E-cigarettes and personal vapourisers: current research and policy
|
|
- Jasmine Goodman
- 5 years ago
- Views:
Transcription
1 E-cigarettes and personal vapourisers: current research and 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, National Institute of Health Research, Roy Castle, Chief Scientist s Office, the EU and other government and charitable bodies.
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 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 between the UK & other countries. Research has played a very large part in shaping our policy context and current policies on e-cigarettes.
7 We had furthest to go 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 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 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. Harm reduction
10 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. NICE Guidance
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 nicotine containing products (at the time, just NRT) NRT can be used for temporary abstinence 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 Health Survey is conducted by ScotCen Social Research. They added a question on e-cigarette use in In the 2015 survey 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 by Jamie Brown, Robert West + 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
23 Safety
24 Defining safety Are electronic cigarettes safer than tobacco cigarettes? Safer = less harmful In discussions of safety the appropriate 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 not tobacco products They contain nicotine and flavourings which can be toxicants, but toxicants 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 Non combustible No Harm = 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 % of cigarette-only smoker levels* 5. Study results Most recent study: Nicotine metabolites No differences in nicotine intake among users of any product, irrespective of smoking status 250 Total nicotine equivalents (95% CI) NRT Only EC Only NRT+Cig EC+Cig *Adjusted for socio-demographic, physical and mental health characteristics and latency to product use
30 5. Study results Nitrosamines % of cigarette-only smoker levels* Significant reduction in NRT/EC-only users compared with cigarette smokers 140 NNK (NNAL) (95% CI) % 20 0 NRT Only EC Only NRT+Cig EC+Cig *Adjusted for socio-demographic, physical and mental health characteristics and latency to product use
31 % of cigarette-only smoker levels* 5. Study results Selected toxic volatile organic compounds Significant reduction in NRT/EC-only users compared with cigarette smokers 180 Acrolein (3-HPMA) (95% CI) % NRT Only EC Only NRT+Cig EC+Cig *Adjusted for socio-demographic, physical and mental health characteristics and latency to product use
32 % of cigarette-only smoker levels* 5. Study results Selected toxic volatile organic compounds Significant reduction in NRT/EC-only users compared with cigarette smokers 180 Acrylonitrile (CYMA) (95% CI) % NRT Only EC Only NRT+Cig EC+Cig *Adjusted for socio-demographic, physical and mental health characteristics and latency to product use
33 % of cigarette-only smoker levels* 5. Study results Selected toxic volatile organic compounds Significant reduction in NRT/EC-only users compared with cigarette smokers 1,3-Butadiene (MHBMA3) (95% CI) % NRT Only EC Only NRT+Cig EC+Cig *Adjusted for socio-demographic, physical and mental health characteristics and latency to product use
34 6. Study conclusions Take home messages 1) E-cigarettes are good nicotine delivery devices Intake similar to combustible cigarettes > likely to be effective for helping people stop smoking 2) Long-term use of e-cigarettes only is associated with reduced exposure to known smoking-related toxicants/carcinogens Intake similar to NRT, a safe product > likely to result in significantly reduced cancer (health) risks long-term 3) Dual use of e-cigarettes or NRT with combustible cigarettes does not appreciably reduce exposure to known smoking-related toxicants/carcinogens Long-term health benefits of e-cigarette use only likely following complete cessation of combustible cigarettes
35 Toxicants in vapour Source: Goniewicz et al, Tobacco Control, 2013
36 Risks to bystanders Several studies now exist comparing second hand smoke to second hand vapour Overall they show that e-cigarettes are a source of secondhand exposure to nicotine 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.
37 Smoking Cessation
38 Percent of smokers trying to stop Aids used in most recent quit attempt 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 to stop or who stopped in the past year; method is coded as any (not exclusive) use 38
39
40 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. New study, 18,000 smokers quit in England using e-cigarettes who would not otherwise have done so (Brown et al, BMJ, 2016)
41 Advising on E-cigarette Use NICE Recommendation 5: Advising on licensed nicotine containing products PHE and Health Scotland agree that 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 Be positive about e-cigs Many cessation services in Scotland now adopting this approach.
42 Pregnancy Resources available from:
43 Use in pregnancy To date we only have small surveys and qualitative studies on vaping in pregnancy Pregnant women who smoke, or used to smoke, are using these devices. Up to one in four in some areas What risks should we be concerned about?
44 Use in pregnancy Nicotine use in pregnancy is safe in the form of Nicotine Replacement Therapy (Cooper et al, 2014). NRT is licensed for use by pregnant smokers + widely used in the UK Nicotine is therefore not the main concern Vaping around babies and children is unlikely to confer significant risk but PHE advice, particularly for childcare establishments, can assist
45 Use in pregnancy More evidence on use in pregnancy is needed particularly on effectiveness for smoking cessation amongst pregnant women and any impact on their children A large randomised controlled trial will start later this year funded by NIHR to assess this in England and Scotland In the meantime, we need to use what we know about e-cigarettes generally and the harms from smoking in pregnancy specifically in order to best support women.
46 Guide for midwives on use of e-cigarettes in pregnancy Endorsed by: Suggested responses to some frequently asked questions about their use during pregnancy. Background information for healthcare professionals on electronic cigarettes. Available here
47 Infographic for women on use of e-cigarettes in pregnancy Provides key information for pregnant women who are considering using electronic cigarettes to help them quit smoking Designed to be used in face-to-face consultations with women. Supports the detailed briefing. Available here: e-cig%20infographic.pdf
48 But Harm Perceptions
49 % of adults in GB Perception of harm is going the wrong way More or equally harmful Perception of harm relative to cigarettes Less harmful Lot less harmful Completely harmless 2013 (n=8936) 2014 (n=11307) 2015 (n=11340) 2016 (n=11489) Don't know ASH Fact Sheet on the use of electronic cigarettes among adults in Great Britain, May 2016
50 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. We also provide a monthly evidence briefing of the latest studies from a range of countries. This can be sent to anyone, you can sign up here:
51 Conclusions E-cigarette use is prevalent in 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, networks and good information sharing both within Scotland, across the UK and between countries can help and can continue to inform policy and practice.
52 Acknowledgements: Ann McNeill, Robert West, Marcus Munafo, John Britton, Maciej Goniewicz & colleagues
E cigarettes: how can research inform public policy?
E cigarettes: how can research inform public policy? Declaration of interest I have no links with any e cigarette manufacturers I have received no funding from the tobacco or pharmaceutical industries
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 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 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 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 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 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 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 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 informationNew & Emerging Tobacco Products. Linda Bauld & Kamran Siddiqi
New & Emerging Tobacco Products Linda Bauld & Kamran Siddiqi Outline Electronic cigarettes Heat not burn tobacco Smokeless tobacco Waterpipes Terminology E-cigarettes are not a single product Debate about
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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 informationA combination of licensed medication and professional support is four times more likely to achieve a stop in smoking behaviour.
PHA Position Statement E-cigarettes 30 May 2014 The Public Health Agency (PHA) considers E-cigarettes with caution at this time. E-cigarettes are not licensed nicotine replacement products. They are not
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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 informationPUBLIC HEALTH GUIDANCE FINAL SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE PUBLIC HEALTH GUIDANCE FINAL SCOPE 1 Guidance title How to stop smoking in pregnancy and following childbirth. 1.1 Short title Quitting smoking in
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 informationGuideline scope Smoking cessation interventions and services
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Topic NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Smoking cessation interventions and services This guideline
More informationElectronic cigarettes for smoking cessation
Electronic cigarettes for smoking cessation Results from the most recent Cochrane update Jamie Hartmann-Boyce*, Hayden McRobbie, Chris Bullen, Rachna Begh, Lindsay F Stead, Peter Hajek *Cochrane Tobacco
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 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 informationHelping Smokers to Quit in General Practice
Helping Smokers to Quit in General Practice New options with Vape to Quit Vape to Quit toolkit (But don t forget prescription medications) Vape to Quit Offer this option to patients who have been unsuccessful
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 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 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 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 informationShould FDA try to move smokers to e-cigarettes or other less harmful tobacco-nicotine products and, if so, how?
Should FDA try to move smokers to e-cigarettes or other less harmful tobacco-nicotine products and, if so, how? Jeff Weiss General Counsel/EVP of Gov. Affairs of NJOY, LLC FDLI - October 20, 2017 FDA s
More informationCentre for Addictive Behaviours Research. Attitudes to tobacco and e- cigarettes, e-cig ads and ASMs
Centre for Addictive Behaviours Research Attitudes to tobacco and e- cigarettes, e-cig ads and ASMs Rationale E-cigarettes present a lower-harm nicotine delivery system, but this perception is not strong
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 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 informationCreating a Smoke Free Workplace Policy
Creating a Smoke Free Workplace Policy Solent NHS Trust policies can only be considered to be valid and up-to-date if viewed on the intranet. Please visit the intranet for the latest version. Purpose of
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 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 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 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 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 informationCoach on Call. Thank you for your interest in E-Cigarettes: Your Questions Answered. I hope you find this tip sheet helpful.
Coach on Call It was great to talk with you. Thank you for your interest in. I hope you find this tip sheet helpful. Please call me if you have more questions about this or other topics. As your health
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 informationBASIC SKILLS FOR WORKING WITH SMOKERS
BASIC SKILLS FOR WORKING WITH SMOKERS Course Description Goals and Learning Objectives 55 Lave Ave No, Worcester, MA 01655 www.umassmed.edu/tobacco 2016 Basic Skills for Working with Smokers 1 Table of
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 informationBMA calls for strong regulation of e-cigarettes
BMA calls for strong regulation of e-cigarettes March 2012 (updated November 2014) A briefing from the BMA s Board of Science and Occupational Medicine Committee Summary E-cigarettes are increasingly being
More informationReducing smoking in pregnancy: learning from the babyclear approach
Reducing smoking in pregnancy: learning from the babyclear approach Ruth Bell Institute of Health & Society, Newcastle University Smoking in pregnancy Maternal smoking is major cause of avoidable mortality
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 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 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 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 informationPractical advice on smoking cessation: Patients with long-term conditions
Practical advice on smoking cessation: Patients with long-term conditions Tracy Kirk Primary Care Based Respiratory Nurse Consultant This symposium is organised and funded by Pfizer Prescribing Information
More informationMichael Russell s take on nicotine, smoking and harm reduction: how well does it stand up, 25 years on?
Michael Russell s take on nicotine, smoking and harm reduction: how well does it stand up, 25 years on? Martin Jarvis Department of Behavioural Science & Health University College London martin.jarvis@ucl.ac.uk
More information