(828) 698-5795 

Mountain Vapor Blog

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.

Sunday Science Lesson: Bad categories, bad science

by Carl V Phillips

Continue reading
  119 Hits
  0 Comments

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
  111 Hits
  0 Comments

Heads Up – News – Updates 6.19.2019

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
  100 Hits
  0 Comments

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
  470 Hits
  0 Comments

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
  130 Hits
  0 Comments

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
  112 Hits
  0 Comments

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
  151 Hits
  0 Comments

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
  94 Hits
  0 Comments

Heads Up – News – Updates 6.12.2019

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
  100 Hits
  0 Comments

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
  91 Hits
  0 Comments

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
  102 Hits
  0 Comments

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
  258 Hits
  0 Comments

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
  119 Hits
  0 Comments

Walgreens, resist calls to deny people access to safer alternatives.

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: Alex Clark
  96 Hits
  0 Comments

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
  160 Hits
  0 Comments

Anti-THR, anti-vaxx, disease denial, and the political science of institutional “knowing” of falsehoods

by Carl V Phillips

Continue reading
  153 Hits
  0 Comments

Tobacco 21 is Unstoppable, But U-Turns Are Unacceptable



Last week the Inside Sources published my commentary on Tobacco 21.  Read it here or on the Inside Sources website. Walmart added momentum to the Tobacco 21 movement by announcing on May 8 that it would raise the minimum age for tobacco sales in July.  So far this year the number of T-21 states has doubled to twelve, and Senate Majority Leader Mitch McConnell has called for congressional action to implement the policy across the U.S. However, everyone is not in favor of curbing underage access, sort of.  Anti-tobacco crusaders who campaigned for years to increase the legal age for tobacco purchases made a sudden U-turn, calling T-21 a Trojan horse for the tobacco industry. The T-21 turnaround has been seen multiple times in state legislative battles across the country. In fact, it’s clear that some anti-vaping crusaders never really cared about changing age restrictions as a means of keeping e-cigarettes out of the hands of underage users; rather, as soon as there’s an opportunity to enact a T-21 law, they tack to opposition, pushing for even more extensive controls like flavor bans and increased taxes. Crusaders trade on fear, not facts. The facts tell us that smoking continues to kill nearly 500,000 Americans each year, according to the Centers for Disease Control. E-cigarettes and other non-combustible alternatives may not be perfect, but researchers now consider vaping to be 95 percent safer than smoking. E-cigarettes provide a safer alternative for adult smokers and science shows that e-cigarettes are more effective at helping smokers quit than other nicotine replacement therapies. Still, there has been a rise in teen vaping. And while e-cigarettes are a better alternative for adult smokers, we don’t want a new generation getting hooked on nicotine unnecessarily. That’s why, just last week a bipartisan Tobacco 21 bill was announced by U.S. Senators Brian Schatz (D-HI), Todd Young (R-IN), Dick Durbin (D-IL), and Mitt Romney (R-Utah). But this isn’t a partisan issue. Many organizations, such as the American Cancer Society, the American Heart Association, and the Campaign For Tobacco-Free Kids support the new legislation. These groups had originally endorsed Tobacco 21, then opposed it in several states, and now support it again. Some anti-tobacco crusaders, however, continue to swim against the current, now insisting that Tobacco 21 legislation is a farce. Ohio State Professor Robert Crane, president of the Preventing Tobacco Addiction Foundation, said of the federal Tobacco 21 bill, “the hair on the back of my neck stood up and I said, ‘This is really terrible.’” Ironic, since Dr. Crane’s foundation hosts the Tobacco 21 advocacy website with a long list of major medical organization endorsements. Prohibitionists ostensibly support Tobacco 21, but they are capitalizing on the visibility McConnell brings to the issue to launch a thinly veiled attack on all safer products, even those still blocked by the FDA. IQOS, Philip Morris International’s new heat-not-burn product, has been available in 45 countries and has decimated cigarette sales in Japan, but the FDA just got around to approving it last week (after two years, or 1 million smoker deaths). We’re still waiting to see if the FDA acknowledges the unanimous findings of its scientific advisory committee and allows PMI to market IQOS as less harmful and likely to reduce risk of disease. U.S. cigarette sales are declining as the market develops safer, satisfying alternative products.  But this is what is driving crusading prohibitionists crazy. For decades, they invoked burdensome legislation, litigation, taxation and regulation that failed to curtail the annual toll of dead smokers. Now, despite their latest efforts to promote the exaggerated, distortedand even imaginarydangers of e-cigarettes and teen epidemics, vapor products have become the most popular and most effective quitting aidsfor American smokers.  The fact is that while smoke routinely kills, tobacco and nicotine rarely do. Instead of supporting safer, smoke-free cigarette substitutes that help smokers step away from the fire, anti-tobacco crusaders promote policies that sustain the cigarette market, and its deadly consequences.  We have to keep all tobacco products away from underage teens while providing vastly safer smoke-free cigarette substitutes to their parents and grandparents. Tobacco 21 will help accomplish both of these public health priorities. Original author: Brad Rodu
  220 Hits
  0 Comments

The 2018 American Teen Vaping Epidemic, Recalculated



Former FDA Commissioner Scott Gottlieb and other government officials have repeatedly asserted that the U.S. is in the midst of a teen vaping epidemic (example here).  Their claim is based on last year’s National Youth Tobacco Survey, the full contents of which was finally released six weeks ago by the Centers for Disease Control and Prevention.  With that data in hand, I have confirmed some of the assertions made by anti-vapers but easily put the lie to others (here).Federal officials claim there were over three million high school vapers in 2018.  Let’s take a look at the actual numbers.  Each table below lists the number of high school students who used e-cigarettes 0, 1-5, 6-19 or 20-30 days in the past month, according to whether they were underage or of legal age (18+ years).   Table 1 shows that 3.13 million high schoolers vaped, with 877,500 using the products 20-30 days in the past month..nobr br { display: none } td { text-align: center} Table 1. Number of High School Students in 2018 Who Vaped in the Past Month, According to Age Days VapedLess than 18 years18+ yearsAll1-51,303,366200,2641,503,6306-19602,392150,841753,23320-30630,490247,000877,490All2,536,248598,1053,143,353Next, let’s remove any high school students who ever tried CIGARETTE SMOKING.  As shown in Table 2, that leaves 1.36 million, with 198,000 using the products 20-30 days in the past month..nobr br { display: none } td { text-align: center} Table 2. Number of High School Students in 2018 Who Vaped in the Past Month But Never Tried Cigarette Smoking, According to Age Days VapedLess than 18 years18+ yearsAll1-5762,02392,035854,0586-19259,45043,231302,68120-30151,17647,150198,326All1,172,649182,4161,355,065Removing students who ever tried CIGARS, the total drops to 978,000, with 132,500 using the products 20-30 days in the past month (Table 3)..nobr br { display: none } td { text-align: center} Table 3. Number of High School Students in 2018 Who Vaped in the Past Month But Never Tried Cigarette or Cigar Smoking, According to Age Days VapedLess than 18 years18+ yearsAll1-5607,89450,784658,6786-19163,69922,841186,54020-30109,12323,392132,515All880,71697,017977,703Finally, subtracting students who ever tried SMOKELESS TOBACCO, Table 4 reveals that the vaping epidemic consists of 897,000individuals, with 116,000 using the products 20-30 days in the past month.  Of those, 95,316 were underage..nobr br { display: none } td { text-align: center} Table 3. Number of High School Students in 2018 Who Vaped in the Past Month But Never Tried Cigarette or Cigar Smoking or Smokeless Tobacco, According to Age Days VapedLess than 18 years18+ yearsAll1-5572,09147,539619,6306-19139,88120,942160,82320-3095,31621,053116,369All807,28889,534896,822For comparison, I conducted the same analysis on the 2017 NYTS, which yielded 26,660 underage teens who vaped 20-30 days in the past month but never used other products.  That was less than 0.2% of all high school students.  It is true that frequent vaping among underage high school teens increased substantially from 26,660 in 2017 to 95,316 in 2018.  These numbers translate into an increase from less than 0.2 to 0.6% of all high school students.In summary, the oft-cited teen vaping epidemic involves not three million youths, but rather 95,000 underage teens who vaped frequently but never used other tobacco products – or 0.6% of the nation’s 14.8 million high school students.     Original author: Brad Rodu
  163 Hits
  0 Comments

Rethinking tobacco and nicotine – a Twitter chat


May 15th, 2019

Continue reading
  123 Hits
  0 Comments

About Sensationalist Science and Rhetoric on E-Cigarettes



Last week the Louisville Courier-Journal published my plea to stop confusing the public with sensationalist rhetoric on e-cigarettes.  Read it here or on the Courier-Journal website. The problem of misinformation is widespread. The public constantly receives alarmist misrepresentations about vaccinations, the food they eat, the household products they use, and now e-cigarettes and vaping. But hysterical rhetoric has consequences, because people act on what they are told. And health officials at all levels of government are misinforming Americans that e-cigarettes are as dangerous as cigarettes and pose an existential threat to their children. Unfortunately, this misinformation can be deadly. Production of tobacco misinformation follows a formula, originating in “user fees” (read: taxes) Congress established in 2009, giving the FDA regulatory authority over tobacco (here).  Every year tobacco manufacturers consumers pony up over $700 million dollars in user fees to the FDA, which then transfers a big chunk of that money to the National Institutes of Health, which distributes it to thousands of researchers at the nation’s universities to study tobacco products.  This system, which has been operating for several years, isn’t set up to discover the truth about tobacco.  Instead, it generates only what the NIH, and others in the federal government, wants: bad news about all tobacco products.  Including tobacco-free, smoke-free, and vastly safer e-cigarettes.    This bad news is then amplified by university media departments and our brave new world of social media, which makes it hard to see what’s true, and what’s exaggeration, distortion or pure fiction. Americans are exposed to a tsunami of fictitious “dangers” from vaping and of an e-cigarette “epidemic” that will put a generation of youth in danger. Of course, no policy measure is too strong when our kids are at risk. But the result of this misinformation cycle is significant. A study last month in JAMA Network Open found that the percentage of American adults who perceive e-cigarettes as equally harmful as cigarettes more than tripled from 11.5 percent in 2012 to more than 36 percent in 2017; those who perceive e-cigarettes as more harmful also tripled from 1.3 percent to over 4 percent. In short, Americans are listening to the alarmism about the “dangers” of e-cigarettes and the teen vaping “epidemic.”  They deserve better from our lawmakers and public health officials. The FDA knows that nicotine is the reason people smoke but it is not the reason that smokers die. Yet officials have not actively communicated this message to the public. Even worse, the FDA has exaggerated the teen vaping problem by manipulating data and incorrectly blaming retailers, in order to justify onerous regulations that will give consumers fewer healthier choices. Meanwhile, the real risks are forgotten. Smoking continues to prematurely kill 500,000 Americans every year, and smoking-related healthcare costs are nearly $300 billion. According to the CDC, more than 16 million people live with a smoking-attributable disease. In recent decades, anti-tobacco crusaders have tried everything to kill cigarettes, including litigation, legislation, taxation and regulation. But their crusade lost its direction when it started to target all tobacco products – even those that don’t contain tobacco.  Officials in international health organizations and national governments know that “tobacco” is not synonymous with “smoking,” yet they purposefullyconflate them.  In desperation, they have tried to kill e-cigarettes and vaping, an innovative, satisfying and vastly safer cigarette substitute. Ironically and tragically, their actions are sustaining and extending the cigarette market.  E-cigarettes contain nicotine – which is addictive – but they lack the toxins in smoke that cause lung cancer, heart disease and other maladies. This substantial difference is what led prestigious British medical organizations like the Royal College of Physicians and Public Health England to deem e-cigarettes at least 95 percent safer than combustible cigarettes.  In fact, the British government’s Department of Health helps smokers switch from combustibles to vapor. The good news is that even though misinformation is rampant, American smokers are still using e-cigarettes more frequently – and more successfully – than FDA-approved medicines to help them quit, according to a population-level studyusing the FDA’s national survey.  In February, British researchers reported in The New England Journal of Medicine that e-cigarettes are nearly twice as effective in helping smokers quit as FDA-approved nicotine medicines like patches and gum. Free and open conversation about truthful information is essential to a healthy democracy. But it’s also critical to establishing sound public health policy. It’s time for Americans to have all the facts about e-cigarettes, so they can make educated choices in order to enjoy longer and healthier lives. Original author: Brad Rodu
  180 Hits
  0 Comments

Five Flavor Review

Featured Review

Video Tour of Lab