Acting U.S. Surgeon General Boris Lushniak recently tweeted, “@OxfordWords #Vape may be #WOTY but the increase in never-smoking youth using e-cigs is a not a trivial story.” The tweet referred to the Oxford English Dictionary’s having designated “vape” as the word of the year, and reflected a CDC report claiming that e-cigarette use among children had increased in 2013. The prevalence of e-cig use among youth who had never smoked was 0.3%.
As noted previously (here), Drs. Karl Fagerström and Tom Eissenberg have described a continuum of dependence among tobacco and nicotine products. They concluded that cigarettes are the most dependence-producing (addictive) product and that smokeless tobacco is intermediate, evidenced by clinical trials showing that quitting cigarette smoking is more difficult than quitting ST.
As early as 2004, various medical journals published articles claiming that small-community smoking bans resulted in nearly immediate reductions in heart disease. For example, the high-profile BMJ reported that hospital admissions for acute myocardial infarction (AMI) declined 40%, from 40 to 24, in Helena, Montana, after implementation of a smoke-free ordinance (here). Circulation, the journal of the American Heart Association, reported that AMI admissions dropped 27% “within months” in Pueblo, Colorado (here). Similar reports came from Bowling Green, Ohio (here), Monroe County, Indiana (here) and beyond.
In their war against e-cigarettes, government officials often claim that the devices are a gateway to smoking. CDC director Dr. Tom Frieden asserted (here) that “…many kids are starting out with e-cigarettes and then going on to smoke conventional cigarettes.” The National Cancer Institute last March promoted (here) Dr. Stanton Glantz’s tortured analysis of youth e-cigarette use (discussed here and here). While his data failed to support a gateway effect, his employer, the University of California San Francisco, made the claim anyway (here).
Rates of smoking and use of other tobacco products among teens are so low that they no longer provide a valid basis for the draconian anti-tobacco policy prescriptions favored by the FDA and CDC.
Cigarette smoking is the most harmful form of tobacco use. Alternatives to smoking that supply users with, yes, addictive, but not particularly harmful nicotine, are significantly less dangerous.
How obscene is it for a Florida jury to award $23.6 billion to the widow of a man who died of lung cancer in 1996? She sued R.J. Reynolds Tobacco Company by asserting that her husband had been “fooled” into starting the smoke at age 13. Apparently he had never heard cigarettes referred to as “coffin nails”, a slang term that has been around since the last century. And how come all those patches, chewing gum, and other means to stop smoking had no effect, if used by her late husband?
In a closer vote than expected, the Los Angeles City Council today voted not to carve-out an exception for bars in that city’s new ban on public vaping (the use of e-cigarettes, which emit smokeless vapor).
One of Sunday’s most controversial Super Bowl ads came with the message “Friends don’t let friends smoke.” Bizarrely, it’s organized anti-smokers in the public-health establishment who want the commercial banned.
Mayor Bloomberg’s going out with one last ban. The City Council, with the administration’s strong backing, is rushing through a law to treat the vapor from e-cigarettes like tobacco smoke under the city’s “Smoke-Free Air Act.” The use of e-cigs, a k a “vaping,” would be forbidden in indoor and outdoor locations wherever smoking is banned.
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