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Welcome to the blog area of our site where we hope to keep you updated on the trends of the e-cigarette industry as well as product reviews.

Heads Up – News – Updates 7.1.2019

If you believe the security rule is affecting the normal operation of your website, contact your host support team and provide detailed instructions how to recreate this error.They will be able to assist you with rectifying the problem and adjusting the security configuration if needed.Original author: KNoll-Marsh
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Heads Up – News – Updates 6.28.2019

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Finally, A Direct Comparison of Smoking and Smokeless Tobacco Use



I have documented how American health authorities refuse to directly compare the health effects of smoking and smokeless tobacco (ST) use.  The results of such an exercise would require them to acknowledge the products’ vast risk differentials.  For years, the American Cancer Society has possessed data that would allow this comparison (here, here, and here), but they refused to run the analysis or provide me with the data (here). I recently explained how FDA officials hid the comparison in a New England Journal of Medicine article (here). I have spent much of the past 25 years trying to correct this information deficit.  Lacking access to the necessary data, the only comparison I could make was indirect (here), which was less than ideal. Now, at last, the data are in full view.  Altria scientists in April published the first-ever follow-up mortality study of cigarette smokers and ST users, using national surveys and the National Death Index, all of which are produced by the U.S. Government and publicly available.  The first author of the impressive study, published in Harm Reduction Journal, is Michael T. Fisher.  The figure at left illustrates the results for all causes of death, all cancers and heart diseases; smokeless tobacco is referenced as SLT.  In each section, hazard ratios – the likelihood of dying compared with never tobacco users – are illustrated for smokersby the first set of black dots/squares in the red circles; former smokers are in the next set; and ST users are in the third set, circled in blue. Smokers are at more than twice the risk of dying from all causes than never tobacco users.  Former smokers’ odds are about 30% to 50% higher than those of never tobacco users (HR = 1.3 – 1.5).  Current ST users who never smoked died at the same rate as never tobacco users. Compared with never users, smokers had even higher odds for dying from cancer, from 2.9 to about 4.2.  Former smokers also had higher odds, varying from 1.6 to 2.4.  Once again, ST users died at the same rate as never tobacco users. Smoking isn’t as big a risk factor for diseases of the heart; other factors, like obesity, diet, physical fitness and diabetes, are also important.  Smokers in this study had odds ranging from 1.2 to 2.2, and not all of these were significant.  ST users had no excess risk. In summary, this analysis of government data confirms that ST use is vastly safer than smoking.  The FDA and CDC not only had this data, but used it in other mortality studies of smokers and cigar users.  By not publishing the results on ST users, federal officials maintained the illusion that ST “is not a safe alternative to cigarettes.”  It is ironic that cigarette industry researchers produced this pivotal analysis.  Stay tuned to this blog for more results. Original author: Brad Rodu
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Heads Up – News – Updates 6.25.2019

If you believe the security rule is affecting the normal operation of your website, contact your host support team and provide detailed instructions how to recreate this error.They will be able to assist you with rectifying the problem and adjusting the security configuration if needed.Original author: KNoll-Marsh
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Sunday Science Lesson: Bad categories, bad science

by Carl V Phillips

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San Francisco Board of Supervisors to Vote Tuesday on Banning the Retail Sale of Cigarettes and Marijuana

This Tuesday, the San Francisco Board of Supervisors is scheduled to vote on a proposed ordinance that would ban the sale of cigarettes and marijuana products in the city until the FDA conducts a safety review of these products.The impetus for the proposed ordinance was new data showing that a large proportion of San Francisco youths are still smoking and that the use of marijuana may even be increasing, especially with the recent legalization of recreational marijuana use. The city attorney explained that: "The epidemic is real. It needed attention. We felt it was necessary to step in and make sure we were protecting young people on our streets." He criticized the FDA for not properly vetting cigarettes and marijuana and failing to test the safety of these products, saying that the federal government "abdicated" its responsibility and therefore, the city "had to step in."The supervisor who introduced the ordinance told The Rest of the Story that: "there are strong indications that marijuana actually alters receptors in the brain, making youth more susceptible to addiction." He called marijuana a "gateway" to harder drugs, citing evidence that youth who use marijuana are more likely to initiate the use of other drugs, including cigarettes, inhalants, stimulants, and even opiates. He cited a recent statement from the National Institute on Drug Abuse (NIDA) that "underscore[s] the need for effective prevention to reduce adolescent use of ... tobacco and marijuana in order to turn back the heroin and opioid epidemic and to reduce burdens of addiction in this country."One supporter of the ordinance, a professor at UCSF, warned that: "According to data from the Monitoring the Future study, the use of marijuana among teens has reached epidemic proportions. In 2018, a whopping 36% of high school seniors reported using marijuana in the past year. This is a 50% increase from the level in 1991, which was just 24%." He also noted that in 2018, the prevalence of smoking among high school seniors was still 8%, despite decades of anti-smoking campaigns.According to a spokesperson for the local lung association, "there are numerous flavored marijuana products on the market in San Francisco that are clearly designed to appeal to young people." A review of the menu offered at one San Francisco pot shop -- Urban Pharm on 10th Street in the SOMA district -- revealed a variety of kid-friendly flavors including "super fruit," "jelly roll," "slurricane," "sugar cookies," "sundae driver," "chocolate chip cookies," "orange soda," and "watermelon zkittlez."The Campaign for Marijuana-Free Kids, in testimony before the Board of Supervisors, asked how supervisors could possibly not think that flavors like watermelon Skittles, slurry, chocolate chip cookie, and jelly roll are targeted at youth. "Prohibiting marijuana products in kid-friendly flavors is one of the most important actions we can take to reverse the youth marijuana epidemic and continue reducing youth marijuana use."The UCSF professor was quoted as stating that: "The FDA is complicit in allowing this epidemic to develop. Other cities and states should follow San Francisco’s lead: pass comprehensive flavor bans, followed by legislation to prohibit the sales of cigarettes and marijuana products until they are properly assessed by FDA."The San Francisco city attorney noted that smoking kills more than 400,000 Americans each year, saying: "Young people have almost indiscriminate access to a product that shouldn’t even be on the market. Because the FDA hasn’t acted, it’s unfortunately falling to states and localities to step into the breach." He also praised the city's supervisors for making San Francisco a national leader in the effort to confront cigarette use, which is the leading cause of preventable death in the nation. "San Francisco has never been afraid to lead. That will always be the case when the health of our children is on the line. I want to thank the Board of Supervisors for taking this pioneering step to protect our youth. This temporary moratorium wouldn’t be necessary if the federal government had done its job. Cigarettes are a product that should not be allowed on the market without FDA review. For some reason, the FDA has so far refused to act. If the federal government is not going to act to protect our kids, San Francisco will."According to the website of the office of the city attorney: "Tobacco use is the leading cause of preventable disease and death in the United States. Tobacco kills more than 480,000 people a year in this country. That’s more than AIDS, alcohol, car accidents, illegal drugs, murders and suicides combined." Many small businesses in San Francisco, including marijuana dispensaries, convenience stores, and smoke shops complained that if enacted, this law will severely hurt their sales. The owner of "Store 420" on Powell Street couldn't understand why the sale of marijuana had to be completely banned, rather than just restricting it to stores that do not allow minors. "We have strict age verification procedures and I can tell you that we only sell marijuana products to adults. Why does our business have to be sacrificed to protect kids from a product that - while it may be addictive - does not cause any severe acute health effects and it's not even clear that it causes serious long-term health consequences either?"But the city attorney took issue with the stores' calling this policy a "ban," saying: "This legislation takes a reasoned approach. It doesn’t ban cigarettes or marijuana outright. It simply says that a product can’t be sold in San Francisco until it receives FDA approval. That’s just common sense. If Philip Morris or any company like it wants to sell their product in San Francisco, they should apply to the FDA today for review. If their product really has some kind of psychological benefit to adult smokers, as they claim, rather than a lure to addict another generation, they have the opportunity to get certified before this legislation takes effect."CORRECTION (June 22, 2019 - 12:55 pm EDT): I have just been informed that I didn't get the story quite correct. Cigarettes and marijuana products are all being allowed to stay on the shelves with no regulation at all, regardless of scientific evidence regarding their serious health hazards, their widespread use among youth, and the targeting of youth by flavors like "slurry" and "jelly roll" that are intended to appeal to youth. Instead, the Board of Supervisors is banning the sale of fake cigarettes (i.e., electronic cigarettes) that contain no tobacco, involve no combustion, and have been demonstrated to be much safer than cigarettes and which also have been used by more than 2.5 million Americans to successfully quit smoking completely. I apologize for this error.Original author: Michael Siegel
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Heads Up – News – Updates 6.19.2019

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Smokers: Step Away From the Fire With These Safer Cigarette Substitutes













Most cigarette smokers “say” they want to quit, but that is terribly misleading.  Most smokers answer yes to the quitting question because they know it’s the desired response.  In reality, the vast majority of smokers don’t quit in any given year.  All of them would welcome a healthier lifestyle, but they are unable or unwilling to abandon the immediate benefits of tobacco and nicotine, especially smoking. If you smoke, here’s your guide to vastly safer substitutes that provide nicotine and tobacco satisfaction. E-Cigarettes and Vape Products The best harm reduction options for smokers unable or unwilling to give up nicotine and tobacco are e-cigarettes and vape products.  There are thousands of choices, reflecting the fact that they are the most popular – and most successful – quit-smoking aids.  Vape ShopsSmokers can take the first step away from the fire by visiting local vape shops, which are often staffed by former smokers who are knowledgeable about your best options and dedicated to your success.  These shops sell popular products and also cater to vapers who want advanced hardware and special e-liquid flavors.  To locate nearby shops, check out Vaping 360’s online locator.  The Vapetrotter Directory is another valuable source. For lots of factual information about e-cigarettes and vape products, visit the website operated by Consumer Advocates for Smoke Free Alternatives Association.  And for moral support, visit CASAA’s testimonials webpage containing thousands of success stories.   JUULJUUL has taken the vaping market by storm; it’s making cigarette manufacturers nervous, and for good reason.  JUUL pods contain a satisfying nicotine salt that won’t have you climbing the walls or kicking the dog because you don’t have the nicotine hit you need.  Additionally, the pods are inconspicuous, and easy to use and recharge.  JUUL products are widely available, although the company is only selling tobacco and menthol flavors in convenience and other brick and mortar stores. Its popular flavors -- mango, cucumber, fruit, and crème – are available online. VuseVuse is another family of vaping products that are available in several hardware choices and a wide variety of flavors, including menthol, mint, mixed berry, melon, fruit-and-cream, chai, nectar, tropical fruit and classic tobacco.  Vuse is available onlineand in stores nationwide. Heat-Not-Burn Products IQOSThe FDA recently approved the sale of IQOS heat-not-burn products in the U.S.  They are already available in over 30 other countries, and they have produced an unprecedented decline in cigarette consumption in Japan.  An FDA advisory committee in 2018 concluded that the products significantly reduce smokers’ exposureto toxic chemicals found in cigarette smoke.  I believe IQOS products have the potential to compete with vapor products, as they deliver the tobacco flavor and satisfaction many smokers find lacking in e-cigarettes.  The first U.S. test market for IQOS will be Atlanta, where it will be available at a dedicated Lenox Square store.  Nicotine Pouches             ZYNZYN is a discrete new pouch product from Sweden that contains no tobacco, just nicotine and flavor – spearmint, wintergreen, cool mint, coffee, cinnamon or peppermint.  Also note that there are two strengths, ZYN 3 and ZYN 6 (milligrams).  Originally launched in Western states, ZYN is now available nationwide anywhere cigarettes are sold.  It’s also available from Northerner.com.  On!On! is another nicotine pouch made in Sweden, available in mint, wintergreen, cinnamon, berry, citrus and coffee flavors and in three strengths, 2, 4 and 8 milligrams. These pouches have been in limited distribution here in the U.S., and they are also available at Northerner.com.  However, Altria has just bought a large share of the company, so look for these pouches soon in your local convenience store. Smokeless Tobacco Camel SnusCamel Snus packets come in several flavors: mint, frost (spearmint) and winterchill (wintergreen).  If you prefer more tobacco flavor, try Robust or Mellow.  There are also two sizes, a slim version containing 0.6 gram of tobacco, and a larger pouch with 1.0 gram.  I suggest that smokers start with the small size of their favorite flavor.Camel snus is available nationwide anywhere cigarettes are sold, and online at Northerner.com.  Skoal SnusSkoal Snus packets come in mint and smooth mint.  You can find them nationwide in the smokeless tobacco section of convenience stores, and they are available at Northerner.com. Skoal BanditsIn 1995, when conducting the first-ever smoking cessation clinical trial using smokeless tobacco (abstract here), my research group recommended that smokers switch to Skoal Bandits, the only widely available pouched smokeless tobacco product at that time.  They are still available nationwide in wintergreen and mint flavors.Oliver TwistOliver Twist is the planet’s most discrete smokeless tobacco product.  It consists of mini-rolls of tobacco (smaller than a pencil eraser), which are made in Denmark by rolling whole tobacco leaves into a rope, which is then cut into small pieces.  Flavors include original (tobacco), wintergreen, sunberry and tropical.Oliver Twist can be difficult to find.  Look for stores that sell premium cigars and pipe tobacco, or order it at Northerner.com.      Helpful Tips:First and foremost, place smokeless products inside your UPPER LIP.  That is the key to minimize tobacco juice and the need to spit.  At first it might feel like a cannonball, but it won't be noticeable.There are many options, so don’t be discouraged if one product doesn’t fit your lifestyle or taste.Whatever product you use, get your nicotine buzz, but don’t overdo it. When you inhale cigarette smoke, you get an immediate nicotine kick, and during your smoking career you learned to optimize your buzz. The effect from e-cigarettes or smokeless tobacco may be different, but you’ll learn how to get a similar effect.Stick to the switch. Although some smokers make the transition quickly, smoke-free tobacco products don’t automatically “cure” your desire for another cigarette. These products will make it easier to quit and they’ll make those cravings less intense, but they don’t entirely replace the smoking ritual. If you’ve smoked for years, breaking the habit can still be a challenge.If your ultimate goal is complete nicotine and tobacco abstinence, stepping away from the fire is a critical first step.  Remember that it’s the smoke that kills, so becoming and staying smoke-free, not necessarily nicotine- or tobacco-free, is your first priority.  It’s the key to a longer and healthier life. Original author: Brad Rodu
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San Francisco Board of Supervisors Poised to Deliver Huge Gift to Philip Morris

Philip Morris - the nation's largest cigarette manufacturer - is about to land a huge legislative gift from the most unlikely of sources: the San Francisco Board of Supervisors.Earlier today, the Board approved an ordinance that will ban the sale of all electronic cigarettes in the city, including both brick-and-mortar and online sales. Before it becomes law, the ordinance is subject to a final vote, which is expected to take place next week.The Philip Morris USA cigarette company could not have dreamed for a more favorable legislative gift from the city of San Francisco. Right now, the chief competitor to the sale of the company's deadly cigarettes is vaping products, which are today the most widely used and most effective product for smoking cessation. In fact, there are at least 2.5 million ex-smokers in the United States who have successfully quit smoking using e-cigarettes and who remain dependent on the availability of these products to stay off cigarettes. However, in San Francisco, unless the Board reverses its decision, these products will soon be taken off the market.Absurdly, the San Francisco Board of Supervisors is allowing the continued, unfettered sale of real cigarettes -- the ones that kill more than 400,000 Americans (including more than 40,000 Californians) each year. The nation's leading brand of cigarettes - which is literally the #1 cause of preventable death in the country - is Marlboro. Due to a giant exemption in the ordinance, Philip Morris will be able to continue selling its deadly Marlboros thanks to the hospitality being shown to the company by the San Francisco Board of Supervisors, which is, ironically, requiring e-cigarettes to gain FDA approval before being sold in the city but not requiring any further assessment or regulation of the safety of Marlboros and other combustible cigarettes.From a public health perspective, this is the most insane piece of legislation I have ever seen. The Board of Supervisors apparently thinks that it is in the interest of the public's health to ban much safer e-cigarettes while allowing deadly cigarettes to remain on the shelves.The San Francisco City Attorney argued that e-cigarettes are "a product that shouldn't even be on the market." So let's get his reasoning straight. He is saying that e-cigarettes shouldn't even be on the market, but cigarettes should! This is contrary to every public health principle in the book. We aim to help the public make healthier choices. Forcing them to consume the most deadly and toxic consumer product on the market is the last thing in the world that any policy maker concerned about public health should be doing.There is no question that this ordinance will result in the deaths of a large number of ex-smokers in the city, who will almost certainly return to cigarette smoking when their vaping products are no longer available. It will be far easier for them to just pick up a pack of Marlboros then to cross the Bay Bridge, the Golden Gate Bridge, or venture down into Daly City to locate a store that sells the e-cigarettes upon which they are currently relying to stay smoke-free. The ordinance will also deter thousands of smokers from trying to quit smoking using e-cigarettes, since the absence of vaping products on convenience store and gas station shelves will leave the market wide open for Marlboro and Camel to retain their current customers, with little threat of losing those customers to the much safer alternative of vaping.Sadly, the Board of Supervisors has been misled by a campaign of misinformation. They have been told that e-cigarettes are deadly - that they increase the risk of heart attacks and stroke. The truth is that there is no evidence to support this claim. In fact, data from the National Health Interview Survey demonstrate that among nonsmokers, vaping is not associated with any increase in the risk of cardiovascular disease.The data that supporters of the e-cigarette ban are citing to buttress their claim that vaping causes heart attacks is actually from a cross-sectional study which shows an association with people reporting ever having had a heart attack and currently vaping. But the explanation for this association is quite simple: when people have a heart attack, they are highly motivated to quit smoking. Many of them switch to vaping, and that is why there are so many former smokers with a history of a heart attack who now vape.Supporters of the ban also claim that vaping leads youth to start smoking. There is no scientific evidence to support this claim. In fact, the truth is exactly the opposite. Youths who become regular vapers are much less likely to start smoking. Talk to any kid who Juuls. They will tell you that smoking is disgusting and that they wouldn't even think of it. In fact, that is the entire appeal of Juul. It is an enticing alternative to smoking for kids who would never even think about smoking. The culture of smoking is being replaced by a culture of vaping --- not the opposite.The press release announcing the introduction of the ordinance explained that: "Banning vaping products that target young people and push them towards addiction to nicotine and tobacco is the only way to ensure the safety of our youth."But if it is true that vaping is pushing kids towards tobacco, then certainly banning the sale of tobacco products (i.e., cigarettes and smokeless tobacco) would be the most effective solution. I don't for a minute believe that any politician who is serious about trying to prevent youth smoking would propose as a solution allowing cigarettes to remain on the shelves without any further restrictions whatsoever. But that is precisely what the Board of Supervisors is poised to do.In the same press release, the City Attorney boasted that: "San Francisco has never been afraid to lead, and we’re certainly not afraid to do so when the health and lives of our children are at stake."If San Francisco wants to lead, then why isn’t it taking cigarettes off the shelves? After all, the chief concern about vaping is that it is a gateway to tobacco use. What possible sense does it make to ban e-cigarettes in order to prevent kids from smoking, but to leave the cigarettes readily accessible on the store shelves?The truth is that the Board of Supervisors is apparently afraid to lead because they are willing to take the politically expedient step of requiring safety testing for e-cigarettes, but they are not willing to place the same requirement on real cigarettes. In fact, tobacco cigarettes have already had their safety testing and they failed miserably. That's apparently of no concern to the San Francisco Board of Supervisors.The message that San Francisco is about to send to the rest of the nation is absurd: the best way to protect kids from cigarettes is to leave cigarettes on the store shelves.This story is so ironic that one would think it would be fine material for the Onion. However, I'm afraid that it is so far-fetched that it wouldn't even qualify. After all, who would honestly believe that a board of policy makers who allegedly are aiming to prevent an epidemic of cigarette smoking among youth would attack that epidemic by doing nothing about the sale of cigarettes in their city and focusing their entire efforts on fake cigarettes.Hopefully, the absurdity of what they are about to do will be realized by the Board of Supervisors this week before it is too late. They need to take a step back from the hype and hysteria and examine the issue from a public health perspective. If they truly do that, they can come to no conclusion other than that it is completely counter to the basic principles of public health to remove a safer alternative from the market, thus forcing consumers to be stuck using the single most hazardous consumer product on the market.I'm happy to speak to any of the Supervisors and set the record straight on this issue.If the ordinance does pass, it will have to go down as the greatest legislative favor ever done in this century to help boost a cigarette company's profits.Original author: Michael Siegel
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Heads Up – News – Updates 6.14.2019

If you believe the security rule is affecting the normal operation of your website, contact your host support team and provide detailed instructions how to recreate this error.They will be able to assist you with rectifying the problem and adjusting the security configuration if needed.Original author: KNoll-Marsh
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Common Sense Legislation Would Limit Teen Tobacco Access



Senate Majority Leader Mitch McConnell recently introduced legislation to make 21 the legal age for tobacco sales nationwide.  As he elevated the Tobacco 21 debate to the national stage, McConnell said that stemming teenage vaping was a primary objective. There is no question that vaping is on the rise among teens, but the Food and Drug Administration and other federal agencies have miscast the situation, labeling it an epidemic to provide a rationale for excessive regulations.  Regardless, McConnell’s championing of Tobacco 21 is appropriate, as it would delegitimize tobacco sales to 18-year-old high school students.  While those youths comprise 16% of all high school students, they account for one-quarter of high school smokers and smoker-vapers.     FDA survey data shows that more than 90 percent of teens who use tobacco products obtain them from social sources.  The Population Assessment of Tobacco and Health (PATH) survey collects detailed information about teen tobacco use. It reveals that fewer than 10 percent of current teen e-cigarette users – defined broadly as having taken at least one puff in the past 30 days – “bought them myself.” While the FDA and other government agencies target retailers, the vast majority of underage teens get e-cigarettes from their friends and relatives.  These sources can’t be regulated. The Tobacco 21 debate was reignited recently by a proposed FDA rule requiring retailers to have a separate room for flavored e-cigarette products, accessible only to purchasers of legal age.  This is a nearly impossible requirement for convenience, grocery and drug stores.  The rule might be met by vape and tobacco shops, but that won’t solve the problem. According to a recent study, teens purchased vapor products most frequently online (32%) and from vape (22%) and tobacco (16%) shops.  Convenience, gas and liquor store purchases were less frequent (5.6%), as were grocery, drug and other stores (2.2%).  Thus, the proposed rule would have no impact on the most common sources of teen purchases, but it would likely eliminate vapor sales at stores where teens aren’t buying products.  This would be government regulation at its worst.  While the FDA obsesses over brick-and-mortar retailers, Congress should immediately address online vapor sales.  The 2009 Prevent All Cigarette Trafficking (PACT) Act required online purchasers of cigarettes and smokeless tobacco products to provide proper identification at the point of delivery.  However, the law doesn’t cover e-cigarettes, an omission that would be corrected by the recently introduced Preventing Online Sales of E-Cigarettes to Children Act.  Tackling teen smoking and vaping at the federal level is important.  Passing Tobacco 21 and updating the PACT Act to include e-cigarettes are two easily achievable legislative actions that will be far more successful in decreasing underage teen tobacco use than ill-conceived new restrictions and regulations impacting adult access to e-cigarettes. Original author: Brad Rodu
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Heads Up – News – Updates 6.13.2019

If you believe the security rule is affecting the normal operation of your website, contact your host support team and provide detailed instructions how to recreate this error.They will be able to assist you with rectifying the problem and adjusting the security configuration if needed.Original author: KNoll-Marsh
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Heads Up – News – Updates 6.12.2019

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Heads Up – News – Updates 6.10.2019

If you believe the security rule is affecting the normal operation of your website, contact your host support team and provide detailed instructions how to recreate this error.They will be able to assist you with rectifying the problem and adjusting the security configuration if needed.Original author: KNoll-Marsh
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Detailed interview on vaping and bans on flavored e-cigarettes - WICN's Public Eye

Detailed interview on vaping, especially bans on flavored e-cigarettes, on WICN's Public Eye. Click on archives for Sunday, June 9th.Original author: Michael Siegel
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How Big Is the So-Called Teen Vaping Epidemic?



Federal authorities insist upon the existence of a teen vaping epidemic, based on results of the 2018 National Youth Tobacco Survey (NYTS).  They claim that current (past-30-day) use of e-cigarettes surged 78% in 2018, resulting in over three million high school vapers.   Federal officials ignore two other 2018 estimates from a commercial online panel that are representative of the U.S. population.   It’s called KnowledgePanel, and it’s a product of the German firm GfK (Growth from Knowledge).  While both of these published studies focus on JUUL use, I will examine only their e-cigarette estimates. The first KnowledgePanel survey was analyzed by Donna Vallone and colleagues at the Truth Initiative, a rabidly anti-tobacco non-profit organization.  I have previously detailed major technical problems with their Juul results, and noted that the authors refused to respond to my questions in a professional forum.  However, it is unlikely that Dr. Vallone underestimated the prevalence of current e-cigarette use, which she reported as 11% among 15-17 year-olds in 2018. The second KnowledgePanel survey was analyzed by Neil McKeganey and Christopher Russell at the Centre for Substance Use Research in the U.K.  Under contract with JUUL Labs to research the population impact of e-cigarettes, they recently published a study in the American Journal of Health Behavior reporting that current vaping among 15-17 year-olds in the U.S. was 8.7% in 2018. The chart above presents the prevalence and population estimates from these three surveys.  In summary, the epidemic of vaping among 15-17 year-olds in 2018 involved either 2.3 million, 1.2 million or 952,000 youths. Federal officials, politicians and tobacco prohibitionists are calling for drastic measures to curtail a teen vaping epidemic.  Their first priority should be to produce accurate estimates justifying both the existence of such an epidemic and any remedial program.Original author: Brad Rodu
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Heads Up – News – Updates 6.05.2019

If you believe the security rule is affecting the normal operation of your website, contact your host support team and provide detailed instructions how to recreate this error.They will be able to assist you with rectifying the problem and adjusting the security configuration if needed.Original author: KNoll-Marsh
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Walgreens, resist calls to deny people access to safer alternatives.

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Tackling Tobacco 21 Objections



In his recent commentary, Ramesh Ponnuru asserts that “there’s no…justification [unlike alcohol] for raising the age to buy tobacco products” from 18 to 21.  While more thoughtful than some opponents, Ponnuru echoes a familiar refrain: “If you’re old enough to vote, serve on a jury, marry or fight in a war, you should be considered old enough to light up, too.” The logic of this argument quickly fails under examination. While one may cherish voting or marriage, they are still considered privileges that are subject to qualifications.  One of these is age, which is not permanently set in stone but determined by historical and cultural customs.  For example, the Preventing Tobacco Addiction Foundation notes that “For 600 years of English common law and throughout most of U.S. legal history, the age of 21 was regarded as the age of full adult status.”  Serving on a jury is required by law (Title 28, U.S. Code, Sections 1861-1878), and as such, the current age of 18 years is subject to revision.  The most common objection to both Alcohol and Tobacco 21 contrasts eligibility for military service at age 18 with prohibition of drinking or smoking.  This argument is meaningful only if military service is compulsory, a policy that ended in 1973.  Eighteen-year-old men and women may choose to join the armed forces, but that choice is unrelated to the privilege of being able to purchase and consume alcohol or tobacco, unless society decides otherwise. Fourteen states have raised the age of tobacco sales to 21 years, and there are bipartisan bills in the U.S. Congress that would make Tobacco 21 the law of the land.    In his commentary, Ponnuru enumerates the reasons for Tobacco 21: delay or reduce tobacco uptake; reduce smoking-related health effects, medical care and insurance costs; and achieve other so-called paternalistic objectives.  But Ponnuru omits the most direct and compelling reason to enact Tobacco 21: to delegitimize tobacco sales to 18-year-old high school students.  In 2018, 16% of all high school students could legally purchase tobacco, and they accounted for one-quarter of high school smokers and smoker-vapers (here).  Government survey data confirms that legal buyers – not manufacturers or retailers – are the primary source for tobacco products used by underage high schoolers (here). Complaints about paternalism as the rationale for Tobacco 21 are irrelevant.  Tobacco 21 simply provides the best opportunity to defeat the informal black market that supplies tobacco products to the nation’s underage high school students.  Ponnuru objects that Tobacco 21 advocates “don’t provide any good reason to treat young adults as though they were minors.”  But there is one very good reason: to be treated as an adult, one must act responsibly with respect to children.  Those high schoolers who are the primary suppliers of tobacco to their underage friends are clearly acting irresponsibly.  This is a compelling justification for Tobacco 21.   Original author: Brad Rodu
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Anti-THR, anti-vaxx, disease denial, and the political science of institutional “knowing” of falsehoods

by Carl V Phillips

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Five Flavor Review

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