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Bill Godshall Update 2016-09-06

Tobacco Harm Reduction Update, September 6th, 2016

THR Surveillance, Vaping Research, THR Education and Advocacy, FDA Deeming Rule, TCA Litigation, US Congress, THR Economics and Business, E-Liquid, Vapor Taxation, Flavoring Ban, Vapor Prohibition, Vapor/Tobacco Retailer Bans, Vaping Bans, Minimum Age, Mandating Reduced Nicotine Cigarettes, Cigarette Black Markets, More Junk Science - Propaganda - Lies.


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THR Surveillance

MTF authors finally acknowledge 2015 MTF survey (released in December) finding that just 20% of teens who reported vaping in past 30 days reported vaping nicotine, release more data (Table 2) finding teens who vaped 6+ times in past 30 days were twice as likely to vape nicotine than teens who vaped 1-5 times, and about three times more likely to vape nicotine than teen ever vapers who didn’t vape in past 30 days, indicating teens who vape regularly are far more likely to vape nicotine than experimenters, finds:
- Nicotine was vaped by 47.5% of 12th graders who vaped 6+ times in past 30 days, by 22.7% who vaped 1-5 times, by 15.5% of ever vapers who didn’t vape in past 30 days.
- Nicotine was vaped by 40.5% of 10th graders who vaped 6+ times in past 30 days, by 19.0% who vaped 1-5 times, by 14.3% of ever vapers who didn’t vape in past 30 days.
- Nicotine was vaped by 19.5% of 8th graders who vaped 6+ times in past 30 days, by 14.5% who vaped 1-5 times, by 11.4% of ever vapers who didn’t vape in past 30 days.

Newly released 2015 MTF data (Table 2) also found that most teens who ever vaped did NOT vape in the past 30 days, while just 15% vaped 6+ times in the past 30 days, indicating the vast majority of teen vaping in the US has been experimental; finds:
- Among 12th graders who ever vaped, 15.1% vaped 6+ times in past 30 days, 28.9% vaped 1-5 times in past 30 days, and 56.0% did not vape in past 30 days.
- Among 10th graders who ever vaped, 16.3% vaped 6+ times in past 30 days, 26.4% vaped 1-5 times in past 30 days, and 57.3% did not vape in past 30 days.
- Among 8th graders who ever vaped, 13.7% vaped 6+ times in past 30 days, 24.7% vaped 1-5 times in past 30 days, and 61.6% did not vape in past 30 days.

But headline and first sentence of BMJ press release misrepresented 2015 MTF survey finding (that 20% of teens reported vaping nicotine the last time they vaped) to falsely claim intent “US teens more likely to vape for flavourings than nicotine in e-cigarettes”. Press release then falsely claimed “It is widely assumed that teen vapers are vaping nicotine” (instead of truthfully admitting that Obama’s DHHS has falsely classified all teen vapers as nicotine/tobacco users since 2013), then quoted authors contradicting their findings by falsely claiming “vaporiser use does indeed increase tobacco/nicotine prevalence,” and falsely insinuating vaping nicotine causes addiction. But authors do acknowledge the term ENDS doesn’t accurately describe many vapor products.

Note these same MTF authors still haven't released 2015 MTF data comparing frequency of vaping by smokers, exsmokers and never smokers, nor have they released 2015 MTF data comparing nicotine vaping by smokers, exsmokers and never smokers, which almost certainly found that smokers and exsmokers are far more likely to vape nicotine than never smokers, and are far more likely to be frequent vapers.

AVA’s Greg Conley: Turns out vaping isn’t causing a ‘nicotine epidemic’ among teens

Mike Siegel: Results of new study refute e-cigarette gateway hypothesis as well as claim that youth vaping is renormalizing smoking

ACSH exposes 2015 MTF survey finding that just 20% of teen vapers vaped nicotine

NIDA funded MTF surveyor Richard Miech falsely tells Medical New Today that vaping encourages teens to smoke and is a gateway to cigarettes (even though his 2015 MTF survey found just 20% of teen vapers reported vaping nicotine)

Consumer Healthday headline repeats BMJ press release’s inaccurate headline about 2015 MTF survey findings on teen vaping, invites vaping prohibitionist Patricia Folan (who they falsely called an “expert”) to lie about vaping and criticize the MTF survey.

Washington Post headline “Teen vaping is not what you think it is” repeats false claim in BMJ press release “It is widely assumed that teen vapers are vaping nicotine” on article
about 2015 MTF finding that just 20% of teen vapers reported vaping nicotine.

Winston-Salem Jrnl headline repeats inaccurate BMJ press release headline (that misrepresented the MTF survey finding) to insinuate that flavorings are the reason most teens vape

AP reporter Mike Stobbe falsely claims “Health officials warn that electronic cigarettes and other vaping devices are poisoning kids with nicotine” and that teens “are using sweet and fruity flavors like strawberry, chocolate cake and bubble gum” in first two sentences of article on 2015 MTF survey finding just 20% of teen vapers reported vaping nicotine, fails to acknowledge CDC has falsely classified all vapor products as containing nicotine for many years to greatly exaggerate the number of teen tobacco users to lobby for FDA deeming ban, cites Big Pharma funded CTFK’s Matt Myers criticizing survey.
and NR News headline repeated Stobbe’s false fear mongering claim. “Health officials warn that electronic cigarettes and other vaping devices are poisoning kids with nicotine”

Legacy lies initiative’s Robin Koval touts 2015 MTF finding (that 20% of ever vaping teens vaped nicotine) to lobby FDA to ban flavorings in all vapor and tobacco products
(after Legacy has lobbied FDA since 2009 to ban all nicotine vapor products),
reposts false fear mongering NR News headline claiming

Big Pharma funded vapor prohibitionist CTFK’s Matt Myers criticizes MTF survey finding just 20% of teen ever vapers reported vaping nicotine the last time they vaped

Ken Warner evaluates MTF data on teen vaping, concludes: “Non-smoking high school students are highly unlikely to use e-cigarettes; among those who do, most used them only on 1–2 of the past 30 days. By contrast, current smokers are likely to use e-cigarettes and on many more days.”

Mike Siegel: New study refutes e-cigarette gateway hypothesis

Vaping Research

New study finds smokers who switched to vaping after one year sharply reduced shortness of breath and cough/phlegm, increased FEF 25%-75%

Study evaluates THC vaping via new e-liquid cartridges

Study finds very few, if any, vapers or smokers refer to vapor products as ENDS, an inaccurate term (since many vapor products contain/emit no nicotine) widely used by Obama’s DHHS and its anti-vaping funding recipients

Study finds 74% of vapers reported no restrictions (in workplaces and public places) on their vaping, 26% reported restrictions

PMI Reduced-Risk Product Scientific Update

THR Education and Advocacy

Dr. Brian Goldman: MDs who blow smoke about vaping (Canada/US)

Mark Tyndal: The time is right to spark easier electronic-cigarette access (Canada)

Rob Breakenridge interviews Dave Sweanor about vaping risks and benefits

A Billion Lives North American Premiere Recap

A Billion Lives French Premiere September 11 at the Grand Rex in Paris

A Billion Lives at Jozi Film Festival on September 16th in Johannesburg, South Africa

Reason Foundation Working Paper
The Vapour Revolution: How Bottom-Up Innovation is Saving Lives

Vaping is saving lives, American think tank argues

Houston/Sweanor: Is vaping the new aspartame?

Freddie Dawson: Fear of Innovations will hit e-cigs as hard as aspartame

Call for softer line on vaping (UK)

FDA Deeming Rule

Nicopure v FDA: Vapor industry plaintiffs file 55 page joint memorandum in opposition to FDA’s cross-motion for summary judgment and reply

Christopher Russell: "Unintended Consequences of the FDA's E-Cigarette Regulations"

New FDA regulations could extinguish Nevada’s vapor industry

FDA revises its 2011 Guidance on HPHCs to include vapor products and emissions

FDA issues Draft Guidance for Submission of Warning Plans for Cigars

Charlie Minato: FDA issues cigar warning, advertising plan draft guidance

Brad Rodu – FDA study: Cancer risks nearly nil for 1-2 cigars per day

Brad Rodu: FDA study Part II, Heart and lung disease nearly zero for 1-2 cigars per day

Note that all five FDA mandated cigar warnings (below) make grossly misleading fear mongering claims to demonize cigars, which are far less harmful than cigarettes
- Cigar smoking can cause cancers of the mouth and throat, even if you do not inhale.
- Cigar smoking can cause lung cancer and heart disease.
- Cigars are not a safe alternative to cigarettes.
- Tobacco smoke increases the risk of lung cancer and heart disease, even in nonsmokers.
- Cigar use while pregnant can harm you and your baby.

New York Times headline/article falsely claims tobacco industry lobbied against FDA’s cigarette protecting Vapor Deeming Ban (that Altria urged FDA to impose since 2010, and Altria, Reynolds and Lorillard endorsed in their 2014 Deeming docket comments)

FDA/NIH funded vapor prohibitionist Stan Glantz highlights NY Times article, absurdly blames former OMB staffer Andrew Perraut for “exploding e-cigarette use among kids and keeping smokers smoking cigarettes” after CDC, FDA, Glantz and other vapor prohibitionists generated thousands of news articles and subsequent teen interventions that repeatedly dared teens to vape (by telling them not to).

TCA Litigation

Sanzo/Dorsey: Court strikes FDA Preapproval for tobacco product labeling changes

US Congress

Sen. McConnell’s comment on TPP ends Obama’s chance to close deal

US Senator Ron Johnson now in statistical tie with Russ Feingold (Wisconsin)

THR Economics and Business

Carl Phillips: Understanding the basic economics of tobacco harm reduction

Philip Morris International touts IQOS as low risk alternative for smokers in Japan, but Bloomberg reporter and editor refer to heat-not-burn products as vapor products
PMI hires former Big Pharma lobbyist/publicist Liam English to direct communications

Corresta Newsletter August 2016


UK man committed suicide by drinking e-liquid
[Editor's note: this death, like all others known, was due to ingestion of a drug cocktail and not nicotine alone; we also do not know at this time if the nicotine was in fact 'e-liquid' (a retail vaping refill), and this is extremely unlikely: it is far more likely that the material was pure nicotine or highly-concentrated nicotine, which is not e-liquid.]

Vapor Taxation

R Street’s Steven Greenhut and Cameron Smith – Prop 56: Tobacco Initiative Fails to Make Crucial Distinctions

R Street: California’s misguided anti-vaping measure will harm public health (Prop 56)

No on Proposition 56: Stop the Special Interest Tax Grab (CA)

California Proposition 56: Committees and Funding (for/against)

San Francisco Chronicle editorial endorses Prop 56, fails to acknowledge it unfairly taxes lifesaving vapor products and low risk OTP at same rates as deadly cigarettes

Sweanor/Warner: Measure 4 wrongly target all tobacco products (North Dakota)

Robert Jack shuts down Azure Vaping in York, PA after six years citing FDA vapor deeming ban and PA’s 40% vapor tax

Local vapor shops struggle with new taxes, regulations (PA),24898567/

PA lawmaker countering 40% vape tax

PA pols should be sweating over vaping tax

Central PA Vape Expo, Carlise Expo Center, September 17/18
(sell/buy vapor products before PA’s 40% tax goes into effect October 1)

David Sweanor: Now is not the time to tax e-cigarette liquid (Ireland)

Flavoring Ban

Marion (MA) Board of Health considers banning menthol cigarettes

Vapor Prohibition

Punjab police issue warnings to e-cig retailers (after lifesaving vapor products were banned, but not deadly cigarettes)

Vapor/Tobacco Retailer Bans

CDC lobbies to ban pharmacies from selling tobacco (including lifesaving vapor products, very low risk smokeless tobacco, and low risk cigars), touts survey finding 66% public support, hawks Big Pharma drugs, stigmatizes tobacco consumers by claiming a ban "may reinforce pharmacy store efforts to promote wellness, and further cultivate social climates that reduce the desirability, acceptability, and accessibility of tobacco", fails to acknowledge that banning tobacco sales at pharmacies doesn’t reduce smoking.

CDC press release advocates banning pharmacies from selling tobacco/vapor products

Big Pharma/FDA funded AHA touts CDC survey, lobbies to ban pharmacies from selling vapor or tobacco products, fails to ethically disclose AHA’s Big Pharma funding

Big Pharma funded CTFK’s Matt Myers touts CDC lobbying survey to ban pharmacies from selling vapor and tobacco products, praises CVS for banning sales, but fails to ethically disclose that CVS funds CTFK

NCI funded UNC activists advocate banning tobacco retailers located within 1,000 feet of schools, cite study finding tobacco retailers are closer to schools in black urban areas, press release headline falsely claims banning retailers can reduce racial/ethnic disparities

Pharmacies urged to ban tobacco

Vaping Bans

California Senate sends bill (SB 977) banning vaping, smoking within 250 feet of youth sporting events to Gov. Brown

California Senate sends bill (SB 1333) banning vaping and smoking at state’s 270 beaches and parks to Gov. Brown

Malaysia Health Ministry to ban vaping and smoking at all national parks, maximum fine for violations to be US$1,239

Minimum Age

St. Louis County (MO) Council to consider bill to increase minimum age for vapor and tobacco product sales to 21

Vapers urge St. Louis County Council to keep minimum age for vapor sales at 18

Columbia County (NY) BOH rejects proposal to increase minimum age for tobacco/vapor sales

Mandating Reduced Nicotine Cigarettes

Lynn Kozlowski: Let actual markets help access the worth of optional very-low-nicotine cigarettes before deciding on mandatory regulations

DHHS funded FDA Vapor Deeming Ban advocates Benowitz, Donny, Hatsukami feign support for smokers switching to vaping to advocate mandatory low nicotine cigarettes,
but fail to criticize or renounce support for FDA’s rule banning lifesaving vapor products.

Imperial Tobacco Canada tells Health Canada proposed plain packaging tobacco legislation violates Canada’s Constitution

Cigarette Black Markets

Australia’s cigarette wars turn violent

More Junk Science, Propaganda and Lies

Researchers find that giving mice nearly lethal levels of nicotine “trigger effects normally associated with the development of COPD”. But since humans don’t consume nearly lethal levels of nicotine, and since rodents react to nicotine differently than humans, the study is useless. Peter Hajek’s comment exposes and refutes authors’ assertions.

Greek cardiologist Charalambos Vlachopoulos fraudulently claims vaping causes heart disease at Big Pharma funded conference, UK news outlets sensationalize false fear mongering claims in headlines and articles with little or no fact checking.

Note the Greek study cited above found (as have many studies) vaping nicotine caused the same temporary cardiovascular changes (i.e. higher BP, increased heart rate, aortic stiffness) that are caused by other forms of nicotine consumption, caffeine consumption, exercise and stress. In sharp contrast to Vlachapoulos’ sensationalized claims at the conference and to the news media, his study only measured temporary impacts of vaping,
absurdly instructed smokers to vape continuously for 30 minutes (something vapers don’t do), and inappropriately equated/compared it to smoking one cigarette for 5 minutes.
A 2003 study by Vlachapoulos found caffeine consumption also caused aortic stiffness.

Zvi Herzig, Riccardo Polosa and Clive Bates expose/debunk fraudulent claims by Greek researcher claiming their study found vaping increases risk for cardiovascular disease

Clive Bates: When you thought public health could go no lower – it just did

Ontario Ministry of Health funded junk study authors conclude e-cigs don’t help smokers quit smoking after excluding all vapers who quit smoking from participating in their study, after inaccurately classifying all participants who vaped even once (with or without nicotine) as e-cigarette users, and after studying only smokers who enrolled in a biased smoking cessation service that promoted and gave away free NRT.

FDA/NIH funded vapor prohibitionist touts Canadian junk smoking cessation study

NIH/California funded Stanford study by anti vaping activists finds most US doctors massively misinformed about vaping (after years of lies by Obama’s DHHS and Big Pharma shills), finds 47% of doctors’ answers to patients about vaping were negative, 33% were neutral, just 20% were positive; but study authors falsely claimed there’s no evidence vaping helps smokers quit smoking and falsely claimed some vapor flavorings are toxic, questioning the objectivity of authors when conducting and writing study

FDA scientists find higher levels of bacteria in moist snuff than in snus and some chewing tobacco products, but authors fail to acknowledge that all smokeless tobacco products are far less harmful than cigarettes, while claiming (without any evidence) that bacteria in smokeless tobacco might/could/may cause infections and cancer

Mike Siegel: Hypocrisy Alert: Nevada health official blasts vaping industry for spreading misinformation, then claims vaping is known to cause cancer

Activist researchers lobby to ban/restrict vapor advertisements by unethically urging nonsmoking/nonvaping teens to vape (by showing them lots of e-cig ads), find no evidence that seeing lots of e-cig ads encourages teens to smoke cigarettes, but authors cite irrelevant finding in abstract and falsely claim occasional smoking is as harmful as daily smoking.

Press Association headline falsely claims e-cig ads may cause children to underestimate smoking risks citing study finding e-cigs ads had no impact on teens smoking based on misrepresentation by authors of study findings.

Univ. of Texas and MD Anderson Cancer Center lie to youth about e-cigarettes

Vapor and snus prohibitionist Simon Chapman protects cigarettes, lies about THR, conflates lifesaving vaping with deadly cigarette smoking, fails to mention smokeless

Vapor prohibitionist ASH’s Laurant Huber obfuscates about vaping, risk reduction and public health by claiming vaping isn’t “a hundred percent safe” (as nothing is 100% safe)

- Bill Godshall
Godshall THR update 2016-09-06