Transcript E-Cigarettes - Alliance for the Control of Tobacco

Presenter: Melissa Moore
Program and Education Coordinator – ACT
The Newfoundland and Labrador Alliance for the Control of Tobacco (ACT) and the
Non-Smokers’ Rights Association/Smoking and Health Action Foundation
• Disposable
• Rechargeable
with pre-filled
cartridges
• Rechargeable
• Refillable with e-liquid
• Rechargeable
• Refillable with
e-liquid
 Canadian Tobacco, Alcohol and Drug Use
Survey (CTADS) first to include questions about
E-cigarette use.
 9% of Canadians aged 15 and over have ever
tried an e-cigarette
 20% of youth aged 15-19 have tried
 20% of young adults aged 20-24 have tried
 26 percent of users report using an E-cigarette
containing nicotine
 51% tried using it as a cessation aid (success in
this area was not measured)
Non-Smokers’ Rights Association/Smoking and Health Action Foundation
 E-cigarettes are
 E-cigarettes are clean
unproven cessation
drug delivery devices
aids: should have to
that can satisfy
undergo same rigorous smokers’ addiction to
testing for safety/
nicotine and to
efficacy as other NRTs
smoking behaviours
 E-cigs pose health
risks to user/others
 Even if not fully
known, health risks of
 E-cigs have potential to e-cigarettes are lower
than risks of cigarettes
undermine major
tobacco control gains
Against
For
Big Tobacco has taken over many of the ecigarette companies
Imperial Tobacco, British American
Tobacco, Phillip Morris international, Japan
Tobacco have all bought e-cigarette
companies
What is their motivation?
 Most studies lack scientific rigour; small sample sizes,
short duration of use
 Most studies involve first generation devices
 All small studies
 Bias—industry funding; self-report survey data; analysis
 Lack of quality controls/ manufacturing standards
means study results cannot be generalized
 Long-term health risks not yet known
 Adverse impact on lung function including increased
airway resistance
 Health effects of inhaling propylene glycol and/or
vegetable glycerin for months/years unknown
 Lack of quality controls, manufacturing standards
 Huge variety of devices, components, e-liquids/
cartridges in largely unregulated marketplace
 Nicotine poisoning in children
 Explosions and fire
 Will e-cigarette experimentation and use serve
as gateway to nicotine addiction and/or to
smoking among youth?
 Will e-cigarette promotion and use undermine
quitting?
Ever use of e-cigarettes by age and smoking status, Canada, 2013
(CTADS 2013; Propel, Tobacco Use in Canada,
Special Supplement: E-cigarettes, 2015)
29 April 2015
 Most e-cigarette users also smoke
 More than 80% are dual users
 For college student smokers…repeated e-cig use
is a predictor of continued smoking
 But dual use may be a step toward quitting
 Studies show e-cigs can help smokers reduce their
cigarette consumption
 E-cigarettes can deliver nicotine effectively
 Experienced users
 Using tank or mod
 E-cigarettes can deliver levels of nicotine that
are comparable to or higher than typical tobacco
cigarettes
 E-cigarettes can help smokers quit smoking
 Most smokers who try e-cigarettes do not
continue to use (~1 in 3)
 Overall, the research to date is inconclusive
regarding the effectiveness of e-cigarettes as
cessation aids
 However,




Most studies are of poor quality
Most studies have used first generation devices
Few studies assess frequency of use
Many studies define any experimentation—even if
only once—as e-cigarette use
Nova Scotia - May 31, 2015
New Brunswick - July 1, 2015.
P.E.I. – Sept. 1, 2015.
Quebec – Nov. 26, 2015
Ontario – Jan. 1, 2016
British Columbia –Bill 14 received Royal Assent
May 14, 2015.
Manitoba – Bill 30 received Royal Assent Nov.
5, 2015.
Newfoundland and Labrador - ??
 ACT does not recommend banning e-cigarettes
at this time because of the lack of research
available as to their effectiveness in helping
people quit smoking and the possible hazards
that may be associated with their use. Instead,
ACT believes that e-cigarettes should be subject
to the same regulatory controls that are in place
for tobacco products. These include but are not
limited to:
 All current and future smoke-free legislation and
policies should include a statement that ecigarettes and any new product which mimics
smoking are also prohibited under the policy.
 No sales of e-cigarettes to minors (in NL this is
those under the age of 19)
 No sale of flavoured e-cigarettes
 No display of e-cigarettes in retail
establishments
 No promotion/advertising of e-cigarettes
 More research—high quality; longitudinal studies
 Balanced, accurate reporting of the research;
meaningful relative risk information
 Adequate, enforced manufacturing standards
 No sales to minors; controls on promotion; no
use in indoor public places/workplaces
 Legalized sale of e-cigarettes
with nicotine
 Advocate for updated current tobacco
policies to include e-cigarettes
 Promote, inform and educate your
members/community about policies
 Letter to government in support of
regulation
 The e-cigarette is not approved by Health Canada to
help people quit smoking.
 The amount of nicotine in each e-cigarette is
unknown.
 The ingredients in the e-cigarette are also unknown
and can be very different depending on the brand.
 Because the e-cigarette is a newer product, the
research is insufficient at this time.
Melissa Moore – Alliance for the Control of Tobacco
Presentation adapted from the Non-Smokers’ Rights Association/Smoking
and Health Action Foundation
Follow onTwitter: @actnl
@nsra_adnf