CDC is Concealing and Suppressing Information on Youth Marijuana Vaping to Over-hype Harms of E-Cigarettes
The Centers for Disease Control and Prevention (CDC) is concealing and suppressing information on the number one cause of severe, vaping-related health harm to youths in order to deceive the public into thinking that e-cigarettes are at the top of the list.In fact, the number one cause of severe, vaping-related health damage to youths is not electronic cigarettes, although you would not know that from reading the CDC's literature on youth vaping.The Rest of the StoryThe chief cause of substantial health harms to youth from vaping is actually not e-cigarettes. It is marijuana or THC vaping.The hundreds of youth who have bec...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - January 26, 2020 Category: Addiction Source Type: blogs

Tobacco Researcher Claims that Smoking May Be Safer than E-Cigarettes
Imagine if a tobacco company came out today and publicly claimed that smoking might very well be safer than using an e-cigarette. It would be a completely irresponsible statement and the company would rightly be vigorously criticized and attacked for asserting that its deadly products, which kill more than 400,000 people each year, are potentially safer than e-cigarettes, which do not contain tobacco, involve no combustion, and have been documented to have much lower levels of thousands of different chemicals compared to cigarettes.In a strange an shocking irony, that exact claim was made today, but it came not from Big To...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - January 9, 2020 Category: Addiction Source Type: blogs

Vape Shops Saved for Now: Dodged One Bullet, But Now Must Dodge Another One
I am expecting the FDA to announce this afternoon that it plans to enforce a ban on the sale of all flavored e-cigarette pods and cartridges for closed vaping systems, with the exception of tobacco and menthol flavors, but that it is exempting e-liquids and vape juices sold for open systems. This means that the restriction will primarily affect the vaping products sold by convenience stores, but not all of the products sold by vape shops.The decision of the FDA not to ban all flavored e-cigarettes is a huge victory for public health. By allowing vape shops to continue selling flavored vape liquids, the FDA is preventing hu...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - January 2, 2020 Category: Addiction Source Type: blogs

American Academy of Family Physicians Bemoans Fact that Many People Correctly Link Respiratory Disease Outbreak to THC Vapes
The American Academy of Family Physicians (AAFP) hasreleased the results of a survey it commissioned to examine public attitudes regarding what CDC has incorrectly called the EVALI (e-cigarette, or vaping-associated lung illness) outbreak. The AAFP reports the results as follows:" In the online survey of 1,000 people aged 16 to 30 who vape, 93% of respondents said they were aware of the EVALI outbreak, and 65% said they were closely following news regarding the issue. More than 70% of respondents indicated they planned to be more careful about the products they buy and to reduce their use of vape products, and 86% wer...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - December 24, 2019 Category: Addiction Source Type: blogs

Newest CDC Data Confirm that Respiratory Disease Outbreak was Caused by Vitamin E Acetate Oil in THC Vaping Cartridges
The CDC has released new data which almost definitively confirm that the respiratory disease outbreak was caused by vitamin E acetate oil in THC vaping products (and perhaps some CBD vaping products as well).I came to the same conclusion on August 25th, as did many experts from the cannabis industry who helped to inform my conclusion. Why it took the CDC four additional months of intensive investigation to discover something that cannabis industry experts had recognized much earlier is mystifying.Previously, CDC had tested lung fluids from 29 of the case patients. All 29 contained vitamin E acetate. This past Thursday, CDC...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - December 22, 2019 Category: Addiction Source Type: blogs

Massachusetts Department of Public Health Issues Emergency Order Banning the Sale of All Pets for Four Months
In response to anoutbreak of multi-drug resistant Campylobacter infections associated with the purchase of puppies from pet stores, the Massachusetts Department of Public Health has issued a temporary, four-month ban on the sale of all animals by pet stores throughout the Commonwealth.The CDC concluded that the outbreak is being caused by puppies sold by pet stores based on the finding that 88% of the case patients reported contact with a puppy and 71% of these reported contact with a puppy from a pet store.The CDC conclusion is as follows: " Epidemiologic and laboratory evidence indicate that contact with puppies, es...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - December 19, 2019 Category: Addiction Source Type: blogs

Flavored E-Cigarette Bans are a Sure Way to Increase Youth Cigarette Consumption and Black Market THC Vaping
Sometimes the most important evidence in a public health debate come from the most important informants: the people who are actually affected by public health policy and who know what is happening on the ground. This morning,WGBHreported that the Massachusetts e-cigarette ban is leading youth to substitute real cigarettes or illegal THC vapes for their flavored e-cigarettes.As the article reports: " Some students say the ban did little to stop use of e-cigarettes and they want to be part of the solution. Sullivan [a youth] says the temporary ban was actually harmful to students: “It’s forcing students to b...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - December 17, 2019 Category: Addiction Source Type: blogs

Vapers Beware: New Study Does NOT Show that E-Cigarettes Cause Chronic Lung Disease
This study is deeply flawed because it fails to consider the most likely explanation for the study findings: that people who use e-cigarettes more likely have a history of more intense smoking than people who do not use e-cigarettes. For example, onestudy found that while only 21% of adult smokers who did not vape were heavy smokers, 68% of adult smokers who did vape were heavy smokers (or had been heavy smokers).This is critical because it shows that in order to control for smoking history properly in a study such as this one, you cannot merely control for whether or not someone was a current or ever smoker at baseline. Y...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - December 17, 2019 Category: Addiction Source Type: blogs

Massachusetts DPH Admits that Rescinding the E-Cigarette Sales Ban " Will Almost Certainly Lead to More Cases of Severe Illness, and Potentially Deaths "
In court filings--both in state and federal court--the Massachusetts Department of Public Health strongly argued that allowing e-cigarettes to be sold in the Commonwealth, as it did by rescinding the emergency sales ban on December 11, will almost certainly lead to more cases of severe respiratory illness and possibly death.According to statements by both the governor and the Department of Public Health on December 11, the cause of the respiratory disease outbreak remains unknown and officials have not yet been able to pinpoint the specific source of the vaping-related illnesses. Therefore, according to the Department of P...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - December 16, 2019 Category: Addiction Source Type: blogs

Massachusetts DPH Destroys Its Own Justification for the Emergency E-Cigarette Ban
The Massachusetts Department of Public Health (DPH), via a vote by the Public Health Council, has rescinded its emergency ban on the sale of electronic cigarettes which was issued on September 25. When the ban was implemented in September, the Department's rationale was that since we don't know what is causing the outbreak, there may be e-cigarettes that could be involved. Therefore, to protect the public's health, we need to ban the sale of e-cigarettes.In rescinding the emergency order, DPH stated that the cause of the outbreak remains unknown. So by its own rationale which it invoked on September 25, there could still b...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - December 13, 2019 Category: Addiction Source Type: blogs

The Height of Irresponsibility: Massachusetts Department of Public Health Tells Public the Cause of Respiratory Disease Outbreak is Unknown
Yesterday, the Massachusetts Department of Public Health (DPH) proclaimed to residents of the Commonwealth that it has no idea what is causing the outbreak of respiratory illness that has affected more than 2,000 people and killed 47 throughout the country.The proclamation came on a day when the Public Health Council voted to rescind the emergency order that banned the sale of all e-cigarettes in the state.According to anarticle inBoston Magazine, the Department of Public Health told reporters:" We don ’t understand what is causing these illnesses. From a public health point of view, we cannot recommend that any...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - December 12, 2019 Category: Addiction Source Type: blogs

Outbreak of Salmonella Poisoning from Contaminated Vegetables in Massachusetts But DPH Refuses to Release Data on Which Products are Involved and Where They Were Purchased
Despite an outbreak of vegetable-associated Salmonella poisoning linked to products sold at Massachusetts restaurants that has affected 90 Massachusetts residents and resulted in three deaths, the Massachusetts Department of Public Health is refusing to release any information on the restaurants at which the patients ate or the exact products they consumed. The Department has revealed only that the outbreak is associated with " vegetable products " and that some of the patients reported having eaten vegetables at restaurants in the Commonwealth.The Department of Public Health is not even telling the restaurant ow...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - December 9, 2019 Category: Addiction Source Type: blogs

American Lung Association's Lies About E-Cigarettes are Dangerous and Irresponsible
Earlier this week, I revealed that, ironically, in a campaign attacking e-cigarette companies for lying to the public, the American Heart Association was itselflying to the public by asserting that e-cigarettes cannot help smokers quit.Today I reveal that, not to be outdone, the American Lung Association is lying even more blatantly to the public and in a way that is not only irresponsible but dangerous for the public's health.In apress release issued yesterday, the American Lung Association made the following claims:Cigarette smoking is no more hazardous than using e-cigarettes.E-cigarettes cannot help smokers quit.If you...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - December 5, 2019 Category: Addiction Source Type: blogs

Massachusetts State Health Department is Completely Irresponsible in Hiding the Cause of Vaping-Associated Respiratory Illness
The Department of Public Health's Silence is Putting the Lives of the State's Youth at RiskI was startled this morning to read what the Massachusetts Department of Public Health (DPH) is currentlytelling the public about the vaping-associated respiratory illness outbreak that has affected more than 2,000 people and resulted in 47 deaths. This information appears on the emergency web page that the Department has created , entitled " Vaping Public Health Emergency. "There are three critical pieces of information provided regarding the outbreak. First, here is what DPH is currently saying about the cause of the...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - December 2, 2019 Category: Addiction Source Type: blogs

New York City: Where You Can Get Cigarettes at Every Corner Store But There's Not an E-Cigarette to Be Found
The New York City Council yesterday passed a law that bans the sale of all e-cigarettes, with the sole exception of tobacco-flavored ones, but allows cigarettes - including menthol-flavored brands - to continue to be sold at any gas station, convenience store, or other retail store in the city.On the heels of the New York City ban, the governor of Massachusetts today signed a law that bans the sale of all e-cigarettes in the state, with the sole exception of tobacco-flavored ones, but allows cigarettes to continue to be sold at any gas station, convenience store, or other retail store in the state.There is no public health...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 27, 2019 Category: Addiction Source Type: blogs

More Evidence that Vitamin E Acetate Oil, Not E-Cigarettes, Is the Cause of the Respiratory Disease Outbreak
This study not only provides very strong evidence that vitamin E acetate oil, rather than e-cigarettes, is the cause of the outbreak, but it also helps to explain why approximately 10% of patients are not reporting the use of THC-containing products. For one, some of the patients are apparently using CBD products that may contain vitamin E acetate oil. Second, there is clearly substantial under-reporting occurring. Patients who reported using nicotine-containing liquids exclusively have nevertheless tested positive for THC and/or vitamin E acetate oil. Third, there is tremendous product multi-use occurring, so it is not cl...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 27, 2019 Category: Addiction Source Type: blogs

Why E-Cigarette Flavor Bans are Misguided: The Flavor's Not the Problem, It's the Nicotine Salts
The obsession of policy makers, politicians, and health groups on banning flavored e-cigarettes as a solution to the youth vaping epidemic is misguided and is detracting attention from the real issue: the use of nicotine salts that have greatly increased the addiction potential of e-cigarettes.Prior to the introduction of JUUL, three-fourths (74%) of nonsmoking youth e-cigarette users reported using e-cigarettes no more than about once a week and only 4% usedthem every day, a sure sign of addiction. But by 2018, 12% of nonsmoking youth used e-cigarettes every day, a tripling of the percentage of youth e-cigarette users who...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 26, 2019 Category: Addiction Source Type: blogs

Oregon State Health Department Claims that Nicotine-Based E-Cigarettes are Causing Respiratory Disease Outbreak
In anop-ed piece published yesterday in theOregonian, the Oregon state health department claims that a substantial proportion of cases of the vaping-associated respiratory illness outbreak are caused not by THC/CBD vaping, but by nicotine-containing electronic cigarettes. The piece claims that: " we can say the hospitalizations and deaths are not exclusively attributable to cannabis use. "This is very different from claiming that wedo not yet know definitively whether some nicotine-containing e-liquids are causing the illness. Instead, the statement claims that wedo knowthat many casesare being caused by electron...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 25, 2019 Category: Addiction Source Type: blogs

Massive Irony: American Heart Association is Lying to the Public in a Campaign Attacking E-Cigarette Companies for Lying
The American Heart Association has unveiled a newcampaign which uses the hashtag #QuitLying and the website quitlying.org. The campaign is directed against " Big Vape " and it attacks e-cigarette companies for lying to the public. Among the lies that the American Heart Association claims e-cigarette companies are making are:(1) that vaping is different than smoking; and(2) that e-cigarettes can help smokers to quit smoking.They claim that the lying on the part of e-cigarette companies is " leading more people to smoking " and has " landed hundreds of e-cigarette users in hospitals. "The Rest o...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 24, 2019 Category: Addiction Source Type: blogs

My Testimony Today Regarding the Massachusetts Emergency Ban on the Sale of Electronic Cigarettes
Testimony of Michael Siegel, MD, MPHProfessor, Boston University School of Public HealthNovember 22, 2019The Department of Public Health justified its emergency order by arguing that removing vaping products from the market would protect the public – and especially youth – from the vaping-associated respiratory disease outbreak that has now affected more than 2,000 people and caused 47 deaths.However, unbeknownst to many, this emergency order wasnot successfulin removing all vaping products from the market. In fact, the Department ’s emergency order exempted – and therefore failed to remove from the...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 22, 2019 Category: Addiction Source Type: blogs

Case of Popcorn Lung in Canada Due to E-Cigarettes? Not so Fast
It is being widely reported in the media that there was recently a case of " popcorn lung " in Canada that was due to the use of e-cigarettes. These reports are exaggerated and inaccurate representations of a medical journalarticle published in theCanadian Medical Association Journal.The article reports the case of a 17-year-old patient who presented with severe respiratory failure requiring mechanical ventilation. A chest CT scan revealed a " bud-in-tree " pattern which is consistent with a diagnosis of bronchiolitis. Because the study authors had heard that some e-liquids contain a flavoring called di...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 22, 2019 Category: Addiction Source Type: blogs

House Lawmakers Decide Not to Tackle Respiratory Disease Outbreak: They Decide to Let More Kids Get Sick in Order to Protect a $2.5 Billion Illegal Industry
With more than 2,000 cases of severe respiratory failure--mostly among youth and young adults--and 42 deaths resulting from vaping-associated respiratory illness, one might expect that the House Energy and Commerce Committee would have donesomething to help curtail this outbreak when it voted yesterday on legislation to address the youth vaping crisis.While this week's newspaper headlines provided some information about the Committee's actions on the proposed youth vaping legislation--for example, that the bill, which bans e-cigarette flavors other than tobacco, passed by a 28-24 vote--those headlines only tell part of the...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 22, 2019 Category: Addiction Source Type: blogs

Massachusetts State Senate Votes to Ban Almost All E-Cigarettes, But to Leave the Real Deadly Ones on the Shelves
In a move that defies public health logic, the Massachusetts Senate today voted for a bill that would ban the sale of virtually all e-cigarettes, but would allow non-mentholated real cigarette brands to remain on the shelves of all stores, including convenience stores and gas stations where youth have easy access to these products.There is simply no public health justification for taking e-cigarettes off the market but allowing youth to continue to have unfettered access to real tobacco products. The average annual death toll of these products is starkly different:Flavored e-cigarettes: 0Real cigarettes: 480,000Given the m...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 21, 2019 Category: Addiction Source Type: blogs

Massachusetts Senate Uses a Big Tobacco Tactic: Votes Not to Allocate Master Settlement Agreement Money to Smoking Prevention and Cessation; In that Light, the Flavor Ban is Disingenuous
Anyone who thought the Massachusetts state Senate's probable passage of a bill tonight that will ban the sale of flavored e-cigarettes and menthol tobacco cigarettes is motivated by a pure desire to protect kids and reduce tobacco-related diseases is mistaken. The supporters of this legislation showed their true colors tonight by rejecting an amendment that would have required that the state allocate a mere 10% of the money it receives from the Master Settlement Agreement to smoking prevention and cessation programs.It was quite a sight to witness. Senator after senator got up and spoke about how terrible smoking is and ho...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 21, 2019 Category: Addiction Source Type: blogs

American Medical Association Calls for Removal of the Main Competitors to Cigarettes from the Market
In aresolution that is the most dangerous health-related policy proposal from a medical or health organization that I have seen in my career, the American Medical Association (AMA) today called for the complete removal from the market of the #1 competitor to Big Tobacco profits. The resolution also calls for hundreds of thousands of ex-smokers to return to smoking and for the removal from the market of a critical off-ramp that has helped 2.5 million American smokers to quit for good. In addition, the resolution calls for the creation of a dangerous new black market for e-cigarettes and e-liquids.If this sounds crazy, let m...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 20, 2019 Category: Addiction Source Type: blogs

American Heart Association Urges Parents to Lie to Their Kids About E-Cigarettes and Not to Answer their Questions
It has been well established that using e-cigarettes is far safer than smoking. Clinical studies show that smokers who switch to e-cigarettes experience immediate and dramatic improvement in both their lung function and in their cardiovascular function. They also experience a dramatic reduction in levels of chemical toxins. Any parent who suggests to their kids that e-cigarettes are as dangerous as real cigarettes is lying.However, this fact has not stopped the American Heart Association from urging parents to hide from their kids this important factual information. The American Heart Association actuallyrecommends that if...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 16, 2019 Category: Addiction Source Type: blogs

While American Heart Association Claims E-Cigarettes are as Harmful as Smoking, a Clinical Trial Shows Immediate Cardiovascular Improvement After Smokers Switched to E-Cigarettes
Last week, the American Heart Association issued apress release whose headline read:" E-cigarettes take serious toll on heart health, not safer than traditional cigarettes. "But while the American Heart Association was busy disseminating this message throughout the world, the results of anactual clinical trial of this very research question demonstrated the almost immediate improvement in cardiovascular health that occurs when smokers switch to e-cigarettes.The study compared smokers who switched to e-cigarettes to those who continued to smoke. Endothelial function (a measure of damage to the lining of arteries) ...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 16, 2019 Category: Addiction Source Type: blogs

Bill Passed by Massachusetts House Would Allow Police to Seize Cars from Vapers who Possess DIY or Black Market E-Liquids
But You Can Drive With Marijuana or Cartons of Marlboros in Your Car To Your Heart's ContentJacob Sullum, a senior editor atReason, has revealed a striking set of provisions in thebill (H4183) passed by the Massachusetts House of Representatives on Wednesday. These provisions would allow the police to seize your vehicle if you possess any DIY or black market e-liquids in your car.The relevant provision in the bill reads as follows:" When the commissioner or a police officer discovers an untaxed electronic nicotine delivery system in the possession of a person who is not a licensed or commissioner-authorized electronic...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 15, 2019 Category: Addiction Source Type: blogs

Massachusetts House Passes Bill that Promotes Marlboro Cigarettes; Why are They Doing This Huge Favor for Philip Morris?
Yesterday was a dream come true at the Massachusetts State House for Philip Morris USA - the nation's largest domestic cigarette manufacturer. The Housevoted to approve a bill that bans the sale of all e-cigarettes except those with tobacco flavoring, bans the sale of menthol cigarettes, and imposes a 75% excise tax on all e-cigarettes. According to an article in theBoston Globe, the aim of the legislation is " to protect young people from the harmful effects of tobacco. "The Rest of the StoryIf the purpose of this legislation is to protect young people from the harmful effects of tobacco, then it is an utter fai...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 14, 2019 Category: Addiction Source Type: blogs

The Bias Against E-Cigarettes in Medical Research: An Example from the American Heart Association Annual Meeting
This study found a cross-sectional association between e-cigarette use and riskier lipoprotein (cholesterol) profiles. Based on that cross-sectional correlation, the investigators conclude that e-cigarette use leads to higher " bad " cholesterol levels and therefore, switching from smoking to vaping does not improve cardiovascular health.But let's examine this more closely.In a cross-sectional study, you have to be very careful in extrapolating from correlation to causation because this type of study design is very susceptible to confounding -- that is, a third variable that is associated with both smoking/vaping...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 12, 2019 Category: Addiction Source Type: blogs

CDC and Anti-E-Cigarette Researcher Still Clinging to Faint Hope that Traditional E-Cigarettes are Causing Outbreak
It is now apparent that, as many of us figured out months ago, the use of vitamin E acetate oil as a thickening agent in THC vaping cartridges and perhaps other counterfeit or adulterated black market vaping products is causing the vaping-associated respiratory illness outbreak. Nevertheless, the CDC and at least one prominent anti-e-cigarette researcher have not yet given up in their attempt to pin the outbreak on traditional e-cigarettes which they apparently despise.The CDC continues to term this outbreak " E-cigarette, or vaping, product use associated lung injury. " This is an extremely odd name, especially ...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 11, 2019 Category: Addiction Source Type: blogs

CDC Announces " Major Breakthrough " that I Recognized and Reported Two Months Ago; Outbreak is Almost Certainly Not Associated with Legal Nicotine Vapes
Minutes ago, the Centers for Disease Control and Prevention (CDC) announced what they called a "major breakthrough" in its investigation of the vaping-associated respiratory illness outbreak. They tested lung tissue samples from 29 case patients and all 29 (100%) were found to contain vitamin E acetate oil.This finding does represent a major breakthrough for four reasons:1. The vitamin E acetate oil was detected in the actual lung tissue of the case patients.2. The vitamin E acetate oil was detected in every single one of the lung tissue samples from these 29 case patients.3.  The samples came from 10 differ...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 8, 2019 Category: Addiction Source Type: blogs

Wisconsin Physician Warns Public That A Single Puff from a Nicotine Vape Could Kill You
There is an inordinate amount of unjustified hysteria about the dangers of electronic cigarettes. And it continues to drive me crazy to read article after article which talks about how a 17-year-old youth almost died and had to be put on a ventilator for several days and then immediately transitions to a discussion of the health dangers of nicotine-containing e-cigarettes, which dominates the remainder of the article. If you're lucky, there is at most one sentence which parenthetically notes that the youth was vaping THC.It is also tremendously frustrating to read statement after statement from the CDC in which it notes th...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 8, 2019 Category: Addiction Source Type: blogs

Policy Makers are Deceiving Themselves if They Believe Banning Flavored E-Cigarettes is Going to End Youth Vaping of Flavored Products
Major Exemption in Proposed Flavor Ban Leaves Most Kid-Friendly Flavors on the MarketThe most basic premise of the proposal to ban flavored e-cigarettes is that it will protect youth by preventing them from vaping flavored e-liquids. The flavors are the problem, so if we ban the flavors, we'll take care of the problem.Or so the thinking goes.The Rest of the StoryThe problem is that politicians are deceiving themselves if they think that a ban on flavored e-cigarettes is going to prevent youth from accessing flavored e-liquids. The truth is that all of the following flavors are exempt from the ban and will remain on the mar...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 7, 2019 Category: Addiction Source Type: blogs

CDC and State Health Departments are Wrong to Inform the Public that Some Case Patients Used Only Nicotine E-Liquids
Because the CDC and state health departments have deliberately been conflating the respiratory disease outbreak with the general problem of youth vaping, they have not been clear in communicating the scientific evidence regarding the type of products that are most likely causing the outbreak. Because of the confusion they have created, a large number of state officials, health practitioners, and media outlets have been incorrectly reporting that a substantial proportion of the outbreak case patients used only nicotine-containing e-cigarettes.For example, in itslegal brief opposing a temporary restraining order against its ...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 3, 2019 Category: Addiction Source Type: blogs

Why I Think the FDA's Imminent Ban on Flavored E-Cigarettes is Unlawful
I expect the FDA to announce soon that it is banning the sale of all flavored e-cigarettes, with the exception of tobacco and probably mint and menthol as well.As you know, when an executive agency issues a regulation, it is required by the Administrative Procedures Act (APA) to go through a formal rule-making process, which at a minimum requires that the agency publish the proposed rule in the Federal Register, allow public comment on the rule, and then respond to the comments before actually issuing the rule. This process can take one to two years.The question you may be asking is: How can the FDA ban flavored e-cigarett...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 3, 2019 Category: Addiction Source Type: blogs

I Expect FDA to Announce Flavor Ban This Week, But Vapers Save Mint and Menthol E-Cigarettes
Due to the outcry from the vaping community, it appears that mint and menthol will be excluded from a ban on flavored e-cigarettes that I expect the FDA to announce this week. I also do not expect menthol cigarettes to be included, since that would actually cause a decline in cigarette consumption (while a flavored e-cigarette ban will increase cigarette consumption, and therefore, federal government revenue). Moreover, it is easy to take a stand against the weak vaping industry but takes actual political courage to stand up to the large cigarette companies.Theonly reason why I think mint and menthol will be excluded from ...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - November 3, 2019 Category: Addiction Source Type: blogs

Sales Data Show that Massachusetts Vaping Product Ban Has Already Caused Severe Harm as Vapers Migrate to Smoking in Large Numbers
Sales data reported by PiperJaffray for the four weeks ending October 20 (when the Massachusetts emergency ban was in effect for 25 of the 28 days) and the four previous weeks (mostly before the ban went into effect) were compared to sales data for the previous year. The PiperJaffray analysis revealed that there has been a substantial shift from vaping to smoking in the state. This indicates that as I predicted, ex-smokers in Massachusetts who were reliant on e-cigarettes to stay smoke-free are now returning to smoking in large numbers.Nationally, there was very little difference in the rate of decline in cigarette sales b...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 30, 2019 Category: Addiction Source Type: blogs

Analysis Reveals that 44% of State Health Departments are Not Explicitly Warning Youth Not to Vape THC and Three States are Committing Public Health Malpractice
This is part 1 of an analysis of the health warnings that state health departments are issuing to the public regarding the outbreak of vaping-associated respiratory illness. Here, I analyze the warnings issued by the first 25 states (Alabama through Montana).For each state, after briefly summarizing the warning, I categorize the warning based on three criteria:Is there an explicit warning not to vape THC?Does the warning inform the public that THC vape cartridges are playing a major role in the outbreak?Does the warning mention THC at all?Based on the warning and these three criteria, I then classify the state health depar...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 24, 2019 Category: Addiction Source Type: blogs

New CDC Report Out Today Makes it Even Less Likely that Store-Bought Nicotine E-Cigarettes are Playing Any Role in the Outbreak
A newreport published today in theMMWR summarizes the results of the most detailed investigation to date of cases of the outbreak of vaping-associated respiratory illness, focusing on the 83 confirmed cases occurring in the state of Utah. The key findings of the report are as follows:92% of the patients for whom product use was ascertained admitted to using THC vapes (only 3 out of 53 - 6% - did not).Of the THC products tested, 89% contained vitamin E acetate oil.No abnormalities were found in any of the nicotine e-liquids tested.The report concludes that “unregulated THC-containing cartridges play an important role ...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 23, 2019 Category: Addiction Source Type: blogs

Tennessee Department of Health Appears to Have Deliberately Blamed E-Cigarettes for a Death It Knew Was Caused by THC Carts
Yesterday, I revealed that the Tennessee Department of Healthreported its first death from vaping-associated respiratory illness as follows: "The Tennessee Department of Health has reported one death in a patient with serious respiratory disease associated with use of electronic cigarettes or other vaping devices. This is the first such death reported in Tennessee. "As it turns out, it appears that this death was not caused by electronic cigarettes, but byTHC vape carts.I suggested that the health department's reporting of the death as being associated with the use of " electronic cigarettes or other vaping ...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 18, 2019 Category: Addiction Source Type: blogs

Tennessee Department of Health Tragically Misleads the Public in Order to Falsely Blame a Death on E-Cigarettes
Sadly, Tennessee recently experienced itsfirst death from vaping-associated respiratory illness.Here's how the Tennessee Department of Healthreported it:" The Tennessee Department of Health has reported one death in a patient with serious respiratory disease associated with use of electronic cigarettes or other vaping devices. This is the first such death reported in Tennessee. "So which one was it? Was it the use of " electronic cigarettes " or was it the use of " other vaping devices. " If the Tennessee Department of Health truly wants to prevent further cases of this illness, it is incumben...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 18, 2019 Category: Addiction Source Type: blogs

The CDC is Still Misleading the Public about the Cause of the Respiratory Disease Outbreak: Why?
Last Thursday, CDC finally revised itswarning to the public about the vaping-associated respiratory disease outbreak to state clearly that vaping THC-containing products is playing a major role in the outbreak. It stated that:" The latest national and state findings suggest products containing THC, particularly those obtained off the street or from other informal sources (e.g. friends, family members, illicit dealers), are linked to most of the cases and play a major role in the outbreak. Therefore, CDC recommends that you should not use e-cigarette, or vaping, products that contain THC."In addition, CDC finallyr...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 15, 2019 Category: Addiction Source Type: blogs

Like the Telephone Game, CDC's Lack of Clarity is Becoming Completely False Facts at the Local Level
Do you recall thetelephone game? Players sit in a circle and the first person whispers a phrase into the ear of the second person, who whispers it to the third person, and so forth, until it gets to the last player, who then repeats the phrase that they heard. Typically, the phrase changes substantially from the beginning because a series of small, progressive changes add up to a completely different phrase at the end.The only way to prevent this is for the first person to deliver such a clear message that it cannot be mistaken.In this commentary, I show how the lack of clarity by the CDC and other health groups in communi...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 14, 2019 Category: Addiction Source Type: blogs

News Headline Shows How Misinformation About Respiratory Disease Outbreak is Spreading
The featured headline of a newsarticle published yesterday atNorthJersey.com (theNorth Jersey Record) was: " Vaping with JUUL Damaged NJ Woman's Lungs, Left Her Hospitalized. "The headline of the article itself read: "'My Lungs Were Chemically Burned': NJ Victim Speaks Out Against Vaping. "These headlines certainly give the impression that this unfortunate 21-year-old woman developed acute respiratory failure due to her use of JUUL.If true, this would be an absolute disaster because there are an estimated 7 million JUUL users.This is no doubt going to contribute to the public's belief that electronic ci...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 11, 2019 Category: Addiction Source Type: blogs

Utah Department of Health Concludes that THC Vape Cartridges are Causing Respiratory Disease Outbreak; Issues Specific Warning against Use of THC Oils
Unlike most other state health departments, which are conflating the respiratory disease outbreak associated with black market (and a few legal dispensary-sold) THC vaping products and the general problem of youth e-cigarette use, the Utah Department of Health has issued areport which unequivocally concludes that vaping marijuana is causing severe respiratory illness, which has now affected 71 residents in the state.Unlike the CDC and many state health departments, which are doing everything they can to undermine the observed connection between outbreak cases and marijuana vaping, the Utah Department of Health concluded th...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 7, 2019 Category: Addiction Source Type: blogs

CDC's Communications are Likely Making this Outbreak Much Worse
A newsurvey released yesterday by the National Opinion Research Center (NORC) at the University of Chicago found that the public believes that vaping nicotine-based e-liquids is much more harmful than vaping THC e-liquids.While 54% of the public believes that vaping nicotine is very harmful, only 38% believe that vaping THC is very harmful. And while just 16% of the public does not believe that nicotine vapes are harmful, an amazing one-third (33%) of the public does not believe that vaping marijuana carries any risk.These data are shocking in light of the fact that we are a good two months into an outbreak of severe respi...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 4, 2019 Category: Addiction Source Type: blogs

New Mayo Clinic Study Further Implicates Contaminated THC Oils in Respiratory Disease Outbreaks and Refutes Claim that Store-Bought Nicotine E-Liquids are Involved
Astudy published yesterday in theNew England Journal of Medicine by a team of researchers at the Mayo Clinic provides further evidence that contaminated THC oils are likely playing a major role in the vaping-associated respiratory disease outbreak and makes it even less likely that store-bought nicotine e-liquids are playing any role at all. Here is the key evidence provided by the paper:1.The overwhelming majority of patients admitted to vaping THC oils.Approximately 76% of the patients studied who reported on product use admitted to vaping marijuana (13 out of 17 patients). Because urine THC testing was either not conduc...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 3, 2019 Category: Addiction Source Type: blogs

The “Other” Youth Vaping Epidemic: Why Has It Been Ignored?
While the CDC and many health groups have been obsessed with youth e-cigarette use, an even more troubling epidemic has been spreading among our nation ’s youth. In contrast to the e-cigarette use explosion, which has not caused any significant disease or deaths, this other, ignored epidemic has caused hundreds of youth to develop life-threatening respiratory failure and has been responsible for 13 deaths.What is this “other” vaping epidemic?It ’s not vaping of e-cigarettes. It’s the vaping of marijuana.In my analysis of data from the 2018 National Youth Tobacco Survey, I found that the majori...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 2, 2019 Category: Addiction Source Type: blogs

To Protect Youth from Progression to Cigarette Smoking, Truth Initiative Wants to Ban the Fake Ones But Let Real Cigarettes Remain on the Shelves
In anop-ed piece published byCNN last Friday, the president of the Truth Initiative bemoaned the " epidemic " of vaping among our nation's youth, arguing that electronic cigarette use leads to smoking. She citedresearch which shows " that young people who vape are more likely than their peers who don't vape to smoke traditional cigarettes in the future. "And what does the Truth Initiative propose should be done to prevent a massive youth migration to cigarette smoking?A. Ban or severely restrict the sale of cigarettes.B. Ban or severely restrict the sale of both cigarettes and e-cigarettes.C. Neither of...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - October 1, 2019 Category: Addiction Source Type: blogs