fbpx

Myths and Facts on Vaping:
What policymakers should know

DOWNLOAD THE POLICY NOTE HERE:

By Yaël Ossowski and Bill Wirtz

19. September 2019

SUMMARY

Creative entrepreneurs and innovators launched a category of nicotine delivery products called vaping devices (also known as e-cigarettes) to give people a less harmful method of consuming nicotine, the stimulant alkaloid smokers are actually addicted to. These devices heat up a mixture of liquid that is then inhaled, the byproduct being water vapor.

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.

This policy note dispels the myths that surround vaping, offers factual scientific and health evidence, and gives recommendations to uphold public health all the while reducing harm.

Recommendations

  • Enforce strict age restrictions for vaping devices and liquid at points of sale

  • Invest in school education on the impact of nicotine on adolescent brains

  • Keep vaping products legal as a harm reduction tools for adult smokers

  • Vape flavors are a main draw for responsible adult vapers, and should remain legal

MYTH #1: VAPING IS MORE HARMFUL THAN SMOKING

Traditional cigarettes, when burned, create more than 7,000 chemicals, 69 of which have been identified as potential carcinogens.

Vape devices, on the other hand, contain completely different ingredients.

The two main ingredients used in vape liquids are propylene glycol (PG) and vegetable glycerin (VG), both used to form the vapor and add flavor to it. Added to these two ingredients is a third, usually a common food flavoring found in cakes, oils, and other food items that help give the vape liquid its taste. All of these aforementioned compounds are common food ingredients that are deemed healthy and safe by regulatory bodies including the FDA.

The other variable ingredient in vape liquid is nicotine, the stimulant alkaloid. Though not all liquids contain this addictive chemical, it is widely seen as the main draw for former smokers looking to quit smoking. When compared to other alternatives in getting people to quit, including Nicotine Replace Therapy (NRT) patches and drugs, vaping has been found to be more effective.

The U.K.’s top health body, Public Health England, has repeatedly said that vaping and e-cigarettes are 95 percent less harmful than smoking.

The same conclusion has been drawn by the New Zealand Ministry of Health and Health Canada, which have both launched public initiatives imploring smokers to turn to vaping .

FACT: Vaping has been proven to be 95% less harmful than smoking, and has been endorsed by international health bodies as a safer alternative.

MYTH #2: THERE IS A TEEN VAPING ‘CRISIS’

Less than 14% of U.S. adults are now smokers, the lowest rate ever recorded. This coincides with the lowest teen smoking rates in recorded history. 

For vaping, the latest CDC figures show that 20.8% of high schoolers have vaped at least once in the last 30 days. But nearly half of those were vaping cannabis rather than nicotine, usually products that were procured illegally.

This is certainly a problem to address, but not a crisis as framed by public health officials. And considering no data was collected prior to 2015 on vaping overall, a collection of new data cannot be statistically concluded to warrant a crisis.

We should not tolerate teen vaping and any rise in numbers is concerning, but we cannot at the same time deprive millions of adult smokers of alternatives because of activities that are already illegal. The same lessons have been learned from the counter-productive prohibition of alcohol in the 20th century.

FACT: 20.8% of high schoolers have experimented with vaping in the last 30 days. However, nearly half of those vaped illicit cannabis cartridges that are usually bought on the black market.

MYTH #3: VAPING IS THE CAUSE OF RECENTLY REPORTED RESPIRATORY ILLNESSES

Much cause for concern of late has been a flurry of reports of illness and hospitalizations blamed on traditional vaping devices and liquids. The CDC has reported nearly 380 cases of lung illnesses related to vaping. Sensational headlines and opinion articles have convinced leaders in several states and even President Donald Trump to consider banning vaping flavors outright.

But careful analysis of the reported cases reveals that a vast majority of the patients with symptoms were found to have used illicit vape cartridges mixed with the cannabis compound THC. 

A study in the New England Journal of Medicine that examined cases in Illinois and Wisconsin found that 84% of hospitalized patients report using illicit THC vaping cartridges prior to their illness. No illnesses have yet been tied to store-bought vaping pods or liquids containing nicotine.

To that end, two Wisconsin brothers were recently arrested in connection with a multi-million dollar operation that mixed various chemicals (including Vitamin E) with THC in cartridges meant for vaping devices, which they then sold illegally. Authorities have identified this large scheme spread across much of the midwest as a culprit in the recent lung illnesses there.

What this reveals is that illicit vaping products sold on black markets, rather than licensed retailers, have actually caused the most severe of the lung illnesses reported in the media. 

As such, a ban on regulated devices and liquids, whether with flavors or not, would not address the problem as it currently exists.

FACT: The vast majority of reported illnesses associated with vaping have been caused by illicit cannabis vape cartridges sold on the black market, not those purchased legally in licensed retailers.

MYTH #4: RESTRICTING VAPING FLAVORS WILL CURB USE BY MINORS

In response to the reported illnesses and hospitalizations tied in the media to vaping, policymakers have called for immediate bans on flavored vaping products, the first of which being Michigan.

The main drive behind these proposed bans is protecting minors, who are allegedly drawn to the myriad of vape flavors. But considering all minors who use these products are acquiring them outside the legal market, it is clear that the most immediate impact will be on responsible adult vapers who prefer these flavors.

A legal and regulated market is the best method for rooting out bad products and actors. A ban on flavors will only drive those who wish to use flavored vaping products to the black market, or back to cigarettes. Recent studies have shown that if vaping products are outlawed, current vapors are more likely to return to smoking. That would be very consequential for public health.

The best deterrent to vaping by minors is to enforce strict age-restrictions at storefronts, much like exists with alcohol and tobacco products, as well as investing in education in schools on the effects of nicotine on adolescent brains.

Making products that are currently legal and available for adults illegal will cause more harm to both adults and minors, creating the incentives mentioned above that currently exist for the illicit market in vape cartridges containing cannabis and dangerous additives.

FACT: Bans on vape flavors will hurt responsible adult users who have used flavors to quit smoking. Vapers barred from purchasing vaping products will turn to unregulated and illicit products that would be more dangerous than existing products available in stores for adults.

CONCLUSION

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.

The innovations in harm reduction tools in recent years have produced vaping and e-cigarette products that are demonstrably less harmful than traditional cigarettes.

At the same time, the rise in use of these products by teens is cause for concern, but not at the risk of outlawing the entire category used by responsible adult former smokers.

Let’s enforce existing laws. Nearly half of tobacco and vape shops don’t ID young customers. This perpetuates the problem and has turned the public against vaping for consenting adults trying to improve their life expectancy.

In order to curb vaping by minors and illicit vaping products that are connected to recent illnesses, the Consumer Choice Center recommends the following:

Recommendations

  • Enforce strict age restrictions for vaping devices and liquid at points of sale
  • Invest in school education on the impact of nicotine on adolescent brains
  • Keep vaping products legal as a harm reduction tools for adult smokers
  • Vape flavors are a main draw for responsible adult vapers, and should remain legal

RELATED ARTICLES AND MEDIA HITS​

FDA’s Juul crackdown is the latest blow in the irrational war on nicotine

Last week, the Food and Drug Administration handed down a consequential decision affecting millions of consumers: a marketing denial order for Juul Labs, maker of the popular pod-based Juul vaping device. It’s best summarized as an immediate ban on Juul products. This forces gas stations, convenience stores, vape shops,...

Read More

Taxing vaping promotes smoking. So why is Ottawa doing that?

Heavy-handed vaping regulations and taxation do nothing but create more smokers Health Canada announced last week that warning labels will now be required on each and every cigarette in a pack. That global first is part of Canada’s goal to have fewer than five per cent of Canadians smoke...

Read More

The FDA is betraying millions of consumers by killing one of the most popular anti-smoking devices

Washington, D.C. – The Food & Drug Administration is reportedly set to deny Juul’s pre-market authorization applications, which would effectively ban all Juul nicotine vaping products in the United States. The Consumer Choice Center calls the FDA’s actions a “betrayal” for consumers and former smokers who have used Juul and other vaping products...

Read More

Malaysia Towards A Vape Regulated Nation

Big Industry players are acknowledging that vaping is not risk-free, but there is growing scientific evidence that it is certainly less harmful than smoking cigarettes. Risk-proportionate regulations and taxation for vaping are being called to encourage smokers to switch to a low-risk alternative. With the Malaysian Government introducing a...

Read More

Harm reduction strategy stressed to achieve Tobacco-free nation by 2040

Speakers in a discussion have urged policymakers to incorporate Tobacco harm reduction strategy in their tobacco control plans and establish safer alternatives such as vaping products as smoking cessation medium like progressive nations around the world. Voice of Vapers Bangladesh organised the discussion titled “The Need for a Tobacco...

Read More

Speakers stress need for tobacco harm reduction strategy 

They call for sensible regulations for vaping products to achieve government’s health agenda and revenue ambitions Speakers at an event urged policymakers to incorporate Tobacco Harm Reduction (THR) strategy in their tobacco control plans and establish safer alternatives such as vaping products as smoking cessation medium like progressive nations...

Read More

自由開講》理性態度看待緩減菸害

《菸害防制法》修法一直受大眾的矚目。目前台灣有近三百多萬吸菸者,但非吸菸者卻有近二千萬。對於非吸菸者而言,縱然他們可能真心希望台灣是民主和開放社會的範例;假如決議就只有簡單的少數服從多數,吸菸者幾乎可以說是沒有勝算,結果不是真正的民主,而是多數人暴政。 民主是和衷共濟,透過協商找出最接近兩全其美的方案。本次修法,屢受關注及討論原因之一,是衛生福利部提出的版本中,包括全面禁止電子煙在內之各式類菸品。 「為甚麼不乾脆戒菸?」對那些非吸菸者,可能會覺得戒菸事在人為,只要有決心的話,誰都可以立地成佛。然而事實證明,過去幾年容許吸菸者有替代品可供選擇的國家,吸菸率的降幅尤其明顯。以英國為例,自從 2013 年英國公共衛生署積極建議吸菸者改用電子煙,英國整體吸菸率下降了 25%。相比之下,世界上電子煙法規最嚴格的澳大利亞,同期的吸菸率僅下降了 8%。 Read the full article here

Read More

Pentingnya Regulasi Vape yang Berfokus pada Kepentingan Konsumen

Isu mengenai rokok elektrik atau vape saat ini merupakan salah satu isu yang menjadi perbincangan di banyak tempat, baik itu di Indonesia atau di negara lain. Berbagai pihak memiliki pandangan yang berbeda-beda mengenai bagaimana kita seharusya menanggapi isu tersebut. Salah satu perdebatan yang kerap muncul terkait dengan vape atau...

Read More

All nontobacco nicotine is now subject to the same regulations as tobacco-sourced nicotine in the U.S.

All nontobacco nicotine is now subject to the same regulations as tobacco-sourced nicotine in the U.S. It was both expected and unexpected. Everyone in the vaping industry knew that at some point the U.S. Congress and the Food and Drug Administration were going to decide on how to handle...

Read More

The Devastating Impact of the FDA’s Proposed Menthol & Flavored Cigarette Ban

The FDA’s announcement to ban the sale of menthol cigarettes and flavored cigars has been roundly condemned from all sides of the political spectrum, and is opposed by groups as diverse as American Council on Civil Liberties (ACLU), Rev. Al Sharpton’s National Action Network, the National Black Justice Coalition,...

Read More
Malay Mail

Vape industry urges govt to implement long-delayed vape regulations

Instead of banning vape products wholesale, vape industry players are urging the government to implement long-delayed regulations for the industry. The Malaysia Retail Electronic Cigarette Association (MRECA) president Datuk Adzwan Ab Manas, in a statement issued recently, said a taxation framework for vape liquids with nicotine was supposed to...

Read More

Chaiwut Thanakamanusorn is right: Thailand can save lives and promote innovation by legalizing nicotine alternatives

Bangkok, TH – As Thailand considers revising its ban on harm reducing nicotine delivery products, a global consumer advocacy group is praising the actions of Digital Economy and Society Minister Chaiwut Thanakamanusorn, who has recognized the importance of harm reduction in saving the lives of smokers who want to...

Read More
Scroll to top