Tag: report

American Association of Public Health Physicians writes on behalf of Electronic Cigarettes to the FDA

For the past half century, the American Association of Public Health Physicians (AAPHP) has served as the national voice of physician directors of state and local health departments and other like-minded physicians. We have long been involved with tobacco control, with the singular goal of doing everything in our power to reduce tobacco related illness and death.

As you assume leadership of the new FDA Center for Tobacco Products, we urge you to consider the actions FDA can take, within the powers granted by this new legislation, to rapidly and substantially reduce tobacco related illness and death in current adult smokers.

Unfortunately, FDA has not gotten off to a good start. FDA condemnation of electronic cigarettes, in its July 22 press conference, and FDA insistence that electronic cigarettes should be regulated as a drug/device combination rather than as a tobacco product makes no sense from a public health perspective. It flies in the face of FDA laboratory findings on other products already approved by FDA. If one looks at electronic cigarettes as a sentinel for all tobacco products less hazardous than conventional cigarettes – the outlook for FDA action reducing tobacco-related illness and death among current adult smokers is dismal.

With this in mind, we respectfully request your consideration of the following actions:

1. We urge FDA to make public the laboratory data behind the July 22 condemnation of electronic cigarettes, along with comparable data on pharmaceutical nicotine products and conventional cigarettes. Then, on the basis of these data, either fully justify or retract the July 22 condemnation of electronic cigarettes.

2. We urge FDA to reclassify electronic cigarettes from a drug/device combination to a tobacco product. This will enable FDA to immediately regulate manufacturing and impose marketing restrictions during this initial period of FDA Tobacco Center development. This reclassification will eliminate pressure on the several hundred thousand current American users of electronic cigarettes to switch back to the much more hazardous conventional cigarettes.

This year, about 400,000 American adult cigarette smokers will die of a tobacco-related illness. Their second hand smoke will kill about 48,000 non-smokers. About 700 more will die in residential fires. Despite progress on other measures of tobacco use, per CDC estimates, this death count continues to inch up from year to year. In contrast, even though smokeless tobacco products represent about 20% of nicotine intake in the United States, the number of deaths per year from these products is too small for reliable estimates from the CDC.

Our (AAPHP) best estimate is that smokeless tobacco products currently cause about 700 cancer deaths per year in the United States. This is less than 1% of the more than 110,000 deaths that would occur each year if smokeless products carried the same mortality as conventional cigarettes.

This last week, Boffetta and Straif published a paper alleging evidence of an increased risk of fatal heart disease and stroke among smokeless tobacco users. This is a study sure to be referenced by those seeking evidence of the harmfulness of smokeless tobacco products. Unfortunately, this study suffers from major technical and ethical flaws, including failure to note in the abstract that they found no increased risk of non-fatal heart attack or stroke. Even worse, of the many studies reviewed, only two showed evidence of even a slight increase in risk of death – and these were the ones selected for the conclusion and abstract. That having been said, their allegations of a 13% increase in risk of fatal heart attack and 40% increase in risk of fatal stroke pale in comparison with the 180% to 300% increases in risk for men and women 35-64 years of age posed by smoking conventional cigarettes.

Contrary to prevailing conventional wisdom, virtually all the heart and lung disease from conventional cigarettes, and an estimated 98% of the cancer mortality, are due to direct inhalation of fresh products of combustion deep into the lung. Our best estimate (based on the work of Pankow et al and others) is that only about 2% of the cancer mortality from cigarettes is from the named carcinogens commonly found in tobacco products. Smokeless tobacco products carry little or no risk of heart disease and no risk of lung disease. They do not kill innocent bystanders and they do not burn down houses. The risk of cancer of any kind from smokeless products ranges from a high of about 5% of the risk of cancer posed by conventional cigarettes to a low well under 1% of the risk of cancer posed by conventional cigarettes. While definitive studies have not been done, we have reason to believe that tobacco products, such as electronic cigarettes, consisting of nicotine extracted from tobacco with only trace amounts of other chemical substances, should carry even less risk.

Most of the discussion to date around the new FDA/Tobacco bill has focused on reducing initiation of nicotine use by children and teens. The only discussion of current smokers has been limited to encouraging use of pharmaceutical products to aid cessation. This has been touted as doubling quit rates – but without mentioning that this doubling is from about 3% to about 5% per year. In other words, this option fails 95% of smokers willing to try it, even under study conditions with optimal counseling.

It should be possible to save the lives of 4 million or more of the 8 million adult American smokers who will otherwise die of a cigarette-related illness over the next twenty years. This could be done by making smokers aware of selected smokeless tobacco products (including but not limited to snus and electronic cigarettes) that promise to reduce the risk of tobacco-related illness by 99% or better for smokers who are unwilling or unable to quit. Rather than discouraging nicotine cessation, however, such an approach, even with no medical intervention, would be expected to triple the rate at which current smokers eventually discontinue their nicotine use.

Those writing the new FDA legislation endorsed a harm reduction component to current tobacco control programming, but in a most peculiar way. The law encourages cigarette manufacturers to develop “reduced exposure“ products and market them with no scientific proof that such reductions in exposure will reduce risk. The law then requires presumably new “scientific evidence” for smokeless products, already known to be of substantially lower risk. This makes no sense. The law encourages a harm reduction component to current tobacco control programming that might reduce tobacco-related cancer mortality by one or two percent; while actively discouraging switching to lower risk tobacco products that promise to lower total tobacco-related illness and death by 99% or better.

The secret to success, as we see it, will be to add an effective harm reduction component to current tobacco control programming while using the tools made available by this new law to prevent this new harm reduction
initiative from increasing the numbers of children and teens who initiate tobacco use.

Reconsidering the FDA stance on electronic cigarettes would be the most logical first step.

We look forward to working with FDA to use the powers granted by this new legislation to rapidly and substantially reduce tobacco-related illness and death, among both current and potential future tobacco users.

References:
The data on smoking attributable deaths on page 2 of this letter are from the Centers for Disease Control MMWR report of November 14, 2008. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5745a3.htm

The estimate that 20% of current nicotine consumption in the United States is from smokeless tobacco was generated by Mr. William Godshall, based on the formula utilized by Fagerstrom et al, when estimating 2002 nicotine consumption by type of tobacco product in multiple countries.

The discussion on risk of heart disease and stroke from smokeless tobacco products is from Paolo Boffetta and Kurt Straif : Use of smokeless tobacco and risk of myocardial infarction and stroke: systematic review with meta-analysis. Published August 18, 2009. BMJ 2009; 339: b3060 [Abstract] [Full text]

The data on relative risk of fatal heart attack and stroke from smoking, in men and women 35-64 years of age, are data from the American Cancer Society as quoted in “Changes in cigarette-related disease risks and their implication for prevention and control.” Smoking and Tobacco Control Monograph 8. Bethesda, MD: US Department of Health and Human Services,
Public Health Service, National Institutes of Health, National Cancer Institute 1997;305-382. NIH Publication no. 97-1213.

The other references to the scientific literature that back-up the points made in this letter can be found on the Tobacco Issues page at the http://www.aaphp.org web site. There is an October 2008 “Resolution and White Paper on Tobacco Harm Reduction.” This paper, on pages 6 and 13, includes then-current CDC and AAPHP mortality projections. “The Myth of the Safe Cigarette,” is based on the paper by Pankow et al (http://cebp.aacrjournals.org/cgi/reprint/16/3/584 ) and others. It makes the case that conventional cigarettes cannot be made measurably safer. The exchange of correspondence with Zhu et al, from a paper published earlier this year, deals with the difference in quit rates, comparing conventional cigarettes to smokeless tobacco products.

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Yours,
Joel L. Nitzkin, MD, MPH, DPA
Chair, AAPHP Tobacco Control Task Force
jln@jln-md.com
504 899 7893
Kevin Sherin, MD, MPH, FACPM, FAAFP
President, American Association of Public Health Physicians
ksherin@yahoo.com

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There Is Lot's Of Money To Be Made With Electric Cigarettes!

I discovered the world of electric cigarettes about six months ago. I had been searching for something similar to this for years now. I knew that you could get a nicotine vaporizor by prescription from your doctor in order to quit smoking. I always thought that a vaporizor of some kind would be the way to go because you can puff on it anywhere, there is no second-hand-smoke and none of the carcinogens that are found in tobacco smoke. It really confused me that you could buy nicotine in so many dangerous forms, (smoked tobacco, chewing tobacco, nicotine gum, patches.) but you could not buy what seemed to be the obvious safest way to consume nicotine unless you paid a lot of money for a doctors visit and then spent a lot on this expensive prescription for a vaporizor. The last time I checked it out it was $300.00 for a months supply of prescription vapor cartridges. So not worth it.

Finally a few years ago Chinese manufacturers began building and distributing the amazing electronic cigarettes. For the first time I was able to quit tobacco without quitting smoking. I had always known since the day I started smoking that it was a bad habit and I was severely damaging my health but I still enjoyed smoking.

Now I can continue to enjoy smoking without damaging my health at all or anyone around me. I knew right away that this was the future of smoking. There is no use for tobacco any more and I knew that there would be a huge market for ecigarettes in the near future.

I quickly joined several ecigarette affiliate programs and began setting up websites much like this one. Right away, without spending a penny on advertising, I started making sales and commissions. Just a trickle of search engine traffic to my sites and the sales kept coming in day after day. In just a few months with very little effort on my part I am now making a full time income off the commissions from electronic cigarette affiliate programs.

If you are smart you will want to get in on this action now before the market gets too saturated with ecigarette affiliate sites.

I have been able to weed out the affiliate programs that don’t sell very well or are poorly managed and don’t pay out on time or at all (Blu ecigarettes are a good example of a bad affiliate program. Never responded to any email, commissions marked as paid but I never received any payment. Also the product is poor quality).

So I have listed here for you only the best affiliate programs. Join them today and start selling. The products really sell themselves and the market is still pretty much un-tapped. There is a strong customer base of thirty million tobacco smokers out there. Everyone knows somebody that smokes and will benefit from switching to ecigarettes, you can make commission by getting them to switch to a healthier habit.

Here is the list of only the very best affiliate programs:

Green Smoke Electric Cigarette Affiliate Program –

Green Smoke offers one of the highest quality electric cigarettes on the market. It is a two piece design, easy to use for the beginner and the flavor of the nicotine cartridges is unbeatable. They offer free shipping and a 30 day money back guarantee. They pay a 15% – 20% commission on all sales and once someone buys through your affiliate link they are locked in as your customer for life which is a feature that is unique to Green Smoke. You also get a sign up bonus of $25 to start you off.

Premium Electric Cigarette Affiliate Program –

Premium electric cigarettes are another very high quality ecigarette with a two part design. The two peice is really the future of ecigs because of the atomizer that is built in to the nicotine cartridge so you get a fresh atomizer with every new cartridge (cartomizer). They pay a 10% commission which doesn’t seem like much but I don’t have a problem recommending them because my conversion ratio is huge with them. As I write this my conversion ratio is 3.98%. They give you $15 just for signing up too.

E-Smoke Brand Affiliate Program –

I am proud to be selling E-Smoke Brand products. Very high quality. They sell two different kinds of electric cigarettes. One of them is and E-9 style they they call the PRO kit and the other is an E-8 Style that they call the Sensation Kit. The E-8 comes with a portable charging pack which comes in very handy for the esmoker. E-Smoke starts you off with a massive $50 sign up bonus which is better than any other affiliate program that I have ever seen.

These three programs alone are enough for you to make a steady living when you get your website up and running. After you have signed up for these programs check out this short list of traffic resources. This is the list that I used to get started and it worked like a charm. Like I said, I am now making a full time income without really spending very much on advertising. I plan on advertising very heavily in the near future and being able to buy my wife a vacation home in Costa-Rica.

So this should get you started to being well on your way to making a comfortable income from home (or wherever). Good Luck!


Joye 510 User Guide Operation Manual or Care and Feeding of Your Ecig

The JOYE 510 Starter KitPlease read this manual carefully before enjoying your Joyetech 510 (Joye 510) E-Cigarette, Also known as the Yeti, Titan, and the Dura-C.

OPERATION:

For safe and effective use of the Joyetech 510 (Joye 510) E-Cigarette and its supporting products, please read through the following information carefully before use and follow the standard operating procedures strictly.

The Joyetech 510 (Joye 510) E-Cigarette consists of a power supply with a manual switch (battery), atomization chamber, and a cartridge. The cartridge is suited for one time use only but most people re-fill them with success. New cartridges will always work the best. We recommend keeping a good stock of them handy. When you push the manual switch the 510 will be activated.

USE:

Unpack the cartridge and remove the cover. Click the cartridge in the atomizer. Screw a power supply on the atomizer. Your 510 is now ready for use. Push the manual button for no longer than 5 seconds to avoid overheating of the atomizer. Do not use the Joyetech 510 (Joye 510) E-Cigarette in a vertical position, since liquid could leak. In case the 510 should vaporize continuously or in case the 510 shows signs of over heating, stop the usage, unscrew all parts and contact your 510 dealer.

joye 510 manual batteryPower (battery) supply replacement

The Joyetech 510 (Joye 510) E-Cigarette power supply needs to be recharged when the unit produces no more vapor.

Empty Cartridges For The JOYE 510Cartridge replacement

If during the use of this unit, vapor is found to be significantly reduced, the cartridge needs to be replaced.

The Joyetech 510 (Joye 510) E-Cigarette does not cause harm to surrounding people and environment. We recommend however out of courtesy to ask for permission to use the vaporizing function in public places, beforehand. The atomizer does not need to be cleaned with water. However, if you should encounter persisting mal performance you can try to rinse the atomizer with water and by blowing the water through the atomizer several times. The atomizer should be dried with a hairdryer after this process. When the atomizer is fully dry, insert a new cartridge, place the unit vertically and let the liquid penetrate the atomizer for a few minutes. It helps to drop a small amount of liquid directly onto the atomizer to kick start it in case the atomizer is still too dry.

POWER SUPPLY LIFE

Joyetech 510 (Joye 510) E-Cigarette power supply function for max 200 to 250 puffs per charge. The Power supply can be charged and used 200 times. After more than 200 charging and usage cycles, their functioning span lessens significantly.

Wall Charger For All Electric Cigarette BatteriesCHARGING POWER SUPPLY NORMAL CHARGER:

Screw the dedicated Power supply in the charger. Connect the charger to the power outlet. 1. The first charge should be kept for 8 hours, even if the LED light turns green. 2. Use for 20 minutes. 3. Charge the Power supply for another 1 hour. Your Power supply is now ready for normal use. Normal charging time should be kept for 1 hour (even if the LED light turns green). Do not use the charger in damp areas. Do not charge the Power supply near a high-temp heat source. Do not weld or pierce the Power supply. If the Power supply is found to be emitting any odor or heat or be discolored or deformed or have any abnormally during charging, please cut off the power source immediately and remove the Power supply from the 510 body or charger and suspend the use of it. The 510 charger can only be used with the 510 dedicated Power supply. Do not try to use this charger to charge other kinds of Power supply. Please keep the 510 and it’s components and cartridges from the reach of children or animals.

Universal USB Electric Cigarette Battery Charger for KR808D-1 , JOYE510 , DSE901 , DSE801 , DSE103 and OthersOPTIONAL USB CHARGER CABLE OR UNIVERSAL CHARGER

Screw the dedicated Power supply in the optional USB charger cable. Insert the USB charger cable into the USB port of your computer, USB Home Charger, USB car charger. Do not charge Power supply outdoors or in a damp environment. Keep all parts out of children’s reach.

STRUCTURE

The body is an integrated stainless steel shell structure, containing a Power supply, a manual switch, an atomization chamber and a cartridge.

CAUTION:

We do not accept any warranty/indemnity claims in case of wrong usage. If you are carrying the 510 with you, please carry it separately in order to avoid scratches or damage due to collision with other parts such as keys or mobile phones. The use of any un-dedicated components will lead to malfunction and damage of this product. The use of other than Joyetech 510 (Joye 510) E-Cigarette cartridges or the use of some liquids can damage the atomizer beyond repair. Please dispose of old Power supply in your local Power supply recycling collection point. When driving, please ensure your strict compliance with the relevant laws and regulations of the country or region where you are staying. Be concentrated on driving and pay attention to road conditions. Do not use this device while driving and secure all parts to avoid damage to the product caused by collision. The 510 uses an advanced microelectronic technology to vaporize a special designed GRAS (generally recommended as safe) approved liquid that is contained in cartridges that are inserted into an atomizer.

PRECAUTIONS

Storage: The Joyetech 510 (Joye 510) E-Cigarette and its supporting parts should be kept away from children’s reach and stored safely in a non-damp environment.E-Cigarettes are ADULT DEVICES and are never to be left where anyone under the age of 19 can reach them. They also NOT be marketed as a “healthy” or smoking cessation device.

Preparation: Leave the atomizer without cartridge to dry for the night by storing the atomizer vertically on a paper tissue or dry rack. Charge your Power supply at night.

Maintenance: The 510 should be maintained regularly.

Clean the screws threads of the different parts such as atomizer, chargers and Power supply with a tissue dipped in purified un-perfumed alcohol (please refer to your local drugstore). Clean screw thread will provide better electric conduction. Blow into the atomizer once and a while to evacuate left over liquid. Remove cartridge at night. Put the atomizer to dry for the night on a dry rack. When the vapor diminishes significantly the Power supply needs to be charged.

Power supply and charger: The Joyetech 510 (Joye 510) E-Cigarette is powered by a 3.7 V special Power supply. The charger is specially adapted for 510 Power supply. The input voltage of the USB home charger is AC100V-240V 50/60Hz. The input voltage of the USB car charger is DC12V-24V. The input voltage of the USB Power supply computer charger is DC5V. Pay attention to the value of the local voltage to be in accordance to that of the 510 charger.

Click here to purchase a JOYE 510 Ecigarette.


Professor Carl Philips of the TobaccoHarmReduction

carl_v_phillips_opt_2ECD: Given what we know about the ingredients and carcinogens contained within the electronic cigarette, is there reason to believe it could be a safer alternative to regular cigarettes?

Carl Phillips: I think that’s quite an understatement. I think there’s absolutely no doubt that it is a safer alternative to regular cigarettes. Now safe, that’s a word that implies there is absolutely no health risk from something, and that doesn’t really apply to anything. But our estimate is that it is probably in the order of 99 percent less harmful than smoking, I think there’s little doubt that it’s down in the neighborhood.

ECD: Professor Michael Siegel suggested that if we banned electronic cigarettes based on the carcinogens found in the FDA study we would have to ban peanut butter. Is that something you would agree with?

Carl Phillips: At least! We’d have to ban half the foods that are available. I mean, the FDA study really didn’t find any cancer risk. That study was basically pure propaganda.

ECD: Is there any danger of passive smoking with electronic cigarettes?

Carl Phillips: Probably not. As far as we know, the vapour, the propylene glycol vapour, has no human health risks at low concentrations, so it’s possible that there’s some miniscule risk, far too small for us to have ever noticed it or measured it. The amount of nicotine that escapes out into the air is also quite trivial and nicotine itself has such a low risk profile… so again it is never proper science to say that there is absolutely no risk from something, just as it is not proper science to say simply that there is a risk from something without trying to quantify it. But I guess there is no serious risk from second hand vapour as I guess it would have to be called.

ECD: In your opinion, could the electronic cigarette aid smoking cessation or be of use as a tobacco harm reduction product?

Carl Phillips: Yes, not only could it but it clearly is already being used for exactly that. Self reports suggest that thousands, tens of thousands of smokers have quit smoking by switching to the electronic cigarette which is the perfect proof that it does work as a smoking cessation aid and a tobacco harm reduction tool.

ECD: Electronic Cigarettes have been in use for several years now, and there are a few organisations which are concerned about them. What side effects have been found so far?

Carl Phillips: As far as I know there hasn’t been any discoveries of acute side effects, which of course is good news. There is no reason to expect any but you never know quite what is going to happen with a new exposure. You can have reports that start to trickle in of a case here or there of something very strange happening. I’m not aware of any such thing.

We of course know that long term use of nicotine poses a small, a very small but non-zero risk of some cardiovascular diseases so I suppose you could call that a side effect which is predictable for the long run, but that’s a total risk which is down in the range of drinking coffee, nothing remotely similar to the risk from smoking cigarettes.

ECD: What’s your biggest concern with regards to the electronic cigarette?

Carl Phillips: Well, we don’t know too much about the manufacturing process and there’s not enough quality control, or at least there is not enough guarantee of quality control in the process.

Now, this of course varies from manufacturer to manufacturer, but with reasonably free entry that just about anybody with an appropriate factory in China can start manufacturing these and start putting them out under some brand name there is worry about contamination. I mean this is not a plastic toy or something like that, which alone generates a lot of worry about Chinese manufacturers.

This is something that is delivering chemicals into the body in a way which is definitely going to be absorbed so it doesn’t take much of a production mishap to create something that is very harmful. And I really fear that it is going to happen one of these days if we don’t get some effective regulation and it is going to give the entire product line a bad name which of course would be inappropriate but quite understandable.

ECD: Following on from those concerns about the quality of production, let’s talk about the FDA. The FDA carried out tests on electronic cigarettes in which they found diethylene glycol in one “Smoking Everywhere” e-cigarette and traces of tobacco specific nitrosamines in both Smoking Everywhere and NJOY electronic cigarettes. So what are the significance of those findings?

Carl Phillips: There’s no significance of those findings whatsoever from a scientific or health standpoint. From a political standpoint the fact that they did that was quite significant.

So on the first point the fact that there are any detectable levels of any small molecules that that can be found in the tobacco plant in the e-cigarettes is not surprising at all. The nicotine comes from tobacco and our ability to detect a few stray molecules of contamination means that basically any molecule that is small enough to be a contaminant that is found in the tobacco plant will also be found in e-cigarettes. It’ll also be found in nicoderm, nicorette, any product that contains nicotine that has been extracted from a tobacco plant. So that’s completely meaningless – the quantities of the nitrosamines in the electronic cigarette were so many orders of magnitude smaller than those, say, in smokeless tobacco, which has been shown to not cause a measurable risk of cancer, so we know that that doesn’t matter.

Now, there is some more significance in finding contamination in the carrier chemicals, not that there was enough in this particular case that it was going to be harmful but because there is not supposed to be anything other than the propylene glycol and the water there, it does mean that there is a manufacturing problem – a manufacturing problem under some circumstances could be quite a bad thing. Now what really is the biggest problem is the politics that this reflects.This shows up in all sorts of harm reduction type situations and the basic rule of thumb is, if you ban something or if you’re trying to ban something, declare war on it, then you can’t regulate it, you can’t make it safer. So if you have a war on injection drug use and you simply want to forbid it and don’t want to admit it is happening in any way, you will prevent needle exchanges from happening which would save a lot of lives.

If you want to have a war on prostitution and just absolutely forbid it and pretend it doesn’t exist then it is impossible to impose rules that force prostitutes to get health exams and so forth.

Similarly if the FDA is intent on declaring war on electronic cigarettes and simply forcing them from the market then they are going to be abdicating their responsibility to make sure that the electronic cigarettes are what they are supposed to be and keep them safe and that goes back to this quality control problem. The FDA would really be the perfect entity to help impose some quality control on ecig manufacture even though they are manufactured in a different country but it looks pretty bad in terms of the possibility of them doing that.

ECD: What health benefits, if any, might smokers find if they smoked electronic cigarettes, or changed to electronic cigarettes?

Carl Phillips: The health benefits of switching are almost exactly the same as the health benefits of quitting, and this applies to electronic cigarettes, smokeless tobacco and pharmaceutical nicotine. If a smoker can manage to switch from smoking to one of those other products the benefits are approximately the same as quitting – they lower their cancer risk, they lower their cardiovascular disease risk, they get rid of acute symptoms of lung and airway problems, a risk that comes from smoking for pulmonary diseases and so forth. Switching is so close as good as quitting that from a health point of view there is no point in worrying about the difference.

Read more: http://www.ecigarettedirect.co.uk/carl.html#ixzz0bbBhvjSi


Dr. Anthony Panarello Gives Us The Truth About Electric Cigarettes

Dr. Anthony Panarello, a pulminary specialist, Gives Us The Truth About Electric Cigarettes, That they are 1000 times less harmful than smoking traditional tobacco cigarettes. This video only refers to the Smoke 51 Electric Cigarettes

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Some Smoking Statistic From the American Cancer Society

AmerCancerBased on data collected from 1995 to 1999, the CDC estimated that adult male smokers lost an average of 13.2 years of life and female smokers lost 14.5 years of life because of smoking.

Tobacco use is responsible for nearly 1 in 5 deaths in the United States. Because cigarette smoking and tobacco use are acquired behaviors — activities that people choose to do — smoking is the most preventable cause of premature death in our society.

Cigarette smoking accounts for at least 30% of all cancer deaths. It is a major cause of the following cancers: lung voice box (larynx) mouth (oral cavity) throat (pharynx) bladder the swallowing tube connected to the stomach (esophagus)

Only about half of the deaths related to smoking are from cancer. Smoking is also a major cause of heart disease, aneurysms, bronchitis, emphysema, and stroke, and it makes pneumonia and asthma worse.

About half of all Americans who keep smoking will die because of the habit. Each year about 443,600 people in the United States die from illnesses related to tobacco use. Smoking cigarettes kills more Americans than alcohol, car accidents, suicide, AIDS, homicide, and illegal drugs combined.

Smoking is responsible for about 87% of lung cancer deaths. Lung cancer is the leading cause of cancer death in both men and women, and is one of the most difficult cancers to treat. Lung cancer is a disease that can often be prevented. Some religious groups that promote non-smoking as part of their religion, such as Mormons and Seventh-day Adventists, have much lower rates of lung cancer and other smoking-related cancers.

The smoke from cigarettes (called secondhand smoke or environmental tobacco smoke) has a harmful health effect on those exposed to it. Adults and children can have health problems from breathing secondhand smoke.

Electric Cigarettes can Eliminate all of the problems associated with the consumption of nicotine via smoking.

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FDA Lies About eCigarettes

ecigarettesx-largeAt a time when the government is ostensibly trying to cut health costs, why is it trying to ban something that might help people quit smoking tobacco, perhaps the most devastating health problem in the U.S.?

The Food and Drug Administration (FDA) held a press conference late last month to scare Americans about the so-called “e-cigarette” — claiming it was loaded with harmful “toxins” and “carcinogens.” The agency was implicitly saying: Stay away from these newfangled, untested cigarette substitutes — better to stick with the real ones, the ones that we are more familiar with, the ones that cause over 450,000 deaths annually in the U.S.

In making its distorted, incomplete and misleading statement, FDA was violating its long-cherished tradition of sticking to sound science as the basis for its policies. And in doing so, it is putting the lives and health of millions of Americans at risk.

The truthful part of the FDA statement was that e-cigarettes have not been through formal efficacy and safety tests at the FDA, and they have only been around a few years. But in the press conference, here is what the FDA did not tell you but should have:

c Traditional cigarettes are lethal not because of the trace level presence of specific “carcinogens” and “toxins,” but because by using them, smokers inhale enormous amounts of smoke — otherwise known as “products of combustion.” It is the inhaled smoke that kills in so many ways — from cancers, cardiovascular and lung disease, and more.

c The cigarette was a relatively obscure product in our society until the invention of a cigarette rolling machine, and sales rose quickly prior to World War I.

Before that, tobacco was used relatively safely — in chew, pipes, cigars — because little if any smoke was inhaled. Cigarettes changed all of that.

c The e-cigarette — a cigarette-mimicking device made up of a battery, an atomizer and a cartridge — allows smokers to inhale, getting a dose of the nicotine they crave, and then sending steam out the other end (with little or no odor) to mimic the ritual and feel of smoking normal cigarettes.

c The FDA complained that the e-cigarette was a “nicotine-delivery system.” Well, it got that much right. But again, it’s the smoke that kills, not the nicotine. Yes, nicotine is highly addictive, and it is what keeps the smoker hooked. But getting the nicotine without the smoke is an enormous health advantage for cigarette smokers (the nicotine inserts come in various strengths and the users can adjust them downward as they wish).

Actual Vaporc The FDA has approved other nicotine-delivery systems in the form of gums and patches — and they have been abysmal failures. The smoking cessation rates using these devices is less than 15 percent after one year, condemning millions of addicted smokers to a lingering death. We desperately need other alternatives. But the FDA has now joined a long list of so-called public-health organizations — including the Campaign for Tobacco Free Kids and the American Lung Association — whose collective motto seems to be “quit or die.” Not only do they reject e-cigarettes, but they also condemn other smokeless products like snus, which have a mere fraction of the health risks associated with smoking cigarettes.

c More than 1 million smokers are now using the e-cigarette — a product that offers some, if not all, of the “social amenities” of the real thing — holding the cigarette, taking a drag, seeing a plume of “smoke.” The FDA, lacking data that e-cigarettes pose a health hazard, was so desperate, it called on consumers to phone in adverse side effects of e-cigarettes so they could begin to build a case against them and proceed with their intended ban. They neglected, however, to request smokers who successfully quit using the e-cigarette to also call in.

Cigarette smoking remains the leading cause of preventable disease and death in the United States today. Any alternative acceptable to addicted smokers should be taken seriously. Instead of condemning the e-cigarette, the FDA should be sponsoring studies to evaluate its safety and efficacy — leaving it on the market in the interim.


ABC News report about electric cigarettes

This is a report from ABC News about the benefits of switching to ecigs rather than smoking traditional tobacco cigarettes.


I Guess They’re Just Not Dangerous Enough . . .

By John E. Calfee

June 2, 2009, 11:01 am

Both the New York Times and the Wall Street Journal carried front-page stories today (in the Journal, atop the Marketplace section rather than p. A1) on “e-cigarettes,” something most of us never heard of until the past few weeks or not until today. Most e-cigarettes come from China. They have been around for a couple of years but only recently reached the $100 million mark in annual sales. In a sense, e-cigarettes are the latest chapter in the continuing debate over smokeless tobacco, which deliver nicotine from tobacco but eliminate the smoke, which is the source of practically all the harms from cigarette smoking. E-cigarettes are the ultimate smokeless product because they don’t actually involve tobacco at all. They typically contain nicotine, water, some flavorings and scents, and propylene glycol (which the Times explains is common in hand sanitizers)—plus a battery and a miniature atomizer so that when the user takes a puff, he or she receives a nicotine-laced flavored mist.

The leading public health antismoking organizations like the American Cancer Society, American Heart Association, and the Campaign for Tobacco-Free Kids (supported by litigation-induced taxes on smokers) are furious about these unregulated products. They want proof of safety and efficacy, and they want the Food and Drug Administration to force e-cigarettes off the market. That is exactly what the FDA is prepared to do, on the grounds that e-cigarettes are obviously designed to help smokers quit, which is a recognized medical use and therefore renders these products subject to FDA rules about the testing and approval of new drugs.

It is hard to believe that e-cigarettes pose even a tiny percentage of the risks of smoking. Remember, there is no smoke, and the dangers of nicotine itself resemble those of caffeine. The antismoking groups are intent upon perpetuating their reckless gamble that smokers can be induced to quit and that in the meantime, virtually harmless substitutes should be kept off the market unless they go through rigorous FDA testing with all its expense and narrow focus on how products are used.

All of which leads to the totally weird observation that e-cigarettes would be free of all this controversy if only they were more dangerous (by putting real smoke in the lungs, for example) and if they didn’t seem to help people quit smoking cigarettes. In today’s strange public health regulatory environment, cigarettes are OK and smokeless substitutes are not.

And now, what about FDA regulation of tobacco products? Well, that’s another story for another time (really soon).

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