Vapes in Boseman, Montana have utilized the “Freedom Of Information Act” to find the information we common people wouldn’t normally… see… and we can’t unsee it.

Vape shop owner considers suing Gallatin Co. Health Dept.


Truth’s JUUL Study: Deception and Confusion

Jim McDonald vividly explains the numbers.

Truth’s JUUL Study: Deception and Confusion


Metal emissions from e-cigarettes: a risk assessment analysis of a recently-published study

Like most, John Hopkins is wrong.

Metal emissions from e-cigarettes: a risk assessment analysis of a recently-published study


Gottlieb has lost his mind and credibility

Gottlieb LIES again

Future suicides along with 93% failure rates will be the prescribed norm for the well advertised and manufactured epidemic… because NO one in “Public Health” has balls to admit nicotine is not the problem. Of course, this is fully sponsored by Tobacco-Free Kids and endorsed by “Dr.” Gottleib.

The new numbers of the “epidemic” rise in e-cigarette use have yet to be released.

Continued efforts to address growing epidemic of youth e-cigarette use, including potential new therapies to support cessation

  • I’ve, to the best of my ability, diagnosed & concluded Dr. Gottlieb is suffering from (among other things), a psychological condition called cognitive dissonance.
  • I also concluded this condition may, could, might or possibly be caused by nicotine deficiency in his system.

It sounded better than just calling him an incompetent buffoon. (You’re welcome).


Climbing Mountains

I asked for comments when I conducted my survey. One of those memorable comments was about climbing mountains.

Now, along with runners like Chris Baxter and Jerry Iozzo (among others), here is Dominique Rodriguez explaining his accomplishments and his climb to the highest mountains.

E-cigarettes Save Lives, One Man’s Proof


I have a dream – Attila Danko

There have been many presentations from many during different events around the world. One of the first I’d seen from Dr. Danko was here.

Here is another.

 


Have you met my OUR friends at vapers.org.uk? 

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I proudly joined David Georlitz on his latest podcast: David G Model Citizen.


You can find me here trying to be cordial on Facebook

You can find me here being a bit more evil on Twitter

You can find me here on Instagram

You can also find me on LinkedIn


Are you familiar with Tobacco Harm Reduction For Life?


Are you familiar with GONZO GIVES?  VapeTithing? Do that!


It’s FREE, have you joined CASAA? Have you added your testimony here?


Keep up with the latest here with the Foundation for a Smoke-Free World




Medical, Research, Science Professionals:

Research:


Politics:

E-Cigarette Politics 

A Billion Lives

A Billion Lives


think

Your comments are NEVER filtered, always encouraged and welcome on this blog. There is definitely more to come.

Keep ON #Vaping On.

Kevin

Vaping In The News April 7th, 2018

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Vaping In The News covers media stories on smoking, vaping, e-cigarettes, snus, heat not burn, tobacco control, public health, government regulations, policies and more.

“The largest threat to Public Health is an informed consumer.”

For Smokers Trying to Quit, Information Could Be Key ~ Dr. Attila Danko: How Tobacco Control Saved Big Tobacco ~ U.S.A. Only Survey ~ NIDA’s E-Cigarette ~ Tobacco Alternative Gums Market: Sales Volume, Revenue and Growth Rate Forecast ~ Huh ~ Explaining the discontinuation of a non-tobacco nicotine project at Philip Morris: obstacles to innovation. ~ Nicotine As An Addictive Substance ~ Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products ~ Patent Filings Increase for E-Cigarettes, 3-D Printing and Machine Learning ~ Law Review Calls Out FDA For Destroying Vaping Industry ~ Harvard Public Health: “E-cigs are safer than cigarettes, no question.” ~ Global Forum On Nicotine ~ UCSF professor faces second sexual harassment lawsuit




For Smokers Trying to Quit, Information Could Be Key

Ya think?

For Smokers Trying to Quit, Information Could Be Key


Dr. Attila Danko: How Tobacco Control Saved Big Tobacco

YES.

Dr. Attila Danko: How Tobacco Control Saved Big Tobacco


U.S.A. ONLY:

I know we’re a community. I’ve participated in surveys worldwide. I conducted one myself. This one is United States participants only and designed specifically with F.D.A. guidelines.

Are you in the United States?

Did you fill out the survey for flavors yet?


NIDA’s E-Cigarette

Well… how about that.

NIDA’s E-Cigarette


Tobacco Alternative Gums Market: Sales Volume, Revenue and Growth Rate Forecast

The usual suspects:

“One of the important growth factors for the global tobacco alternative gums market is the increasing price of cigarettes.”

Tobacco Alternative Gums Market: Sales Volume, Revenue and Growth Rate Forecast


Huh.

Explaining the discontinuation of a non-tobacco nicotine project at Philip Morris: obstacles to innovation.

Imagine if you can, in 1994 there was something developed called a “Capillary Aerosol Generator” (CAG)… and guess what…

So, why was CAG development ultimately abandoned? During his deposition and witness statement, PM’s expert witness and former employee, Peter Lipowicz, mentions that technological barriers, consumer acceptance, and an US Food and Drug Administration (FDA) approach that disadvantaged non-tobacco nicotine products were chiey responsible…
He says that CAG development was less attractive due to legal challenges about the addictiveness of nicotine and fears about overarching tobacco industry regulation, more so than regulatory barriers specic to non-tobacco cigarettes…

Explaining the discontinuation of a non-tobacco nicotine project at Philip Morris: obstacles to innovation


Nicotine “addiction”

Bear with me…. and my favorite subject…

Because of the tweet from “Industry Documents” showing Philip Morris had tried a device in 1994 containing this link about a “Capillary Aerosol Generator” (CAG) above…

What caught my eye in that article “He says that CAG development was less attractive due to legal challenges about the addictiveness of nicotine“….and that legal challenges of nicotine – of course -caught my attention… so I looked up “legal challenges nicotine 1994” on Google…  because I’m an inquisitive and persistant bastard…

Which led me to this from 2001, buried :

“The effects of nicotine on the brain are similar to those of sugar, salt, exercise, and other harmless substances and events”

“There are so many findings that conflict so starkly with the view that nicotine is addictive that it increasingly appears that adhering to the nicotine addiction thesis is only defensible on extra-scientific grounds.”

Nicotine as an Addictive Substance: A Critical Examination of the Basic Concepts and Empirical Evidence


Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products

“conclusions about the likely effect of raising the minimum age to 19, 21, and 25 years on tobacco use initiation.”

“OTHER TOBACCO PRODUCTS” section [which includes e-cigarettes] uses data from 2011 and 2012 surveys  (Thanks to Bill Tarling for that).

Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products


Patent Filings Increase for E-Cigarettes, 3-D Printing and Machine Learning

Huh. Guess who’s in there………..

Patent Filings Increase for E-Cigarettes, 3-D Printing and Machine Learning


Law Review Calls Out FDA For Destroying Vaping Industry

“The FDA reached beyond its scope of authority in passing the Deeming Rule, including a broad variety of what it defines as “tobacco products” to be heavily regulated, amounting to a burden threatening to send local shops out of business.”

Law Review Calls Out FDA For Destroying Vaping Industry


Harvard Public Health

“E-cigs are safer than cigarettes, no question.”

Since everyone likes to take the headline and move on, I’ve done so myself – and have been saying it since 2013.

Global Forum On Nicotine 2018

An awesome looking bunch:

Global Forum On Nicotine Speakers Bios


UCSF professor faces second sexual harassment lawsuit

There is no question e-cigarettes are safer than………… and along with it, fraud.

UCSF professor faces second sexual harassment lawsuit




Have you met my OUR friends at vapers.org.uk? 

vapersukgraphic.JPG


You can find me here trying to be cordial on Facebook

You can find me here being a bit more evil on Twitter

You can also find me on LinkedIn


It’s FREE, have you joined CASAA? Have you added your testimony here?

Tobacco Harm Reduction For Life

GONZO GIVES




Medical, Research, Science Professionals:

Research:


Politics:

E-Cigarette Politics 

A Billion Lives

A Billion Lives


think

Your comments are NEVER filtered, always encouraged and welcome on this blog. There is definitely more to come.

Keep ON #Vaping On.

Kevin

 

A Billion Lives : The Fight Continues

abillionlives1

A Billion Lives, the award-winning documentary film – is making a global impact on policy, politics, and regulations.

The Fight Continues

The fight for A Billion Lives continues in Iceland where their Parliment must weigh their options on the evidence for a safer alternative to smoking.

Included was a live-stream from the conference with Linda Bauld, Prof Peter Hajek, Prof John Britton, Clive Bates, Director Aaron Biebert and more.


abillionlives

In New Zealand

Do NOT dismiss the power of this film.

This film is already a history-making documentary.

In New Zealand earlier this year, the film helped CHANGE the DIRECTION on legislation of e-cigarettes with combined efforts from Dr. Marewa Glover and the team at Aotearoa Vape Community Advocacy (AVCA).

Here’s a few links pertaining to New Zealand: New Zealand – Special Edition


MUCH More Than A Film

The Village of Hartland, Wisconsin is challenging the deeming rules set by the Food & Drug Administration for not coordinating with the Hartland government.

Both the film and Director Aaron Biebert’s testimony are on public record from the hearings and are headed to Washington.




abv.JPG

Much More Than A Movement

This brand new consumer group formed on Facebook  – has grown quickly to over 3,000 folks in under a week and show no signs of slowing down.

Here’s that group:  A Billion Vapers

To rent or purchase the film online,

please go here.


Find A Billion lives:

On their website at:

ABillionLives.com


Facebook:

A Billion Lives


Twitter:

@ABillionLives

@Biebert


Related:

A Billion Lives


My latest:

Vaping In The News May 13th, 2017

Nicotine Is Not Addictive.

Health aspects of e-cigarettes – Short information for physicians


NEWS from my friends across the pond: Vapers.org.uk.

You can find me here trying to be cordial on Facebook

You can find me here being a bit more evil on Twitter

You can also find me on LinkedIn

You can follow me on this blog!


Medical, Research, Science Professionals:

Research:


Politics:

E-Cigarette Politics 

A Billion Lives

A Billion Lives


Your comments are NEVER filtered, always encouraged and welcome on this blog.

More to come.

Keep ON #Vaping On.

Kevin

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Health aspects of e-cigarettes – Short information for physicians

dr

E-cigarettes are a choice. Dr. Mayer has released this statement informing physicians about the health aspects of e-cigarettes.


“Plasma levels of toxic substances…substantially decrease” and are “identical to the levels of non-smokers…”

“From a medical point of view, individuals who switched from smoking to the consumption of e-cigarettes have to be classified as non-smokers.”


 

berndmayer


Dr. Mayer’s document is found here:

Health aspects of e-cigarettes – short information for physicians

 

Added 6/25/17:

Information for consumers: Switching from smoking to vaping


To reduce the risks of smoking, physicians need proper information to rely on and relay to their patients. E-cigarettes are another way to reduce or eliminate smoking.

The worldwide claim of professionals “not knowing” the risks of e-cigarettes has come to a close.


There’s no reason for physicians to dismiss e-cigarettes or less harm to patients.

Withholding differential risk information on legal consumer nicotine/tobacco products: The public health ethics of health information quarantines


Related:

Public Health England

Ecigarettes: an evidence update

 


Eureka Alert

Of 560 physicians surveyed, over 70% “indicated that e-cigs can help patients reduce or eliminate smoking” and “almost half believe they can reduce risk”:

Majority of US doctors discussing electronic cigarettes with their patients


Dr. Cranfield

Dr. Cranfield explains the health effects of users over three years.

Users showed a 96% reduction in adverse health problems by users of three or more years. Conditions such as heart disease, high blood pressure and asthma improved by 61.8%

Conditions such as heart disease, high blood pressure and asthma improved by 61.8% of those diagnosed with those health issues while they smoked.

Health Effects and Demographics of Electronic E-cigarette Users. A Comparison Health Events in Previous Smokers with Three or More Years of Electronic E-cigarette Experience



Analytical Assessment of e-Cigarettes: From Contents to Chemical and Particle Exposure Profiles (Emerging Issues in Analytical Chemistry)


Do Less Harm: E-Cigarettes a Safer Option Than Smoking

Do Less Harm: E-Cigarettes a Safer Option Than Smoking


Public Health Leaders Call For ‘Correction Of Mistaken Beliefs’ On Vaping

Public Health Leaders Call For ‘Correction Of Mistaken Beliefs’ On Vaping


Annual Review of Public Health Harm Minimization and Tobacco Control: Reframing Societal Views of Nicotine Use to Rapidly Save Lives

Annual Review of Public Health Harm Minimization and Tobacco Control: Reframing Societal Views of Nicotine Use to Rapidly Save Lives


The health impact of e-cigarettes they don’t want you to know




Medical, Research, Science Professionals:

Research:

NEWS from my friends across the pond: Vapers.org.uk.

You can find me here trying to be cordial on Facebook

You can find me here being a bit more evil on Twitter

You can also find me on LinkedIn

You can follow me on this blog!


A Billion Lives

Politics:

E-Cigarette Politics 


Your comments are NEVER filtered, always encouraged and welcome on this blog.

More to come.

Keep ON #Vaping On.

Kevin

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Coordination with the FDA: Hartland, Wisconsin Holds Public Hearings

fraud

Imagine

Imagine for a moment that the Food and Drug Administration (FDA) has overstepped their authority in “deeming” anything to do with e-cigarettes.

Imagine there’s a little-known process used to challenge regulations imposed when the federal authority, by law, did not coordinate with state and local municipalities.

Now, imagine there’s a small town in the United States willing to take it upon themselves to challenge the authority having jurisdiction over these regulations.

Imagine.


The Village of Hartland, Wisconsin has done just that. They have hosted three days of public hearings and testimony of what is called “coordination” with Hearing Officer Fred Kelly Grant, Esq. at the helm.

The Electronic Vaping Coalition of America (EVCA) has explained what “coordination” is here.

WHAT IS “COORDINATION” IN FEDERAL LAW?


Three days of testimony

Testimony in Hartland was presented by Cory Winston, Azim Chowdhury, Shaun Casey, Antonio Lauria, Lou Ritter, Jeff Stier, Aaron Biebert, Johnson Creek Vapor Company, Bill Godshall and more.


Thursday, April 27th, 2017


Friday, April 28th, 2017


Saturday, April 29th, 2017



MONDAY, May 1st, 2017:

The decision is in:




THIS is how you can fight.

Via EVCA, the funding to FIGHT the FDA with this board if it goes to court:

Next Steps After FDA Coordination Hearing

Added 5/13/17

 



Imagine

Imagine the businesses who are going out of business.

Imagine the health implications of the imposed regulations by the FDA and the organizations who have supported them.

Imagine the person who walks into a vape shop and can’t be helped properly, if the vape shop will even exist within the next year.

Now imagine taking the time to listen, to ask questions, stand UP, question the lack of integrity and frankly, DO something.

Imagine saying enough is enough.


If the videos below do not play, you can access them here:


Related:

This article from Kathy Hoekstra:

Small-town America takes on FDA over e-cigarette regulations


WHILE this challenge is ongoing, it is imperative in the United States to visit CASAA:

First, the Cole-Bishop bill, (H.R. 1136) via CASAA

Out of the budget but, still in the fight!


Meanwhile

Duncan Hunter (R,CA)  has introduced one of his own, taking tobacco OUT of the description completely.
From my friend, Daniel Hall of Guide To Vaping:
Also From Mr. Hall: (added 5/2/17)


NEWS from my friends across the pond: Vapers.org.uk.

You can find me here trying to be cordial on Facebook

You can find me here being a bit more evil on Twitter

You can also find me on LinkedIn

You can follow me on this blog!


Medical, Research, Science Professionals:

Research:


Politics:

E-Cigarette Politics 


Your comments are NEVER filtered, always encouraged and welcome on this blog.

More to come.

Keep ON #Vaping On.

Kevin

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Alice in TobaccoLand.

aliceintobaccoland

According to Wikipedia, Tobacco control “is a field of international public health science, policy and practice dedicated to addressing tobacco use and thereby reducing the morbidity and mortality it causes”.

Let me break that down.

Public health science.  It also says practice.

Dedicated to addressing tobacco use via public health science, policy and practice.

Thereby reducing morbidity and mortality it causes.

It says mortality, not morality.

If the morality on vaping products doesn’t cease, the mortalities will continue.


Down the rabbit hole.

There are hundreds of organizations dedicated to addressing tobacco use. Those organizations are normally funded, among other things, by tobacco use. The Master Settlement Agreement, taxes, government grants and funding by pharmaceuticals trying convincing researchers to see “their side” so the FDA will trust & approve it are all part of the bigger picture. Don’t want any of them chasing us down the rabbit hole now, do we?

Let us have some tea, shall we?

 aliceintobaccolandtea

Tobacco control for the cessation world, involves “approved methods”, counseling, quit lines & other mythical suggestions in tobacco-land such as the always encouraging “quit or die”, you’re not trying hard enough… as smokers travel down the stop smoking hole…

Along come vaping products. Contested? Hot topic? Absolutely. Proof? Yep. Doubts? As far as your fingers can tweet or read in the media in the U.S.A..

It seems simple, really. Less tobacco use by smokers with an alternative in ANY way possible by anyone in the public health field, or by organizations like the Heart, Lung or Cancer associations… would be immediately and swiftly encouraged……well – that, my readers seems to be a fairy tale.

On to “Alice”.


To be balanced there has been some tweeting of vaping products as an alternative. I can’t possibly search for them all, but DID get a “maybe” here in 2015.


Here, in 2014, there was “waiting on evidence”.


Smokers falling a long way seem to always land in a hall with many locked doors….and a table appears… with concoctions and promises of cures to the smoker trying to stop with “try me” and “use as directed” and “FDA approved”. What do they feel, those trying so hard?

Shame.

Without success, a smoker is shamed regardless of the method chosen. (That is Tobacco Control training 101, is it not?)  Shamed, by everyone and their brother – who have been taught that forEVER.

Frustration.

Despite the EFFORT to cease tobacco use, the tobacco plant has nicotine. The cigarette has -how many other- chemicals that also MAKE tobacco addictive by design. Nicotine itself is not addictive, but the world doesn’t know – because they’ve been taught that as well… so they offer nicotine “replacement” therapies. (Love that word “therapy”).

Disillusion.

After multiple attempts for various reasons – be it poor health, children, mortality sinking in, whatever the personal decision was to try -the quit attempt fails or is aborted and the tobacco control machine turns to spin cycle. Round & round the smoker goes, falling down the rabbit hole.


We don’t know enough -about- long term effects. We know enough despite our own government’s challenge of regulations – we’ve stopped smoking -many accidentally- in a way NO other product or advice has come close to succeeding with on our journey down the hole. We communicate with each other via twitter, facebook and more. Learning daily. Empowered, making an impact.

As for long term effects? Well – we’re not smoking – if it were EXACTLY the same risk – I certainly wouldn’t have a blog.


Know enough, Alice. Make a commitment. Part of the perils of knowing enough is learning as much as you can, without bias and being able to relay that knowledge to others seeking information.

Speaking fluently with truth and conviction, will come naturally.


Long term:

agent

What is your definition of a long term study?

Supportive & hopeful methods are applied here.

BUT


The Pool of Tears

“Alice swims through her own tears and meets a mouse, who is swimming as well. She tries to make small talk with him in elementary French –  but her opening gambit “Où est ma chatte?” (“Where is my cat?”) offends the mouse and he tries to escape her.”

That’s the thing about Alice. Clarity. I’m still not sure how clear she is. I need some more tea!


RUTH


Pig and Pepper

“The Cheshire Cat appears in a tree, directing her to the March Hare’s house. He disappears, but his grin remains behind to float on its own in the air, prompting Alice to remark that she has often seen a cat without a grin but never a grin without a cat.”

 A Mad Tea-Party

“Alice becomes a guest at a “mad” tea party along with the March Hare, the Hatter, and a very tired Dormouse who falls asleep frequently, only to be violently woken up moments later by the March Hare and the Hatter. The characters give Alice many riddles and stories…”

   I cannot tell.


 Yes. That’s where a consumer could choose an alternative to tobacco.


Not sure about you, but the ‘real world’ is where we are using #e-cigarettes instead of tobacco.


I’m as authentic as they come. Lorien is also. I troll her more than I troll you. 🙂

Ahhh…. nicotine. That’s another of my blogs.


  Potential? Huh. Safer but too early to be so blithely reassuring?


 See – told you Lorien is authentic. Genuine & approved.


 Which are you, proponent or opponent?


Alice, involved in a paper with C. Gartner:

Dueling letters: which one would you sign?


In 2014, DO INDEED was capitalized for emphasis. I appreciate that.


Advice from a Caterpillar

I appreciate the fact that “Alice” is willing to engage with most on twitter. As you know, most of her colleagues will block and never engage.

Simon Chapman and Stan GlANTZ are two examples of (legaleeze: may, might, could) conniving denying monkeys. (Haven’t blogged Capewell or McKee yet.)

Everyone tweets something they regret at one time or another. We’re all human  -except the jury isn’t in on @Entropy72 yet.

This is where I was actually shocked at you. I know from another – personal experience when a professional diagnosis became a lawsuit to a “commoner”. Thing is, we’re professionals just like you. All walks of life, including mental health.

 You took your well deserved lumps.

Then you did it again…….

I couldn’t tell if you were joking on this one any more than I can tell your true position on less harm with vaping products.

So off we go to the final chapter of Alice In TobaccoLand…


(Update November,2019)

Then you did it again.


Alice’s Evidence

The Queen shouts her familiar “Off with her head!” but Alice is unafraid, calling them out as just a pack of cards, just as they start to swarm over her.

You engage with anecdotal vapers quaintly without making a statement. Teetering on a picket fence without committing. Rocking back and forth. A dangerous line of indecision. I strongly suggest focusing your eyes on the alleged ball, Less tobacco use for the public. I imagine the implications of a “well respected by her peers” professional like yourself facing one of two possibilities.

  1. You’ll be ostracized by them by merely stating the emperor has no clothes. (Think of the thousands of twitter friends you’ll gain!)
  2.  You’ll empower them to take the stand with you, realizing the potential of millions of smokers very lives hang in the frustrating and disillusioned balance.

Either way, you can’t win, I suppose. Indignant irreverence for your own chosen profession, recognizing the “public” in public health and the public it intends to serve -at least at face value- is unacceptable.

You yourself are a Professor, a nurse, an environmental activist. The Editor of BMJ Tobacco Control Journal. You cannot convince me you’re set on sitting in the middle in a rocking chair on a fence. Being pragmatic  <–(funny that link mentions a unicorn) is “real-world application”.

I am the real world. This is not a guessing game, and lives are at stake. TAKE your eyes “OFF the ball” of tobacco for a moment. Vaping products are being regulated, restricted, taxed & banned as if – tobacco control’s livelihood – is at stake. Rather than being accepted as one way to become the end game, it is the ball they have become.

Speak to colleagues – some who are active tobacco control members around the world, all who have professional titles. They aren’t some rogue set of flunkies, they are your counterparts. Colleagues. Each are aiming for the same goal. Tobacco harm reduction. Here, at M.O.V.E..

Once you’ve done so, you can decide which this is. Real harm reduction, where you can join other members of M.O.V.E. and take a stand publicly against the fire and brimstone establishment  – who don’t like to be tested….

Or grab a match… pick your poison… and let the cards fall where they may.

cards


I invited you to the A Billion Lives premier, you respectfully declined.  (I was serious.)

I KNOW they’re going to be in California, I hope you go. Take Glantz with you.


Finally, If I’ve offended you in any way, shape or form, good.

Check Clive’s “Memo to public health grandees: vaping, vapers and you

for reference.

You shouldn’t be offended, though. Did you see what I wrote about Simple Simon Chimpmanzee?

.

I hope you don’t block me and we’ll continue learning from each other.

It is about health, after all.


Speaking of health, this one’s fresh off the Dick Puddlecoat press:

Desperately Seeking Dictatorship.


Ruth Malone:

Via Tobacco Control BMJ

Via UCSF


Update 10/22/16:

Ruth has written this

“Yet, e-cigarettes and the burgeoning list of other non-combustible tobacco and nicotine products could represent potential leverage for accomplishing what once seemed unthinkable: phasing out combustible cigarettes, the single most deadly consumer product ever marketed.”

That is in full here:

The Race to a Tobacco Endgame


health

FIGHT:

THESE are national consumer and industry organizations in the United States who keep US informed.


August8th.org

A BILLION LIVES

E-cigarette Research is HERE.

MORE e-cigarette research is also HERE.

If you are a Medical Professional  go HERE.

More to come.

Keep ON #Vaping On.

Kevin

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Medical Professionals Speak Out on E-Cigarettes.

p11

What do medical experts decide with their patients? How are e-cigarettes now being discussed along side their colleagues and organizations? How do professionals feel about them as a tool for tobacco harm reduction?


One response was

“Nothing is more detrimental to your health than inhaling burning tobacco”


The following answers are as they were, in full, to each question in this survey. It is all here for you as a professional to see what your colleagues have said.


 *Update 4/13/16:

The survey below was used as one of many references here:

Views from the Coalface: What Do English Stop Smoking Service Personnel Think about E-Cigarettes?


As an individual, the information you see may help you decide an e-cigarette is right for you –  based on these responses and other responsible science, research and other links on this blog. There was no editing of comments, including spelling.

I did remove 2 responses – one admitted they were not a health/medical professional, one only answered the 1st 2 questions. All else is intact.

 


This is what the medical community said.


0155 decided to leave their names.


Question 2. Please give your professional opinion on e-cigarettes.

85% said they are safer than combustible cigarettes.

02Professional



Comments:

Nothing is more detrimental to your health than inhaling burning tobacco
Anybody who says anything to the contrary should not be working in healthcare.
I am not convinced they are aiding people to stop smoking I’ve seen patients using them as an alternative when in a no smoking area and it seems to be encouraging more smoking
No tobacco and nicotine is optional
But depends on it flavouring ingredient. Higher the nicotine, less safe it will be.
I have no doubt about this and I see them as a huge public health breakthrough

 

 “Other”

Are less harmful than cigarettes.
safer but..






Question 3. Have you as a professional received any information from an association or any organization about e-cigarettes?

03info


Comments:

Canadian Medical Association, Vancouver Island Health Authority, BC Medical Health Officer, Heart & Stroke Association, the list is too long…
I switched to an ecig so that way I could lower my nicotine and take one puff instead of wasting a whole cigarette.
I use one myself and there are no carcinogens in my e-juice.
National Centre for Smoking Cessation & Training (NCSCT)

ASH UK

Public Health England

“Other”

I have done my own research
Received both positive negative and forward-looking


 



Question 4. When Patients ask about e-cigarettes I:

77% will tell patients an e-cigarette is an option.

04patientasksComments:

and encourage them to use it.
It’s called Champix in UK
Because the college of nurses of ontario has not made an official statement I can’t legally make vaping an alternative smoking cessation option. Side note – I vape doe….
I would advise my patients against them as not enough is known about their content and effect there are many alternatives that have proven effectiveness I feel are safer
I would tell them that in my opinion that it appears safer than combustible type. they should also try smoking cessation. Especially if there may be a health diagnosis that would be a contraindication to e cigarettes.
Being a cna I’m not in the position. To write a prescription but I talk to those that are interested.
All forms of smoking carry some risk whether it be cigarettes, hookah, e-cigarettes, etc. I don’t know of many people who have successfully quit smoking all together using e-cigarettes. I feel like people just trade one addiction for another. Which is worse I don’t know.
Closest to real smoking with hand to mouth action.
If they take more nicotine contain ingredient, they may addict to it. Less nicotine is much better.
It’s important on a lot of levels that stop smoking services talk about licensed meds, but many patients will have tried them before, unsuccessfully. Ecigs offer new hope

 

 “Other”

Suggest e-cigarettes
Inform them it’s likely the least healthy, but also by far the most effective.
Both

ecigaretteand counseling

I’ve never been asked that, but I would encourage quitting cold turkey. From what I’ve been told, that’s the best way to quit.
depends

..





 


Question 5. Do you have or know of patients who smoke fewer cigarettes or who have stopped smoking using an e-cigarette?

05stopped

Comments:

I have worked with patients who have used ecigs in combination with traditional nrt to quit
Myself included.
My patients are typically marked as a smoker or nonsmoker… Anesthesia makes that determination and I’ve never asked if they would still be marked as a smoker with the e-cigarette.
I myself have been smoke free for 9.5 months with this cessation tool.
Our service has seen success on both levels ie complete cessation and cutting down, which MAY ultimately lead to cessation, just more slowly

“Other”

There are dual users. Self-reporting amounts are not very accurate.
More people than not.



 

Question 6.  If a patient says they stopped using tobacco with an e-cigarette I will

06nonsmokerComments:

would like to have option c-cig user..
Depending on the nicotine use so that the patient may receive a nicotine patch while in our locked no smoking/vaping unit.
Will make a note in the chart about vaping and note nic strength and amount of use.
I’m not sure if swapping one habit for another is a positive step they would need to quit the e cigarettes first
One whole year.
National guidance from PHE has come out that if people are not smoking they are non-smokers! Not everyone has caught on however
I don’t understand. If they have stopped have they stopped using both e-cigarette and regular cigarettes?

“Other”

document that the patient state they use e cigarettes
Comment that the pasient used to smoke cigarettes but have stopped and is now vaping. For medical staff.
Doesn’t apply to my field
I don’t know
See comment to question 5.



 

Question 7. Of patients who use electronic cigarettes have you

07healthbenefits

Comments:

This is a very poorly worded question.
Noted reductions in COPD and GERD in different patients
In the nursing home a patient switched and when she goes outside to vape she no longer has a phlegmy cough and sleeps through the night better.

Only mental health is routinely monitored within my service. Service users successfully quitting or reducing smoking through ecigs appear to have improved self-esteem after stopping smoking.

 

“Other”

no comment
Some astmathic pasients have decreased lung problems after they starter vaping and use inhalors less frequently.
Noticed exaserbated symtoms of conditions
N/a
N/A. I see my patients for one day typically, so I am unable to assess progress or trends of that nature.
I’m a Quitcard provider and have only recently had clients use e-cigarettes containing nicotine so haven’t noticed changes yet.

 


 

Question 8. When discussing electronic cigarettes with colleagues have you

08colleaguesComments:

We generally agree that ecigs are a safer alternative, so long as nicotine levels are being reduced below that of traditional cigarettes
The hospital I work for has a no smoking/vaping policy. I work on the mental health unit and I believe that this is unjust. Patients I care for are supposed to be therapeutically relaxed and taking away a self therapy such as smoking is more detrimental to our patients trying to adjust after being involuntarily committed.
E cigarettes banned however most staff believe they shouldn’t be
Most of my co-workers smoke. A few have quit smoking using personal Vaporizors (e-cig), so they have not only researched the topic, they have observed improved health in the people they care for, they have experienced first hand how helpful it is to use an e-cig as a method to help them quit and like the results and the process much better than when they took chantix.
Staff continue to be resistant to SUs vaping near them, due to false perceptions of harm to bystanders.
Organisation has prohibited the use of ecigs indoors & rejected my appeal to reverse this decision
Many have quit.
I often discuss this with colleagues from other areas, disciplines, who are initially sceptical but who become convinced of the positive effects, especially once they listen to vapers

 

Question 9. What changes do you note in patients who switch from smoking to vaping.

09changesComments.

In general, not personally.
Far better mental health is very notable: being released from the grips of tobacco after decades is really life changing for people.
I see less ups and downs in behaviors in the ones who have quit smoking and now use a vaporizor (e-cig).
Activity tolerance is improved noticeably
I don’t have enough interaction with pts who are using e-cigarettes to answer.

“Other”

Decreased use of antibiotics, inhalors and other drugs in several asthmatic pasients.
N/A
improved mental health following success in making positive changes
As above, clients of mine have only recently started using e-cigarettes so I haven’t noticed any changes yet.

 


 


 

Question 10. Please finish this sentence: Nicotine without delivery by combustible cigarettes is:

4% think nicotine is dangerous,

25% think nicotine is addictive.

10nicotineis

Comments

A viable treatment option for smokers wanting to quit and should be encouraged to be used alongside behavioural support
It’s not addictive.
Nicotine is a stimulant with known brain receptors, however, so is caffeine. Research is ongoing but seems to be pointing towards a less addictive status of nicotine versus that of cigarettes.
Nicotine when isolated from the noxious fumes of combustion in tobacco is far less damaging than we are being led to believe.

I’d almost say it’s no cause for concern, but it is a mild stimulant and depressant, and no drug use is healthier than full abstinence (caffeine included)

It also causes an increase in blood pressure, vasoconstriction, and increases the risk for blood clots.
Like Caffeine. Nicotine is actually good for certain medical conditions as dementia, diabetes, depression, ADHD, and colitis.
Possibly the best way of preventing relapse to smoking, with huge public health benefits. Healthcare professionals and politicians should get over their horror of nicotine
Still not quitting. Which should be your goal!
Probably addictive but may not be via nicotine patches and low dose gum, lozenges and e-cigarettes

“Other”

An e-cigarette
An addictive stimulant

 


Question 11. As a medical professional I

63% would definitely recommend e-cigarettes

17% are cautious

6% would never recommend e-cigarettes.

11recommendComments.

Support anyone wanting to stop smoking regardless of method of cessation
I Recommend it to patients who have tried traditional methods without success. If someone wants to quit nicotine completely they should use all available methods, but if they’re unsuccessful that’s when I recommend vaping.
This survey has made me write an email to my college seeking guidance. Thank you.
Wouldn’t recfomend as not allowed to; however I believe they are a good alternative for patients in long stay in patient wards who have no desire to quit
I do not feel I can give an evidence based answer to anyone who asks about e cigarettes and more research is needed
Its an easier way to slowly decrease nicotine intake.
Only cautiously because employer bans their use & may be punitive towards staff actively encouraging SUs to vape
Safer alternative to smoking and can be used a cessation tool if they choose.
The biggest benefits could be among communities where smoking is a chronic relapsing condition that robs people of their health and their disposable income ie the poor, people who have serious mental health problems, prisoners, people who have poor physical health
I believe that we should be encouraging pts to stop smoking and vaping to improve their health.
As a Quitcard provider rather than a medical profession.
“Other”
however I still recommend vaping due to other testemonies I’ve heard from other users and professionals..
Would recommend quitting smoking all together.

Question 12. Thank you for taking this survey. Please feel free to leave any comments.

12

I’m an e-cig user and would recommend it to all smokers to try them without the pg in it first before they try it with pg. As a lot of people are allergic to the propylene glycol
Gen. 1 e-cigs were not effective for me personally, the gen 2 was, and helped me quit smoking after a pack and half a day 40+ year habit. I have been tobacco free for a year 7/26/15, and nicotine free since Christmas 2014.
I vape myself. Cannot recommend it highly enough.
The Tobacco Products Directive will be a public health disaster, and will crush an industry which has given more hope to people than any in the 21st century (okay except maybe electric cars, robots)
A significant number of service users were utilising ecigs in the service & had quit or reduced cigarettes. Following prohibition of their use indoors, some service users have resumed smoking as they did before.
I am an ecig user & activist myself
I myself have been smoke free for 9.5 months with the use of e-cig. I feel so much better now. And so does my pocket book.
The improvement is depend on user itself. Ingredient of flavour is the main component to give attention.
I hope you get lots of people completing the survey, well done

Once the survey was over, the participants were given a link to both Ecigarette-Research and M.O.V.E.


 ADDED 01/13/17

Physician Advice for e-Cigarette Use


To be sure the record is clear, I specifically targeted some of the renowned tobacco control “experts” and organizations around the world repeatedly to take this survey for complete balance within the answers. To my knowledge they did not.

For all the effort these worldwide organizations and individuals do to claim e-cigarettes are bad, I wanted to be very public about allowing the opportunity for them to speak their minds as well.

Just a few examples:

a

b c  e

– – – – –

This survey was put out before Public Health England released their evidence to the world.

(Public Health England)

Public Health England


The film A Billion Lives

is no longer being censored!


Added 8/29/16:

Majority of US doctors discussing electronic cigarettes with their patients


 

 

More to come

Keep ON #Vaping On.

 

Kevin.