Friday, March 28, 2014

E-cigarettes: a doctor's view of the good, the bad and the ugly




e cigarettesFirst, my own experience as a doctor – I have found e-cigarettes to be one of the most effective methods of cutting down or quitting smoking for recalcitrant smokers.


This is because e-cigarettes are not only a nicotine replacement therapy, they are a total smoking cessation therapy, as vaping simulates the act of smoking, and you physically draw vapor into your mouth.



I have found e-cigarettes to be one of the most effective methods of cutting down or quitting smoking for recalcitrant smokers.



Several years ago I learned a technique for hypnotizing smokers to quit, and the biggest obstacle to overcome other than the nicotine was the image that people had of themselves with a cigarette in their mouths. E-cigarettes allow a cigarette addict to perpetuate the image and the nicotine, but to lose the tar and other cigarette toxins that cause cancer and emphysema.


Though there are no long term studies to show I’m right about e-cigarettes for smoking cessation, there is one recent study in the British journal Lancet that did demonstrate that e- cigarettes were at least as successful as a nicotine patch.


But if I see e-cigarettes as a potential tool to quit for adults, at the same time, I am very concerned about the growing role e-cigarettes are playing for teens, many of whom are non-smokers the first time they try an e-cigarette.


According to the Centers for Disease Control e-cigarette use among high schoolers is now up to 10 percent, double from a year ago, with 80 percent also smoking tobacco.


Dr. Tom Frieden, head of the CDC and a top expert in preventive health, told me that e- cigarettes can be a gateway drug, with nicotine addiction leading to more tobacco use.


I believe that, and though 12 states including New York ban e-cigarette use for minors, few are listening, and kids can still buy their e-cigarettes on line.


On top of this problem, liquid nicotine is now being sold in different flavors on-line, at much higher concentrations than is found in an e-cigarette, which generally includes nicotine levels in the 1.8% to 2.4% range.


The low concentration is less risky, but Vaporworld, for example, sells a gallon of liquid nicotine at 10 percent concentration for only $195, and Liquid Nicotine Wholesalers charges $110 for a liter at the same concentration. With this high concentration, experts say that just a tablespoon could be enough to cause serious harm.


Nicotine is a potent neurotoxin which can be ingested or absorbed through the skin, leading to seizures, vomiting, and rapid heart rate. The number of poisoning cases linked to e-liquids was 1,351 in 2013, up 300 percent from the year before.


So clearly, there is a rising concern over the safety of nicotine liquids as well as nicotine addiction.


I believe that in the right hands, e-cigarettes can be an effective tool for quitting smoking, perhaps the best we currently have available.


Unfortunately, they are frequently not getting into the right hands, and I also know many smokers who carry both cigarettes and e-cigarettes around, and don’t actually cut down on tobacco.


The FDA is planning on increasing regulations on e-cigarettes, and I think this is a good idea, though not likely to solve the problem.


I wish there was a way of regulating e-cigarettes so that a doctor has a definite role, and can guide her patients to e-cigarettes to be used as a treatment rather than as another party chemical.


Unfortunately, the chances of e-cigarettes becoming prescription-only is about as likely as the chance of cherry flavor being replaced by the taste of cigarette ash in bubblegum.


Dr. Marc Siegel, a practicing internist, joined FOX News Channel (FNC) as a contributor in 2008.






E-cigarettes: a doctor's view of the good, the bad and the ugly

Thursday, March 27, 2014

E-CIGARETTES: Vaping industry defends its wares



 ‘Juice’ poisoning concern scrambles e-cigarette industry into defensive mode. “We tell them this stuff is poisonous,” says owner of shop.







Vinh Nguyen gives his customers at Vapor Bombz every warning there is about electronic cigarettes and the liquid nicotine that fuels them.


Show me ID. Mind the labels and the dosage. Got kids? Try a resistant cap, or the vial in shrink-wrapped plastic. Keep vials out of reach, out of sight. But once money changes hands and cutomers leave his shop, however, it’s up to them to be responsible with what is, after all, a toxic product.


“We tell them this stuff is poisonous,” says Nguyen, 30, who co-owns the shop with his brother Steve. “We do everything we can to protect the consumer, but at the end of the day, you leave a loaded gun on the floor, and your child gets hold of it, it’s not gonna be the gun maker’s responsibility.”


The vaping industry, which has grown quickly in Southern California the past few years, went into a defensive crouch Monday, defending itself against a New York Times story that highlighted a trend of rising calls to poison-control centers linked to e-liquids, the term used for the thick substance that’s combusted inside e-cig devices. Across the nation, the number of such calls rose threefold from 2012 to 2013, to 1,351.


Many have been sickened, but the only recent death, according to the story, appears to have come in 2011, when a man injected himself with nicotine.


Charles Pfeifer, who co-owns the Vape Era store in Temecula, said the story was “sensationalism…you have to be 18 to buy this stuff, so that inherently says keep it out of the reach of children.” California law bans sale of e-cigarettes to minors.


Pfeifer noted that the one death was attributed as a suicide, and the article did not mention data of poisonings by other household items.


E-cigs and liquid, also called “juice,” have been hailed by proponents as a way for addicted smokers to get their nicotine fix without sucking in the thousands of carcinogens found in traditional cigarettes. Some long-term smokers swear by them, and regularly flock to local vape shops to stock up on juices to fill up the tanks on their devices.


The liquid normally is a mixture of water, flavoring and propylene glycol, a compound that allows the juice to atomize at a relatively low temperature. When it burns, it delivers a hit of nicotine through a mouthpiece. If a vaper fills up a 4.5-milliliter tank with juice that’s 1.8 percent nicotine, and makes it last all day, he’ll inhale roughly 80 milligrams of nicotine, or the same amount that’s in about 10 cigarettes.


It would take an awful lot of puffing to overdose on nicotine that way. Science is unclear on the long-term effects of nicotine when it’s not delivered by cigarettes. But another way it can be harmful is direct contact.


In its purest form, nicotine, which is extracted from the tobacco plant, can be toxic to the touch. But the product juice-makers buy, often in jugs or barrels, already is diluted to about 10 percent. If enough gets absorbed through the skin, from a broken vial, for instance, it could make a person nauseated to the point of vomiting.


The real danger, though — and the thrust of the New York Times story — is the possibility that children could happen upon a vial of juice and ingest it.


“These fluids come in flavors that are attractive for kids,” said Dr. Helene Calvet, deputy county health officer for Orange County’s Health Care Agency. “If a kid gets hold of this and sucks down even a small amount, it could be pretty dangerous.”


Nicotine would be potentially fatal for an adult who ingests 0.5 to 1.0 milligrams per kilogram of body weight. But for children, that threshold could be as low as 0.1 mg per kilo, says Dr. Chesda Eng, a smoking-cessation specialist with St. Joseph Heritage Medical Group in Garden Grove. If a child ingests “maybe a teaspoon, that can be lethal.”


Some e-cig proponents took serious issue with The Times’ reporting: nicotine levels in most juicers “range between 1.8 percent (18 mg per ml) and 2.4 percent, concentrations that can cause sickness, but rarely death, in children. But higher concentrations, like 10 percent or even 7.2 percent, are widely available on the Internet.”


Vapor Bombz and many other stores carry vials with concentrations to 1.8 percent, but no higher. “We feel that it is unnecessary to be that high in the first place,” said Nguyen, who is a co-partner of an Anaheim juice-maker, Epic Juice. A vial that’s 2.4 percent would mostly be used by a long-term smoker trying to maintain his fix until he can reduce the dosage.


“We are not a health store,” Vape Era’s Pfeifer said. “We are not selling something to say it’s healthy – it’s just a better alternative (to smoking tobacco).


“I don’t think anybody would mind if there were some standards. I don’t think any vape shop or even juice manufactures would fight that,” Pfeifer said. “That term, that is unregulated, is just to drum up a negative story.”


The New York Times noted that Minnesota’s poison-control center received 74 calls in 2013 related to poisoning cases from e-cigs or nicotine. Of those, 29 were children 2 and under. But a pro-e-cig group called the Consumer Advocates for Smoke-free Alternatives Association noted tthat same center received 35 calls about nicotine-replacement therapy products, as well as 2,300 calls for household cleaners and 3,100 calls related to personal-care products.


“E-cigarettes have proven to be a way of quitting for lots and lots of people who tried every other way and failed at them, so that alone means that they are saving peoples’ lives,” said Carl V. Phillips, a tobacco researcher and the group’s scientific director, based in Nashua, N.H. “A lot of them have the potential to quit smoking next week if they try it, and they won’t if they’re being convinced that they’re just as bad as smoking, or if they’re convinced that it’s a dire hazard to their children if they even have them around.”


Vapers, makers and local governments forced to come up with patchwork solutions are all hoping the Food and Drug Administration will issue some kind of guidance on e-cigs and liquids soon. The FDA has the authority to regulate the devices and juices, along with other tobacco products, but the agency is waiting on the Office of Budget and Management to review the “deeming rule” before it acts.


“We’re not seeing an epidemic of kids getting overdosed with nicotine,” Eng said. “With that said, the popularity of e-cigarettes is increasing, and I can see this becoming a problem if it’s not dealt with right now. And I think the FDA needs to step in.”


By LANDON HALL

STAFF WRITER, The Press Enterprise






E-CIGARETTES: Vaping industry defends its wares

Wednesday, March 26, 2014

Smokers group challenges NYC e-cigarette ban

ecig6A smokers’ rights group filed a legal challenge on Tuesday to New York City’s ban on electronic cigarettes inrestaurants, parks and many other public places.


The city has increasingly restricted places where regular cigarettes can be smoked over the last decade under the Smoke-Free Air Act. Last year, the city council expanded those laws to include e-cigarettes, a measure that took effect in December.


The group behind the lawsuit, New York City Citizens Lobbying Against Smoker Harassment, said the new legislation was in breach of the “one-subject rule” in both the state constitution and the city charter.


The stated purpose of the Smoke-Free Air Act is to reduce New Yorkers’ exposure to other people’s cigarette smoke, the lawsuit says.


Because e-cigarettes do not contain tobacco and do not produce smoke, they cannot be included in the Smoke-Free Air Act without breaking the one-subject rule, the lawsuit said. The group has asked the state Supreme Court to void the law.


“E-Cig regulation is, even in the Council’s words, at best, tangentially related to the subject of smoking, in much the same way that toy water guns are at best tangentially related to authentic firearms,” the lawsuit said.


The City Council said it believed the court would uphold the law.


“Our legislation ensures the goals of the Smoke-Free Air Act are not undermined and protects the public against these unregulated substances,” council spokeswoman Robin Levine said in an email.


E-cigarettes use heat to vaporize a flavored solution of liquid nicotine and other chemicals that the user can inhale. Their health impact is fiercely debated.


A study published last year in medical journal Lancet said e-cigarettes were about as effective as nicotine patches in helping smokers quit the habit.


The U.S. Food and Drug Administration has said the risks, if any, of e-cigarettes remain unknown. It said it would soon propose new regulations governing their use.


The bill was one of the last signed into law by Michael Bloomberg, whose final term as mayor ended in December. Earlier in 2013, Bloomberg also signed a law raising the minimum age for buying cigarettes to 21.


Traditional tobacco companies, including Lorillard Inc, Altria Group Inc and Reynolds American Inc, have all gotten into the e-cigarette business.


Shares of the three companies were up less than 1 percent in afternoon trading.


(Reporting by Jonathan Allen; Editing by Scott Malone and Lisa Von Ahn)



Smokers group challenges NYC e-cigarette ban

Tuesday, March 25, 2014

What Your City Should Know About E-Cigarettes What Your City Should Know About E-Cigarettes





e cigarettes…And How Other Cities are Dealing with this Growing Trend


By G. Ross Trindle, IIand Andrew Maiorano, Best Best & Krieger LLP.


Electronic cigarettes have been promoted as a safer alternative to cancer-causing tobacco products that can wean heavy smokers off their habit.  But this month, Los Angeles officials joined a growing list of cities that treat e-cigarettes just the same as regular cigarettes, banning their use in parks, restaurants and most workplaces.  The decision came after an impassioned, and at times highly personal, debate (according to published reports) at a city council meeting that highlighted the backlash the smokeless cigarettes have generated as their popularity grows.


Electronic cigarettes, often called e-cigarettes, are battery-operated devices designed to look like regular tobacco cigarettes. Like their conventional counterparts, electronic cigarettes contain nicotine.  They were invented in the 1960s, but they didn’t really take off until a decade ago. The Tobacco Vapor Electronic Cigarette Association now estimates that roughly four million Americans use the battery-powered cigs.


Here’s how they work: An atomizer heats a liquid containing nicotine, turning it into a vapor that can be inhaled and creating a vapor cloud that resembles cigarette smoke.  Manufacturers claim that electronic cigarettes are a safe alternative to conventional cigarettes. Starter kits usually run between $30 and $100. The estimated annual cost of replacement cartridges is about $600, compared with the more than $1,000 a year it costs to feed a pack-a-day tobacco cigarette habit, according to the Tobacco Vapor Electronic Cigarette Association.


More than 45 communities in California have included e-cigarette regulations in their smoking ordinances. Fifty-nine include e-cigarettes in their tobacco retailer license programs, meaning that those who want to sell e-cigarettes must obtain a license. Also, 21 jurisdictions have included e-cigarettes in smoking provisions that apply to housing complexes.  Los Angeles follows in the footsteps of New York City, Washington D.C., Chicago and Boston, as well as five states that have restricted ‘vaping’ in some way.  L.A.’s ban, however, will allow people to use e-cigarettes in vapor lounges, e-cigarette stores and for filming or theatrical purposes.


Currently, the U.S. Food and Drug Administration’s Center for Drug Evaluation and Research only regulates e-cigarettes that are marketed for therapeutic purposes.  The FDA, however, plans to regulate e-cigarettes but has not yet issued proposed rules. Right now, the agency simply states on its website that “e-cigarettes have not been fully studied so consumers currently don’t know the potential risks of e-cigarettes,” including how much nicotine or other chemicals are inhaled or if e-cigs “may lead young people to try … conventional cigarettes.”  A Centers for Disease Control and Prevention study found nearly 1.8 million young people had tried e-cigarettes, and the number of U.S. middle and high school student e-smokers doubled between 2011 and 2012.


Some municipalities are taking very aggressive positions.  Poway, for example, recently chose to broaden the definition of “smoking” in its municipal code to include e-cigarettes, and to extend its existing prohibition on “smoking” to include public buildings, grounds, parks and trails. The practical result of such action appears to be a ban on the use of e-cigs in these public areas. In justification of the ban, Poway cited the unknown health risks associated with extended use of e-cigs, the increasing popularity of the devices with minors who may then turn to using traditional cigarettes and concerns about enforcing smoke-free ordinances due to the difficulty in distinguishing between regular cigarettes and e-cigs.


The Long Beach City Council recently voted on an item requesting the city attorney draft an ordinance to include e-cigarettes and nicotine vapor devices in the municipal code’s definition of tobacco products, require e-cigarette businesses retain a tobacco retailer’s permit and ban the devices in designated “No Smoking” areas.


On the plus side for e-cigarettes, there is evidence that they can be used to help quit smoking, and you can buy them with progressively lower levels of nicotine, working down to zero. This month the City Council in Yakima, Washington voted down a proposal to ban e-cigarettes in public places because the majority said there was a lack of evidence that the nicotine-infused fumes are dangerous. The number of e-smokers is expected to quadruple in the next few years as smokers move away from the centuries-old tobacco cigarette.


While some in the medical industry argue that the tar and other chemicals in traditional cigarette smoke is what causes cancer, more definitive research is underway to determine the toxicity of e-cigarettes. The FDA and the National Institutes of Health recently issued grants to higher education institutions to conduct such research on the impact of e-cigarette vapor. One grantee is the University of Maryland, which received $19 million to provide scientific evidence as a baseline for the FDA to use in regulating e-cigarettes.


The National Association of Convenience Stores (NACS) is doing its part to help by encouraging its members to adopt a policy of treating these products as age restricted and follow the same applicable federal, state and local laws for verifying the age of the purchaser. The NACS has also committed to work with all appropriate federal organizations to ensure that convenience stores continue to play a leadership role in establishing guidelines for e-cigarettes and other age –restricted products.


California Health and Safety Code Section 119405 only prohibits the sale of e-cigarettes to minors, while expressly referencing that California law is subject to any federal regulation of the devices, including the regulations of the FDA. This current state of the law does not provide much guidance for local governments as they seek to deal with the growing popularity of vaping.


Local governments in California do have options, ranging from taking no action until the state and federal government issue more guidance and regulations for the industry, to an outright ban on the sale and manufacturing. The question does not appear to be whether the popularity of e-cigarettes will continue to grow, but instead it is where and how such growth will occur. At least for now, the answer rests with local governments.


Trindle_Ross1G. Ross Trindle, III, is a partner in the Ontario office of Best Best & Krieger LLP where he heads the firm’s public safety group.  His practice focuses on public safety services and public liability defense in state and federal court.  He can be reached at ross.trindle@bbklaw.com.Maiorano_Andrew


 


Andrew “Andy” Maiorano is an associate with Best Best & Krieger LLP and is based in the firm’s Ontario office. He is a member of BB&K’s municipal law and special districts practices groups and represents water districts, fire districts and departments, and police departments across Southern California.  He can be reached atandrew.maiorano@bbklaw.com.








What Your City Should Know About E-Cigarettes What Your City Should Know About E-Cigarettes

Monday, March 24, 2014

No longer blowing smoke? E-cigarettes could surpass traditional brands, experts say



vaping7When change has come for tobacco during its nearly two centuries as a star of North Carolina’s economy, it usually has arrived at a leisurely pace.


Not this time. The crop and products made from it face something that has gutted or transformed many other industries in recent years: a disruptive technology.


Electronic cigarettes are winning over smokers so quickly that some analysts predict the battery-powered newcomer could come out on top of traditional cigarettes within a decade. That’s unsettling for the farmers and manufacturers who still make North Carolina the national leader in tobacco production and rivaled only by Virginia in cigarette manufacturing.


E-cigarettes heat a liquid, usually containing the highly addictive stimulant nicotine, into a vapor that users inhale. Nicotine for the liquid is extracted from tobacco, but experts think it may take less tobacco to make the “juice” than required for an equivalent amount of traditional cigarettes.


That economic threat can also be an opportunity, partly because of the state’s decades of tobacco expertise and partly because of an odd bit of luck involving a plant called clary sage.


Some think that e-cigarettes may even offer a way to slow the gradual slide in tobacco sales for domestic use, a slide that began decades before the advent of e-cigarettes.


“It has been interesting to watch e-cigarettes move from almost a novelty to a trend,” said state Agriculture Commissioner Steve Troxler. “The bad news is, if it results in the decline of demand for traditional tobacco, then we are going to have a new set of problems, but the good news is, yes, we are poised to take advantage of it.”


This may be the key year in North Carolina’s effort to muscle into that leadership role. One reason is that Big Tobacco is becoming Big Vapor, too: Major tobacco companies are moving to get ahead of the potential shift in the market by selling e-cigarettes themselves, either by buying companies already in the business or starting their own. And two of the nation’s three largest tobacco companies are here.


With their deep pockets, intimate knowledge of the market, powerful research-and-development capacity and massive sales and distribution networks, they are in a position to quickly seize the majority of the market for e-cigarettes, said Bonnie Herzog, an analyst with Wells Fargo Securities who follows the e-cigarette and tobacco industries.


She and other experts believe that the big companies will market devices that simply work better, which will win over more smokers.


Greensboro-based Lorillard, the nation’s third-largest tobacco company, has been perhaps the most aggressive, snapping up an established e-cigarette company called Blu in 2012 for $135 million. Lorillard now has nearly half the national market share for e-cigarettes.


And the nation’s second-largest tobacco company, Reynolds American Inc., based in Winston-Salem, has launched its own e-cigarette subsidiary, R.J. Reynolds Vapor Co. It has developed an e-cigarette that, unlike nearly all its rivals, is made in the United States.


Reynolds is planning to launch its Vuse brand nationwide this summer. Its test-marketing results suggest the impact will be huge. In July, it started sales in Colorado and quickly gained more than half the market in that state. And RJR Vapor Co. President Stephanie Cordisco said in an interview that a second phase of test marketing that began in Utah in late January is showing similar results.


The largest tobacco company, Richmond, Va.-based Altria Group, has test-marketed its own e-cigarette, MarkTen, in two states and plans to go national in the second quarter of the year. Altria is the parent company of Philip Morris.


Transforming a market


The stakes are huge. Last year, Herzog forecast that by 2023, Reynolds could earn $5.2 billion in revenue from e-cigarettes and $3.1 billion from traditional ones. And it, Lorillard and Altria would all see about half their revenue from traditional cigarettes vanish by 2023.


If analysts such as Herzog are right, the tobacco companies have to get involved to protect not just their profits, but perhaps their future, said Blake Brown, a professor of agriculture and resource economics at N.C. State University and an extension economist who specializes in tobacco issues.


“They can’t afford not to do this,” he said. “If you’re a tobacco company, you don’t want to be the next Eastman Kodak. They didn’t understand that they were in the image business. They thought they were in the film business.”


This shift in history doesn’t seem lost on Big Tobacco. Lorrillard has a research and development team based in Silicon Valley. And at a Reynolds American media event in June, company President Daan Delen, tieless and in a sports jacket, roamed a stage at Pier 59 in New York, channeling the late Apple founder Steve Jobs as he unveiled Vuse. In interviews, Reynolds executives frequently use words such as “transformative” and “game-changing” for their new venture.


The drop in domestic tobacco consumption, which has come at an annual rate of 3 percent to 4 percent in recent years, had already been eroding cigarette manufacturing for decades. Tobacco manufacturing employment in North Carolina is about a quarter of what it was at its peak half a century ago.


Reynolds now declines to specify where its 5,200 U.S. workers are located, but in 2012 it reported that roughly 2,100 were in the Winston-Salem area. Like many other tobacco-related companies, it has seen its workforce drop substantially, from about 15,000 tobacco manufacturing workers in 1987 in the Winston-Salem area.


The chance to reverse that erosion isn’t lost on Reynolds executives.


“One of the things that I communicate to my team is that if we’re successful, we see jobs happening here,” Cordisco said. “We’re bringing jobs back to this company, and that’s what’s exciting.”


She declined to give employment numbers but said that RJR Vapor Co. has created jobs in several states, some within the company, some with suppliers. In Kansas, it makes the cartridges. In its Tobaccoville manufacturing complex near Winston-Salem, it does the final packaging.


For now, the number of employees working for e-cigarette companies is relatively small because the industry is small, said Herzog, the analyst.


“Just to put it in perspective, retail sales (of e-cigarettes) were $1.8 billion in the U.S. last year, estimated, and that compares to an $85 billion combustible cigarette market,” she said. “But I certainly expect that consumption of e-cigs will pass consumption of combustible cigarettes in the next 10 years, and as that trajectory continues, absolutely you’re going to see companies get larger and hire more employees.”


For now, most e-cigarette companies, including Lorillard’s Blu, have their devices made in China, though Blu gets its liquid from a company in Wisconsin.


Herzog believes that it’s likely others will follow Reynolds’ path and move the manufacturing to the United States, where they can better control quality. Federal regulations, which are widely expected to come soon from the U.S. Food and Drug Administration, may include standards that would push more companies to make e-cigarettes in the U.S., she said.


The magic of clary sage


The potential upside to e-cigarettes also may include farmers.


For much of tobacco’s history in North Carolina, the state’s climate and soil were natural advantages that helped them produce a product of high quality and good taste. Farmers could fend off tobacco produced in countries where the labor was cheaper, or the climate so hot year round that two crops were possible.


But one potential competitive advantage North Carolina farmers have for any e-cigarette comes from good luck: Avoca, a large botanical extraction company, is located in Bertie County near Edenton, not far from many of the state’s top tobacco-producing counties.


There, it mainly has been extracting a fixative from a type of sage that helps scents last longer in perfumes and things such as laundry products. Farmers are now growing thousands of acres of the purple-flowered clary sage in the area.


Last fall, Richmond, Va.-based Universal Leaf, the top vendor of leaf tobacco in the world, and Avoca announced a joint venture called AmeriNic that’s already extracting nicotine from tobacco and is planning to begin commercial sales this year, company leaders said in an emailed response to questions.


The partners believe it to be the only operation in the country that extracts and purifies nicotine, an addictive stimulant in tobacco and a crucial ingredient in most e-cigarette “juice.”


Farmers are watching the venture closely.


“We think there is an opportunity, and we want to be the ones to fill that need,” said Graham Boyd, executive vice president of the Tobacco Growers Association of North Carolina.


It’s unclear how much tobacco e-cigarette makers will need and where they will get it. In its response to questions, Universal Leaf declined to say where it plans to get its tobacco for extraction but said that its efforts to breed plants specifically for nicotine production were being done here, at least in part.


“At this time, we are evaluating various sourcing options,” the company said. “Given our long history of purchasing quality tobaccos in North Carolina, we have included farms in the state as part of our R&D effort.”


The need for nicotine


Dr. Loren Fisher, an associate professor of crop science and extension tobacco specialist at NCSU, said one advantage that North Carolina has in trying to reap some benefit from e-cigarettes is its centuries of hard-won knowledge about breeding and growing tobacco. He thinks it will be relatively easy to develop plants that are efficient little green factories for producing large amounts of nicotine, as opposed to the current goals of taste and the quality of the leaves.


“I think we know right now what it takes to breed plants that would produce more nicotine,” he said.


For the short term, growing tobacco for nicotine could turn out to be mainly an additional market, he said, rather than just a way to replace declining sales form the domestic market. That’s because most of the state’s tobacco crop is now exported and its foreign customers are feeling less effect from e-cigarette competition.


For now, Troxler said, North Carolina’s tobacco crop seems to have stabilized, mainly because of overseas demand. Chinese demand for tobacco is rising, and last summer China’s national tobacco company opened an office in Raleigh as a base for its American tobacco-buying operations.


But foreign demand may not remain steady, particularly if e-cigarettes also start making strong inroads overseas.


The pace of the e-cigarette revolution could be affected by the nature of federal regulations that are believed to be in the pipeline. It also could be slowed by factors such as the emergence of other new kinds of tobacco products, or accelerated by something that Big Tobacco is likely to prove good at: advances in technology that make e-cigarettes even more attractive to smokers, Herzog said.


It also could be slowed if e-cigarettes are hit with taxes by governments desperate to make up for lost revenue from the drop in traditional cigarette sales.


Cigarettes are the largest cause of preventable deaths; e-cigarettes are believed to be significantly safer, but there is little research on their health effects. There is a debate among public health officials about how much to encourage smokers to switch to e-cigarettes by doing things like keeping taxes on them low. Some worry that the devices, with available flavors such as custard, berry or apple pie, encourage use by children.


Brown, the NCSU tobacco economist, believes that something will bring big changes to the market, though he says it’s still too early to say that it will be e-cigarettes.


Philip Morris, he noted, recently announced that it’s investing $680 million in a new Italian plant that would make noncombustible cigarettes, devices in which tobacco is heated just enough to give off inhalants, but not enough to burn.


“There may not be smoking in five years, but there will be something different, whether it’s e-cigarettes or noncombustibles or something, but it’s going to be changed dramatically,” Brown said. “And to predict how it will change, and how that will affect manufacturing is difficult right now.”




By Jay Price

 






No longer blowing smoke? E-cigarettes could surpass traditional brands, experts say

Friday, March 21, 2014

Should African-American celebrities join the e-cigarette industry?




Here’s the scoop on celebrities who are currently embracing the e-cigarette industry, who’s getting lambasted for it and African-Americans’ current rates of smoking.


E-cigarette business investments for celebrities


E-cigarettes have gained in popularity, and some celebrities are taking financial advantage of that. Pop star Bruno Stars stopped smoking as a tribute to his late mother on Mother’s Day of 2013. Since then, according to PR News Wire, Bruno Mars invested money into the e-cig industry with NJOY Kings.


Trying-to-quit celebrity pics


Other celebrities may not be making an investment buck off of the product, but they’ve also been seen using the cigarette alternative on vacations, around town and even on talk shows. Actress Katherine Heigl is one of the first to make e-cigarettes a public discussion, puffing away on an e-cigarette during her interview on CBS’ “Late Show with David Letterman,” even getting the host in on it.


“You have no excuse to smoke a real cigarette,” she said on Letterman’s show, after giving him detailed instructions as to how they’re used. This was free promo for the e-cig industry without them spending a dime. Now she may wish she’d have invested in an e-cig industry company during her impromptu how-to session, but she was more concerned with the politically correct industry coming back to haunt her.


Other celebrities who’ve been caught enjoying water vapors are music artists Katy Perry, Ronnie Wood and Britney Spears; actors John Cusack, Jack Nicholson, Lindsay Lohan, Leonardo DiCaprio, Sean Penn, Robert Pattinson, Kevin Connolly, Stephen Dorff, Natasha Lyonne and Dennis Quaid; and TV personalities Paris Hilton, Jennifer Ann “Jenny” McCarthy and Simon Cowell.


E-cig spottings on television


In the older days, before people knew all of the cons of smoking nicotine, it wasn’t unusual to find guests on popular talk shows, such as “The Johnny Carson Show,” smoking while they were being interviewed. With e-cigarettes considered the healthier alternative, will TV shows and talk shows do the same? This is still uncertain, but there is a possibility. In a recent episode of “2 Broke Girls,” actress Jennifer Coolidge (who plays the role of Sophie Kachinsky) was seen puffing away on an e-cig during a door scene.


Celebrity backlash from e-cig industry


Heigl’s concern about the backlash of the products was a lesson learned for talk show host Jenny McCarthy. While the health industry continues to do research about potential health problems with e-cigs, which do have nicotine in them, anti-smoking industries are paying attention to celebrity endorsements. According toRadarOnline, Freedom Laser Therapy, Inc. is offering $1 million to McCarthy to work with their company instead of doing videos like the “Freedom” taping for blu eCigs. So far, McCarthy hasn’t released a public response.


African-Americans’ role in cigarette industry


According to the American Lung Association, “African Americans accounted for approximately 12 percent of the 46 million adults who were current smokers in the United States during 2008.” Although the verdict is still out on whether the nicotine in e-cigarettes is too addictive to use to curb smoking, African-Americans are definitely big customers for the industry. ALA also reports that magazine advertising for mentholated cigarettes increased from 13 percent in 1998 to 49 percent in 2005. Menthol cigarettes are the most likely choice for African-Americans. And Forbes reports that the e-cigarette industry could be over $1 billion.


Do you think African-American celebrities, who have always been influential when it comes to clothing, cosmetics, shoes and even fragrance advertising, should put more of an effort into anti-smoking or take baby steps like moving towards the e-cig industry instead?


Shamontiel is also The Wire Examiner, and for the gladiators, she’s the Scandal Examiner, too.


Follow Shamontiel on Pinterest for all of her latest TV, book, music and movie reviews; photo galleries; entertainment saving tips and other entries, or subscribe to her National African American Entertainment channel at the top of this page. Also, follow her @BlackHealthNews, and follow this Pinterest board to read her celebrity interviews.






Should African-American celebrities join the e-cigarette industry?

Thursday, March 20, 2014

V for Vaping: E-cigarettes and the new smoking culture


e_cigarette_vaping.jpg


The method is simple. First flip open the pack charging case. Then pull out the battery and screw on the atomiser. Once the unit is assembled, 25-year-old Ajinkya Bhonsle uses the device to start vaping. For the uninitiated, vaping is the term used for smoking e-cigarettes. And for Bhonsle, the advertised health benefits have been a reason good enough to ito purchase a starter kit in the US. “It’s more clean and healthy,” he says, adding, “There is no staining and after-smell as compared to a regular cigarette, and I have stopped smoking normal cigarettes completely. Vaping is just a cleaner and healthier option for me.”While that’s a belief that many people who use e-cigarettes share, it’s probably pretty far from the truth. As per the United States Food and Drug Administration, the American agency that monitors food safety, tobacco products, medicines and various other health related issues, there have been several adverse events related to e-cigarettes reported by healthcare professionals and consumers. The latest version of its page on e-cigarettes, updated in January 2014, mentions pneumonia, congestive heart failure and hypotension as just some of the events that have been possibly linked to e-cigarettes.

Despite this, over the last eight years the number of people switching over to vaping from cigarettes has been huge. This is despite the fact that there is a wealth of contradictory research pointing, one way or the other, to the actual impact that these e-cigarettes have on our bodies.


Primarily, an e-cigarette comprises a battery and a screw-on atomiser. The atomiser unit also houses the nicotine-based liquid. When you take a drag, the battery unit heats up, which also signifies the glowing tip. This results in vaporising the liquid which is inhaled by the user, and exhaled as water vapour. Vaping is also being looked upon as a social activity. For instance, Blu cigarette packs come with an inbuilt social-networking feature. On pressing a switch located on the right hand side, next to the charging indicators, it vibrates loudly twice to signify that the device has gone online. What it does is detect other Blu cig users in the vicinity of 50 feet. The idea as the company says is, “Smoking is a social activity, we want to do the same with Blu cigs.” Interestingly, this is another novel method in which the vaping fad has caught up with people.


The smokeless smokers

E-cigarettes makers have taken at least one leaf from the tobacco industry’s playbook – marketing. A brand like Blu has paid celebrity endorsements on its website and also plenty of celebrity users. The website has images of several actors including Jenny McCarthy, who says ‘Freedom to have a cigarette without the guilt’. Actor Stephan Dorff is also an endorser of the brand. On the other hand actor Leonardo DiCaprio, who had recently sported a Blu cig at the Golden Globe awards, told the Associate Press in a report that he vapes to relieve stress.


Celebrity endorsement is one aspect, but the viral marketing also goes a long way in promoting the product. Without getting into the health aspect of the same, the reason why vaping has found an audience is because promoters are portraying it as the ‘next cool thing to do’. Located near Soho in NYC is ‘The Henley Vaporium’. A direct retail outlet of Henleycigs.com, the Vaporium, in addition to selling its products and stocking other batteries and liquids used in vaping, also educates smokers to the concept of Vaping. On its website, the description for the Vaporium reads – Not your father’s smokeshop.


The mission of the Vaporium is to educate vapers about the variety of new products on the market. A vaper can come and sample new e-liquid flavours (from a full-list on its menu) as well as interact with the Vapologists. The place is not inexpensive, considering that a flavour like Smoked Custard (on its menu) from Nick’s Blissful Brews can set a user back by as much as $26 (roughly Rs. 1600) for a 30ml bottle. But outlets like these that are trying to educate smokers and convert them to vapers are doing something important – giving a shot in the arm to the number of people joining the bandwagon. The liquids come in 15ml and 30ml packs with varying nicotine strengths on them from 6mg to 18mg.


In India, you won’t find any of these products at retail outlets, but many e-commerce sites now stock them. Rupesh Singhania, a 34-year-old Delhi-based freelance writer, says he buys coffee flavoured e-cigarettes regularly from Snapdeal. He says that the price fluctuates, but you can get the equivalent of four packs of cigarettes for under Rs. 500. “It isn’t actually four packs worth, and because I can use it at home without bothering my wife who is a non-smoker, I think I puff a lot more than before anyway. But you can get a lot of different flavours, it’s cheap, and it feels healthier. I know it probably isn’t but it still feels like it.”


Singhania was smoking a pack of Classic Milds every three days, he says, and now he’s spending around Rs. 500 every week on e-cigarettes. He says, “I was worried at first that this would be really expensive – as a freelancer I’m usually not overflowing with cash, you know,” he quips, adding, “but even if I wasn’t a smoker, I probably would have wanted to try and smoke an e-cigarette anyway. It’s so cool and high-tech! You inhale a little air and you get your kick and the tip of this plastic cylinder lights up? It’s crazy, I love it.”


The rush has hit India in the recent past and has found a growing sense of acceptance. So much so that it is not uncommon to find locally made e-cigarettes retailing for as less as Rs. 300. Software professional Aritra Sarkar, based out of Mumbai, has been a vaper since 2012. A visit to the doctor two years back convinced him to change his smoking habits and preferences. “I don’t know how healthy it is, honestly, but I have given up smoking normal cigarettes completely. I took to vaping to wean myself off smoking and it helped. People do come up and ask once in a while, as to what I am smoking (when I use my e-cigarette),” he says.


Earlier, Sarkar says, he was smoking a pack a day: “I smoked Marlboro Red. And I had been smoking since I was 16. Ten years later, the signs started to show. I went and got myself checked by a doctor, and X-rays revealed that there was a 4mm spot on my lung. That image was an eye opener.”


Talking to several people who use e-cigarettes, a picture begins to emerge. Ameetha Prakash, a 28-year-old marketing consultant based in Bangalore, is a fairly typical example. Living in a major metro, most of the buyers we found were young and upwardly mobile; busy at work but still keen on having an active social life. We saw people who were young enough to be comfortable adopting new technology, but old enough to start caring about their health. That’s why the e-cigarette makers ensure that their product is seen as healthy, with or without any scientific evidence to back up their claims.


Prakash, who first used an e-cigar while on a business trip to the United States, bought one immediately. She says, “I started smoking when I was 13, thanks to some very stupid friends in school. I was equally stupid considering that I continued to smoke for a dozen years. I had stopped smoking because my throat used to feel very painful but old habits die hard, and between 23 and 25 I must have ‘quit’ a hundred times. But since I started to use the e-cigar, I’ve not picked up a cigarette any more.”


Instead, she buys three or four e-cigars every time she travels to the United States, and gets friends to bring them back for her as well. “I have tried some of the local brands available here, but I was never a fan. Some of the ones I’ve tried didn’t produce enough vapour, and in some of the others, the flavour was too weak. And most of them leave a bad aftertaste. So I just get them from the US thanks to work and friends.”


At crossroads: The e-cigarette

The fact that the national airline carrier Air India, too has decided to sell e-cigarettes on board its flights, also shows the tremendous growing popularity of the same. The decision might have not gone down too well with the Ministry of Health but it shows how more and more companies are jumping in to cash in on their popularity. The WHO, in a 2013 report, strongly urged users to stay away from e-cigarettes till a regulatory body approves their usage and consumption. But with more and more smokers and even non-smokers taking to vaping as an alternative to smoking, it looks like as though vaping is here to stay.


On the face of it, the biggest selling point for vaping and e-cigarettes is that outside of nicotine the marketing for them suggests that it is completely hygienic and safe to use. However, the actual reports are a lot less positive. Some people also raise concerns that e-cigarettes could be a gateway drug for youngsters, who could then take up smoking regular cigarettes after some time.


SKYCIG, which is based out of the UK and has around two lakh customers, writes on its official website, ‘We believe our electronic cigarettes provide a viable, realistic alternative to tobacco, and so do over 200,000 other people who already use SKYCIG.’ Henley cigs on the other hand believes that using e-cigarettes helps to drastically reduce the consumption of cigarettes, and then reduce the nicotine intake to zero eventually. Even though the health aspect is debatable, with all the conflicting reports coming in, there is a fad value to vaping too. Another reason why a lot of smokers convert to vaping is because of another important marketing trait. A lot of e-cigarette brands advertise their products as ‘having nicotine, which is highly addictive, but also free of tar and 4000 other hazardous chemicals found in cigarettes’.


And users seem to buy into the idea. Meenakshi Rao, a Mumbai-based interior design consultant, says, “Of course it’s healthier. There’s no tar and there’s nothing being burned. It’s just steam that I’m taking in. What’s wrong with that?” She’s unmoved by the fact that there are a lot of conflicting studies, and says that she isn’t going to stop smoking, and adds, “I don’t think they’re healthy. But I think they are less unhealthy.” Rao spends close to Rs. 5,000 each month on Smokefree brand e-cigarettes, which she buys online. For her, it’s a lifestyle choice, as most of her friends are people who either never smoked, or have quit smoking.”Earlier, if I was spending time with my friends, then I was a pariah, who’d have to go out and stand alone to smoke in the balcony while everyone else was together inside. No one minds when I puff on an e-cig, because there’s no smoke or smell,” she says, and adds in an exasperated voice, “Of course some people still complain, but it’s not like earlier. And I don’t use my Smokefree in public spaces like restaurants or movie halls. There is nothing wrong with using them in those places because it doesn’t affect people, but once, when I tried to take a puff in a restaurant this woman at the next table started to complain really loudly, so it’s just not worth the hassle.”




 



V for Vaping: E-cigarettes and the new smoking culture

Wednesday, March 19, 2014

Are E-Cigarettes a Safe Alternative?

ecig6There is growing concern that e-cigarettes are luring teenagers into addiction. E-cigarettes have no odor and what looks like smoke is actually water vapor.


There’s no tar or other carcinogenic chemicals, but most have nicotine, a highly addictive drug. DJ Wilson, head of tobacco control for the Mass Municipal Association, says e-cigarettes are creating a whole new generation of users.


“Between 2011 and 2012, the self-reported rate of e-cigarette use in high school doubled,” Wilson says. “For kids it’s cheaper than buying pack of cigarettes.”


Tyngsboro High School Principal Michael Woodlock says that while they may not be as dangerous as cigarettes, his message to students is clear.


“It’s not accepted and it’s punishable by suspension,” Woodlock says.


David Bershad is the owner of Vape Daddy’s, a custom e-cigarette shop in Newton. “It’s the lesser of two evils,” Bershad says. He won’t let anyone inside the shop who is under 18, but he says for adults like Justin Poritzky,electronic cigarettes are an important option. “I was opening my third pack every day,” Poritzky says.


Now, Justin is only vaping, an alternative name that comes from the way the device works, by vaporizing the nicotine liquid inside. The 21-year-old says he feels better since he switched. “I got my breath back, I can run as far as I want,” Poritzky says. “And I won’t be coughing up a storm.”


But are they really safer?


E-cigarettes are not regulated by the FDA and haven’t been extensively studied. But there is one thing UMass toxicology expert Dr. Edward Boyer is sure about. Children are more susceptible to nicotine addiction than adults.


“The bottom line is we don’t know what we don’t know about nicotine exposure from these new products,” Dr. Boyer says. “All I know is that this is something that I hope my children never get into.”


But experts say there’s a lot at work against the kids here. There are child-friendly flavorings like sweet-tart and cotton candy and the term vaping itself eliminates the stigma of cigarettes. And today’s kids are exposed in a way they haven’t been with traditional tobacco.


In Newton e-cigarettes are legal in public places. They are banned in Boston and there’s a move on Beacon Hill to make that ban statewide.


Paula Ebben


Award-winning journalist Paula Ebben co-anchors WBZ-TV News at 5PM


Are E-Cigarettes a Safe Alternative?

Tuesday, March 18, 2014

E-cigarettes safe; no need for S.F. to ban them

A patron exhales e-cigarette vapor at the Henley Vaporium in New York. Photo: Frank Franklin II, Associated PressThere’s a new product on the market that offers a chance to find a workable middle ground in America’s smoking debate. Called vapes, electronic cigarettes or e-cigarettes, they deliver nicotine with a big twist: Instead of burning tobacco, they vaporize – hence the nickname – a nicotine-containing liquid.


Despite the uniqueness of this product, overzealous lawmakers are champing at the bit to ban e-cigarettes, egged on by career activists who see a public health threat wherever they look. Chicago and New York City have already caved to activist pressure. And now, thanks to a swift vote, Los Angeles is set to extend its blanket prohibition of public cigarette smoking to e-cigs, which emit only vapor, not smoke. But before San Francisco heads in a similar direction, voters should know the truth about e-cigarettes.


First and foremost, e-cigarettes are not cigarettes and do not carry the associated harms. The American Association of Public Health Physicians has noted that smokers could reduce their risk of tobacco-related death “by 99.9 percent or better” by switching to products like e-cigarettes. That’s quite a reduction.


It’s not enough, however, for the overzealous activists and officeholders who know how easy it is to mobilize knee-jerk political action against anything with the “c”-word in it.


To get their way, regulators are changing the rules. Instead of having to prove that vapes are harmful before they can regulate or ban them – as is the norm with essentially all other consumer products – activists and lawmakers are demanding that consumers and businesses prove they are not dangerous before stifling restrictions can be lifted.


That may seem like an exercise in wordplay, but in reality, it turns hundreds of years of established legal thinking on its head. It puts businesses in the position of proving a negative – a logical fallacy that busybody regulators and fans of expansive government are perfectly happy to exploit.


This is a dangerous precedent. If businesses are not able to sell technologically advanced products – and consumers not able to benefit from the same – until they are proved unharmful, we’ll quickly succumb to unscientific and demagogic fear campaigns. Business owners will be forced to devote their time and energy to warding off baseless attacks from finger-wagging do-gooders. Commerce will be blunted and innovation will be suffocated as fewer new products are brought to market.


Making the switch from smoking cigarettes to inhaling smokeless nicotine could be beneficial to smokers, ex-smokers, and nonsmokers alike. After all, many of the arguments in favor of banning smoking in places like bars and restaurants were out of concern for the health of employees and patrons. But since vapes aren’t regular cigarettes, there’s no smoke to afflict nonsmokers.


San Franciscans don’t have to give in to the same scare tactics and faulty logic that turned the Los Angeles City Council against vapes. Rushing into a sweeping “solution” for a problem that doesn’t exist makes it all too likely that consumer health and common sense will soon go up in smoke.


Sarah Longwell is the communications director for the Center for Consumer Freedom, a nonprofit group “devoted to promoting personal responsibility and protecting consumer choices.” Headquartered in Washington, D.C., it receives support from businesses – primarily in the food and beverage sectors – foundations, and individuals. (The credit line to this essay has been changed from the print version.)


Monday, March 17, 2014

E-cigarettes finding a North Jersey fan base in ex-tobacco users





As New Jersey mulls an e-cigarette tax and the medical community continues to stress the unknown health implications of so-called electronic vaping devices like e-cigarettes, a passionate community is growing in North Jersey – it’s a group of advocates largely made up of former smokers who say they quit traditional tobacco cigarettes when they started vaping.


“This completely changed my life,” said 28-year-old Adam Jankowski of Garfield, who credits vaping for quitting his six-year cigarette habit in a week last spring.


Tim Condron of Woodland Park smoked for 40 years and tried different cessation products without success. Last summer he picked up an e-cigarette just to see what it was like. Soon, the pack-a-day guy was down to a few traditional cigarettes a day. Within six months, he was done completely.


Gary Remert, who smoked for 30 years, said e-cigarettes were “the only thing on the market” that worked for him and his wife in their many attempts to quit. He estimates they now save more than $600 a month not buying cigarettes.


Joe Vilagos, who works at Flash Vapor in Little Falls where Condron and Remert are customers, started smoking when he was 10 years old and built to a four-pack-a-day habit. He started vaping about five years ago to “smoke” in the places he wasn’t allowed to use conventional cigarettes. A few months later, he had stopped smoking completely. Now, he says, he goes to the gym and can run around with his daughter without losing his breath – something he said would have been impossible before.


All of these vaping North Jersey residents and customers believe in the safety of the product. At the very least, they believe their new habit is less harmful than their old one – and the Centers for Disease Control and Prevention seems to back that up.


A February press release from the CDC said, “Although e-cigarettes appear to have far fewer of the toxins found in smoke compared to traditional cigarettes, the impact of e-cigarettes on long-term health must be studied.”


Millions of people aren’t waiting for those long-term studies to be done. There are more than 3.5 million e-cigarette users in the United States, according to the Tobacco Vapor Electronic Cigarette Association. E-cigarettes and their related vaping devices have become a big business with estimated U.S. sales between $1.5 billion and $2 billion last year, and the numbers continue to rise.


While e-cigarettes may seem like a new invention, it’s the phenomenon that is the recent occurrence. The first smokeless, non-tobacco cigarette was patented in the 1960s. The modern e-cigarette, however, wasn’t developed until 2003 by a pharmacist in China. The product came to the United States in 2007 and has gained in popularity the last couple of years.


When Shoaib Iqbal opened Good Guy Vapes in Paterson last May, he says he was the only store in North Jersey. The popularity and customer base caused him to quickly outgrow the small space. He then moved to the current Clifton location. Now he counts 10 dedicated vaping stores within 15 miles of him. E-cigarettes, e-juice and other products can be purchased online, at drugstores, convenience and grocery stores, and large retailers like Walmart.


E-cigarettes don’t burn tobacco. Instead, a battery heats up liquid and turns it into a vapor. The e-juice comes in flavors like Peach Tea, Crème de la Crepe, PB&J, Hawaiian Punch, Mango, Pina Colada, Hot Cocoa and Banana Nut Bread, and can be had with varying percentages of nicotine or no nicotine at all.


Those who take up vaping often find themselves becoming hobbyists. They meet at the stores, try different flavors of e-juice and check out the latest accessories and different models.


Those who begin with the basic e-cigarette often graduate to personal atomizers, which they can customize and build the coil portion. They become advocates, as well, advising their smoker friends and preaching the positive attributes of the products.


“There are very few people who have quit who have not become evangelical about e-cigarettes,” said Iqbal.


Jankowski and other customers followed Iqbal from Paterson to Clifton and remained regulars. The employees tirelessly answer questions and share the passion for vaping. They not only know the regulars’ names and favorite flavors, but often their smoking backstory.


Local stores have become like social clubs. Dan Villanueva, a store manager at Flash Vapor, said their store couches have become a place for former smokers to support one another similar to an AA meeting. They also discuss the latest in accessories, flavors and technology of their new, healthier (they hope) habit.


Villanueva said the groups of customers, which are at their biggest on Friday and Saturday nights, end up making his job very easy. When traditional smokers come through the door, they are greeted by people who want to offer their testimony, tell them how to stop smoking.


“It’s these people’s experience from quitting that actually sells,” he said.


Condron said he brought his e-cigarette to his doctor to ask what she thought and was told she was all for it if it helped him quit smoking. Not all experts agree it’s the best approach for those trying to quit, however.


“My message to patients is that the devices aren’t approved by the Food and Drug Administration and that, in fact, we do have seven FDA-approved medicines that do help people quit,” said Donna Richardson, clinical coordinator of the tobacco dependence program at Rutgers and an instructor at Rutgers School of Public Health. “If you are interested in quitting, please consider these. I will say also that we have a stop-smoking group at the cancer institute, many people who come to our group, use the electronic cigarette along with other medicines that we recommend.”


BY KARA YORIO

STAFF WRITER

THE RECORD


 



E-cigarettes finding a North Jersey fan base in ex-tobacco users

Friday, March 14, 2014

GSK E-Mail Proves Pharma Industry Is Lobbying to Get E-Cigarettes Stringently Regulated


pharmaceuticals


If there was ever any doubt that Big Pharma is doing everything in its power to stop increasingly popular electronic cigarettes from competing with their own smoking cessation products, this recently revealed e-mail written by a Glaxo Smith Kline vice-president to SANCO (the European Commission’s Directorate General for Health & Consumers) puts those doubts to rest.


The email conversation between Sophie Crousse, the Brussels-based vice president of European public affairs for GSK’s consumer health-care division, and Dominik Schnichels, of SANCO, was made public last week through a freedom of information request made to the health and consumer affairs division of the European Commission, according to Bloomberg. It shows the pharmaceutical giant’s desire to see electronic cigarettes regulated as medicinal products, just like other nicotine replacement therapy products on the market. “We believe in responsible and proportionate regulation for all nicotine-containing products as medicinal products,” Crousse writes in an email dated October 30. “We believe in a single access system, without differentiation in clinical/regulatory and distribution advantages provided only to e-cigarettes that are not similarly provided to NCPs specifically intended to help people reduce and quit smoking. We believe devices that put nicotine in the human body need to be held to a single, consistent high standard of quality.”


To better get GSK’s point across, Crousse also included a bullet-point list of reasons why e-cigarettes should be regulated as medicinal products and not as general products, as well as a number of reasons why the EU shouldn’t have a two-tier regulatory system. Glaxo Smith Kline believes only medicinal products legislation can ensure that the most robust safety and quality standards are applied to NCPs, that it’s the only one that ensures that there is a penalty system in place for manufacturers and marketing authorization holders that do not comply with quality and safety standards and that it provides the most appropriate labeling of the risks and benefits associated with NCP use.


Glaxo claims -cigarettes should not be classified as general products for several reasons, including that a simple notification system for marketing NCPs is not enough to confirm the safety and efficacy of these products and that General Products Legislation does not provide enough safeguards corresponding to the health risk category of nicotine and other chemical substances contained in electronic cigarettes. Furthermore, categorizing electronic cigarettes as “lifestyle products” excludes representation of their function as a smoking cessation aid, which leaves consumers unaware of the risks and benefits of switching from smoking to NCPs. “Allowing e-cigarettes to be marketed as tobacco/consumer products without any health claims would potentially open a gateway to nicotine addiction and encourage wider nicotine usage,” the email reads.


You can read the full list of arguments put together by Glaxo Smith Kline, here.


GSK also sought assurances that the revised tobacco products directive will apply to e-cigarettes already on the market and ensure a ban on advertising, according to an analysis of Article 18 of the TPD by the pharmaceutical company, which was also shared with two other major nicotine replacement therapy product manufacturers, Johnson&Johnson and Novartis. According to Caroline Almeida, a spokeswoman for the New Jersey-based Johnson&Johnson, her company  is also “strongly in favor of” regulating all non-tobacco nicotine products, including e-cigarettes, as medicines. “This is the best way to ensure all non-tobacco nicotine products are advancing public health by means of effective, high-quality and safe products,” Almeida added.


In the published emails, Glaxo Smith Kline vice-president, Sophie Crousse admits to meeting with a certain Member of the European Parliament (whose name was not disclosed) after the ENVI vote in July, and sending her company’s analysis of the revised tobacco products directive‘s Article 18 to “all Member States representatives in Brussels” ahead of the Council meeting of October 31st.


Simon Steel, a spokesman for London-based Glaxo Smith Kline, confirmed the company’s position in an e-mail statement: “Safety is our number one priority and we support the smoker’s right to choose from a selection of products that have well established safety and efficacy profile in helping them quit smoking. All nicotine-containing products including e-cigarettes should be reviewed and regulated to the same standard of safety.”


It’s clear that Big Pharma has it in for electronic cigarettes, and after learning that e-cigarettes are severely affecting nicotine replacement therapy sales, I can say I understand their motives. That doesn’t mean they’re right in their judgement of the situation. Most of their arguments can easily be contested, and actually have been by reputed health scientists like Professor Riccardo Polosa, in his recent paper, Achieving Appropriate Regulations for Electronic Cigarettes“. Ultimately, it’s all about the money, but you probably knew that already…


- See more at: http://vaperanks.com/gsk-e-mail-proves-pharma-industry-is-lobbying-to-get-e-cigarettes-stringently-regulated/#sthash.NfRWYGKh.dpuf



Posted by: Vranks


GSK E-Mail Proves Pharma Industry Is Lobbying to Get E-Cigarettes Stringently Regulated

Thursday, March 13, 2014

E-Cigs and Second-Hand Vaping

Is it safe to bogart that e-cig or even be in the same room with an e-cig bogarter?


OK, in this post we’re going to clue you in on some of the potential issues with electronic cigarettes or e-cigs, as they’re diminutively known. But before we do, we need to get one thing straight: Smoking cigarettes kills. Per the Centers for Disease Control and Prevention, smoking “is the leading cause of preventable death in the United States, accounting for more than 480,000 deaths, or one of every five deaths, each year.”


Add to that the more than 16 million Americans who suffer from a smoking-related disease, and it’s fairly clear anything that lowers the rate of cigarette smoking is going to improve our overall health.



2014-03-12-deaths_piecigarettescdc.jpgSmoking cigarettes is the leading cause of preventable death in the United States. The latest statistics from the Centers for Disease Control show the number of U.S. deaths attributable to cigarette smoking has climbed to 480,000. (Source: cdc.gov, 2000-2004)

Americans Are Smoking Less


The numbers are somewhat encouraging. While more than 40 percent of Americans smoked in 1965, only about 18 percent did in 2012. However, given that our population grew over that time, the net drop in American smokers — 1965′s 50 million smokers versus 2012′s 42 million — is only 8 million.


That drop in the rate of smoking probably didn’t just happen. The government and a host of nonprofits have waged a long and hard campaign against smoking: ever-increasing taxes, a ban on broadcast advertising, and anti-smoking ad campaigns that promote a healthy lifestyle and warn of the health risks of smoking. (Californiaappears to be leading the pack in this fight.) And ever since 1966, Americans have not been able to purchase a pack of cigarettes free of a stern warning about the hazards of smoking.


For decades the government and many nonprofits have mounted anti-smoking campaigns. Some of this work seems to have paid off. (FDA)


Then there’s the wide assortment of products to help smokers kick the habit – everything frompatches and gum to prescription drugslozenges and lollipops. And more recently e-cigarettes.


The Newest and Coolest: ‘Vaping’


Although they were patented back in the 1960s, electronic cigarettes didn’t really come onto the scene until the past decade, appearing first in China in 2004and spreading to other areas including Europe in 2006 and then the United States the following year. (See infographic on the history of e-cigarettes.)


These cigarette lookalikes basically consist of a cartridge, a battery and an LED light. When turned on, the e-cig heats up the liquid that is housed in the cartridge; this produces an aerosol mist or vapor, which the “smoker” inhales or “vapes,” an alternate term that denotes the lack of combustion. The ingredients of the liquid vary, but generally include nicotine (though some are nicotine free), chemicals to vaporize the nicotine (like propylene glycol and vegetable glycerin), additives and flavoring.


Since they are tobacco free, e-cigs are currently unregulated in the United States but that may change. Already cities like BostonChicagoNew York, and most recently Los Angeles have restricted their use. And Utah, New Jersey and North Dakota havebanned their use wherever smoking is prohibited. Other states and localities includingMinnesota and Oregon are considering restrictions as well.


It is my impression that there’s some confusion in how e-cigs are being marketed. In some cases they are being touted as a nicotine replacement product that smokers can use to eventually quit smoking altogether or (more likely to me) a healthier way to get your nicotine.



E-cigarettes are taking off as an alternative to conventional cigarettes. But when it comes to health, are they safe or do they blow?



And I guess if you “got to” smoke (whatever that means) I suppose e-cigs are probably a lot less unhealthy than good, old-fashioned cigarettes.


Given the long and sorry list of harmful and toxic chemicals in cigarettes, vaping is almost certainly less dangerous to your health.


The Potential Hazards of Vaping


But don’t be fooled into thinking that e-cigs are without risks or that you should now be able to vape to your heart’s content. Or that they’re plain healthy.


First of all, nicotine is a drug and apowerfully habit-forming one at that, and a 2013 study suggests that even inhaling the drug via either conventional cigarettes or e-cigs may contribute to heart disease.


Also there is evidence that e-cigs deliver some toxic stuff of their own such as formaldehyde (a known carcinogen), nitrosamines (linked to cancer) and lead (a neurotoxin). Though the toxicant levels of e-cigs may be “9-450 times lower than in cigarette smoke,” as this study suggests, levels of formaldehyde and metalshave been found to be comparable to or higher than those found in conventional cigarettes.* Silicate particles, which are a cause of lung disease, have also been found in e-cigarette vapors.


The ‘Second-Hand Smoke’ Question


A number of e-cig enthusiasts I have spoken to believe that the ban on smoking cigarettes in public places should not apply to e-cigs. And some are acting on that belief. I’ve even seen a woman confidently doing her e-cig thing on the subway in New York. Another in a restaurant.


And why not? Electronic cigarettes don’t burn and so there is no smoke. And no smoke means no second-hand smoke. And no second-hand smoke means no health worries for the non-e-cig public who happen to be in the vicinity. Sounds reasonable and what a boon for nicotine addicts. Relegated, lo all these years, to standing outside in the freezing cold or blistering heat to get their fix and unable to inhale while in flight, now e-cig users can reenter conventional society.


But is there really no second-hand “smoke”?


Don’t be so sure. A small study by Wolfgang Schober of the Bavarian Health and Food Safety Authority and colleagues published in the International Journal of Hygiene and Environmental Health in December found that vaping worsened indoor air quality, specifically by increasing the concentration of nicotine, particulate matter, PAHs and aluminum — compounds that have been linked to lung and cardiovascular disease and cancer among other health effects.


The upshot? Probably won’t be long before the nicotine-inhaling e-cig users of the world find themselves legislated back out into the cold to hang with their conventional nicotine-smoking addicts.


__________________


End Note


* Comparable levels of some metals have been reported for FDA-approved nicotine inhalers as well. Depending upon your view of FDA regulations, you could take this as an “all clear” on metals and e-cigs. One difference between inhalers and e-cigs that may impact exposure is that the vapors from FDA inhalers are absorbed in the mouthrather than the lungs like e-cigs.


Follow Bill Chameides on Twitter: www.twitter.com/TheGreenGrok



E-Cigs and Second-Hand Vaping

Wednesday, March 12, 2014

E-cigarettes face restrictions as cities update smoking ordinances


ecig6The electronic cigarettes flooding the U.S. market don’t technically emit smoke, but many cities have decided they’re not much different from ordinary cigarettes.


Last week, Rancho Cordova became the latest local government to pursue restrictions on e-cigarettes; the City Council directed staff members to treat them like regular smokes when they draft amendments to city code sections governing smoking. The Los Angeles City Council also voted last week to restrict e-cigarette use where tobacco smoking is restricted, including restaurants, parks, bars, nightclubs, beaches and workplaces. Similar measures have been approved in a number of Bay Area cities, along with New York and Chicago.


The Davis City Council is scheduled to discuss e-cigarettes tonight.


Representatives of the cities of Roseville and Folsom said e-cigarettes are on their radar, too, though no decisions have been made.


“Our city attorney tells me that he’s just started looking at our existing smoking ordinance, adopted in 1994, and considering incorporating e-cigarette restrictions,” said Sue Ryan, spokeswoman for the city of Folsom. She said the City Council likely will take up the matter within the next couple of months.


Sales of e-cigarettes have skyrocketed in recent years. Big tobacco companies have been getting into the business, and ads for e-cigarettes are now appearing on television, a space where traditional smokes have been banned for more than 40 years. The fast evolution of the market has left governments racing to keep pace.


“Our no-smoking ordinance has been in effect for a long while, but technology has surpassed the ordinance,” said Kelly Stachowicz, Davis’ deputy city manager. “We’re trying to see if we need to catch up or amend the ordinance.”


On a federal level, the U.S. Food and Drug Administration is expected to propose regulations governing the e-cigarette industry. The European Parliament took action last month, adopting measures to ban e-cigarette advertising and require health warnings.


Electronic cigarettes typically use battery-powered heat to vaporize a liquid solution containing nicotine that is held in the mouthpiece of the device. Under state law, it is illegal to sell or give e-cigarettes to minors, but the law does not extend other smoking prohibitions to the devices.


Because they don’t burn, e-cigarettes have been promoted as having fewer secondhand effects, but studies have shown that the vapor contains carcinogens and toxic chemicals, as well as nicotine, an element of tobacco that is highly addictive, said Rancho Cordova City Attorney Adam Lindgren. When the smoker exhales those vapors, they affect people around them, he said, likening the vapors to secondhand smoke.


Although some studies have indicated that e-cigarettes can be effective in helping people quit smoking or reduce their tobacco use, the FDA has not declared them an effective cessation product, said Lindsey Freitas, policy manager for the American Lung Association in California. E-cigarettes are not regulated by the FDA.


The American Lung Association in California advocates treating e-cigarettes as tobacco products.“We’re really concerned that we just don’t know what is in them,” Freitas said.


Rancho Cordova Councilman David Sander said that although there is some evidence that e-cigarettes may help people quit smoking, there also is evidence that they may entice kids to start smoking.


Freitas, of the American Lung Association, said many civic leaders have expressed particular concern that e-cigarettes that come in such flavors as Cap’n Crunch and Gummy Bears are an enticement to youths.


Kate Cook, an attorney who researched e-cigarettes for the Rancho Cordova City Council, said most e-cigarettes come from China and that they are not all the same. Some might contain more carcinogens than others, and metal pieces have been found in some.


From a regulatory perspective, Lindgren said, restricting their use could be supported for public health and welfare reasons.


Attal Sadiq, owner of Gaga Smoke Shop in Rancho Cordova, said he attended the council workshop primarily to gather information.


“Sixty-five percent of what we sell doesn’t have nicotine,” he told the council. Of the customers buying e-cigarettes that do contain nicotine, he said, about 95 percent are doing so to quit smoking.


Diann Rogers, president and CEO of the Rancho Cordova Chamber of Commerce, said she found most businesses in the city were doing a “stellar job of self-regulating.” Most, she said, are treating e-cigarettes as regular cigarettes.


“The comments I received (from chamber members) is that it has become culturally unacceptable to smoke,” Rogers said. “The gist is, they would like to treat e-cigarettes the same as tobacco.”


The public will have plenty of opportunity to weigh in on any proposed changes in Rancho Cordova’s smoking ordinance. Once completed, the proposed ordinance will be the subject of two hearings before the City Council, Lindgren said.


Freitas said more than 45 communities in California have included e-cigarette regulations in their smoking ordinances. Fifty-nine include e-cigarettes in their tobacco retailer license programs, meaning that those who want to sell e-cigarettes must obtain a license. Also, 21 jurisdictions have included e-cigarettes in smoking provisions that apply to housing complexes, she said.


Regulation of e-cigarettes also was mentioned during a February meeting of the city of Sacramento’s Law and Legislation Committee in discussing a possible smoking ban in outdoor dining areas, said city spokeswoman Amy Williams. “However, no direction was given, and we don’t foresee it coming forward anytime soon,” she said.


Freitas said federal action is needed to determine the safety of e-cigarettes. “We just want to reiterate that it is really important for the FDA to assert its authority over e-cigarettes,” she said, “so we can get some clarity of what is actually in them.”


By Cathy Locke
clocke@sacbee.com





E-cigarettes face restrictions as cities update smoking ordinances