I'd
like to feed in some observations from my UK/Scotland perspective. In
the UK there is no one position but different approaches
are being taken in each of the four UK nations. In Scotland we work to
an agreed e-cigarette consensus statement from 2017, brokered by the
national health agency NHS Health Scotland in the light of available
research evidence considered at the time.
http://www.healthscotland.scot/media/1576/e-cigarettes-consensus-statement_sep-2017.pdf
Scotland's
statement recognises the importance of stopping smoking as the main
aim, with expert support and (prescription) medicinal
treatments being the strongest recommendation.
https://simonchapman6.com/2019/09/13/evidence-of-the-effectiveness-of-e-cigarettes-dismal-or-disrupting/
NASEM Summary by outcomes https://www.nap.edu/resource/24952/012318ecigaretteConclusionsbyOutcome.pdf
full report: http://nationalacademies.org/hmd/reports/2018/public-health-consequences-of-e-cigarettes.aspx
The
UK has some advantages in terms of regulation (mainly Westminster
legislation enacting the European Tobacco Products Directive).
We have a limit on nicotine content in e-liquids, a requirement to
notify nicotine containing e-liquids to the Westminster Dept of Health,
and limits on cross-border advertising. In addition the Scottish
Government plans to consult towards the end of this
year on further regulations to restrict domestic (Scottish) e-cigs
advertising (eg billboards and free samples). Non-nicotine containing
e-liquids however currently fall under general consumer (ie food)
regulations.
Statement on federal and state collaboration to investigate respiratory illnesses reported after use of
e-cigarette products
https://www.fda.gov/news-events/press-announcements/statement-federal-and-state-collaboration-investigate-respiratory-illnesses-reported-after-use-e?utm_campaign=08302019_Statement_FDA,%20CDC%20investigate%20lung%20illnesses%20reported%20after%20e-cigarette%20use&utm_medium=email&utm_source=Eloqua
CDC Severe Pulmonary Disease Associated with Using E-Cigarette Products
https://emergency.cdc.gov/han/han00421.asp?deliveryName=DM8038
Information Update - Health Canada warns of potential risk of pulmonary illness associated with vaping products
https://www.newswire.ca/news-releases/information-update-health-canada-warns-of-potential-risk-of-pulmonary-illness-associated-with-vaping-products-895930501.html
I
believe there are serious gaps in analysis on the part of some
commentators with regards to a) the effects of use of e-cigs at
whole-population
level and b) how commercial multi-nationals operate to drive and
protect their profits. I would add from a Scotland/UK perspective also
c) ambient vapour.
Finally,
it is perhaps telling that Hon Lik - the inventor of the original
e-cigarette in 2002/3, who intended it as a method to quit
smoking – went on as the Guardian reported in 2015 to work for a
multinational tobacco company and be a dual user of combustible tobacco.
https://www.theguardian.com/society/2015/jun/09/hon-lik-e-cigarette-inventor-quit-smoking-dual-user
Scotland’s e-cigarette consensus statement states (again on research available at the time)
‘Using e-cigarettes without stopping smoking (dual use) does not provide health benefits.’
Best wishes
Chief Executive