Category: Harm Reduction

  • Marijuana poses a challenge

    Marijuana poses a challenge

    The president and CEO of Imperial Tobacco Canada, Jorge Araya, is to address media representatives on the challenges faced by the tobacco industry, including that caused by ‘inconsistencies between proposed regulatory approaches for tobacco and marijuana’.

    In a press note, Imperial, which is the largest tobacco company in the country, said it had run its business in an increasingly complex and challenging marketplace since 1908.

    ‘Today it faces government expropriation of its branding, aggressive competition from a contraband tobacco industry that comprises more than 30 per cent of the market in Ontario, and a soon-to-be-legalized marijuana market,’ the note said.

    ‘Mr. Araya will discuss these challenges, and particularly the concern that an absence of legal tobacco branding is likely to result in consumers migrating to contraband products.

    ‘He will also discuss the company’s enthusiasm for less-risky tobacco and nicotine products, and the inconsistencies between proposed regulatory approaches for tobacco and marijuana.’

    The media luncheon at which Araya will speak is being hosted by the Empire Club of Canada in Toronto on September 28.

  • Using science to reduce risk

    Using science to reduce risk

    Scientists at British American Tobacco say they have created the most comprehensive database of scientific test results for an electronic cigarette.

    The results of the studies provide evidence that the use of a Vype ePen could be substantially less risky than is smoking a traditional cigarette.

    The database was said to have been created using data collected from a series of scientific tests that could form the basis of a template to support health-related claims such as “reduced risk” for e-cigarettes and next generation products, such as tobacco-heating devices, when the use of those products was compared to that of conventional cigarettes.

    “This is a very new consumer category and both consumers and regulators rightly want as much information as possible about the products available,” said Dr David O’Reilly, group scientific and R&D director at BAT.

    “We believe a science-based approach is vital to gathering the evidence needed to demonstrate the reduced-risk potential of e-cigarettes and other products, which is why testing products like Vype ePen in this way is so important.  We intend for this to be the first of many applications of our scientific assessment framework,” he said.

    The application of BAT’s approach to the scientific assessment of potentially reduced-risk products is reported today in the journal Regulatory Pharmacology and Toxicology, where the results of 17 published studies on Vype ePen are described.

    The tests included Preclinical studies that demonstrated the relatively simple composition of Vype ePen vapor compared to that of conventional cigarette smoke: that demonstrated there were about 95 percent less toxicants in Vype ePen vapor than in smoke. Further tests revealed that this vapor had no biological impact on human cells tested in the laboratory, or at least a much-reduced impact when compared to that of conventional cigarette smoke.

    Clinical Studies, which involved humans, revealed that Vype ePen vapor delivered nicotine to the consumer as efficiently as cigarette smoke did, which is an indicator of whether the product might provide smokers with a satisfactory alternative to a cigarette.

    Population studies, which use predictive modelling to estimate an overall harm reduction effect of the product on a population, indicated that the wide availability of an e-cigarette such as a Vype ePen could have an overall harm-reduction effect because more people might quit smoking when e-cigarettes were widely available.

    In a press note, BAT said that, taken together, these results formed the basis of a comprehensive dossier of scientific data that laid the groundwork for establishing the Vype ePen’s reduced-risk potential.

    ‘This dossier of results presents the kind of information that regulators like the US Food and Drug Administration want when any company submits a Modified Risk Tobacco Product application in order to introduce novel reduced-risk tobacco products to the US market,’ the note said.

    ‘It can take years to create such a dossier and our scientists say that it would be impractical to create a new dossier every time a product is tweaked.’

    “This category is so fast moving that there are new and improved products appearing all the time,” said Dr James Murphy, head of reduced risk substantiation at BAT. “If for example, a scientific dossier was required before these products could go on the market, this could drastically impact the availability of new and improved products and their value in tobacco harm reduction.

    “Importantly, this sort of framework could provide datasets for product families so that full scientific tests wouldn’t need to be done with every new generation of the same product – making the innovation process faster whilst still giving consumers and regulators assurances around the relative risk of each product. This could mean improved products with harm reduction potential can be developed, assessed and brought to market more quickly without duplicating tests. We are urging regulators and public health officials to look at this methodology in this context.” Murphy said.

  • Cyprus to tax vapor

    Cyprus to tax vapor

    Cyprus’ House Plenum on Friday passed a bill imposing a tax on e-liquids and heat-not-burn sticks, according to a story in The Cyprus Mail.

    The law introduces a new category called ‘liquid for electronic cigarette use’ that carries a consumption tax of €0.12 per ml of liquid.

    Additionally, the bill provides for heat-not-burn products, which are expected soon to be imported to Cyprus, to carry a consumption tax of €150 per kg.

    The bill was tabled by the ruling Disy party [the Democratic Rally] and passed by 26 votes to 17.

    Akel MP Aristos Damianou criticized the government for introducing more taxes, saying that it was only on Monday [September 18] that the finance minister had said no new taxes would be imposed, and yet a bill to do just that was before parliament.

    Damianou said that though there had been a steady increase in the consumption of cigars, there had been no increase in their consumption tax.

    Rather, taxes were being imposed on electronic cigarettes that, despite their containing products that were bad for people’s health, could potentially help people quit smoking.

    The Green MP Giorgos Perdikis said that the revenue from the new taxes should be put towards a special fund to campaign against smoking.

  • Vaping goes mainstream

    Vaping goes mainstream

    In embracing electronic cigarettes for the first time, England’s ‘Stoptober’ campaign is signaling that vaping is the key to getting people to quit smoking, according to a story by Nick Triggle for BBC Online.

    Launched in 2012 and held during October annually ever since, Stoptober is a 28-day stop-smoking campaign by Public Health England (PHE) that encourages and supports smokers across England to quit their habit.

    This year, for the first time, the government’s Stoptober campaign will feature vaping in its television information slots.

    The decision to feature vaping was made after e-cigarettes proved to be the most popular tool for quitting during last year’s campaign.

    Some 53 percent of people used them, helping push the numbers of people taking part in Stoptober since its launch to more than 1.5 million.

    In welcoming the campaign development, a spokesperson for the UK Vaping Industry Association said in a written statement that PHE’s commitment to encourage smokers to switch to vaping in Stoptober was hugely significant to the nation’s health.

    ‘The government’s Tobacco Control Plan set out their intentions to promote vaping as a viable alternative to smoking and it is encouraging to see that this was more than just warm words,’ the spokesperson said.

    ‘It feels that at last the tide is beginning to turn; the UK is leading the way on vaping as an effective tool to reduce and stop smoking related disease.

    ‘As an industry, we have consistently called for recognition of the public health potential of vaping on the back of mounting evidence from respected organisations such as Public Health England, Cancer Research UK, the Royal College of Physicians.

    ‘The Scottish health authorities also seem to be following the same logic.  We call on the Welsh Government to make the same commitment, which was notably absent from their recent Tobacco Control Strategy.’

    Meanwhile, Triggle reported that whereas e-cigarettes were not yet officially prescribed on the National Health Service, doctors and other health professionals were being encouraged to advise smokers who wanted to use them that they were a ‘better alternative to smoking’.

    Government experts behind the Stoptober campaign had been encouraged by newly released research suggesting record numbers of quit attempts were proving successful.

    University College London researchers had found 20 percent of attempts were successful in the first six months of 2017, compared with an average of 16 percent during the previous 10 years.

    Triggle’s full report is at: http://www.bbc.co.uk/news/health-41339790.

  • Clearing the smoke

    Clearing the smoke

    Vaping electronic cigarettes is definitely less harmful than is smoking tobacco, health bodies in Scotland have stated for the first time, according to a bbc.co story.

    NHS [National Health Service] Health Scotland said it wanted to ‘clarify’ confusion around the harms and benefits of vaping devices.

    More than 20 organizations have signed up to the consensus, which was led by NHS Health Scotland.

    Health chiefs said, however, that using e-cigarettes while still smoking did not provide any health benefits.

    The consensus statement, published by Scotland’s national health education and promotion agency, was agreed by the Scottish government, health boards, academia and charities such as the British Lung Foundation and Cancer Research UK.

    There are estimated to be about 2.9 million people in the UK who use e-cigarettes, and more than half of them have given up smoking tobacco, a recent study has suggested.

    However, despite the rise in e-cigarette use since 2012, about nine million people still smoke in the UK.

    The full story is at: http://www.bbc.co.uk/news/uk-scotland-41333537.

  • Another day, another study

    Another day, another study

    The nicotine in electronic-cigarette vapor may cause adrenaline levels to spike in the heart, potentially increasing the risk of heart attack and sudden cardiac death, according to a story by Dennis Thompson for HealthDay, citing the results of a new study.

    E-cigarettes have been promoted as a healthier alternative to traditional tobacco cigarettes because, researchers have said, they deliver vastly lower levels of carcinogens.

    But laboratory studies showed that e-cigarettes could pose a threat to health because of the nicotine that they typically deliver, said lead researcher Dr. Holly Middlekauff, who is a cardiologist with the David Geffen School of Medicine at the University of California, Los Angeles.

    Nicotine-containing e-cigarettes seemed to promote a fight-or-flight response, causing a release of adrenaline that increased heart rate and reduced the amount of time between heart beats, researchers found.

    “The concern is that extended use of nicotine is going to expose you to long-term high adrenaline levels in the heart,” Middlekauff said. “That has been shown to be a risk factor for heart attack.”

    Based on the results, Middlekauff said, current tobacco cigarette smokers still would be better off switching to e-cigarettes. They would avoid the carcinogens produced by burning tobacco, even though they could face heart health effects from nicotine.

    Meanwhile, Gregory Conley, president of the American Vaping Association, said that the researchers had overstated their findings.

    “Past studies have shown that eating meals high in carbohydrates induces heart rate variability,” he said. “Are we going to be warning people away from corn flakes?”

  • Party poopers

    Party poopers

    Police in Istanbul, Turkey, raided a vape party on Sunday at which there were at least 800 guests, according to a Hurriyet Daily News story citing the daily, Habertürk.

    They detained three organizers and handed fines to all attendees for ‘smoking indoors’.

    Vaping devices are deemed to be tobacco products in Turkey, and legislation that applies to tobacco products also applies to such devices.

    After invitations for the ‘unlimited vape party’ were posted on Facebook, police put the location on İstiklal Avenue in Istanbul’s Beyoğlu district under surveillance.

    After the organizers had rented the terrace of a restaurant for the party, they announced that entrance was free and that various kinds of vaping devices would be available for attendees free of charge.

    The Health Ministry has not yet licensed the import of any vaping devices, though such products do enter the country, where they are sold for between TL150 and TL450, over the Internet or through illegal trafficking.

  • Tobacco antis ‘gut-punched’

    Tobacco antis ‘gut-punched’

    The surprise announcement by the former head of the World Health Organization’s Tobacco Free Initiative, Derek Yach, that he would head a newly-established organization called the ‘Foundation for a Smoke-free World’ to ‘accelerate the end of smoking’ was met with gut-punched disappointment by those who have worked for decades to achieve that goal, according to a BMJ blog by news editor, Marita Hefler.

    The blog was headed, A ‘Frank Statement’ for the 21st Century?, and included the names of 14 people: Ruth E. Malone, Simon Chapman, Prakash C. Gupta, Rima Nakkash, Tih Ntiabang, Eduardo Bianco, Yussuf Saloojee, Prakit Vathesatogkit, Laurent Huber, Chris Bostic, Pascal Diethelm, Cynthia Callard, Neil Collishaw and Anna B. Gilmore.

    ‘Unmoved by a soft-focus video featuring Yach looking pensively off into the distance from a high-level balcony while smokers at ground level stubbed out Marlboros and discussed how hard it was to quit, leading tobacco control organizations were shocked to hear that the new organization was funded with a $1 billion, twelve-year commitment from tobacco company Philip Morris International (PMI),’ the piece said.

    ‘PMI, which has been working for decades to rebrand itself as a “socially responsible” company while continuing to promote sales of its top-branded Marlboro cigarettes and oppose policies that would genuinely reduce their use, clearly believes this investment will further its “harm reduction” agenda, led by its new heat-not-burn product, IQOS. But don’t worry, the Foundation assures everyone that “PMI and the tobacco industry are precluded from having any influence over how the Foundation spends its funds or focuses its activities”.

    ‘Except that is what a broad range of industry front groups, sometimes headed by respected and even well-intentioned leaders, have been saying since the “Frank Statement” of 1954.

    ‘The long and sordid history of the industry’s funding of “research,” a major part of the mission of this new foundation, is replete with exactly this sort of blithe reassurance, as Yach himself pointed out in an earlier time.

    ‘In reality, nothing has changed. The “research” really isn’t the point anyway. The mere fact of having landed Yach is a major public relations coup for PMI that will be used to do more of what the industry always does: create doubt, contribute further to existing disputes within the global tobacco control movement, shore up its own competitive position, and go on pushing its cigarettes as long as it possibly can…’

    The full story is at: http://blogs.bmj.com/tc/2017/09/19/a-frank-statement-for-the-21st-century/.

  • Campaigns lack teeth

    Campaigns lack teeth

    Anti-tobacco lobbyists in Kenya on Monday called for the enforcement of a 2007 law that bans smoking in public places, according to a News Ghana story.

    Thomas Lindi, co-ordinator of the Kenya Tobacco Control Alliance (KTCA), said Kenya’s tobacco-related health burden was rising by the day.

    Lindi told a stakeholders meeting in Nairobi that tobacco smoking remained a challenge among low- and middle-income Kenyans despite the country’s having anti-tobacco policies and regulations in place.

    According to government reports, non-communicable diseases kill about 28,000 people in Kenya every year. Tobacco use and involuntary exposure to second-hand tobacco smoke is said to be partly responsible for the growing number of non-communicable diseases.

    Lindi said it was unfortunate that since the Tobacco Control Act came into force in 2007, nothing had been done to reduce tobacco advertisements.

    “We still lack serious awareness campaigns and cessation programs that are key to reducing the consumption of tobacco products,” Lindi said.

    Meanwhile, Joel Gitali, the chairman of the KTCA, said the tobacco industry and its allies had continuously used various strategies and tactics to discredit, delay and derail the implementation of tobacco control policies through legislative and litigation processes.

    “The government needs to join forces with stakeholders in educating the public against tobacco consumption,” he said.

  • Cigarette price matters

    Cigarette price matters

    Researchers at Imperial College London have found an association between infant mortality rates and cigarette price differentials, according to a EurekAlert story citing a new study.

    The authors were quoted as saying that eliminating budget cigarettes from the market might help to reduce infant deaths globally.

    “Thanks to tax and price control measures, cigarettes in EU countries are more expensive than ever before,” said Dr. Filippos Filippidis, of Imperial’s School of Public Health and the lead author of the study. “However, the tobacco industry is good at finding loopholes to ensure that budget cigarettes remain available. In this study, we found that the availability of budget cigarettes is associated with more infant deaths.”

    The study, published yesterday in the journal JAMA Pediatrics, analysed nearly 54 million births across 23 EU countries from 2004 to 2014. The researchers obtained data on cigarette prices over this period and examined whether differences between average priced and budget cigarettes was linked to infant mortality rates.

    And they found that during the 10 years under review, overall infant mortality declined in all countries from 4.4 deaths per 1,000 births in 2004 to 3.5 deaths per 1,000 births in 2014.

    The cost of average priced cigarettes increased during this time in all the countries studied. The difference between average-priced and budget cigarettes varied from 12.8 percent to 26.0 percent over the study period.

    The authors said that though EU governments had made cigarettes more expensive by increasing taxes, tobacco companies had responded with differential pricing strategies, where tax increases were loaded onto premium brands. This caused a price gap between higher and lower priced cigarettes that gave smokers the option to switch to cheaper products, making tax increases less effective.