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harm reduction

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.”

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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.”

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Before President Trump acts on vaping, someone please give him the facts

FOR IMMEDIATE RELEASE:

CONTACT:
Yaël Ossowski
Deputy Director
Consumer Choice Center
yael@consumerchoicecenter.org

Before Trump acts on vaping, someone please give him the facts

Washington, D.C. –
 According to U.S. health secretary Alex Azar, President Trump convened a policy meeting today to discuss the future of regulations on vaping and e-cigarettes.

Yaël Ossowski, Deputy Director of the Consumer Choice Center, responded by stating that someone must show Trump 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,” said Ossowski.

“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% 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. 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, cartridges often purchased illegally on the black market instead of via established outlets,” said Ossowski.

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

“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,” said Ossowski.

A Consumer Choice Center survey from March 2019 found that two-thirds of Americans agree that they should have the freedom of choice to buy e-cigarettes if they believe they are a lower health risk to them than tobacco.

More information on harm reduction is available on our website.

***CCC Deputy Director Yaël Ossowski is available to speak with accredited media on consumer regulations and consumer choice issues. Please send media inquiries HERE.***

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.

The EU’s war on harm reduction is in full swing

In 2020, the Netherlands will host the ninth conference of parties of the so-called WHO-FCTC treaty. During this conference, world leaders and public health advocates discuss the ways in which smoking prevalence can be curbed.

However, these same advocates haven’t just made their policies about actual tobacco, but also about vapour: innovative e-cigarette products come under fire, even though they are provenly less harmful and help those smokers who desire to quit. EU health commissioner Vytenis Andriukaitis and the anti-tobacco European Network for Smoking and Tobacco Prevention (ENSP) are leading the charge in this fight.

In 2015, Public Health England reported that an independent review found that vaping is at least 95 per cent safer than conventional smoking. PHE confirmed this assessment in December last year.

As a result, the UK has made tobacco harm reduction a centrepiece of its policies to reduce the smoking rate, as opposed to calls for direct cessation, which are less effective.

This is also backed by current evidence: a study funded by the National Institute for Health Research UK, titled “A Randomized Trial of E-Cigarettes versus Nicotine-Replacement Therapy” in the New England Journal of Medicine, analysed the behaviour of almost 900 randomised smokers. The conclusion: e-cigarettes were more effective for smoking cessation than nicotine replacement therapy.

A public consultation by the Health Information and Quality Authority in Ireland found that e-cigarettes are used by a third of smokers as cessation tools, and are twice as effective as a placebo.

In an interview with Euractiv, EU health commissioner Vytenis Andriukaitis said the exact opposite, claiming that nicotine replacement therapy was the better alternative. Andriukaitis also defended his head of cabinet, who had come under fire for calling e-cigarettes poison. The most telling quote from the Lithuanian commissioner is this one: “My question to the industry is the following: is it harmful or not to smoke? Does it cause cancer or not? Harm is harm. No matter if it’s less or more.”

That statement should make one think: here’s a European commissioner who does not believe in different degrees of harm. By that standard, we could also equate the harmfulness of eating red meat with smoking cigarettes. Both can cause cancer – and who really cares about the degree of harm caused by one or the other?

This lobby against harm reduction is coordinated by organisations such as the ENSP, which is funded by the Health and Consumer Programmes 2014-2020 of the European Union. This means that the European commissioner funds an NGO that invites the commissioner to events and features him in news articles funded by the same NGO.

It looks as if the European commission has broad support for their positions, but in reality, they are using claqueurs, which is nothing short of deception.

Andriukaitis and the ENSP are trying to change the narrative on anti-tobacco policy by framing it as a human right, and by making false statements about the science surrounding harm reduction.

In fact, their approach to anti-tobacco policy is an almost religious “if there is smoke, there must be harm”. They push policies that restrict not only consumer choice but also access to products that help those who choose to quit with innovate new solutions.

As the scientific evidence in favour of harm reduction is growing by the day, the European commission is stubbornly defending its anti-scientific approach to smoking cessation.

Yes, consumers should be able to quit smoking in a way they see fit, and that suits their needs. Restricting innovation for the sake of increasing your bucket list of “things to ban next” is not only nonsensical, it’s bad for people’s health.

The European commission should instead follow the British National Health Service’s approach to smoking cessation.

Read more here

CCC Comments to FDA on Tobacco Product Standard for Nicotine Level of Combusted Cigarettes

Jeff Stier Senior Fellow Consumer Choice Center New York, NY July 10, 2018 Submission to the Food & Drug Administration Submit your own comments:  https://www.regulations.gov/document?D=FDA-2017-N-6189-0001   The FDA’s consideration of a product standard to set a maximum nicotine level for cigarettes is a dangerous experiment justified only by good intentions and faulty research. Further, even if […]

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