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Harm-Reduction

Massachusetts Bans All Vaping Products

At a press conference on Tuesday, Massachusetts Governor Baker said that he is banning all vaping products in the state until Jan 25, 2020. Across the country, consumers have reported vaping-related illnesses. 530 people said they have have been affected, and nine people have died. Massachusetts’ Department of Public Health said this month that all physicians must report any vaping-related pulmonary disease to the department, and the state is now tallying 61 possible cases.

Mission Dispensaries, has two current locations in Massachusetts (Georgetown and Worcester) and a third coming soon. The company’s Kris Krane, President of 4Front Ventures, which owns the dispensaries said, “The governor’s decision to ban the sale of vape products in Massachusetts is an unfortunate reaction to a genuine public health concern. Evidence suggests the overwhelming majority of vape-related illnesses have resulted from the use of unlicensed and unregulated vape cartridges obtained from the illicit market. Though he may have the best intentions, banning the sale of legal vape products produced in a heavily regulated industry will only serve to drive consumers and medical patients to the illicit market, possibly exacerbating these public health concerns rather than alleviating them. We stand behind our products and are confident the legal and highly regulated market is capable of protecting consumers.”

Many feel that banning all vape products is like throwing out the baby with the bathwater. Most of the illnesses have resulted from consumers using non-regulated and black market products.

“While the life-saving potential of nicotine vaping devices has been recognized by many public health authorities, several recent high-profile hospitalizations and illnesses have put vaping on trial, inviting scrutiny and calls for outright bans on the technology,” said Yaël Ossowski, deputy director of the Consumer Choice Center. “Contrary to the sensationalistic media reports, adults who use vaping and e-cigarettes as a means to quit smoking are vastly improving their chances of living long, healthy, and productive lives”.

Read more here.

Should I Stop Vaping?

Over the past few weeks we’ve seen a surge of headlines that say vaping may be more harmful than we might have initially thought. Seven deaths have been linked to the use of e-cigarettes. In response, some states have banned vaping products. However, naysayers — including experts — argue that a knee-jerk reaction by health agencies is premature, overlooks the harm reduction that vaping achieves, and could cause a potential public health disaster

If smoking is the de facto predecessor of vaping, then e-cigarettes should be examined within the context of nicotine delivery systems as a whole. Smoking is the leading cause of preventable death in the United States. Should the risk associated with vaping be a deterrent when the alternative is smoking cigarettes?

Some in the recovery community say that it shouldn’t. Many former cigarette smokers have replaced their “analog” smokes with e-cigarettes, using vaping as a means of harm reduction that swaps out cancer-causing tobacco with a safer means of nicotine delivery. Recovery purists and some clinicians, however, argue that smokers are trading one addiction for another and express concerns that, lower risk or not, most vapers are still ingesting large amounts of highly addictive nicotine. They also point to this recent rash of deaths as evidence against vaping.

Before we address the question of harm reduction, though, do the alarming headlines have any merit in science? And given that e-cigarettes have been around for 15 years, why are we only seeing deaths now?

RECENT MEDIA COVERAGE OF VAPING

The American Medical Association (AMA) recently labeled vaping “an urgent public health epidemic,” and physicians have urged the Food and Drug Administration (FDA) to act. The AMA claims that research has shown that the use of e-cigarettes and vaping products is unsafe and causes addiction, however the statement does not provide the supporting research. The AMA also says they “applaud steps to remove flavored e-cigarette products from the market.”

The Centers for Disease Control and Prevention (CDC) issued a statement that together with the FDA, local health departments, and other clinical and public health partners, they are investigating a multi-state outbreak of lung disease associated with e-cigarette products. The FDA echoed the CDC’s concern, calling the outbreak “a frightening public health phenomenon.”

Dr. Dana Meaney-Delman, who is leading the CDC’s investigation, said in a statement, “The recent rise of acute lung illnesses linked to vaping has deepened concerns about the safety of the devices.” 

But why now? People have been vaping for over a decade. The CDC’s Meaney-Delman says, “We’re all wondering if this is new or just newly recognized.”

Here’s what we know: As of this writing (9/21/19), the CDC states that 530 cases of lung illness have been reported from 38 states, and seven deaths have been attributed to vaping. Most affected patients also reported a history of using vaping products that contain THC. 

The CDC does not yet know the specific causes of these illnesses: “The investigation has not identified any specific e-cigarette or vaping products (devices, liquids, refill pods, and/or cartridges) or substance that is linked to all cases.” Regardless, for those who are concerned with these issues, the CDC recommends refraining from using all vaping or e-cigarette products until they know more.

Elsewhere on the website, the CDC still states that e-cigarettes have the potential to benefit adult smokers as a substitute for regular cigarettes.

E-CIGARETTE BANS GOING INTO EFFECT

Because of the media coverage and caution by public health agencies, we are seeing increasing action across the US: New York’s former mayor, Michael R. Bloomberg, has committed $160 million to ban flavored e-cigarettes, Governor Gretchen Whitmer issued an executive order to ban the sale of flavored vaping products in Michigan, San Francisco has banned the sale of e-cigarettes, and President Donald Trump says the FDA will ban flavored e-cigarettes. 

Is this a knee-jerk reaction? It seems that some of the pressure is a result of parents and politicians who are concerned that flavored vaping products are responsible for the surge in teen use. That’s understandable, given the potential for nicotine to harm the developing brain. According to the CDC, one in five high schoolers and one in 20 middle schoolers vape.

For adults, however, there appears to be conflicting statements by researchers, doctors, and health officials. 

In a September 2019 article, Dr. Robert Shmerling at Harvard echoed the CDC’s bottom line: Experts are unsure if vaping is causing these lung problems, and lung disease has not been linked to a specific brand or flavor of e-cigarette. A more likely culprit, they claim, is a chemical contaminant within the inhaled vapors that is causing an allergic reaction or immune system response. 

This belief is supported by a study that came out last year linking the chemical flavors within e-cigarettes to an adverse effect. Dr. Sven-Eric Jordt, PhD, one of the authors of the study, recently told The Guardian that “the liquids vaporised by e-cigarettes are chemically unstable and form new chemicals that irritate the airways and may have other toxic effects.” These new chemicals are not disclosed by the manufacturers to users. 

Dr. Michael Siegel, a professor at Boston University, claims that health officials and physicians are not telling the full story: In every case in which a specific e-liquid has been identified, that e-liquid has been found to contain THC — a fact corroborated by the CDC. He states that the e-liquids in some of these cases were oil-based and typically purchased off the street; therefore, their ingredients are not strictly regulated. It is these oil-based THC liquids that are known to cause acute respiratory illness. 

Similarly, the Washington Post reported that the FDA investigation found the same vitamin E-derived oil in cannabis products that were used by those found to be suffering vaping-related illnesses throughout the country. 

CDC’S GUIDELINES: UNNECESSARILY BROAD

While Siegel acknowledges we aren’t in a position to draw conclusions about THC oils or to say that street products are definitely to blame, he believes the CDC’s recommendations are unnecessarily broad and consequently harmful, since people who vape may think it’s safer to go back to smoking cigarettes. 

“I cannot overemphasize how insane this policy is,” he says. “From a public health perspective, it makes absolutely no sense to ban these fake cigarettes but to allow the real ones to remain on the shelves.”

Instead, Siegel suggests, the CDC could offer more specific and useful guidance to the public, specifically: Do not vape THC oils (including butane hash oil), do not use any oil-based vaping e-liquid product, and refrain from buying products off the street or using any e-liquid that doesn’t disclose its ingredients. To reduce risk, people should “stick to products being sold at retail stores, especially closed cartridges where there is no risk of contamination or the presence of unknown drugs.”

Switching from smoking tobacco to e-cigarettes is a proven harm reduction strategy supported by health officials and used by individuals in recovery. 

Lara Frazier, a person in long-term recovery, explained, “I am in abstinence-based recovery and quit smoking cigarettes over four years ago, thanks to e-cigarettes.” Regarding the recent deaths associated with vaping, she says: “There is mass hysteria about vaping, with people not being properly educated on what is actually occurring.”

Frazier is concerned about the consequences of recent official warnings: “Nicotine addiction is like any addiction, and banning flavors will likely not result in less nicotine being smoked. This could cause more harm because the teenagers will have to find black-market cartridges, make their own juice, and/or switch to smoking cigarettes.”

She continues, “I think it’s ridiculous that they are going to ban all flavored juices that aren’t tobacco-based on five (now seven) deaths and illness without properly looking at the data or researching the cause of the illness.”

VAPING AS HARM REDUCTION

There is world-wide support and evidence for vaping as harm reduction. A study conducted by the New England Journal of Medicine found that vaping was nearly twice as effective as conventional nicotine replacement products for smoking cessation.

In the UK, Public Health England also supports vaping as a harm reduction strategy. Even in light of the recent concerns, their position has stayed the same: “Our advice on e-cigarettes remains unchanged — vaping isn’t completely risk-free but is far less harmful than smoking tobacco. There is no situation where it would be better for your health to continue smoking rather than switching completely to vaping,” they said.

Yaël Ossowski, deputy director of the Consumer Choice Center, urged President Trump to consider the facts before reacting hastily and pushing for a ban, arguing that vaping is a less harmful alternative for consuming nicotine. Ossowski cites a 2016 report by the UK’s Royal College of Physicians, which reviewed the science, public policy, regulation, and ethics surrounding vaping and concluded that e-cigarettes should be promoted widely as a substitute for smoking. The report also sought to clear up misinformation about vaping and long-term harm, stating that while there is a possibility of harm from e-cigarettes, it is unlikely to exceed five percent of that associated with tobacco products. 

SMOKING CIGARETTES IS STILL THE LEADING CAUSE OF PREVENTABLE DEATH

According to the Centers for Disease Control and Prevention, more than 16 million Americans are living with a disease caused by smoking. We have abundant evidence that smoking leads to disease and disability, harming nearly every organ in the body. It causes cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease. It also increases the risk for tuberculosis, eye diseases, and autoimmune conditions. 

Worldwide, the use of tobacco products is responsible for more than seven million deaths each year. In the U.S., 480,000 people die every year from smoking, and 41,000 people die as a result of secondhand smoke. Economically, smoking has a huge impact on the United States: it costs $170 billion a year in direct medical care, and $156 million in lost productivity. 

Smoking remains the leading cause of preventable death. 

At this point, the evidence supports vaping as an effective means of harm reduction, thus outweighing the limited risks. Further, public health officials have yet to complete their investigations into these risks so they can conclusively identify the cause of the deaths attributed to vaping. It seems foolish to enforce blanket bans on e-cigarettes, as that may cause further harm by pushing people toward buying black-market vaping products or resuming smoking cigarettes.

Read more here

Lawyers are already using misinformation on vaping to start class action lawsuits

The goal of these legal firms is to drum up as much misinformation on vaping as possible in order to file large class-action lawsuits that will end up financially benefiting them. This is outrageous and irresponsible.

Consumer Choice Champions: The Legislators Fighting Michigan Governor’s Vape Ban

Earlier this month, the state of Michigan took the unprecedented step of outlawing the sale of all vaping and e-cigarette products.

This move will deprive millions of Michiganders of the opportunity to switch away from more harmful methods of consuming nicotine.

Since the ban was announced unilaterally by Michigan Governor Gretchen Whitmer, several committee hearings have been held in the capital of Lansing to discuss the broader issue of vaping’s effects on health, nicotine, and teen access to these products.

Witnesses have provided testimony on the effectiveness of vaping products, how they saved their lives, and why a ban on flavors will directly lead to more harm for thousands of former smokers.

Once such testimony, by Mark Slis, a scientist, vape shop owner, and former smoker in Houghton County, has since gone viral.

Some lawmakers, as a result of these hearings, have taken it upon themselves to fight against the governor’s rash ban.

On Thursday, a bill was introduced in the Michigan State House of Representatives to rescind the ban and to limit the governor’s authority to carry out such orders without properly consulting the State Legislature.

Led by State Rep. Beau LaFave from the Upper Peninsula, the other co-sponsors on the bill were State Reps. Greg Markkanen, Steven Johnson, Matt Maddock, Gary Eisen, Jack O’Malley, Aaron Miller, and Luke Meerman.

“I am getting frustrated with the governor’s double-speak,” said primary bill sponsor LaFave. “First she said she was going to ban flavored e-cigarettes immediately, then after intense public pressure, she decided her administration would take two months to reevaluate. Unfortunately, New York has announced it will implement a similar ban. In a rush to be the first state in the nation to implement this stupid policy, the governor has changed her mind once again, and ordered all businesses to destroy millions of dollars in merchandise within 14 days.”

“I don’t care if the executive is a Republican or Democrat nor a governor or president,” said LaFave. “Bad public policies implemented without input from lawmakers should never be ignored. I urge my colleagues from both sides of the aisle to look at all the facts before we rush to judgement and put thousands of Michiganders out of work and force thousands more back to smoking combustible cigarettes.”

The bill has now been sent to the Committee on Government Operations and will be heard next week.

Consumer Choice Centre warns against hasty vaping ban

A group that advocates on behalf of consumers in Canada and the U.S. is warning legislators not to be too hasty banning vaping.

The Consumer Choice Center is responding to the growing list of illnesses, including a case in London where a teen suffered a severe respiratory disease that health officials believe is associated with vaping.

The unnamed teen has recovered, but CEO and Medical Officer of Health at the Middlesex London Health Unit Dr. Christopher Mackie said the youth had “no other health issues, whatsoever.”

In the U.S., 380 illnesses, including seven deaths, have been recorded. The Consumer Choice Center is warning politicians not to act hastily.

“The cause of the person’s illness should definitely be investigated. However, it would be misguided for legislators to over-react and fail to embrace harm reduction in public policy decisions,” said David Clement, the North American affairs manager.

On Wednesday, Ontario Health Minister Christine Elliott announced she had instructed hospitals to share information on possible vaping illnesses with the province’s Chief Medical Officer of Health.

“In light of growing evidence, I have become increasingly concerned about the prevalence and possible health consequences of vaping, particularly as they affect our youth,” said Elliott.

She did not say if the province will move, as other jurisdictions have, to ban flavoured vaping products citing a lack of sufficient data.

“Our worry is that Canadian regulators will overzealously respond to this case by proposing heavy-handed regulations like has been done in the United States,” continued Clement in a release. “Heavy-handed bans and restrictions will discourage smokers from leaving cigarettes behind, which is the opposite of what public health officials are trying to accomplish.”

The CCC also released a list of what it calls myths about vaping. It said vaping is not more harmful than smoking, citing statistics from groups like Public Health England who say it is 95 percent less damaging compared to smoking. It also said restricting vaping flavours will not curb use by minors.

This article was originally published on BlackburnNews.


The Consumer Choice Center is the consumer advocacy group supporting lifestyle freedom, innovation, privacy, science, and consumer choice. The main policy areas we focus on are digital, mobility, lifestyle & consumer goods, and health & science.

The CCC represents consumers in over 100 countries across the globe. We closely monitor regulatory trends in Ottawa, Washington, Brussels, Geneva and other hotspots of regulation and inform and activate consumers to fight for #ConsumerChoice. Learn more at consumerchoicecenter.org.

Politicians are scapegoating e-cigs for harm they haven’t done

When there’s an outbreak of deaths or illnesses from injected street drugs, do public health authorities demand diabetics and doctors stop using syringes? Of course not. Yet a host of public officials — from President Trump to Gov. Andrew Cuomo to members of the Squad — are taking just that sort of approach in responding to the spate of vaping-related illnesses and deaths around the country.

Cuomo, for example, went on a tear Sunday about vaping, calling it “a burgeoning health crisis” and threatening to declare an emergency to ban flavored nicotine e-cigarettes. That followed Trump’s announcement last Wednesday of federal plans to prohibit such devices.

The dramatic sudden outbursts of concern come after six deaths and 380 severe acute pulmonary illnesses, including at least 41 in New York. The cases were linked not to nicotine e-cigarettes but to vaping THC, the active ingredient in cannabis.

E-cigarettes like Juul are intended to be used to inhale nicotine, but other types of vaping devices can also deliver cannabis-derived substances such as butane hash oils, known as “dabs.”

Scientists at New York’s Department of Health have led the way in pointing the finger at black-market THC-containing liquids, finding “very high levels of vitamin E acetate in nearly all cannabis-containing samples analyzed” in their investigation.

State laboratory test results found that “at least one vitamin E acetate-containing vape product has been linked to each patient who submitted a product for testing.” Vitamin E acetate is an oily substance used to thicken cannabis-derived vaping liquids.

Vaping devices, including e-cigarette hardware, are simply devices for delivering an aerosolized solution. Nicotine e-cigarettes, which serve as a substitute for deadly cigarettes that burn tobacco, typically contain a solution of nicotine, flavorings and vegetable glycerin or propylene glycol.

Globally, tens of millions of people have used billions of e-cigarettes without any acute ill effects. In fact, the US Food and Drug Administration has told state health officials that lab testing of unused legal nicotine vape products of the type obtained from sick patients (who likely also used an illegal THC oil) found no contaminants or ingredients suspected of causing illness.

It’s a very different story when a vaporizer is used to deliver black-market street drugs like the cannabis-derived oils that are being dangerously adulterated with vitamin E acetate.

In announcing the planned federal ban on flavored e-cigarettes in the midst of the outbreak of lung disease, Trump is being misled. Vaping nicotine is an approach to harm-reduction, and appealing non-tobacco flavors are critical to reduce the likelihood that adults will revert to smoking cigarettes.

Exposure to nicotine is not healthy, to be sure, and kids should not vape (unless they already smoke cigarettes and want to transition to a less harmful alternative). But prohibition seldom works, and data from the FDA indicate that while vaping in teens is up, cigarette smoking has fallen to historic lows.

Still, elected officials continue their attack on e-cigarettes, recommending that nearly everyone stop vaping immediately.

That might seem like an abundance of caution, but it’s really an abundance of chicanery. Linking acute lung disease to e-cigarettes is no more logical than warning people about the dangers of vaccination because vaccines are delivered through a needle, and people can get hepatitis from dirty needles.

Expansive warnings to stop vaping altogether, instead of to avoid illicit contaminated THC products, are like advising ex-smokers who have switched to vaping to return to smoking cigarettes. That puts vapers’ lives at risk.

What we need is aggressive state, local and federal enforcement against teen vaping and Drug Enforcement Administration action against illegal THC vapes that cause lung disease.

Meanwhile, why are politicians and public health officials behaving so badly? We have a hypothesis: Until now, the most prominent allegations of serious health effects (even for adults) from e-cigarettes were hypotheticals — such as that vaping would be a “gateway” to cigarette smoking — that have failed to materialize.

In fact, teen cigarette-smoking has been declining. Now, with reports of verifiable acute illnesses and even deaths, politicians are brazenly attempting to indict nicotine vaping, even though their case against the practice is without merit.

In a reckless attempt to redeem their credibility in their war on e-cigarettes, they’ve doubled down on misinformation, disingenuously implying that cannabis-derived oils, home-brewed THC vapes and unadulterated nicotine-containing e-cigarettes all pose the same risks.

They think they can get away with it because … well, virtually nobody has challenged them. It’s time more people did.

Henry Miller is a Pacific Research Institute senior fellow and the founding director of the Food and Drug Administration’s Office of Biotechnology. Jeff Stier is a Consumer Choice Center senior fellow.

Originally published here

Politicians are scapegoating e-cigs for harm they haven’t done

When there’s an outbreak of deaths or illnesses from injected street drugs, do public health authorities demand diabetics and doctors stop using syringes? Of course not. Yet a host of public officials — from President Trump to Gov. Andrew Cuomo to members of the Squad — are taking just that sort of approach in responding to the spate of vaping-related illnesses and deaths around the country.

Cuomo, for example, went on a tear Sunday about vaping, calling it “a burgeoning health crisis” and threatening to declare an emergency to ban flavored nicotine e-cigarettes. That followed Trump’s announcement last Wednesday of federal plans to prohibit such devices.

The dramatic sudden outbursts of concern come after six deaths and 380 severe acute pulmonary illnesses, including at least 41 in New York. The cases were linked not to nicotine e-cigarettes but to vaping THC, the active ingredient in cannabis.

E-cigarettes like Juul are intended to be used to inhale nicotine, but other types of vaping devices can also deliver cannabis-derived substances such as butane hash oils, known as “dabs.”

Scientists at New York’s Department of Health have led the way in pointing the finger at black-market THC-containing liquids, finding “very high levels of vitamin E acetate in nearly all cannabis-containing samples analyzed” in their investigation.

State laboratory test results found that “at least one vitamin E acetate-containing vape product has been linked to each patient who submitted a product for testing.” Vitamin E acetate is an oily substance used to thicken cannabis-derived vaping liquids.

Vaping devices, including e-cigarette hardware, are simply devices for delivering an aerosolized solution. Nicotine e-cigarettes, which serve as a substitute for deadly cigarettes that burn tobacco, typically contain a solution of nicotine, flavorings and vegetable glycerin or propylene glycol.

Globally, tens of millions of people have used billions of e-cigarettes without any acute ill effects. In fact, the US Food and Drug Administration has told state health officials that lab testing of unused legal nicotine vape products of the type obtained from sick patients (who likely also used an illegal THC oil) found no contaminants or ingredients suspected of causing illness.

It’s a very different story when a vaporizer is used to deliver black-market street drugs like the cannabis-derived oils that are being dangerously adulterated with vitamin E acetate.

In announcing the planned federal ban on flavored e-cigarettes in the midst of the outbreak of lung disease, Trump is being misled. Vaping nicotine is an approach to harm-reduction, and appealing non-tobacco flavors are critical to reduce the likelihood that adults will revert to smoking cigarettes.

Exposure to nicotine is not healthy, to be sure, and kids should not vape (unless they already smoke cigarettes and want to transition to a less harmful alternative). But prohibition seldom works, and data from the FDA indicate that while vaping in teens is up, cigarette smoking has fallen to historic lows.

Still, elected officials continue their attack on e-cigarettes, recommending that nearly everyone stop vaping immediately.

That might seem like an abundance of caution, but it’s really an abundance of chicanery. Linking acute lung disease to e-cigarettes is no more logical than warning people about the dangers of vaccination because vaccines are delivered through a needle, and people can get hepatitis from dirty needles.

Expansive warnings to stop vaping altogether, instead of to avoid illicit contaminated THC products, are like advising ex-smokers who have switched to vaping to return to smoking cigarettes. That puts vapers’ lives at risk.

What we need is aggressive state, local and federal enforcement against teen vaping and Drug Enforcement Administration action against illegal THC vapes that cause lung disease.

Meanwhile, why are politicians and public health officials behaving so badly? We have a hypothesis: Until now, the most prominent allegations of serious health effects (even for adults) from e-cigarettes were hypotheticals — such as that vaping would be a “gateway” to cigarette smoking — that have failed to materialize.

In fact, teen cigarette-smoking has been declining. Now, with reports of verifiable acute illnesses and even deaths, politicians are brazenly attempting to indict nicotine vaping, even though their case against the practice is without merit.

In a reckless attempt to redeem their credibility in their war on e-cigarettes, they’ve doubled down on misinformation, disingenuously implying that cannabis-derived oils, home-brewed THC vapes and unadulterated nicotine-containing e-cigarettes all pose the same risks.

They think they can get away with it because … well, virtually nobody has challenged them. It’s time more people did.

Henry Miller is a Pacific Research Institute senior fellow and the founding director of the Food and Drug Administration’s Office of Biotechnology. Jeff Stier is a Consumer Choice Center senior fellow.

Trump’s proposed ban on vape flavors may not stop teens from vaping, experts warn

“Are we not to learn anything from the current THC hash oil acute lung illness situation?”  asked Jeff Stier, a senior fellow and tobacco harm reduction advocate at the free market Consumer Choice Center. “We don’t want consumers adding stuff to their e-cigs. And we don’t want more sophisticated black-market folks doing it.”

Read more here

Federal e-cigarette removal proposal brings cautious celebration, warnings of overreach

Some free-market advocates say they believe Trump is overreacting to the vaping and lung illness connection.

“Trump needs to know the fact that adult smokers are switching en masse to these new reduced-risk products and they’ve been proven to be 95% less harmful than traditional cigarettes,” said Yaël Ossowski, the deputy director of the Consumer Choice Center.

“These individuals switch in part due to vaping flavors, and that should be kept in mind.

“We should not use isolated cases caused by illegal products to inform public policy on the life-saving capabilities of vaping devices for adults,” Ossowski said. “That is bad science and bad public policy.”

Read more here

Trump Administration Takes Aim at E-Cigarettes

Yaël Ossowski, deputy director of the Consumer Choice Center, said the Trump administration needs to follow the facts.

“The fact is that the technological revolution that is happening today with vaping is giving people a less harmful alternative to consume nicotine, the stimulant alkaloid that smokers are actually addicted to. That’s something to celebrate,” Ossowski said.

“Trump needs to know that, as well as the fact that adult smokers are switching en masse to these new reduced-risk products and they’ve been proven to be 95 percent less harmful than traditional cigarettes. These individuals switch in part due to vaping flavors, and that should be kept in mind. That said, no one wants teens to be vaping, and we should make sure of that,” he said, adding “there is more we can do to stop youth vaping, but we must preserve this technology as a tool for adults to consume their nicotine in a less harmful fashion.”

Read more here

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