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Here we will post articles and what we have to think about current events in vaping today

Public Health England has come out with another article and here is the breakdown:
The report covers e-cigarette use among young people and adults, public attitudes, the impact on quitting smoking, an update on risks to health and the role of nicotine. It also reviews heated tobacco products.

The main findings of PHE’s evidence review are that:

  • vaping poses only a small fraction of the risks of smoking and switching completely from smoking to vaping conveys substantial health benefits
  • e-cigarettes could be contributing to at least 20,000 successful new quits per year and possibly many more
  • e-cigarette use is associated with improved quit success rates over the last year and an accelerated drop in smoking rates across the country
  • many thousands of smokers incorrectly believe that vaping is as harmful as smoking; around 40% of smokers have not even tried an e-cigarette
  • there is much public misunderstanding about nicotine (less than 10% of adults understand that most of the harms to health from smoking are not caused by nicotine)
  • the use of e-cigarettes in the UK has plateaued over the last few years at just under 3 million
  • the evidence does not support the concern that e-cigarettes are a route into smoking among young people (youth smoking rates in the UK continue to decline, regular use is rare and is almost entirely confined to those who have smoked)

PHE’s evidence review comes just a few weeks after a US National Academies of Sciences, Engineering and Medicine report on e-cigarettes. Their conclusion on e-cigarette safety also finds that based on the available evidence ‘e-cigarettes are likely to be far less harmful than combustible tobacco cigarettes.’

Professor John Newton, Director for Health Improvement at PHE said:

Every minute someone is admitted to hospital from smoking, with around 79,000 deaths a year in England alone.

Our new review reinforces the finding that vaping is a fraction of the risk of smoking, at least 95% less harmful, and of negligible risk to bystanders. Yet over half of smokers either falsely believe that vaping is as harmful as smoking or just don’t know.

It would be tragic if thousands of smokers who could quit with the help of an e-cigarette are being put off due to false fears about their safety.

Professor Ann McNeill, lead author and Professor of Tobacco Addiction at King’s College London said:

It’s of great concern that smokers still have such a poor understanding about what causes the harm from smoking. When people smoke tobacco cigarettes, they inhale a lethal mix of 7,000 smoke constituents, 70 of which are known to cause cancer.

People smoke for the nicotine, but contrary to what the vast majority believe, nicotine causes little if any of the harm. The toxic smoke is the culprit and is the overwhelming cause of all the tobacco-related disease and death. There are now a greater variety of alternative ways of getting nicotine than ever before, including nicotine gum, nasal spray, lozenges and e-cigarettes.

Professor Linda Bauld, author and Professor of Health Policy, University of Stirling and Chair in Behavioural Research for Cancer Prevention, Cancer Research UK said:

Concern has been expressed that e-cigarette use will lead young people into smoking. But in the UK, research clearly shows that regular use of e-cigarettes among young people who have never smoked remains negligible, less than 1%, and youth smoking continues to decline at an encouraging rate. We need to keep closely monitoring these trends, but so far the data suggest that e-cigarettes are not acting as a route into regular smoking amongst young people.

PHE is calling on smokers and a number of bodies to act on the evidence.

Smokers

Anyone who has struggled to quit should try switching to an e-cigarette and get professional help. The greatest quit success is among those who combine using an e-cigarette with support from a local stop smoking service.

Local stop smoking services and healthcare professionals

These should provide behavioural support to those smokers wanting to quit with the help of an e-cigarette. A new training course on e-cigarettes for healthcare professionals by the National Centre for Smoking Cessation and Training is now live.

Medicines and Healthcare products Regulatory Agency (MHRA)

MHRA continue their work in regulating and licensing e-cigarette products and support manufacturers to expedite the licensing of e-cigarettes as medicinal quit aids. PHE believes there is compelling evidence that e-cigarettes be made available to NHS patients.

NHS Trusts

To become truly smokefree, Trusts should ensure

  • e-cigarettes, alongside nicotine replacement therapies are available for sale in hospital shops
  • vaping policies support smokers to quit and stay smokefree
  • smoking shelters be removed
  • frontline staff take every opportunity to encourage and support patients to quit

The government’s new Tobacco Control Plan for England includes a commitment to ‘maximise the availability of safer alternatives to smoking’. It makes clear that e-cigarettes have an important part to play in achieving the ambition for a smokefree generation.

Background

  1. Read the report commissioned by PHE - Evidence review of e-cigarettes and heated tobacco products - McNeill A, Brose LS, Calder R, Bauld L & Robson D (2018).
  2. Over the past few years, e-cigarette use has hovered at just under 6% of the adult population in Britain. The most common reason for e-cigarette use continues to be to help with quitting and they are the most popular quitting tool in England. At the same time, quit success rates have been improving and we are also seeing an accelerated drop in smoking rates (currently 15.5% in England): smokinginengland.info/latest-statistics.
  3. 79,000 people in England die every year as a result of smoking, and over half of long-term smokers will die from a smoking-related illness if they do not quit: digital.nhs.uk/catalogue/PUB24228.
  4. PHE 2015 e-cigarettes evidence review: McNeill A., P. Hajek et al, E-cigarettes – an evidence update: A report commissioned by Public Health England, Public Health England, August.
  5. Authors’note on evidence for ‘around 95% safer’ estimate.
  6. Nicotine without smoke: tobacco harm reduction, Royal College of Physicians, April 2016.
  7. Smoking Toolkit Study.
  8. ASH (May 2017) Use of e-cigarettes (vapourisers) among adults in Great Britain.
  9. Bauld, Linda, Anne Marie MacKintosh, Brian Eastwood, Allison Ford, Graham Moore, Martin Dockrell, Deborah Arnott, Hazel Cheeseman, and Ann McNeill. ‘Young people’s use of e-cigarettes across the United Kingdom: Findings from five surveys 2015–2017.’ International journal of environmental research and public health 14, no. 9 (2017): 973.
  10. Towards a Smokefree Generation: A Tobacco Control Plan for EnglandDepartment of Health, July 2017.
  11. NHS Digital, Statistics on Smoking: England, 2017.
  12. US National Academies of Sciences, Engineering, and Medicine (January 2018) Public Health Consequences of E-Cigarettes.

About Public Health England

Public Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. We do this through world-leading science, knowledge and intelligence, advocacy, partnerships and providing specialist public health services. We are an executive agency of the Department of Health and Social Care, and a distinct organisation with operational autonomy. We provide government, local government, the NHS, Parliament, industry and the public with evidence-based professional, scientific expertise and support. Follow us on Twitter: @PHE_uk and Facebook: www.facebook.com/PublicHealthEngland.

Public Health England press office


Recently we have had a lot of questions regarding the incoming Lake County tobacco age regulation change. Fortunately there is good news. The good news is that both of our shops are going to be unaffected by the coming change. As of January 1st 2018 the tobacco age will be raised to 21 but only for unincorporated areas of lake county. This means that are Grayslake store will remain 18+ as well as our McHenry store. Now the way things are going it looks like it'll hit our area eventually too. The best thing you can do is call your representatives and tell them how you feel about the situation. Here is an excerpt from the chapter 177 lake county Tobacco regulations:


"
§ 177.04 TOBACCO PRODUCTS AND MINORS PERSONS UNDER 21 YEARS OF AGE. (A) Sale by minors persons under 18 years of age. It shall be unlawful for any minor persons under 18 years of age to sell, give, dispense, furnish, or otherwise distribute any tobacco product to any person within the unincorporated areas of the county unless the cash register electronically prompts the cashier to input the purchaser’s date of birth. (B) Sale to minors persons under 21 years of age. It shall be unlawful for any person to sell, give, dispense, furnish, or otherwise distribute or make available any tobacco product"

Here is the Full link - https://www.lakecountyil.gov/DocumentCenter/View/...
Also here is a article regarding the new change - http://www.dailyherald.com/news/20170913/lake-cou...

Key conclusion is: "Long-term NRT-only and e-cigarette–only use, but not dual use of NRTs or e-cigarettes with combustible cigarettes, is associated with substantially reduced levels of measured carcinogens and toxins relative to smoking only combustible cigarettes."

Layman's Derived Wisdom: Want lower blood levels of smoking related toxins? Then don't smoke! And this shows that vaping is definately not smoking.

---------- Quoted Copy of Abstract below ---------------------------
Annals of Internal Medicine
ORIGINAL RESEARCH |7 FEBRUARY 2017

Nicotine, Carcinogen, and Toxin Exposure in Long-Term E-Cigarette and Nicotine Replacement Therapy Users: A Cross-sectional Study
Lion Shahab, PhD; Maciej L. Goniewicz, PhD; Benjamin C. Blount, PhD; Jamie Brown, PhD; Ann McNeill, PhD; K. Udeni Alwis, PhD; June Feng, PhD; Lanqing Wang, PhD; Robert West, PhD

The full content of Annals is available to subscribers

Abstract
Background:
Given the rapid increase in the popularity of e-cigarettes and the paucity of associated longitudinal health-related data, the need to assess the potential risks of long-term use is essential.

Objective:
To compare exposure to nicotine, tobacco-related carcinogens, and toxins among smokers of combustible cigarettes only, former smokers with long-term e-cigarette use only, former smokers with long-term nicotine replacement therapy (NRT) use only, long-term dual users of both combustible cigarettes and e-cigarettes, and long-term users of both combustible cigarettes and NRT.

Design:
Cross-sectional study.

Setting:
United Kingdom.

Participants:
The following 5 groups were purposively recruited: combustible cigarette–only users, former smokers with long-term (≥6 months) e-cigarette–only or NRT-only use, and long-term dual combustible cigarette–e-cigarette or combustible cigarette–NRT users (n = 36 to 37 per group; total n = 181).

Measurements:
Sociodemographic and smoking characteristics were assessed. Participants provided urine and saliva samples and were analyzed for biomarkers of nicotine, tobacco-specific N-nitrosamines (TSNAs), and volatile organic compounds (VOCs).

Results:
After confounders were controlled for, no clear between-group differences in salivary or urinary biomarkers of nicotine intake were found. The e-cigarette–only and NRT-only users had significantly lower metabolite levels for TSNAs (including the carcinogenic metabolite 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol [NNAL]) and VOCs (including metabolites of the toxins acrolein; acrylamide; acrylonitrile; 1,3-butadiene; and ethylene oxide) than combustible cigarette–only, dual combustible cigarette–e-cigarette, or dual combustible cigarette–NRT users. The e-cigarette–only users had significantly lower NNAL levels than all other groups. Combustible cigarette–only, dual combustible cigarette–NRT, and dual combustible cigarette–e-cigarette users had largely similar levels of TSNA and VOC metabolites.

Limitation:
Cross-sectional design with self-selected sample.

Conclusion:
Former smokers with long-term e-cigarette–only or NRT-only use may obtain roughly similar levels of nicotine compared with smokers of combustible cigarettes only, but results varied. Long-term NRT-only and e-cigarette–only use, but not dual use of NRTs or e-cigarettes with combustible cigarettes, is associated with substantially reduced levels of measured carcinogens and toxins relative to smoking only combustible cigarettes.


Primary Funding Source:
Cancer Research UK.

Conclusion

This cross-sectional study aimed to assess whether there are differences in levels of nicotine and toxic chemicals in cigarette smokers, and former or current smokers who are also long-term users of e-cigarettes or NRT.

E-cigarettes are designed for users to inhale nicotine without most of the harmful effects of smoking. There has been much discussion over the benefits of vaping over conventional smoking methods and this is the first long-term study assessing these effects.

The main findings are not that surprising – former smokers who have now switched to using e-cigarettes or NRT only have significantly lower levels of toxins than those who continue to smoke regular cigarettes.

However, the study has limitations.

  • while attempts were made to control for confounders, it is possible that other unmeasured factors are influencing the results
  • this was a self-selected sample and therefore findings may not be generalisable to the whole population of former or current smokers
  • indirect exposure to cigarette smoking could not be accounted for in this research
  • the study is not able to assess the comparative effectiveness of NRT or e-cigarettes as aids to smoking cessation

The findings of this study do appear to reassure that use of e-cigarettes and nicotine replacement therapy – while continuing to provide nicotine – can reduce exposure to toxic chemicals that can lead to cancer in cigarette smokers.

However, this is only if you completely stop smoking – using e-cigarettes or NRT while continuing to smoke won’t help.

Smokers who want to stop smoking can get help from NHS stop smoking services, which can reduce their risk of smoking-related disease and death.

Read more about stop smoking services in your area.

https://www.ncbi.nlm.nih.gov/pubmedhealth/behindth...