E cigarettes minimizing the risks maximizing the potential
This presentation is the property of its rightful owner.
Sponsored Links
1 / 23

E-Cigarettes: Minimizing the risks, Maximizing the potential PowerPoint PPT Presentation


  • 93 Views
  • Uploaded on
  • Presentation posted in: General

E-Cigarettes: Minimizing the risks, Maximizing the potential . Non-Smokers’ Rights Association/Smoking and Health Action Foundation. cartridge + atomizer + battery. cartomizer + battery. Innovations. Innovations—batteries . Adjustable voltage Adjustable smoke volume

Download Presentation

E-Cigarettes: Minimizing the risks, Maximizing the potential

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


E cigarettes minimizing the risks maximizing the potential

E-Cigarettes:Minimizing the risks, Maximizing the potential

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Cartridge atomizer battery

cartridge + atomizer + battery

cartomizer + battery

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Innovations

Innovations

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Innovations batteries

Innovations—batteries

  • Adjustable voltage

  • Adjustable smoke volume

  • Improved battery life

  • Consistent charge

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Innovations flavours

Innovations—flavours

  • Refillable cartridge

  • Refillable tank/clearomizer

  • Replaceable cartridge

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Burgeoning popularity

Burgeoning popularity

  • US sales have doubled every year for past 3-4 years; 2013 sales estimated at $1.7B

  • Big Tobacco is buying e-cigarette companies

    • Major multinational tobacco companies—BAT, Imperial, Japan Tobacco–buying e-cigarette companies or developing their own products

    • Major US tobacco firms also getting involved (Lorillard bought Blu; Reynolds American launched Vuse; rumour of Altria takeover

      of NJOY)

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


E cigarettes minimizing the risks maximizing the potential

Awareness and use of e-cigarettes

Internet Searches: E-Cigarettes, Snus, NRT, Champix

(Ayers et al, American Journal of Preventive Medicine, April 2011)

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Awareness and use of e cigarettes

Awareness and use of e-cigarettes

  • Two large US surveys in 2010: national online study (n=2650) and Legacy Longitudinal Smoker Cohort (n=3650) (Pearson et al, AJPH, July 2011)

    • Ever-use = 11.4% current smokers; 2% former smokers; 0.8% for never smokers

    • Current use = 4.1% current smokers; 0.5% former smokers

  • Two large UK surveys in 2010 and 2012 (n=12,500 adults, incl 2,100 smokers) (Dockrell et al, N&TR, May 2013)

    • Ever use = 22% smokers; 0.5% non-smokers (2012)

    • Current use = 7% smokers (2012)

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Awareness and use of e cigarettes1

Awareness and use of e-cigarettes

  • Little Canadian data; ITC 4 country survey, n=1500 (Adkison et al, AJPM , Mar 2013)

    • 40% Canadian smokers aware of e-cigs

    • 4% smokers ever use; 1% current use

    • 64% believe e-cigs are less harmful than cigarettes

    • E-cig users in all 4 countries: 85% use to help them quit; 80% use because they are less harmful; 75% use to cut down; 70% use when can’t smoke

  • Questions added to 2014 CTADS and next YSS—Quebec only

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Awareness use youth young adults

Awareness +use: youth/young adults

  • Canada: 1211 respondents, age 16-30; 456 smokers, 755 non-smokers (2012) (Czoli et al, SRNT 2013)

    • Ever use = 33% smokers; 6% non-smokers

    • Current use = 14% smokers; 1% non-smokers

  • France: 3400 students, age 12-19 (2012) (Dautzenberg, Open Journal of Respiratory Disease, 2013)

    • Ever use = 33% daily smokers, 16% non-daily, 4% non-smokers

  • Poland: 13,700 students, age 15-19/20-24 (2012) (Goniewicz et al, Pediatrics, Oct 2012)

    • Ever use = 23% youth; 19% young adults; 3% non-smokers

    • Current use = 8% high school; 6% young adults

  • US: 24,000+ students, grades 6-12 (2012) (MMWR, Sept 2013)

    • Ever use, high school = 10% (4.7% in 2011)

    • Current use, high school = 2.8% (1.5% in 2011)

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Health canada s position

Health Canada’s position

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Health claims are illegal but

Health claims are illegal, but …

“While electronic cigarettes are technically a "smoking alternative" rather than a smoking cessation device, the range of nicotine strengths offers some obvious potential as an aid in one’s attempts to quit smoking….” (Wister Oct 2012)

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Sale with nicotine is illegal but

Sale with nicotine is illegal, but …

(www.epuffer.com)

(www.esteamcanada.com)

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Current situation in ontario

Current situation in Ontario

  • Retailers are openly selling and promoting e-cigarettes and related paraphernalia

    • Head shops

    • Flea markets

    • Mobile sales at workplaces

    • Kiosks in malls

    • Convenience stores

    • Gas stations

    • Specialty e-cigarette stores

    • Pharmacies

    • Internet

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


E cigarettes minimizing the risks maximizing the potential

Superstore, southern ON, 2011

RexallPharmaPlus, Ottawa, Jan 2013

Website, London ON, retailer Sept 2011, http://noifsandsorbutts.ca

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Current situation in ontario1

Current situation in Ontario

Websites

Blogs

Testimonials

YouTube videos

Many forms of e-cigarette promotion

Countertop displays

Retail signage & billboards

Newspaper ads

Retail trade journal ads/articles

Company brochures

Celebrity endorsements

E-cig company sponsorships

Price discounting

Fax blasts + mass emails

Internet

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


E cigarettes minimizing the risks maximizing the potential

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


The controversy

The controversy

  • E-cigarettes are unproven cessation devices; should be required to undergo same rigorous testing for safety/efficacy as other NRTs

  • E-cigarettes have potential to undermine major tobacco control gains

  • E-cigarettes are clean drug delivery device that can satisfy smokers’ addiction to nicotine and to smoking behaviours

  • Even if untested, health risks of e-cigarettes could not come close to those of cigarettes

Opponents

Proponents

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Opponents

Opponents

  • Long-term health risks of inhaling PG not known

  • Lack of quality controls, manufacturing standards

  • Misleading, false, incomplete labelling—ingredients not fully disclosed

  • Unproven cessation claims

  • Risks from nicotine e-liquid

  • Tobacco control successes may be undermined

    • Will increased social exposure and promotion of ‘smoking’ re-normalize smoking?

    • Will e-cigs lead to smoking/nic addiction among youth?

    • Will dual use increase tobacco consumption?

    • Will e-cig use complicate enforcement of smoking bans?

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Proponents

Proponents

  • Substantially lower health risks than cigarette—risks must be compared to cigarette

  • Exposure to all tobacco smoke toxicants significantly reduced

    • TSNAs in e-cigs are at levels are comparable to those in NRTs

    • Main ingredient (propylene glycol) safe for oral consumption; used as solvent in medications

    • Only 1 death, 1 hospitalization ever reported

  • Effective in helping smokers  cigarette use

  • Effective in helping smokers quit smoking

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Nsra position on e cigarettes

NSRA position on e-cigarettes

Evidence-based

Balanced—minimize risks, acknowledge potential benefits

“E-cigarettes are almost certainly much safer than tobacco cigarettes, and to date there has been little real-world evidence of harm from e-cigarettes.”

“E-cigarettes have tremendous potential to help smokers reduce their cigarette consumption and to quit smoking altogether.”

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Nsra position on e cigarettes1

NSRA position on e-cigarettes

  • All e-cigarettes—with and without nicotine—should be subject to the same legal framework

  • E-cigarettes should be subject to the same regulatory controls as tobacco products:

    • cannot be sold to minors

    • cannot be displayed in retail stores

    • cannot be sold wherever tobacco sales are prohibited

    • cannot be promoted except in adults-only venues and in direct mail to a named adult

    • cannot be used in indoor public places & workplaces

    • cannot be used on school grounds

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


Conclusions

Conclusions

  • Early stage issue; much work remains to be done

  • Interests of smokers/tobacco control best served by providing balanced, accurate information

  • Health organizations and practitioners have role to play in advancing e-cigarette policy—

    • research

    • public opinion surveys

    • public education

    • local voluntary policies

    • local bylaws

    • advocacy for legislation

Non-Smokers’ Rights Association/Smoking and Health Action Foundation


  • Login