Tag: England

  • E-cig Harm Perceptions Worsening: Study

    E-cig Harm Perceptions Worsening: Study

    Photo: Asier

    Harm perceptions of e-cigarettes have worsened substantially over the last decade among adult smokers in England, according to a study published by Jama Network Open.

    In 2023, most adults who smoked believed e-cigarettes to be at least as harmful as cigarettes. The timing of the changes in harm perceptions coincided with the e-cigarette, or vaping product, use-associated lung injury outbreak in 2019 and the recent increase in youth vaping in England since 2021.

    Researchers collected data from 28 393 adult smokers. In November 2014, 44.4 percent thought e-cigarettes were less harmful than cigarettes, 30.3 percent  thought e-cigarettes were equally harmful, 10.8 percent thought they were more harmful, and 14.5 percent said they did not know.

    However, by June 2023, the proportion who thought e-cigarettes were less harmful had decreased by 40 percent, and the proportion who thought e-cigarettes were more harmful had more than doubled.

    Changes over time were nonlinear: late 2019 saw a sharp decline in the proportion who thought e-cigarettes were less harmful and increases in the proportions who thought they were equally or more harmful. These changes were short-lived, returning to pre-2019 levels by the end of 2020.

    However, perceptions worsened again from 2021 up to the end of the study period: the proportion who thought e-cigarettes were more harmful increased to a new high, and the proportion who thought e-cigarettes were less harmful decreased to levels comparable to those in late 2019.

    As a result, in June 2023, the perception that e-cigarettes were equally as harmful as cigarettes was the most commonly held view among adults who smoke, with roughly similar proportions perceiving e-cigarettes to be less and more harmful.

  • England’s Ports Seeing Boost in Fake Vapes

    England’s Ports Seeing Boost in Fake Vapes

    The number of potentially unsafe disposable vapes being seized at English Channel ports has risen “dramatically,” according to trading standards.

    More than 300,000 of the counterfeit products had been seized during December, Kent Trading Standards said, according to the BBC.

    “A lot of our work has been focused on retail outlets, but this is now higher up the supply chain,” James Whiddett, spokesperson for KTS, said. “We’re stopping these devices, which may have about 10 times the legal limit of nicotine in them.”

    He said the current legal limit on the tank on disposable vapes is 2 mL, which is the equivalent of 600 puffs.

    “The products which we’re seeing coming into the country at the moment have 3,500 puffs on them and some have 7,000 puffs, so they are illegal and cannot be supplied to anyone,” he said.

    Whiddett said the demand for disposable vapes had risen dramatically over the last nine months.

    “The flavors, the fact that people don’t have to put their own liquids in, means it’s convenient and easy,” he said. “We’re not sure where these illegal vapes were going, and our investigations are ongoing.”

    Gillian Golden, CEO of the Independent British Vape Trade Association, said noncompliant vape products are also associated with noncompliant sales, “often to underage consumers.”

    She said the association would continue to assist trading standards over noncompliant vaping products.

  • More Young Smokers During Lockdown

    More Young Smokers During Lockdown

    Photo: marjan4782

    The number of young adults who smoke in England rose by about a quarter in the first lockdown, reports The Guardian, citing new research from University College London (UCL) and the University of Sheffield. At the same time, the number of people who quit smoking nearly doubled across all groups.

    “The first lockdown was unprecedented in the way it changed people’s day-to-day lives. We found that many smokers took this opportunity to stop smoking, which is fantastic,” said Sarah Jackson, the lead author and a principal research fellow at UCL.

    “However, the first lockdown was also a period of great stress for many people, and we saw rates of smoking and risky drinking increase among groups hardest hit by the pandemic.”

    While the widespread belief that smoking and drinking relieved stress could be a factor in the apparent increased prevalence among people aged 18 to 34, the researchers pointed out that their data did not indicate what the causes may be.

    Doug Mutter

    Doug Mutter, director at U.K. vaping specialist VPZ, warned that the country is now in danger of missing its 2030 smoke-free targets.

    “Smoking statistics are continuing to rise as the pandemic has triggered an increase in smoking rates and the public health problem has been compounded by funding cuts for NHS stop-smoking services and local support groups,” he said.

    “There has been a lack of funding and joined up strategy to tackle smoking, and we are now sleepwalking into another public health crisis with a new generation of smokers being consigned to an early death or serious disease.”

    Mutter pointed to a new report from Royal College of Physicians Tobacco Advisory Group, which backs vaping as an effective treatment for tobacco dependency and recommends that it should be included and encouraged in all treatment pathways.

    A VPZ consumer survey from September 2020 found that among the 14,000 smokers served:

    • 25 percent of people said they were unable to buy their vaping products because of store closures;
    • 26 percent of smokers said they had increased the number of cigarettes they smoked during lockdown;
    • 65 percent of people claimed they received no advice during lockdown of the best ways to quit smoking, through either NHS or online resources;
    • 58 percent of people said they did not feel healthier coming out of the initial lockdown; and
    • 45 percent of people said their mental health was affected during the lockdown.
  • A message of hope

    A message of hope

    Public Health England (PHE) has released a new film showing the devastating harms that can be caused by smoking combustible cigarettes, and how those health problems can be avoided by switching to vaping electronic cigarettes or by using a quit aid.
    The film has been released as part of PHE’s Health Harms campaign, which encourages smokers to attempt to quit in January. It demonstrates the harm to health caused by every cigarette.
    The film features a leading smoking cessation academic at University College London, Dr. Lion Shahab, and a National Health Service GP, Dr. Rosemary Leonard, ‘visually demonstrating the high levels of cancer-causing chemicals and tar inhaled by an average smoker over a month, compared to not smoking or using an e-cigarette,’ according to a PHE press note on the GOV.UK website.
    ‘The results of the demonstration visually illustrate the stark contrast between the impacts of smoking and vaping. Research estimates that while not risk-free, vaping is at least 95 percent less harmful than smoking.
    ‘Around 2.5 million adults are using e-cigarettes in England, and they have helped thousands of people successfully quit – but many smokers (44 percent) either believe that vaping is as harmful as smoking (22 percent) or don’t know that vaping poses much lower risks to health (22 percent).’
    Professor John Newton, director of health improvement at PHE, was quoted as saying that it would be tragic if thousands of smokers who could quit with the help of an e-cigarette were being put off due to false fears about safety. “We need to reassure smokers that switching to an e-cigarette would be much less harmful than smoking,” he said. “This demonstration highlights the devastating harms caused by every cigarette and helps people see that vaping is likely to pose only a fraction of the risk.
    “We want to encourage more smokers to try and quit completely with the help of an e-cigarette, or by using other nicotine replacement such as patches or gum, as this will significantly improve their chances of success. If you’re trying to stop smoking, our free online personal quit plan will help you find the support that’s right for you.”
    Meanwhile, Shahab was quoted as saying that the false belief that vaping was as harmful as smoking could be preventing thousands of smokers from switching to e-cigarettes to help them quit. “I hope this illustrative experiment helps people see the huge damage caused by smoking that could be avoided by switching to an e-cigarette,” he said.
    “Research we and others have conducted shows that vaping is much less harmful than smoking and that using e-cigarettes on a long-term basis is relatively safe, similar to using licensed nicotine products, like nicotine patches or gum. Using e-cigarettes or nicotine replacement such as patches or gum will boost your chances of quitting successfully.
    “Smoking increases the risk of developing more than 50 serious health conditions, including cancer and heart disease, and doubles the risk of dying from a stroke. Of the 6.1 million smokers in England, 6 in 10 want to quit, but many try to quit using willpower alone – or going ‘cold turkey’ – despite this being the least effective method.
    “The most successful quit attempts use a combination of effective stop smoking support methods. Recent research suggests that smokers who quit with the help of an e-cigarette are less likely to start smoking again.
    “Public Health England’s personal quit plan is a quick, free and easy-to-use digital tool to help smokers find the right support to help them quit, taking into account how much they smoke, and any quitting support used previously.”
    Leonard said that she had wanted to be involved in the experiment because every day she saw the devastating impact that smoking had on people’s health, but rarely got the opportunity to show people what was happening inside their bodies when they smoked.
    “I regularly give patients advice about quitting and when I recommend e-cigarettes, I am often surprised to hear the misconceptions some people have about them, she said. “The results of this experiment clearly show that every cigarette you smoke causes tar to enter your body and spreads poison throughout your bloodstream. Vaping is much less harmful than smoking and I really hope this experiment will encourage smokers to make a quit attempt. No matter how old you are, it’s never too late to stop.”
    John Dunne MD of E-Liquid Brands and director of the UK Vaping Industry Association (UKVIA) described the contents of the PHE press note as “fantastic news going into the new year when many people in this country are looking to quit smoking and improve their health”. “This further goes to support the positive vaping narrative that this country is lucky to have and I hope it will assist smokers in making an informed decision,” he said.
    “Vaping is fast becoming the most popular quitting aid in the UK and around the world. However, according to the latest ASH research 40 percent of smokers have not tried them. There is a serious public misunderstanding of the risks and benefits of e-cigarette use.
    “Millions of smokers wrongly think that vaping is as harmful as smoking and fewer than one in ten adults know that most of the health damage caused by smoking comes from the by-products of cigarette combustion, and not from the nicotine content. In 2017 only 13 percent of adults correctly identified that e-cigarettes are much less harmful than smoking, compared to 21 percent in 2013. The proportion of adults thinking that e-cigarettes are at least as dangerous as smoking nearly quadrupled from 2013 to 2017 from seven percent to 26 percent.
    “I hope that this experiment will go some way to dispelling this false notion.”

  • Ancient rules invoked

    Ancient rules invoked

    Barnsley Council has been warned by lawyers that its plan to ban the sale of smoking goods in its new market complex is ‘legally defective’ and ‘unlawful’, according to a story in the Barnsley Chronicle.
    The Council is said to stand accused of interfering with ancient rights.
    Barnsley Council had intended to stop the sale of smoking-related goods in the market when traders moved in later this year, but the authority has been accused of overriding centuries-old rules covering markets.
    Barnsley was granted its markets charter in 1249.
    Solicitors acting for traders have written to the council warning that its plans to stop existing market traders from continuing to sell smoking-related goods when the new premises open later this year conflict with rights which, they say, allow both traders and customers to buy and sell goods in the market.
    They have given details of a legal case from 1974 when a trader successfully challenged a decision to exclude him from the market and say ‘similar principles arise’.
    The law firm Bury and Walker was quoted as saying: ‘The Court of Appeal previously held that the council had acted unlawfully because they had overstepped their powers; as again their actions interfered with the same ancient rights’.
    Barnsley Council is due to respond to the letter shortly.

  • Much work to be done

    Much work to be done

    England will not go smoke free until after 2050, according to new research conducted by Frontier Economics and commissioned by Philip Morris Limited (PML).
    However, there are stark variations in the predicted rates of decline in different parts of the country, with one in 10 areas predicted still to be smoking in 32 years’ time and 23 percent predicted to have stopped before 2030.
    The areas predicted to go smoke free soonest are Bristol (in 2024), Wokingham and York (both 2026).
    The areas expected still to be smoking beyond 2050 include North Lincolnshire, Derby and Cheshire East.
    The research highlights also a variety of measures that could accelerate the decline in cigarette smoking, including increasing the number of smokers using National Health Service Stop Smoking services and getting more switching to better alternatives such as electronic cigarettes and non-combusted cigarettes.
    The new figures are detailed on a website launched by PML at www.lastsmoke.co.uk, which presents Office of National Statistics data for postcode areas through an interactive tool. It also includes a powerful call to action to encourage communities to go smoke free faster.
    The findings of the report include:

    • Regional falls in smoking rates from 2011 to 2017 varied from 10 percent to one percent, with one area, Cheshire East, seeing a rise in smoking prevalence in 2017 from that of six years earlier.
    • Significant differences in smoking prevalence across England, with three percent of local authority areas having a rate higher than 20 percent and four percent having a rate of between five percent and 10 percent.
    • Deprived areas have a higher prevalence rate of smokers. The three areas with the highest rates of smoking, Kingston upon Hull, Blackpool and North Lincolnshire, have an average rate of 22.1 percent, compared to an average rate of 8.8 percent among the three lowest, which are Rutland, York and Wokingham.

    The Last Smoke website also includes other proposals that could accelerate the end of cigarettes in the country. These include more independent research into smoking alternatives, targeted government campaigns through school and social media to stop smoking in the first place and tackling the trade in illicit cigarettes by taking tougher action against criminal gangs.
    “Our business is committed to going smoke free as fast as possible and ultimately stopping selling cigarettes altogether,” said Mark MacGregor, UK corporate affairs director of PML. “What this research reveals is the huge variations in the decline in smoking in different parts of the country. We want to play our part in working with local businesses, retailers and councils in the areas with highest smoking rates. It is not going to be easy getting smokers in these areas to stop. One of the keys to success will be ensuring they understand that there are more alternative options than ever that can help them give up cigarettes for good.”

  • Aiming for five percent

    Aiming for five percent

    England could be almost tobacco-smoke-free within the next 12 years, according to a story by Harriet Williamson for Metro Café, quoting the UK’s National Health Service (NHS) agency Public Health England (PHE).
    Duncan Selbie, described as a top health official, said that fewer than five per cent of people in England should be smoking by the year 2030, but he called on the NHS to do more to help people overcome their ‘addiction’ to tobacco.
    ‘Smoking should no longer be seen as a lifestyle choice, it is an addiction that warrants medical treatment,’ he was quoted as saying.
    ‘Everyone who smokes must be offered the support they need to quit.’
    Selbie cited also cardiovascular disease and obesity as important areas for the NHS and Public Health England to address. ‘These three priorities are where the NHS and PHE should focus efforts,’ he said. ‘It is not that other priorities won’t matter, but these will need to matter most.
    ‘Successful delivery will require action from every part of civil society. We must pull together to use our resources and we must engage the public directly in the choices they are making about their own health and wellbeing.’
    According to the NHS, smoking is responsible for 90 percent of lung cancers and can also cause cancers of the mouth, lips, throat, larynx, oesophagus, liver, bladder, kidneys stomach and pancreas.
    Smoking is linked also to heart disease, heart attacks, strokes, infertility, pneumonia, bronchitis, and emphysema, and can worsen conditions such as asthma.
    NHS figures from 2017 show that 14.9 percent of adults are currently classed as smokers, down from 15.5 percent in 2016, and 19.8 percent in 2011.

  • Putting the record straight

    Putting the record straight

    Public Health England (PHE) is trying to dispel some of the persistent inaccuracies and misconceptions that surround electronic cigarettes and vaping.
    Writing on the Gov.uk Blogs website, Martin Dockrell, PHE’s tobacco control programme lead, said that e-cigarettes tended to court controversy among the public and media alike. Not surprisingly, there were lots of inaccuracies and misconceptions about e-cigarettes and vaping.
    ‘Our latest comprehensive independent e-cigarette review, authored by leading academics in the tobacco control field, looks at the up-to-date international data and peer-reviewed research,’ Dockrell said.
    ‘Despite the sometimes confused, and confusing, media reporting around the safety of e-cigarettes, there is growing consensus around the evidence. While not without some risk, when compared to smoking e-cigarettes are far less harmful.
    ‘This view is supported by a number of key bodies, including Cancer Research UK, Action on Smoking and Health, the Royal College of Physicians, the British Medical Association and, recently, a major US science body, the National Academies of Sciences, Engineering, and Medicine.’
    Dockrell then goes on to examine and debunk five common myths about e-cigarettes and vaping.
    In summary, he said, e-cigarettes and tobacco cigarettes were not the same and shouldn’t be treated as such. ‘It’s important that England’s seven million smokers are aware of the differences and have accurate information to inform their health decisions. E-cigarettes aren’t completely risk free but carry a fraction of the risk of smoking and are helping thousands of smokers to quit and stay smoke-free.’
    Dockrell’s blog is at: https://publichealthmatters.blog.gov.uk/2018/02/20/clearing-up-some-myths-around-e-cigarettes/

  • E-cig review welcomed

    E-cig review welcomed

    The UK Vaping Industry Association has described a Public Health England (PHE) evidence review as another ringing endorsement for the positive public health opportunity that vaping represents.
    The PHE electronic-cigarette evidence review, which was made public yesterday, was undertaken by leading independent tobacco experts and provides an update on PHE’s 2015 review.
    It covers e-cigarette use among young people and adults, public attitudes, the impact on quitting smoking, an update on risks to health and the role of nicotine. It also reviews heated tobacco products.
    The reviews key findings are:
    * E-cigarettes could be contributing to at least 20,000 successful new quits per year and possibly many more;
    * E-cigarette use is associated with improved quit success rates over the last year and an accelerated drop in smoking rates across the country;
    * Many thousands of smokers incorrectly believe that vaping is as harmful as smoking; around 40 percent of smokers have not even tried an e-cigarette;
    * There is much public misunderstanding about nicotine. Less than 10 percent of adults understand that most of the harms to health from smoking are not caused by nicotine;
    * The use of e-cigarettes in the UK has plateaued over the last few years at just under three million;
    * The evidence does not support the concern that e-cigarettes are a route into smoking among young people. Youth smoking rates in the UK continue to decline. Regular use is rare and is almost entirely confined to those who have smoked.
    “The UK Vaping Industry Association welcomes yet another ringing endorsement for the positive public health opportunity that vaping represents,” said an association spokesman.
    “It is shocking that 40 percent of smokers haven’t even tried a vaping product to reduce or stop smoking, when the evidence quite clearly demonstrates it is the most effective way.
    “If we are to persuade the UK’s remaining seven million smokers that there is a viable, effective, safer alternative to smoking, then the industry must be allowed to communicate effectively with smokers. Why is the vaping industry itself explicitly banned from advertising the research that Public Health England have reported on today?
    “Professor Newton [Professor John Newton, director of health improvement at PHE] is absolutely right that it would be tragic if thousands of smokers who could quit are put off because of false claims and junk science. That’s why the government must deliver on its commitment to review and reform vaping-related regulation as we leave the EU to create a system that better reflects the public health reality.”

  • What smoking bans?

    What smoking bans?

    A prisoner has lost his attempt to enforce the smoking ban in English and Welsh jails after the supreme court ruled that crown premises are effectively exempt from the enforcement of health regulations, according to a story in The Guardian.

    The unanimous judgment from the UK’s highest court will prevent the inmate from calling the National Health Service’s smoke-free compliance line to report breaches of the ban.

    Lady Hale, the president of the supreme court, said she was driven with “considerable reluctance” to conclude that when parliament passed the 2006 Health Act, prohibiting smoking in offices, bars and enclosed areas, it did not mean to extend it to government or crown sites.

    Sean Humber, head of the prison law team at the law firm Leigh Day who represented the inmate, said: “Why shouldn’t those living, working or visiting government properties be subject to the same laws, and indeed benefit from the same legal protections, as the rest of us?

    “This judgment has far wider implications than simply the issue of smoking in prisons. It confirms that thousands of government properties, including, for example, courts and jobcentres, are not covered by the provisions of the Health Act prohibiting smoking in enclosed places. While many of these buildings even have signs saying it is against the law to smoke in them, these turn out to be incorrect.”

    The Guardian’s story is at: https://www.theguardian.com/society/2017/dec/19/jails-exempt-smoking-ban-uk-supreme-court-rules.