Tag Archives: Less Harm

Surgeon General Watch: Data, Snippets, and Narratives

Is access to public data an unreasonable request? What will the complete data reveal? Are snippets of data the best way to inform the public? If the full spectrum of the data is withheld, what is real, what is contrived?

If you repeat a lie often enough, it becomes the truth.”

The problem with research misconduct must be of epidemic proportions. So much so, the Department of Health and Human Services has its own division defining such misconduct called the Office of Research Integrity (ORI), and a definition of said misconduct.

“Research misconduct is defined as fabrication, falsification, or plagiarism in proposing, performing, or reviewing research, or in reporting research results.”

“Falsification is manipulating research materials, equipment, or processes, or changing or omitting data or results such that the research is not accurately represented in the research record.”

It would seem all data would be required to have a clear picture of the information being displayed presented to make an informed case, decision, or outcome. The authority in charge has no business writing or promoting a narrative, when data can and shall speak for itself.

Instead, snippets become headlines, and headlines create the story narrative.


“If you repeat a lie often enough, it becomes the truth


In the case of e-cigarettes, and the latest “data” on youth use, it is to present manipulate the claim of an ‘epidemic’ in order to willfully threaten legal adult choices, using snippets of data designed to “fit a narrative” as my friend, U.S. Surgeon General, Dr. Jerome Adams has done, and has accused.

It’s backward. Snippets (subliminal or not) can sell ideas. Create campaigns. Change public opinion.

Mining for data can be useful. Depending on the criteria, displaying data to ones liking is misleading. Similar to Stanton Glantz below, that is propaganda.


Skewed data is…well, you can make anything look like you want it to look for your own purposes. I think I am afraid of both films Nicolas Cage appears in, and pools. Why? I’m not sure what I’m afraid of, Nicolas Cage isn’t his real name, but looking at data tells me I should… Oh never mind.


In this blog, I will attempt to demonstrate two things. First, the following tweets and subtweets can be confusing. Second, if I can post things in here properly and explain, you won’t be confused. Either way, they are snippets, and you’ll probably be confused.


It started with (well, not really, I’m using my interpretation of the data) a question to the highest “ranking” Medical Doctor from Mike Peterson:

In this tweet, the Surgeon General clearly seems to has “doubts” that Mike “really wanted this information”. Surgeon General Adams must not look away from his snippets accomplishments on his “I love me” wall and must be suspicious of anyone questioning his integrity my snippet. Shame on you, Mike!

Link

Oh, I think Mike wanted the information. That’s alright, Dr. Adams. You don’t require my assurance adults are looking harder than you are for any detrimental outcomes of any facet of e-cigarettes.

It’s not as if we’re a large and growing community of consumers including Doctors like yourself, Lawyers, Teachers, Nurses, Statisticians, Scientists, Cooks, Truck Drivers, and other professionals, along with lovers of data and science. And math. In fact, one of us is a… nope… my narrative, so further down the data hole you go.


I’ll insert a quick snippet from my personal life. The words from a Neurologist to my wife was:

“We’re setting up testing for onset of Alzheimer’s and dementia.”

Is that a snippet of a much greater assessment? Can you discern from the quote she, in fact, has Alzheimer’s or dementia? Do you have enough data to make the determination? You really don’t know. I’m saving it for a different blog.


Note the words ” in the interest of correcting misunderstandings”. Misunderstandings are snippets, Dr. Adams. Vape shops aren’t included in “this” analysis is correct, by stating “equally high violation rate”, you overstepped your ego, data, or knowledge, position narrative.

He’s right. Snippet. The statement just above was “they aren’t included in this analysis” and “shops have an equally high violation rate“, and refers to this graphic he posted below:

I proudly show you my snippet! Go ahead, click on it, it’ll enlarge.


Because he was prompted by – anyone’s comments – and saw my amateur hour cut/paste of his just above, below he explains how narrative and roles to play suddenly are important. His data went from “equally high violation rate” to some vape shops. Also, he displays his knack of interacting with the public quite… well, I’ll let you come to your own conclusions. Go ahead, click on it, it’ll get bigger!

Link

“It’s easy to cut & paste snippets”…because the whole picture isn’t a narrative, I just couldn’t let that one go. If data and information is explained properly, there is no need for “snippets”. Go ahead, click on it, it’ll get bigger!

Link

Here, I’m not sure if he’s being condescending on purpose, or if he just doesn’t know he’s tweeting to a known impugner. I am also an uneducated “backwards backwoodsman from one of the colonies.” (Thanks, Alan, I knew that would come in handy eventually! ) Oh, go on, there’s something I was determined to take out of context. Damn me. Go ahead, click on it, it’ll get bigger!

Link

To further reiterate his position snippet, he grabs some more data from his cuff and explains some gibberish about technical stuff I probably wouldn’t understand anyway… something about this does look like a high ranking public health official explaining a snippet narrative, maybe it’s just me. We’ve gone from … well, this data thing just isn’t my forte’.

Imagine how confused the public must be.

Link

Well, Mike (he’s mentioned above), and Jake got data. In fact, they mined the data. Turns out twenty-one money penalties were assessed. Go ahead, click on it, it’ll get bigger!

To “That Damned Ninga, he agrees. Vape shops are “doing much better”… he also wants everyone else to agree. I often forget I’m constantly asked to agree with something because it will fit a narrative. I wonder what happens when the public just nods their head in agreement when a public official says to. Couldn’t be all bad, I suppose. Either way, he wants everyone to agree. By golly, I’m almost going to agr…. nope. Go ahead, click on it, it’ll get bigger!


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Trusting the highest doctor in the land to provide competent, well-constructed answers to convey issues with facts, when he, in fact, won’t do it seems futile. Instead, he has chosen to act on authority, instinct, and sticks to the data (dammit) script.


“If you repeat a lie often enough, it becomes the truth.”


Then, addressing (you and me) the public as if we’re a bunch of nine-year-olds is pretty – well, idiotic. Starting at about the time I could talk, I’ve questioned authority and integrity a long time. Pre-loaded answers come with loaded questions where I come from – the backwoods of one of the original colonies.

In fact, I’ll use your “It’s easy to cut & paste snippets” own sarcastic words against you, Dr. Adams. Also, I have repeatedly asked for data. So much so, it’s redundant, repetitive and repeats itself. It should, could, may, might or even would, speak for itself.

The reason I keep asking the same questions over and over?

Dr. Adams own words:


In the meantime, if you’re approaching a city, township, county, or state hearing about sales to minors, or that vape shops are contributing to the delinquency of minors, I highly suggest these two graphics to use at your disposal, just as the Heart, Lung, Cancer, and other health organizations will. Let them sort it out with facts, not preconceived notions and media sound bites snippets (dammit) data.


Here’s the chart from Jake Jacobsen: According to data, if you click on it, it’ll get bigger!

Link

Here is the chart alone from Mike Peterson: Yep, click:

Bring your nose a bit closer to the screen – at a second glance, this is what you may have missed: Wait, back up, just click!


The overall narrative is to put big scary numbers out, fueling the fire of an epidemic. I (we, vapers paying attention) want the truth. I don’t for one minute think any of us want anything less, good or bad. We’re adults, we can take the snippets data.

When looking at inspections just above, there is no “epidemic”, and the fact is, in 2018:

There were 146,376 inspections.

There were 17,456 total violations

Of 17,456 violations, 2,060 were “ends and e-liquid.

Of those violations, 229 were vape shops. (Vape shops: STOP that.)

Things that make you go hmmmm…..

And Juul? If you believe theirepidemic” data, Vuse was the front runner of underage sales violations at 1,729… so, they should have at least tried harder at purchasing Juul to complete the narrative.

Silly data makers. Go ahead, scroll back up if you need to. I’ll wait.

Sounds as if you’re still confused. I apologize for torturing you, but I feed a mouse cheese just to do my math for me.

Link

This an enforcement issue all the way around. Underage sales at vape shops are NOT a contributing factor to an epidemic, which is still a snippet of the overall message portrayed. Kids stealing from their parents like they did cigarettes? Probably. Straw purchases? Likely.

Illegal sales – meeting the “definition” of an ‘epidemic’? Doubtful.

Snippet alert:

Found in my previous “Nod In Agreement” blog here.

“If you repeat a lie often enough, it becomes the truth.”


On to the “epidemic”.

If, after reading this blog, you are still confused, I will conclude, from snippets, and so shall you, that confusion is intentional. The snippet below is a confusing mess, by design. The bottom right tweet on his personal account, in a “non-official” capacity, was just a few days before he announced as Surgeon General there indeed “is” an epidemic. I hope we can all agree, the data is in the contrived details. Go ahead, click on it, it’ll get bigger!



“Morals are standards set by those who want their standards met by others.”

I don’t want situational ethics, nor do I want morals and feelings mixed into the narrative. Here is what I want. I want the law to be obeyed. I want parents to be aware, not act on “reefer madness” type propaganda, and ultimately, parents to parent.

Specifically, I want the data to speak for itself. Both for adults looking for a safer alternative to smoking, and the narrative of an “epidemic” to be scrutinized, specifically when a public HEALTH official is threatening adult choices for less harmful products unless we agree with his narrative. Jim McDonald says it best.

Unless you suffer from cognitive dissonance, I want the data as it stands, not as it fits my narrative “out of context” with some silly twitter snippets, Dr. Adams. I don’t want to hear about plausible deniability. I don’t want proof by assertion. Confirmation bias is unnecessary.

I want the public to be aware of the best information available rather than striking panic in the streets.

So, what’s the snippet? What’s the truth? Still confused? So are adults looking for answers to a less harmful alternative.


“If you repeat a lie often enough, it becomes the truth.”


I am a consumer, while I try to be a voice for consumers, I don’t speak for “all” consumers. I have a higher standard for medical and government officials. The Surgeon General of the United States (or any public official) should not rely on “google searches” (in a personal or public capacity) to fill a narrative.

In my assessment, Dr. Adams should post facts. Period.

Snippet Alert!

The Surgeon General should resign or be fired. Immediately. That’s my narrative. That’s my snippet.

With that, no high ranking public employee official has no business writing, or tweeting, or sharing an opinion, or narrative, when data shall speak for itself.

I’ll stick to my guns, check on my wife, and keep my #SGWatch up to see when comprehensive information to adults has been displayed with half the attention the ‘epidemic’ has received.

I’ll readily and publicly admit I’m wrong, but until that happens, Dr. Adams has to answer these questions concerning the ‘epidemic’:

  • What users were of legal age?
  • What users didn’t use nicotine?
  • How many were smoking & switched?
  • Why is marijuana included with “any vaping“?
  • Why is “use” defined as in the past thirty days, not daily?

Until that happens, I’ll keep pointing out discrepancies in the narrative of an alleged epidemic, or one of you can convince me why I shouldn’t.

For balance, after the release of and tagging him in this blog: (Coincidence? Doesn’t matter. Snippets.)

Oh, that’s right, I’ve got that screenshot snippet from a Dr. Girgis… wait a second… it’s… Yes, legal and regulatory environments. That’s right. No guidelines. Except when.


Snippet alert: showing “restraint”.

I highly recommend what Clive Bates has to say on the alleged U.S. “epidemic“.


THIS one is an eye-opening must-read for ANY aspect of public health. Your opinions aren’t about your needs. Stop being nannies.


“The average American is like my patient: resentful toward those who tell him or her how to live.”

“The Arrogance of Public Health Advocacy “


In my travels of putting together this blog, I ran across this about research fraud and is also recommended reading.


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Surgeon General: Everyone Nod In Agreement


The Surgeon General wants everyone to nod in agreement on some things. While some of you may, some of you may want to turn your head – as I’ll be taking a different approach for this blog. Let the record show, I’m being *nice.

U.S. Surgeon General Jerome Adams,(MD) decided to clarify all things youth, e-cigarettes, and ‘epidemic’ on his personal Twitter account.

(All tweets below and his account are found here, or in replies, here)

I found it intriguing (as did others) he would take this route. Of course, a disclaimer on his personal twitter feed states, for safety: “Tweets/RT don’t represent endorsement or my employer.”


Before you choose to continue, please note

Fig Ramsey’s following two tweets.



There is no valid reason to threaten (adult) access to vaping products. There is no valid reason to threaten small businesses providing smokers the option of less harm.

Why is there is a risk of restricting, taxing, or banning less smoking in any form.

Based on this assessment of an “epidemic” from Clive Bates:

“Applying this proportion to the 2018 data would suggest about 4% of high school students are daily users (this compares to the headline 20.8% use in the past 30-days).”


WARNING: The following could, may, or might contain any or all of the following from Dr. Jerome Adams.


Start holding hands. He wants EVERYONE to agree… or risk harm reduction potential to adults (before his official announcement).


Draw your own conclusions to this unsolicited advice:



Think of the children™ is an appeal to emotion designed to create moral panic.


This was before the official announcement on Dec. 18th.

I thought teachers and parents couldn’t… but they’re everywhere… Think of the children™…

“Hard to obtain”

Hard to use around adults

“Few youth use any nicotine product (even cigarettes) daily

( I thought they were “easy to conceal”, hiding them in plain site?)

🎯 Instead, let’s use past 30-day use as a better metric, showing “potential” to teachers and parents. Not only does it sound contrived, inflated potential is also scary.

While you ponder your denial of an epidemic coming up over the course of this blog, bring your nose closer to the screen. Sound out the words. Take your time. I had to!

Link for this one, because I couldn’t believe my eyes.

🎯 Evidently, “Past 30 day use a better metric of youth use” gives a better potential to create an epidemic. Let’s move on.

But wait, that’s not the first time he said it.

He said it at 11:53 on the 8th of December here

Link to tweet

And seemed like he copied and pasted himself again only four minutes later at 11:57, just a few minutes after the one just above.

Link

🎯 Seeming indifference and denial is the biggest threat (not youth use).


Out of context, he’s referring to patches and other methods here.


🎯 1st tweet: Complete denial of the epidemic is the biggest threat to adult access. Complete denial. Huh.

🎯 2nd tweet: 30 day use (remember above) is a definitive medically defined epidemic.


Again, below the “constant denial” is the biggest threat to less harm.

🎯 The second of the two is one of my favorite tweets. Feelings VS definitions on 30 day use.


Medical Definition of Epidemic:

“The occurrence of more cases of a disease than would be expected in a community or region during a given awareness.. A sudden severe outbreak of a disease such as SARS.” (Link)

The Carnival Barker’s definition of an “epidemic”

🎯 “If folks can’t accept using official medical / health definitions, then we can’t have a real discussion”. “

Medical Definition of Epidemic: The occurrence of more cases of a disease than would be expected in a community or region during a given time period. A sudden severe outbreak of a disease such as SARS. (Link)

🎯 Referring to an “epidemic” is a play on the word as an adjective, not as a noun. The bias of the definition “interpret data accordingly” and “metrics” – referring to 30-day use rather than ‘daily use’, as Clive described above, is propaganda.


Here, the “Primary threat” isn’t “him” or most public health advocates… it’s YOU.

🎯 He’s trying to help.

I’ll let you see the 3rd for yourself. Go on, now. Don’t be afraid.

Here’s sadly what happens when lack of information, education and contrived panics occur.


HE’s not talking about….limiting access.

🎯 Well – then there’s balance. But good luck!

On the third in this set, feelings, (not science or data) are bigger threat than anything he could ever say.


Below, his statement on the first tweet: vaping products work, but lack of balance is coming from “national sentiment”. Wait, sentiment is “an attitude, thought, or judgment prompted by feeling”.

The second, it seems what he posts is what the nation feels, or agrees with.

🎯 (Lots of obvious feelings, *oops I meant “science” in that Google alert on the third.) *I’m being nice.


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🎯 Now, he’s clear. Education and awareness . Can’t do much about the feelings of parents and communities. It’s out of his hands.

2nd: ALL must say and do their part to preserve this option. Huh.

Third, good luck (again!!!)


🎯 This ‘existential threat’ — is because of “continual refusal to acknowledge” thing is really… *getting on my nerves. (*I’m being nice.)

Trying to be funny with a pun. Uh oh, parents and teachers again.

WHAT are YOU doing to help?


🎯 I’m very *relieved the Surgeon General is not basing his findings on feelings. Wait! We can all work together. Uh oh, feelings are in the mix. Then, it’s not a threat. (*I’m being nice.)

Parents and teachers…. a showdown, and needing more acknowledgement is apparent.

🎯 In fact, we all need to work together, or there will be NO OTHER CHOICE from parents, communities, teachers to push for elimination.

Acknowledgement again.


1st tweet below – the reference (out of context) is about approved methods to quit smoking here, but is true for vaping products (and mentioned) as well.

Second – well… *careful what you threaten, above you said “the threat isn’t from Government”. (*I’m being nice.)


On the 1st below, as a consumer, I expect you to do your *job. The fact becomes opinion. (*I’m being nice.)

On the 2nd, the ‘debate’ is contrived by effort, not real interest. Name calling. Appropriate or not, public official: feelings. If feelings are hurt, please see here, or here

🎯 On the third, it isn’t lessened, the chances of being “heard” remain the same.


🎯 The 1st below – “respectfully you still aren’t listing to (or ignoring)”

2nd: “lessens chances….”

🎯 3rd: I will keep calling a contrived set of monthly numbers a fraudulent and fabricated epidemic.

Finally a bit more of the feelings and name calling – meh. You are a public official.


For “credibility” the Surgeon General states publicly:

🎯 1/3rd youth who vape are vaping marijuana”.

Wait, the monthly ‘epidemic’ numbers are 1/3rd marijuana use? Wait, one-third of the monthly numbers are not “nicotine”? And “advocates” are expected, threatened and almost demanded to “acknowledge concern” and *admit there’s a problem? (*I’m being nice.)


The office of the Surgeon General states “Surgeon General provides Americans with the best scientific information available on how to improve their health and reduce the risk of illness and injury.”


(*Updated* 1/29) In the duties of providing the “best scientific information available”, this is where he doesn’t in his role as Surgeon General.

Instead, opinion. Again.


Stated in one of the tweets above “complete switch to ecigs better than smoking many times”. So far, the Surgeon General has chosen to “dutifully”, unequivocally, with prejudice, advocate the regulation, restriction, tax, and ban of what is a far less harmful product.”

I once admired “authority figures”. I presumed I was always being told the truth by those holding offices, titles, and degrees. Then, by accident, I didn’t smoke anymore. Slowly, over time, I’ve found appearances, power, prestige, fancy titles, and proof by assertion from those in charge – *demand respect rather than earning or deserving it. (*I’m being nice.)

For me to subscribe to anyone coerced into submission, I’ll need to see facts first. In fact, I am concerned and want answers. In fact, I’ve been asking for answers. In fact, if I saw a concern:

In fact, to suggest “vapers” are not concerned or to accuse anyone of “not listening” or ignoring anything is *unprofessional and *childish. (*I’m being nice.)


I’ve been asking, and addressing this concern for some time.

Funny you *mention “indifference”. Along with others you are *berating, I have been “concerned”. (*I’m being nice.)

For example, in December of 2016:

  • I politely questioned Micah Berman at Ohio State.
  • I asked the UCSF Children’s Medical Center for data.
  • In June of 2017 I inquired with American Academy of Pediatrics President Collen Kraft.
  • In November 2018, I asked the American Academy of Pediatrics (AAP).

For me, to “work” *together”, I’ll need to see more than claims of children consistently being “treated” for “nicotine addiction” and diagnosis of “brain damage” by pediatricians. I don’t find my request wanting case studies, data, progress, outcomes, results “unreasonable”. With a ‘meteoric’ rise, surely, these studies must exist. (*I’m being nice.)

I’ll need to see groups of children stealing patches and gums from Walgreens to get their nicotine. Those can be hidden from adults to satisfy the alleged “uncontrollable craving, seeking, and use of” nicotine in any and all forms.

“You don’t see nicotine junkies breaking into Walgreens to steal nicotine gum” ~ Aaron Biebert

So far, I’ve seen an orchestrated coordinated effort to convince the public of things that are *not true. (*I’m being nice.)

“You should fight for your lives and your health. It is absolutely irresponsible and dangerous behavior to ban e-cigarettes.”

~ Dr. Farsalinos

Added 012/06/2019:

From November 30th: “E-cigs and vaping as harm reduction not inherently a problem (though we need to continue research to ensure overall & max harm reduction)”………..

This is the only tweet I can see offhand worth its salt, and it is on his personal account, not the Surgeon General account.


Fig said it best:

🎯 “I blame Scott Gottleib and Jerome Adams & the multitude of other “leaders” of healthcare for their misinformation campaigns against vapor, for such vile lies that are coming out of our public health agencies. It’s zero wonder why public trust is fading.”

🎯 “Thousands of American vapor businesses are at risk of closing their doors & filing bankruptcy, because of the antics of Scott Gottleib & Jerome Adams.”


“Never stop fighting for what’s right”

~ Agent Ania


“If you see vaping consumer advocates constantly ranting on, it’s because we are trying to stop you lot fucking it up.”

~ Sarah Jakes


There’s only one solution – Unity and aggression.

~ECF, Oliver Kershaw


Let the record show, I’m being nice. Let parents and teachers do their jobs. I’ll suggest you man up and step up, or step aside, Dr. Adams. Otherwise, I’m a couple times behind on telling you to *kiss my ass. (*I’m being nice.)

This blog, because she liked snark, is dedicated to AgentAnia.




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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.

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

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I proudly joined David Goerlitz 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

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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!


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Medical, Research, Science Professionals:

Research:


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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 19th, 2019

news14

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.”


E-cigarettes OK to Quit Smoking ~ Vaping is Much Safer Than Smoking ~ NYU: “Substantially Less Harmful Than Cigarettes”. ~ Vaping and the Mic ~ A Harm Reduction Guide for Parents of Teens Who Vape ~ What do cigarette smokers think of vapers who are against tobacco? ~ Solution Announced for Vaping Cessation ~ Alternative Nicotine Delivery Options ~ Health, Science, & Technology Requests for Proposals ~ Clowns ~ Let’s Change The Conversation


E-Cigarettes OK to Quit Smoking

Imagine my surprise when our friend Ed West linked this from 2018.
Inside it says “researcher Thomas Brandon, Ph.D., director of Moffitt’s Tobacco Research and Intervention Program” says the fear of vaping being as harmful as smoking is a “broadly held misconception”.

Ask your public health and elected officials why this has been buried for almost a year.

E-Cigarettes OK to Quit Smoking


Vaping is Much Safer Than Smoking, So Why Don’t People Know It?

Lee asks a great question.

Vaping is Much Safer Than Smoking, So Why Don’t People Know It?


NYU Publishes Article Supporting Vaping As “Substantially Less Harmful Than Cigarettes”.

Dr. David Abrams of New York University agrees with Public Health England’s 2015 report. According to this article, he knows vaping products are “substantially less harmful than cigarettes“:

NYU Publishes Article Supporting Vaping As “Substantially Less Harmful Than Cigarettes”.


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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.

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

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Vaping and the Mic

I was proudly a guest on Vaping and the Mic with Mike Peterson on Smoke-Free Radio. We had a little chat about… things…


A Harm Reduction Guide for Parents of Teens Who Vape

I did an inquisition of sorts of the ‘epidemic’ of teen vaping with the fraudulent claim the Surgeon General has approved here.

Helen Redmond has this to say:

“The survey produced large-seeming percentages by asking teens if they’d vaped in the past month, the past year, or ever, but omitted to ask about the most frequent use, which you’d think would be the cause of most concern.”

A Harm Reduction Guide for Parents of Teens Who Vape


With a little help from my friend:

What do cigarette smokers think of vapers who are against tobacco?

Great question!

What do cigarette smokers think of vapers who are against tobacco?


Ongoing Poll:


Solution Announced for Vaping Cessation

Well, if there’s no other… I suppose this would… oh, never mind. Now the Surgeon General has no excuses. The answer to the epidemic is here!

Solution Announced for Vaping Cessation


Definitive Agreement Marks Milestone for Alternative Nicotine Delivery Options

I can almost hear the slapping of palms on foreheads in California. Either way, tobacco companies are progressing forward with less harm in spite, or… well.

Definitive Agreement Marks Milestone for Alternative Nicotine Delivery Options


Health, Science, & Technology Requests for Proposals  

Here’s where research funding is available, yet – some researchers won’t apply. I know why.

Health, Science, & Technology Requests for Proposals  


Two from me:

With clowns to the left of me, research to the right, on average, I trust I can reach my goal. This was fun:


Clowns To The Left Of Me, Research To The Right


Let’s change the conversation. It’s time.

Nicotine and Vaping: Let’s Change The Conversation


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

health

Health is important. The impact of proper information for smokers making choices about their health is more important. The health impacts e-cigarettes make on less smoking are beyond the wildest dreams of those genuinely interested in less smoking.

A more common objective is biased information permeating public opinion through the media – who always seem happy to oblige. Unethical hypocrites censor valuable information for fear of their own fiscal health. It isn’t what they tell you behind a shroud of important titles, it’s what they decide to tell you. Is there an underlying method to their approach?


When someone reaches a point in their lives where they choose to stop smoking,  manipulation and lies are not needed. Offering false promises and *unicornian hopes of approved methods to stop smoking, smokers only become disappointed in themselves. The bullying words “smoking is evil” is manufactured propaganda. If less harm is truly the goal, speak often and loudly. If the strategy of convincing the public only of dangers sounds like a tragedy, it certainly is.

What are the health impacts of e-cigarettes? The “health impacts” of e-cigarettes are covered more than a few times in this blog. From “anecdotal” evidence in my and other surveys – right down to a science on the left colum in the links provided.

There are health impacts a smoker may be concerned about before using e-cigarettes, but public health “experts” pick and choose what the public is told. They won’t tell you what they don’t want you to know. The moralistic approach needs to stop.


Ethical Standards

First, ethical standards are not something these holier than thou idiots adhere to. The impact health officials parade around are about morality. Morals are standards set by those who want their standards met by others. If your revenue depends directly on the sales of what you’re fighting against by design, there is a conflict of interest. Period. Misrepresentation, fraud and criminal activity comes to mind.

Next, if you believe the goal of “less smoking” is the final goal, why are “experts” still babbling about anything aside from science. Hypothetical opinions and deceptive rants portrayed as “expertise” are deterring people from doing what the intended purpose supposedly is… that’s counterproductive. This isn’t about health. The desire to instill control over smokers outweighs the alleged “desired” end result. They don’t want you to know.

Third, what incentive is there for government to fail? What impact is there to deny information to the public? What is the return on investment on an estimated $20 million FDA initiative of tax dollars to determine people can keep smoking tobacco?

Thanks, in part, to Matt Myers of Tobacco-Free Kids, the cost of lying to adults is now in the BILLIONS.

The CDC fails to recognize the harm reduction benefits of smokeless tobacco, instead telling curious smokers looking for accurate information that there is simply not enough research to confirm that these products carry far less health risks than cigarettes.

Deception’ Over The Risks Of Smoking Alternatives Violates ‘Public Health Ethics


Apollo E cig is a brand that has been in the market for the past half-decade and has become very popular among its users. We never really got the opportunity to test this brand because of two main reasons. They are comparatively expensive compared to their other competitors in the market. 


What are the health implications?

The idea of e-cigarettes took most of these experts by surprise, beyond comprehension. There’s obvious health advantages, yet the  impact of e-cigarettes are disrupting all aspects of “anti” and tobacco control so much they claim it is “partially understood”. They can’t completely comprehend “less smoking”.

Practical Implications for Continuing Education

  • The use of electronic nicotine delivery systems (ENDS) has become very popular in the United States, including among youth.
  • The health impacts of ENDS are only partly understood, but the preponderance of research suggests that using current-generation ENDS is significantly less harmful than using combustible tobacco products.

Key issues surrounding the health impacts of electronic nicotine delivery systems (ENDS) and other sources of nicotine


Harm Minimization

Although this chart below doesn’t show approved medications, this is progress. Harm

 



Potential deaths averted

The health impact is less smoking.

However, evidence is mounting that e-cigarettes deliver only a small percentage of the toxicants delivered by cigarettes. (26–32) In addition, newer e-cigarettes models have been shown to more efficiently deliver nicotine (29 30 33) than older models and provide sensorimotor experiences and ‘throat-hit’ similar to smoking, (34) thus increasing their potential to serve as effective substitutes for cigarettes.

Potential deaths averted in USA by replacing cigarettes with e-cigarettes


This isn’t about health

If this were about health there’d be a much different tone from those “in charge”.  If those in charge were truly trying to “help” people stop smoking, they would gladly taking on the challenge to make e-cigs better, and put themselves out of business. There is a monumental difference in smoking and using an e-cigarette. There is NO tobacco, no combustion. That, on its own, should be more than enough to spark interest in anyone “fighting” smoking, but it isn’t, and no mainstreamorganization” cares.

E-cigarette emissions span most of this range with the preponderance of products having potencies<1% of tobacco smoke and falling within two orders of magnitude of a medicinal nicotine inhaler

Comparing the cancer potencies of emissions from vapourised nicotine products including e-cigarettes with those of tobacco smoke


What is appropriate for “public health”?

Really? At this point, those who pretend they know what they’re talking about need to shut up. Those who know better need to stand up. Those who are deceiving the public need to be put in their place now, not later.

Distorting research makes academic opinions sound scary and is supported by mainstream media more than the truth can ever be. Calling nicotine “tobacco” is a license to print money.

The Food and Drug Administration (FDA) is regulating nicotine as tobacco.

Let me rephrase that.

The FDA is regulating both nicotine in e-cigarettes and devices as tobacco.

The act mandates that FDA’s action not be “arbitrary or capricious,” and that actions be “appropriate for the protection of the public health,” the primary phrase of focus for this project.

Ethically Interpreting Eight Words in the Tobacco Control Act to Help FDA and the Courts


Controlling health challenges ahead

The plot thickens… not only do “experts” want more smoking (predicted here), they have invested now over 100 MILLION dollars to keep tobacco burning. Not only do they want more smoking, nobody cares. In fact, they want to use cigarettes to prescribe smoking.

The impact of less smoking is less revenue.

Below, bold and red are my emphasis disbelief.

The FDA together with other agencies of the U.S. government have invested over $100 million in several independent medical studies which have shown the health benefits of the company’s proprietary tobacco cigarettes.

Dr. Dorothy Hatsukami a principal investigator in the trial has publicly indicated that an immediate reduction in consumption of nicotine is “most likely to lead to less harm.

You can read that again, but I’m here to help.

Dr. Hatsukami thinks smoking cigarettes is “most likely to lead to less harm“. Are you stupid?

Oh look, more cigarettes…

22nd Century Group Inc (NYSEAMERICAN:XXII) Ships 2.4 Million SPECTRUM® Cigarettes for the National Institute on Drug Abuse


Philip Morris wants to quit smoking

Much to their surprise and humor, tobacco control is now watching tobacco giant Philip Morris take the battle on themselves to fight – themselves.

Where it makes no sense, tobacco control and anti-tobacco are now fighting against a “smoke-free world“.

If it looks like a duck and lies like a duck, it must be a pigeon.

Dick explains: Tobacco Control Pigeons, Meet Philip Morris’s Cat


Added 01/23/2018:

Public Health Consequences of E-Cigarettes


Like most things, distractions and propaganda designed to look like truthful information, aren’t.

I’m more concerned about the things experts are concerned with when they withhold the information they don’t want you to know.


*Unicornian:


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

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My Data Driven Meta-Analysis: E-cigarettes cause less smoking.

kid smoking



Data Driven Meta-Analysis: E-cigarettes cause less smoking. Imagine you’re a tobacco control “expert”, a professor, in fact. There is notoriety, fame even. You’re not a scientist, but while bumbling through your meta-analysis, you elude to being one for decades. Ahhh the life.

While walking upright, there’s a noticeable amount of doughnut powder in your beard (to show your expertise) in almost any sterile artificial setting — where everyone will nod their heads in agreement…

glantz tweet


Since I have the formalities out of the way, I will meta-analyse the chart below for before Professor Puff-N-Stuff gets his grubby paws on it.

I’ll submit my findings for all you math / data / science /statistitians for peer review below!

Aren’t you excited?


Submitted by Kevin Crowley, AKA @VapingIT, SPE, EEI.

(You have to have the fancy-shmancy initials!)

Title

(or whatever they put at the top of important studies)

E-cigarettes cause less smoking.

“Important stuff”:

E-cigarette use was tracked by the FDA & CDC – from 2011 – 2016.

It went up, peaked in 2015 and went back down.


 

Purpose:

I suppose I should explain myself like they all do, but I won’t, I’ll do it my way.

To have determination a deliberate (Thanks Fig!) and honest assessment of whether e-cigarettes cause more smoking (or not) in youth without using words like “may, might, could” or any phrases like “more studies will be needed to determine” (with or without nicotine).

This could be difficult, and I’m not an “expert” so I certainly hope you’re rooting for me.


Data: More Stuff

Cigarette use in the same time frame – went down. (Check my math, this is important).

kids youth gateway

Findings:

Most children around adults not smoking has caused the children to not smoke. The adults choosing to use (e-cigarettes) vaping equipment instead of purchasing cigarettes, so the children can’t steal cigarettes from parents who are not smoking.

E-cigarettes cause less smoking in children, and adults.

(Being informative is exhausting!)

Result:

Since 2011, adults smoked less, making cigarettes less available to kids. 8% of children will still try cigarettes.

Links:

Chart above is here.

Study below the chart is here.

You can purchase my metanalysis for a billion dollars once I put it behind a paywall.


Conflicts Of Interest:

Like this matters, but I’ll play along. None, consumer.


Opinion

Big Ole’ long sentence assesment warning!

It is in my opinion that around 8 percent of the children in the United States are the core group of rebels who, despite any half-hearted efforts by tobacco control organizations or esteemed professors like Puff-N-Stuff, will try smoking, skip school and daredevil and adventure off into other activities deemed dangerous or delinquent-like.

Less than that will continue try cigars, hookah, pipes and smokeless tobacco.

It happens. That will give more time for experts (uninterested in blaming themselves or rebellion) to have something to do, like blame Hollywood for the remaining 8%.

I want to beat Professor Glantz to the metanalysis submission frenzy:

How’d I do?

Peer review my findings! Someone check my math!


Related:

“most e-cigarette experimentation does not turn into regular use, and levels of regular use in young people who have never smoked remain very low.”

Cumulatively these surveys collected data from over 60,000 young people.

Young People’s Use of E-Cigarettes across the United Kingdom: Findings from Five Surveys 2015–2017

“Nicotine dependence is not a significant mechanism for e-cigarettes’ purported effect on heavier future conventional smoking among young adults.”

Evaluating the Mutual Pathways among Electronic Cigarette Use, Conventional Smoking, and Nicotine Dependence.


Related:

Via Michael Siegel:

Center for Tobacco Products is Lying to the Public About Youth Tobacco Use

Mine:
Smoking and E-cig use among teens is down, again – (Don’t tell Stan)

Added 9/6/17

I must have done well:
  • Riccardo Polosa
  • Christopher Russell,
  • Joel Nitzkin and
  • Konstantinos E. Farsalinos

A critique of the US Surgeon General’s conclusions regarding e-cigarette use among youth and young adults in the United States of America


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You can find me here trying to be cordial on Facebook

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Medical, Research, Science Professionals:

Research:


Politics:

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think

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


 

There is definitely more to come.

Keep ON #Vaping On.

Kevin

 

 

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A Threat to Public Health: Opinions.

lungfactsreportcard

The latest “display of incompetence” award from a major health organization goes to Harold Wimmer, National President & CEO of the American Lung Association (ALA). Wimmer takes diligent care with his opinion to a recent New York Times article, “The Assault on Health and Safety Begins”.

In response to the article, Wimmer stated (underlining is my emphasis)

“Under the guise of reform, the House passed the Regulatory Accountability Act, giving polluters and the tobacco industry free rein to avoid meaningful oversight, regardless of the effect on the health of Americans.”


The Public Health Circuscircus-gif

Wimmer, in his opinion, believes

“common-sense steps under the Tobacco Control Act to protect children from flavored e-cigarettes and cigars would be halted in their tracks.”

The Tobacco Control Act already prohibits sales to minors (now that vaping products are deemed “nicotine” and therefore “deemed” tobacco).

He’s also concerned that

“Trying to mislead the public to believe that this so-called reform legislation will improve accountability is not only disingenuous, but also a direct threat to the health of our most vulnerable Americans.”


I’d like to focus on you, Mr. Wimmer, and your so-called accountability and disingenuous motive as a direct threat to the health of adult American smokers who trust your organization.

Thanks to you, valiant efforts to encourage Americans to keep smoking based on your opinion, is working. Be proud, Mr. Wimmer.



Invalid Concerns, Ulterior Motive

lungfacts

According to the ALA website:

“The American Lung Association remains concerned about their impact on the public health, given the dramatic increase in use among youth.”

New Study Casts Serious Doubt on Claim that E-Cigarettes Lead to Youth Smoking

Instead, you should be focusing on

Smokers Who Switch to E-Cigarettes Exposed to Same Levels of Nicotine, Lower Carcinogen Levels

and this, among other things –

Lung function and respiratory symptoms in a randomized smoking cessation trial of electronic cigarettes.

Don’t get me started on nicotine.


The Litmus Test

bullethole-1

Under my scrutiny, MY opinion – the least of your concerns, Mr. Wimmer, are the millions of adult smokers reading your “insight” and continuing to use tobacco because you omit and fabricate information – in your opinion.

Imagine, if the focus of less tobacco use was obtained using a litmus test. Imagine if less tobacco use was the goal and the criteria was less harm.

You have a captive audience, and you are deceiving them with your bias opinion. You are violating the public’s trust. You do that well with Pfizer as a partner.

Instead of trying to “save lives by improving lung health and preventing lung disease, through research, education and advocacy”  – and “to eliminate tobacco use and tobacco-related diseases” you are lacking integrity by

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


Focusing on harm

bullethole-2

Imagine the steadfast opinions used for persuasion OF the public.

Merchants Of Doubt: How Public Health Uses Tobacco Tactics Against E-Cigarettes

Imagine placing the importance of fiscal health of an organization before public health so the public at large and unbeknownst to them faces settling for less.


Less Harm

Now, imagine the focus was just less smoking. Whether it would be snus, smokeless tobacco or e-cigarettes – and I’ll GIVE you the “government approved” traditional but much less effective options like the patch, gum, sprays or inhalers you promote.

Imagine if it included harm reduction.

Imagine 79% successful outcomes.

Imagine if you weren’t perpetuating the tragedy.


On the surface, with your title and contrived innuendo, are leading the public to believe you are “for the consumer”.

Mr. Wimmer, with your willful negligence by “trying to mislead the public to believe” your stance on “less tobacco use” – You and your organization are “a direct threat” to public health and smokers in the United States.



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