E cigarettes: how can research inform public policy?
|
|
- Cuthbert Daniel
- 5 years ago
- Views:
Transcription
1 E cigarettes: how can research inform public policy?
2 Declaration of interest I have no links with any e cigarette manufacturers I have received no funding from the tobacco or pharmaceutical industries My research is funded by Cancer Research UK, NationalInstituteofHealthResearch of Research, Roy Castle, Chief Scientist s Office, the EU and othergovernment and charitablebodies.
3 Outline Context Our Reports Tobacco Dependence & Nicotine E cigarette use Safety Smoking cessation Harm perceptions Conclusions
4 Source: Jonathan Gornall BMJ 2015;350:bmj.h2052
5 The international context E cigarettes are illegal in more than 50 countries Health Secretary Vini Mhajan reacted: Having done well in the field of tobacco control in general, Punjab, with ih this conviction, has shown the way to the entire country to end the nicotine delivery devices sold in the form of e cigarettes In India, 900,000 people die prematurely from tobacco use each year
6 Where we are now in the UK September 2015: The UK public health community issues a joint statement making clear that all the evidence suggests that e cigarettes are significantly less harmful than smoking and current smokers should not be discouraged from using them. Some of the organisations who endorsed this have a UK wide remit, others just England. However, the differences between England & Scotland are small compared with the contrast tbetween the UK & other countries. Research hhas played a very large part in shaping our policy context and current policies on e cigarettes.
7 We had furthest to go I h UK ( d S l d)i h % f k d In the UK (and Scotland) in the 1950s 80% of men smoked. Now it is fewer than one in five, but still far too many.
8 Michael Russell s legacy The UK s approach to nicotine & tobacco harm reduction has its origins ii in the work of Professor Mike Russell, who trained some of our leading researchers Smokers smoke for the nicotine, but die from the tar Professor Mike Russell, Maudsley Smokers Clinic, 1979
9 Harm reduction By 2006, smoking rates were falling steadily, we had smokefree legislation in Scotland and smoking cessation service uptake was good But something was missing. The Royal College of Physicians made the case for tobacco harm reduction (THR) as part of comprehensive tobacco control.
10 NICE Guidance This was followed by NICE guidance on THR Our committee met for two years to review all the evidence We produced practical guidance for the NHS and others We remain the only country in the world with a formal policy on THR Key elements of the NICE guidance were adapted by Health Scotland and informed smoking cessation service guidance here.
11 What did the guidance say? Stopping smoking is a priority but for those who struggle Cutting down to quit is a valid approach, when combined with nicotinecontaining containing products (at the time, just NRT) NRT can be used for temporary abstinence bti Longer term nicotine use (i.e NRT use after cessation, even for years) is far safer than continued smoking.
12 E cigarettes When we developed the NICE guidance, e cigarettes were just emerging We used the term nicotine containing products in the guidance, because we knew they may act like NRT and could become licensed Then their use escalated, none were licensed (despite hopes, medicine regulation could not be adapted to be light touch ) and the guidance was quickly outdated New evidence reviews & recommendations were urgently needed
13 Some of our reports
14 Tobacco Dependence Benowitz et al. (1982). Clin Pharmacol Ther, 32,
15 Nicotine Delivery
16 E cigarette use
17 Current Figures in Scotland The Scottish hhealth lthsurvey is conducted dby ScotCen Social Research. They added a question on e cigarette use in In the 2015 survey, published last month, 5000 adults were surveyed. 7% of adults said they currently use e cigarettes, compared with 5% in Current use of e cigarettes was most common among adults aged (7 9%), although those aged were the most likely to have ever tried e cigarettes (22 26% compared with 4 10% of those aged 65 and over).
18 Current Smokers The next four slides show more detailed analysis from the Smoking Toolkit Study in England, conducted dby Jamie Brown, Robert twest t+ colleagues at UCL and UKCTAS. We used these data in our RCP report Nicotine without smoke
19 Former Smokers (recent)
20 Former Smokers (long term)
21 Never Smokers
22 Regular e cigarette use among children is confined almost exclusively to those who have smoked Source: Bauld L, MacKintosh A, Ford A, McNeill A. Nicotine & Tobacco Research, 2015
23 Safety
24 Defining safety Are electronic cigarettes safer than tobacco cigarettes? Safer = less harmful In discussions of safety the appropriate a comparator is tobacco both harm to users and bystanders
25 E cigarettes as a harm reduction strategy In contrast to reduced risk cigarettes no combustion takes place in e cigarettes In contrast to smokeless tobacco, e cigarettes are nottobacco tobacco products They contain nicotine and flavourings which can be toxicants, t but ttoxicants t present are at much lower levels than in tobacco All the evidence suggests e cigarettes are safer than tobacco cigarettes
26 Not harmless but around 5% of the risks of smoking EXTREME Toxicity Cigs Combustibles MUCH Less Harm No Harm Non combustible = no use at all Nutt DJ et al Estimating the Harms of Nicotine Containing Products Using the MCDA Approach European Addiction Research March 2014
27
28
29
30 Toxicants in vapour Source: Goniewicz et al, Tobacco Control, 2013
31 Risks to bystanders Several studies now exist comparing secondhandsmoke smoke to second hand vapour Overall they show that e cigarettes are a source of secondhand exposure to nicotine i but not to combustion toxicants Earlier studies have focused on vapour exhaled by users but an additional recent one measured PM2.5 levels in vaping, smoking & non smoking homes. PM2.5 levels were similar between non smoking &vaping homes but much higher in the homes of smokers. However, newer studies suggest we might need to find different ways of assessing particulate matter exposure from e cigs.
32 Smoking Cessation
33 Aids used in most recent quit attempt Perce ent of smok kers trying to stop E cigarette use for quitting is still increasing E cigs NRT OTC NRT Rx Champix Beh'l supp N=11375 adults who smoke and tried idto stop or who stopped in the past year; method dis coded as any (not exclusive) use 33
34
35 UK observational studies (use during quit attempts) 1. Cross sectional study, smokers in England who used e cigarettes to quit were significantly more likely to quit than smokers using no help or OTC NRT (Brown et al, Addiction, 2014) 2. Cohort study, International Tobacco Control Policy Evaluation Study, smokers in England and US who used e cigarettes to quit were more likely to quit than smokers using no help or NRT but no more or less likely than using varenicline/bupropion (Hitchman et al, 2015) 3 Newstudy smokers quit in England using e cigarettes 3. New study, 18,000 smokers quit in England using e cigarettes who would not otherwise have done so (Brown et al, BMJ, 2016)
36
37 Advising on E cigarette Use NICE Recommendation 5: Advising on licensed nicotine containing products PHE and Health Scotland agree that t cessation services can offer behavioural support to those using e-cigs in a quit attempt NCSCT Recommendations: Be open to e cig use Provide advice & support Bepositive aboute cigs Many cessation services in Scotland now adopting this approach.
38 But Harm Perceptions
39 Perception of harm is going the wrong way % of adul lts in GB Perception of harm relative to cigarettes More or Less harmful Lot less Completely Don't know equally harmful harmless harmful (n=8936) 2014 (n=11307) 2015 (n=11340) 2016 (n=11489) ASH Fact Sheet on the use of electronic cigarettes among adults in Great Britain, May 2016
40 Proportion of smokers believing e cigarettes less harmful than cigarettes Perce ent E cigarette user Non user Total A declining minority of current smokers believe e cigarettes are less harmful than cigarettes 0 N=5544 current smokers, Smoking Toolkit, England only 40
41 The evidence on e cigarettes is developing rapidly with new studies published almost every week Led by Cancer Research UK, we have formed a national forum to keep people up to date. Next meeting is in Edinburgh, Jan 19 th 2017 We also provide a monthly evidence briefing of the latest studies from a range of countries. This can be sent to anyone, so let me know if you are interested.
42 Conclusions E cigarette use is prevalent tin the UK, including Scotland, but confined to current or ex smokers E cigarettes are far safer than tobacco There is growing evidence of effectiveness for smoking cessation Worryingly, the general population and smokers have misperceptions regarding relative harms this needs to change New studies on e cigarettes are being published on an almost weekly basis, and keeping abreast of the evidence is challenging. However, networksandgoodinformation sharing both within Scotland, across the UK and (crucially) between countries can help and can continue to inform policy and practice.
43 Acknowledgements: Ann McNeill, Robert West, Marcus Munafo, John Britton, Maciej Goniewicz & colleagues
E-cigarettes and personal vapourisers: current research and policy
E-cigarettes and personal vapourisers: current research and policy Declaration of interest I have no links with any e-cigarette manufacturers I have received no funding from the tobacco or pharmaceutical
More informationE.cigarettes. An alternative to a uniquely deadly product that kills one in two of its regular users? Paul Lambert Public Health, Leeds City Council
E.cigarettes An alternative to a uniquely deadly product that kills one in two of its regular users? Paul Lambert Public Health, Leeds City Council Background First came to market about 10 years ago, with
More informationPriorities for Vaping Research: An Update
Priorities for Vaping Research: An Update Declaration of interest I have no links with any e-cigarette manufacturers I have received no funding from the tobacco or pharmaceutical industries My research
More informationPublic Health England s Independent Expert E-Cigarettes Evidence Review
Public Health England s Independent Expert E-Cigarettes Evidence Review Misinformation, Misreporting and Public Understanding Ann McNeill Contents 1. PHE e-cigarette evidence updates 2. Public understanding
More informationCREATING A TOBACCO-FREE GENERATION A Tobacco Control Strategy for Scotland. Dr Catherine Calderwood Chief Medical Officer For Scotland
CREATING A TOBACCO-FREE GENERATION A Tobacco Control Strategy for Scotland Dr Catherine Calderwood Chief Medical Officer For Scotland Tobacco remains the biggest single preventable cause of death in Scotland.
More informationElectronic cigarettes: A new era for tobacco harm reduction Adapted for SW Specialist Nurses for Children in Care meeting 17 January 2017
Electronic cigarettes: A new era for tobacco harm reduction Adapted for SW Specialist Nurses for Children in Care meeting 17 January 2017 Russ Moody Health & Wellbeing Programme Lead Public Health England
More informationUse of e-cigarettes (vapourisers) among adults in Great Britain
May 2017 Use of e-cigarettes (vapourisers) among adults in Great Britain Summary of findings Level of use (page 3) An estimated 2.9 million adults in Great Britain currently use e-cigarettes (vape) up
More informationE-cigarettes: Evidence, perceptions and misconceptions. Martin Dockrell, Tobacco Control Programme Lead
E-cigarettes: Evidence, perceptions and misconceptions Martin Dockrell, Tobacco Control Programme Lead Smoking causes the greatest number of preventable deaths Are EC less tightly regulated in the UK than
More informationE-CIGARETTES CANCER INSIGHT WHAT YOU NEED TO KNOW ABOUT FOR PRACTICE NURSES. INSIDE: A3 poster to display in your practice.
Created by Freepik CANCER INSIGHT FOR PRACTICE NURSES October 07 WHAT YOU NEED TO KNOW ABOUT GARETTES INSIDE: A poster to display in your practice ARE FAR SAFER THAN SMOKING E-cigarettes contain nicotine
More informationE-CIGARETTES CANCER INSIGHT WHAT YOU NEED TO KNOW ABOUT. FOR GPs. INSIDE: A3 poster to display in your practice. October Created by Freepik
Created by Freepik CANCER INSIGHT FOR GPs October 07 WHAT YOU NEED TO KNOW ABOUT GARETTES INSIDE: A poster to display in your practice ARE FAR SAFER THAN SMOKING E-cigarettes contain nicotine but not cancer
More informationTrends in electronic cigarette use in England
Trends in electronic cigarette use in England Robert West Jamie Brown Emma Beard University College London Updated 14 th April 215 Background Electronic cigarette use has become prevalent in many countries
More informationImplementing the July 2015 NICE Quality Standard to reduce harm from smoking
Implementing the July 2015 NICE Quality Standard to reduce harm from smoking Deborah Arnott Chief Executive Action on Smoking and Health Smoking Cessation in Mental Health conference 20 th October 2015
More informationE-cigarettes in Europe : a consumer led revolution
E-cigarettes in Europe : a consumer led revolution Jacques Le Houezec, PhD Consultant in Public Health and Tobacco Dependence Amzer Glas, Rennes & Special lecturer, UK Centre for Tobacco Control Studies,
More informationUsing evidence to negotiate new policies on harm reduction
Using evidence to negotiate new policies on harm reduction Linda Bauld With thanks to Ann McNeill, Hazel Cheeseman, Diane Dixon, Robert West & Martin Dockrell Outline UK guidance on tobacco harm reduction:
More informationNICE tobacco harm reduction guidance implementation seminar
NICE tobacco harm reduction guidance implementation seminar Goals for the day By the end of the day we aim to have provided you with: a clear understanding of the NICE tobacco harm reduction guidance a
More informationUse of electronic cigarettes (vapourisers) among adults in Great Britain
May 2015 Use of electronic cigarettes (vapourisers) among adults in Great Britain 33 Summary of findings An estimated 2.6 million adults in Great Britain currently use electronic cigarettes. Nearly two
More informationSmoking and Smoking Cessation in England 2011: Findings from the Smoking Toolkit Study
Smoking and Smoking Cessation in England 211: Findings from the Smoking Toolkit Study Robert West and Jamie Brown Cancer Research UK Health Behaviour Research Centre University College London robert.west@ucl.ac.uk
More informationProposed changes to how e-cigarettes are regulated: UK and EU context. Linda Bauld
Proposed changes to how e-cigarettes are regulated: UK and EU context Linda Bauld Outline Where do e-cigarettes fit within the wider context of smoking and tobacco policies? Where we are now: cessation
More informationWhat a difference a year makes (in some respects)
What a difference a year makes (in some respects) Declaration of interest I have received no funding (of any kind) from the tobacco or pharmaceutical industries or e-cigarette manufacturers My research
More informatione-cigarette impact on Public Health
e-cigarette impact on Public Health Jacques Le Houezec Consultant in Public Health and Tobacco Dependence Amzer Glas, Rennes & Special lecturer, UK Centre for Tobacco Control Studies, University of Nottingham,
More informationYouth and Vaping: Gateway in or out of smoking? Linda Bauld
Youth and Vaping: Gateway in or out of smoking? Linda Bauld Declaration of interest I have no links with any e-cigarette manufacturers I have received no funding from the tobacco or pharmaceutical industries
More informationElectronic cigarettes disruptive innovation, public health potential and regulatory challenge
HIT Hot Topics Conference 2014 Electronic cigarettes disruptive innovation, public health potential and regulatory challenge Prof Gerry Stimson Knowledge Action Change and Emeritus Professor Imperial College
More informationResponding to exceptional health situations:
Responding to exceptional health situations: Public health emergency preparedness and response arrangements in England and implications for responding to other emerging health threats Professor Kevin Fenton
More informationEXPLORING THE EVIDENCE: THE ROLE OF E-CIGARETTES IN SMOKING CESSATION
Roundtable report EXPLORING THE EVIDENCE: THE ROLE OF E-CIGARETTES IN SMOKING CESSATION January 2018 Media partner Exploring the evidence: the role of e-cigarettes in smoking cessation On 3 November 2017,
More informationIntroduction. Principles
NHS Health Scotland s position statement on Electronic Nicotine Delivery Systems ENDS - e-cigarettes and other smoking simulator products 31 October 2014 Introduction NHS Health Scotland is the national
More informationCommunicating the Risk of Nicotine Delivery Products
Communicating the Risk of Nicotine Delivery Products August 10, 2014 ACS National Meeting Jim Solyst June 24, 2014 1 Nicotine Background Key Points The popularity of e-cigarettes has increased the need
More informationHow do we engage better with smokers in our most deprived areas?
How do we engage better with smokers in our most deprived areas? Rebecca Campbell Health Improvement Lead (Tobacco) Why did we do this research? What did we do? What did we find? So what? Policy Context
More informationThe Stolen Years Mental Health and Smoking Action Report 22 April Emily James, Policy and Campaigns Officer
The Stolen Years Mental Health and Smoking Action Report 22 April 2016 Emily James, Policy and Campaigns Officer Emily.James@ash.org.uk Where we are now? Overview The Stolen Years: Mental Health and Action
More informationElectronic/E-cigarettes. In summary
Electronic/E-cigarettes In summary Although e-cigarettes are thought to be less harmful than cigarettes we cannot say they are harmless Public Health England (PHE) has recently estimated E- cigarettes
More informationElectronic Cigarettes: What we know so far
Electronic Cigarettes: What we know so far Dr. Lynne Dawkins Drugs and Addictive Behaviours Research Group (DABRG), School of Psychology http://www.uel.ac.uk/psychology/research/drugs What I m going to
More informationDo Electronic Cigarettes Have Any Potential for Smoking Cessation? Professor Chris Bullen MBChB, MPH, PhD SRNT Webinar December 8th 2016
Do Electronic Cigarettes Have Any Potential for Smoking Cessation? Professor Chris Bullen MBChB, MPH, PhD SRNT Webinar December 8th 2016 Disclosure statement Affiliations Fulltime employee of the University
More informationSmokefree NHS. Thursday 18 th October. RCGP/CRUK Cascade Event. Ailsa Rutter OBE Director of Fresh
Smokefree NHS Thursday 18 th October RCGP/CRUK Cascade Event Ailsa Rutter OBE Director of Fresh Summary Progress to date- locally together approach works 5% by 2025 vision- how? Why is smoking still an
More informationTobacco dependence: Implications for service provision
Tobacco dependence: Implications for service provision Andy McEwen, PhD University College London & National Centre for Smoking Cessation and Training (NCSCT) Tuesday 29th January 2013 Cardiff Conflict
More informationExperimental trial on the effectiveness of IQOS compared to e-cigarettes and regular tobacco cigarettes
Global Forum on Nicotine Rethinking Nicotine 2018 Experimental trial on the effectiveness of IQOS compared to e-cigarettes and regular tobacco cigarettes Effects on acute craving, withdrawal, positive
More informationExploring five common claims about e-cigarette use. Lion Shahab, PhD University College
Exploring five common claims about e-cigarette use Lion Shahab, PhD University College London @LionShahab Claim 1: Renormalisation Claim 1: Renormalisation A priori predictions for impact on population
More informationDual Use: If Electronic Cigarettes are so good, why are there so few exclusive users?. Jonathan Foulds, PhD
Dual Use: If Electronic Cigarettes are so good, why are there so few exclusive users?. Jonathan Foulds, PhD jfoulds@psu.edu Penn State College of Medicine, Department of Public Health Science May 8, 2017
More informationText 1: E-Cigarettes, the solution or another risk factor?
Text 1: E-Cigarettes, the solution or another risk factor? This excerpt is from Medpage Today 'HypeWatch: E-Cigs Best Cessation Tool Ever, Really?' Published: May 20, 2014 A retrospective analysis comparing
More informationUse of electronic cigarettes among children in Great Britain
August 2015 Use of electronic cigarettes among children in Great Britain 34 Key Findings Although children s awareness of and experimentation with electronic cigarettes is increasing, regular use remains
More informationPerceived relative harm of e cigarettes and attitudes towards their availability, advertising and use: A longitudinal survey
Perceived relative harm of e cigarettes and attitudes towards their availability, advertising and use: A longitudinal survey Leonie S Brose a,b,c, Sara C Hitchman b,c, Jamie Brown b,d, Ann McNeill b,c
More informationWhy comprehensive TC is essential for successful harm reduction
Why comprehensive TC is essential for successful harm reduction E-cigarette summit London 15 th November 2018 Deborah Arnott Chief Executive ASH (Action on Smoking and Health) Declaration of Interest ASH
More informationThe English experience in a European regulatory context. E-cigarette summit Washington DC 1 st May 2018 Deborah Arnott Chief Executive ASH (UK)
The English experience in a European regulatory context E-cigarette summit Washington DC 1 st May 2018 Deborah Arnott Chief Executive ASH (UK) Declaration of Interest ASH (UK) is a public health charity
More informationNon-Industry Voices on Tobacco Harm Reduction and Vaping Products
HALO + EVO + PURITY Non-Industry Voices on Tobacco Harm Reduction and Vaping Products Hosted by: Patricia Kovacevic General Counsel, Chief Compliance Officer June 2016 Nothing herein shall be interpreted
More informationELECTRONIC CIGARETTES WHAT S THE BOTTOM LINE?
ELECTRONIC CIGARETTES WHAT S THE BOTTOM LINE? E-cigarettes have the potential to benefit adult smokers who are not pregnant if used as a complete substitute for regular cigarettes and other smoked tobacco
More informationSmoking cessation interventions and services
National Institute for Health and Care Excellence Guideline version (Final) Smoking cessation interventions and services [E] Evidence reviews for advice NICE guideline NG92 Evidence reviews FINAL These
More informationAttachment A Brighton & Hove City Council
Attachment A Brighton & Hove City Council Young people and smoking cessation: a pack for community pharmacies providing smoking cessation to under 16 year olds in Brighton and Hove Susan Stewart 11/25/2016
More informationFocus on smoking Guidance on smoking and its implications for dental health Local Dental Network Shropshire and Staffordshire
Focus on smoking Guidance on smoking and its implications for dental health Local Dental Network Shropshire and Staffordshire Focus on smoking Version number: 1 First published: February 2017 Prepared
More information! support those employees and clients who are smokers and wish to stop
Smokefree Policy (Safeguarding & Welfare Requirements 3.1-3.3, Health 3.44, Smoking 3.56, Outings 3.65, Information for Parents 3.73) Introduction This Smokefree policy has been developed and adopted by
More informationAA Response: CAP consultation on the advertising of electronic cigarettes
AA Response: CAP consultation on the advertising of electronic cigarettes 1. The Advertising Association promotes the role, rights and responsibilities of advertising and its impact on individuals, the
More informationAmerican Vaping Association
Vaping.info American Vaping Association Gregory Conley, J.D., M.BA. President American Vaping Association Research Fellow Heartland Institute Member -- Gregory Conley Consulting, LLC Twitter: @GregTHR
More informationThe concept that not all tobacco and nicotine products
A Model Risk Continuum for Tobacco and Nicotine Products by Chris Proctor, Sudhanshu Patwardhan, and James Murphy The concept that not all tobacco and nicotine products present the same risks to human
More informationEvidence base, treatment policy and coverage in England. Ann McNeill
Evidence base, treatment policy and coverage in England Ann McNeill ann.mcneill@nottingham.ac.uk Smoking cessation support: 2008/9 43% of smokers sought help in quitting 671,259 smokers (~ 7%) set a quit
More informationSmoking, e-cigs and reduced risk products. Dr John Schoonbee, IMS November 2017
Smoking, e-cigs and reduced risk products Dr John Schoonbee, IMS November 2017 2 The storyline smoking is bad yet many folks still smoke because quitting is very hard is it better, if one cannot quit,
More informationE-cigarettes. Threat or opportunity?
E-cigarettes. Threat or opportunity? Associate Professor Colin Mendelsohn School of Public Health and Community Medicine The University of New South Wales, Sydney The Sydney Institute 28 June 2017 I d
More informationSACTob Position Statement on Nicotine and Its Regulation in Tobacco and Non-Tobacco Products.
SACTob Position Statement on Nicotine and Its Regulation in Tobacco and Non-Tobacco Products. Background Over the past two decades a wealth of research findings have pointed to nicotine as the key pharmacological
More information00:08 For decades our scientists have endeavoured to reduce the risks of tobacco use and continue to do so today. 00:15
00:00 British American Tobacco 00:02 00:03 The Electronic Cigarette 00:07 00:08 For decades our scientists have endeavoured to reduce the risks of tobacco use and continue to do so today. 00:15 00:15 Our
More informationTobacco, alcohol, and opioid dependence
Tobacco, alcohol, and opioid dependence Sheila Duffy Chief Executive, ASH Scotland RCP Addictions Faculty meeting, Dunkeld 27 th February 2015 Alcohol and drugs in Scotland headline stats there were 1,100
More informationINNCO Asia Pacific Region Focus 0. 1 World Health Assembly Resolution (n.d.). Retrieved January 08, 2018, from
OBJECTIVE: This document is written to specifically address the issues and concerns held by public health officials, local government health departments and ministers regarding alternative nicotine consumption
More informationMight Smoking Rates go up in Flames? Dr John Schoonbee, Chief Medical Officer, Swiss Re
Might Smoking Rates go up in Flames? Dr John Schoonbee, Chief Medical Officer, Swiss Re 2 Agenda Smoking is still a problem Stopping is hard Electronic cigarettes Reduced Risk tobacco products Males >15yr
More information12 Vaping Stats & Trends for the Informed E-Cig Retailer
12 Vaping Stats & Trends for the Informed E-Cig Retailer AN GUIDE 01 Those who shout the loudest get the most attention. And no-where is that more true than in the e-cig industry. If you follow blogs and
More informationBest practice for brief tobacco cessation interventions. Hayden McRobbie The Dragon Institute for Innovation
Best practice for brief tobacco cessation interventions Hayden McRobbie The Dragon Institute for Innovation Disclosures I am Professor of Public Health Interventions at Queen Mary University of London
More informationElectronic Nicotine Delivery Systems: Patterns of Use and Disparities
Electronic Nicotine Delivery Systems: Patterns of Use and Disparities Daniel P. Giovenco, PhD, MPH Assistant Professor of Sociomedical Sciences Columbia University Mailman School of Public Health Outline
More informationResponse to Scottish Government A Consultation on Electronic Cigarettes and Strengthening Tobacco Control in Scotland December 2014
Responseto ScottishGovernment AConsultationonElectronicCigarettesand StrengtheningTobaccoControlinScotland December2014 Contact Janice Oman Scotland Representation Manager National Pharmacy Association
More informationThe State of Smoking 2018 Global Survey Findings and Insights. Monday, March 19, 2018
The State of Smoking 2018 Global Survey Findings and Insights Monday, March 19, 2018 WELCOME 2 Dr. Derek Yach President, Foundation for a Smoke-Free World Support and Disclaimer The Foundation is an independent,
More informationPolicy Options for the Regulation of Electronic Cigarettes
Policy Options for the Regulation of Electronic Cigarettes Consultation submission Your details This submission was completed by: (name) Philip Hope / Assoc Prof Chris Atkinson Address: (street/box number)
More informationLincolnshire JSNA: Compliance with smoke-free legislation, e.g. public smoke free places remains high in Lincolnshire.
What do we know? Summary Smoking remains the biggest killer for premature mortality in England. There are stark health inequalities between people who smoke and those who don't smoke. The prevalence of
More informationElectronic cigarettes
January 2013 Electronic cigarettes Summary E-cigarettes are evolving and there is increasing evidence to suggest that some if not all products provide effective nicotine delivery. There is little real-world
More informationHow to think AND feel about nicotine and the people who use it
How to think AND feel about nicotine and the people who use it Joe Gitchell @jgitchell PinneyAssociates, Inc. Global Forum on Nicotine 2018 slide 1 Financial Disclosures I work for PinneyAssociates, a
More informationElectronic cigarettes
June 2013 Electronic cigarettes Summary Nicotine containing products (NCPs) such as e-cigarettes are evolving and there is increasing evidence to suggest that some if not all products provide effective
More informationHelpline blf.org.uk
How to stop smoking It s never too late to quit If you can quit smoking, you ll live longer and feel better however old you are. It s never too late to stop, no matter how long you have smoked for. Quitting
More informationThe State of Smoking 2018 Global Survey Findings and Insights. Monday, March 19, 2018
The State of Smoking 2018 Global Survey Findings and Insights Monday, March 19, 2018 WELCOME 2 Dr. Derek Yach President, Foundation for a Smoke-Free World Support and Disclaimer The survey was conducted
More informationSmoking cessation in mental health & addiction settings. Dr. Susanna Galea Community Alcohol & Drug Services, Auckland October 2013
Smoking cessation in mental health & addiction settings Dr. Susanna Galea Community Alcohol & Drug Services, Auckland October 2013 OVERVIEW Tobacco is the single most preventable cause of death in the
More informationPolicy making at the American Chemical Society (ACS) - developing a statement on scientific integrity
Policy making at the American Chemical Society (ACS) - developing a statement on scientific integrity Chris Proctor and Sarah Cooney CINF seminar, Boston, August 18, 2015 Overview Why scientific integrity
More informationHow Might Medicinal Regulators Evolve in their Expectations for ENDS? David M Graham Chief Impact Officer - NJOY
How Might Medicinal Regulators Evolve in their Expectations for ENDS? David M Graham Chief Impact Officer - NJOY 4 Years Ago The Regulation of Nicotine-Containing Products Jeremy Mean 2015 The fact that
More informationUNITED STATES REGULATION OF TOBACCO PRODUCTS. Presented by Mitch Zeller Center Director FDA Center for Tobacco Products
UNITED STATES REGULATION OF TOBACCO PRODUCTS Presented by Mitch Zeller Center Director FDA Center for Tobacco Products May 24, 2016 OVERVIEW OF TODAY S PRESENTATION Highlights of the Deeming Final Rule
More informationReducing smoking in pregnancy in the West Midlands
Reducing smoking in pregnancy in the West Midlands Nigel Smith, Health Improvement Manager Public Health England West Midlands Nigel.smith@phe.gov.uk Public Health England Mission To protect and improve
More informationNorthwick Park Mental Health Centre Smoking Cessation Report October Plan. Act. Study. Introduction
Northwick Park Mental Health Centre Smoking Cessation Report October 2017 Act Plan Study Do Introduction 1 In 2013 the National Institute for Health and Care Excellence recommended that health organisations
More informationHarm perceptions of e-cigarettes and other nicotine products in a UK sample
RESEARCH REPORT doi:10.1111/add.14502 Harm perceptions of e- and other nicotine products in a UK sample Samara Wilson 1, Timea Partos 1, Ann McNeill 1,2 & Leonie S. Brose 1,2 Addictions Department, Institute
More informationCreating a Tobacco-Free Scotland: Addressing the Inequalities Challenge
Creating a Tobacco-Free Scotland: Addressing the Inequalities Challenge Amanda Amos Centre for Population Health Sciences University of Edinburgh Outline What are the issues and challenges- patterns and
More informationE-CIGARETTES: THREAT OR OPPORTUNITY? Anna B Gilmore (1) Greg Hartwell (2)
E-CIGARETTES: THREAT OR OPPORTUNITY? Anna B Gilmore (1) Greg Hartwell (2) (1) Corresponding author: Anna B Gilmore, Department of Health and UK Centre for Tobacco and Alcohol Studies (UKCTAS) University
More informationPopulation impacts of snus tobacco initiation and cessation
Population impacts of snus tobacco initiation and cessation Karl Lund, Ph.d Research Director, Tobacco Polarcircle Norway Registered sales of tobacco products in Norway 1909-2014 World war II Cigarettes
More informationThe Latest on Vaping Among U.S. Teens
The Latest on Vaping Among U.S. Teens Jon Macy, PhD, MPH Indiana University School of Public Health Bloomington Presentation Outline Overview of Electronic Nicotine Delivery Systems (ENDS) New Prevalence
More informationExecutive Summary. No Fire, No Smoke: The Global State of Tobacco Harm Reduction 2018
Executive Summary Executive Summary No Fire, No Smoke: The Global State of Tobacco Harm Reduction 2018 3 The GSTHR report maps for the first time the global, regional and national availability and use
More informationSimple Guide: Supporting a smoke-free working environment
Simple Guide: Supporting a smoke-free working environment The law The Smoking, Health and Social Care (Scotland) Act 2005 banned smoking in public places in order to protect people from the health risks
More informationPreventing ill health -
Preventing ill health - tobacco and alcohol screening Striving for excellence Screening When you attended hospital for assessment and treatment you may also receive routine tobacco and alcohol screening
More informationMelodie Tilson, Director of Policy
Melodie Tilson, Director of Policy Non-Smokers Rights Association/ Smoking and Health Action Foundation PTCC Knowledge Exchange 18 June 2014 Disposable Rechargeable with pre-filled cartridges Rechargeable
More informationNicotine Reduction: Harm Reduction not Prohibition
Nicotine Reduction: Harm Reduction not Prohibition Eric C. Donny, Ph.D. Endowed Professor, Departments of Physiology & Pharmacology and Social Sciences & Health Policy Director, Center for the Evaluation
More informationElectronic cigarettes (also known as vapourisers)
June 2014 Electronic cigarettes (also known as vapourisers) Summary Electronic cigarettes are not cigarettes. They do not contain tobacco and using them is not smoking. ASH, in line with the NICE guidance
More informationNicotine Reduction Workshop Role of nicotine in smoking behaviour
Nicotine Reduction Workshop Role of nicotine in smoking behaviour Derek Mariner APSTW02 11 October 2016 2016 CORESTA Congress, Berlin, Germany, 9-13 October 2016 Introduction Nicotine itself is not especially
More informationPart 1 - Open to the Public. REPORT OF Director of Public Health
Part 1 - Open to the Public ITEM NO. REPORT OF Director of Public Health TO Joint Lead Member Briefing for Adult Services, Health & Wellbeing ON Wednesday 5 October 2016 Public Health Monthly Briefing
More informationSMOKING CESSATION FOR PHARMACY STAFF BRIEF INTERVENTION. February 2016
SMOKING CESSATION FOR PHARMACY STAFF BRIEF INTERVENTION February 2016 SLIDE TITLE THE WELLBEING TEAM Established for 16 years Providers & facilitators of specialist SC interventions Clinically proven to
More informationHow best to get your patients to stop smoking. Dr Alex Bobak GP and GPSI in Smoking Cessation Wandsworth, London
How best to get your patients to stop smoking Dr Alex Bobak GP and GPSI in Smoking Cessation Wandsworth, London 1 2 Smoking can cause at least 14 different types of cancer 3 Smokers want to stop All smokers
More informationCreating a tobacco-free culture:
: guidance for providers of residential care for children and young people 1. Introduction The Care Inspectorate has developed this guidance in response to both evidence and concerns that children and
More informationSmoking Harm Reduction: If Not Now When?
Smoking Harm Reduction: If Not Now When? K. Michael Cummings, PhD, MPH Medical University of South Carolina The E-Cigarette Summit Washington DC, April 30, 2018 Outline for my talk Historical context,
More informationEffectiveness of electronic cigarettes for smoking substitution
Effectiveness of electronic cigarettes for smoking substitution Prof. Dr. Frank Baeyens EU ENVI March 20th 2018 I have no competing financial interests, and I have no ties with the e-cig industry, nor
More informationConsultation on legislation for the sale of tobacco products and non-medicinal nicotine delivery system, including e-cigarettes
Consultation on legislation for the sale of tobacco products and non-medicinal nicotine delivery system, including e-cigarettes Policy Group on Tobacco Jan 2015 1 Table of contents Background... 2 Policy
More informationVape to break the smoking habit
Vape to break the smoking habit A guide to help s quit through vaping Sign up at www.vapril.org I have never smoked, but know all too well through the struggles of my patients that smoking is one of the
More informationE-Cigarettes and Vapes
E-Cigarettes and Vapes What You Need to Know Education for Parents/Guardians Electronic Nicotine Delivery Device $3 Billion Global Industry 600 + Brands 8000+ Flavors & Liquids Less than a decade ago,
More informationThe New Zealand experience with electronic cigarettes
The New Zealand experience with electronic cigarettes Hayden McRobbie MB ChB PhD Clinical Director, The Dragon Institute for Innovation Professor in Public Health Interventions, Queen Mary University of
More informationEffectiveness of electronic cigarettes for smoking substitution
Effectiveness of electronic cigarettes for smoking substitution Prof. Dr. Frank Baeyens EU ENVI March 20th 2018 I have no competing financial interests, and I have no ties with the e-cig industry, nor
More information