States Most Impacted by Tobacco Do Least to Reduce Smoking’s Toll

From Parnership for Drug-Free Kids
States most impacted by tobacco use often do the least to reduce the toll of smoking, according to an analysis by USA Today. Kentucky, Tennessee, Missouri, West Virginia and Mississippi are doing the worst job in terms of tobacco control, the newspaper found.
USA Today found big tobacco-growing states, including Kentucky, Georgia and Tennessee, have the poorest and sickest residents, but spend less than one-fifth of the federal government’s recommended minimum for tobacco education and enforcement.
States hardest hit by tobacco use are the least likely to restrict smoking in restaurants and workplaces, the analysis found. These states impose penalties of $100 or less on businesses that sell tobacco to children, compared with $10,000 in states with the most aggressive enforcement.
Tobacco taxes in states with the most smokers are 60 cents or less, compared with $4.35 in New York and $3.75 in Rhode Island, the newspaper found.
USA Today created two scores for states. States’ “impact score” combined youth and adult smoking rates with public perception about the risks of smoking. States’ “aggressiveness score” combined cigarette taxes, smoking bans, how state spending compares with federal recommendations, ad restrictions, and penalties on cigarette sales to young people.
The states that scored high on aggressiveness and low on tobacco impact included Hawaii, New York and Utah. States scoring low on aggressiveness and high on tobacco impact included Kentucky, Tennessee, Missouri, West Virginia and Mississippi.
According to Brian King, a Deputy Director in the Centers for Disease Control and Prevention’s Office of Smoking and Health, the most effective ways to reduce smoking are to regulate it, increase cigarette taxes, run powerful anti-tobacco campaigns and adequately fund tobacco control efforts. He notes that government anti-smoking efforts are “outgunned” by the tobacco industry, which spends about $1 million an hour advertising tobacco.
http://www.drugfree.org/join-together/states-impacted-tobacco-least-reduce-smokings-toll/

HuffPo: The U.S. Smoking Rate Just Hit A Historic Low

, Senior National Correspondent, The Huffington Post
Chalk up another big win for public health: The smoking rate among U.S. adults appears to have hit a new low.
New survey data, which the U.S. Centers for Disease Control and Prevention released Tuesday morning, suggests that just 15.2 percent of American adults are now using cigarettes on a regular basis. That smoking rate is nearly 2 percentage points lower than what the same survey reported for calendar year 2014.
The basis for the findings are responses to the National Health Interview Survey, which the Census Bureau operates on behalf of the CDC and is among the most reliable instruments government has for measuring health habits and status. The data is preliminary, because it comes from January through March and the smoking rate might yet creep up before the year ends. Among other factors, people have been known to quit in January, after making a New Year’s resolution, and then resume a few months later.
But even allowing for that possibility, and the margin of error that all surveys have, it’s likely the adult smoking rate for the full 2015 calendar year will be lower than it was in 2014.
“This result is absolutely exciting and maybe even astonishing, if this decrease holds up when we see data for the full year,” Kenneth Warner, a professor of health policy and management at the University of Michigan, told The Huffington Post.
http://www.huffingtonpost.com/entry/us-smoking-rate-historic-low_55e4a96be4b0b7a96339de51?ncid=fcbklnkushpmg00000063

Reminder: Smoking Hookah For An Hour Is Like Smoking 100 Cigarettes

By Kate Bratskeir, Food and Health Editor, The Huffington Post
You hopefully wouldn’t smoke 100 cigarettes in 60 minutes — that’s five entire packs of so-called cancer sticks.
If you casually dabble with hookah, however, you might not bat an eye at an hour-long smoking session. New research shows lots of young people don’t know that 100 cigarettes and an hour of hookah are about equal in terms of the amount of smoke inhaled — and therefore in the damage they can cause to a person’s health, including increased risk for heart disease, cancers, stroke, blood clots and death, to name a few.
A 2005 report by the World Health Organization found that hookah smokers typically take 200 puffs during an hour-long smoking session, while people take an average of 8-12 puffs per cigarette. Considering the amount of smoke inhaled per method, the organization wrote, a 60-minute water pipe session may be the same as smoking 100 cigarettes or more.
Yikes. If the parallel is surprising to you, you’re not alone. A study just published in the journal Health Education & Behavior found that many young adults believe smoking hookah and cigarette alternatives is a less risky behavior than smoking cigarettes. Researchers analyzed data from 2,871 smoking and non-smoking millennials, roughly 25 percent of whom said they believe hookah is safer than cigarettes. Once again, this is false.
Americans are smoking standard cigarettes at a lower rate than ever before. This is good news. Still, the message that smoking is bad has clearly not effectively carried over to all nicotine-based products. Earlier this year, the Centers for Disease Control and Prevention reported that for the first time, hookah and e-cigarette use is more popular among young people than traditional cigarettes, and the more recent study showed 62 percent of young adults believe e-cigarettes are less harmful than standard cigarettes.
“This might be associated with differences in advertising messages these groups are exposed to, the variety of flavors these different products are offered in, and in the case of e-cigarettes, possibly an inclination for younger people to attribute more positive feelings toward newer products that are seen as new and ‘techy,’” said the study’s authors, Olivia A. Wackowski and Cristine D. Delnevo of the Rutgers School of Public Health, in a press release.
For now, there’s an ashtray’s worth of contradicting information about e-cigarettes. Electronic cigarettes may be less hazardous than cigarettes because they release vapor instead of smoke, and they don’t burn. Some experts argue that they are safer — though not “safe” — and can help smokers eventually quit their smoking habit altogether. But a recent study revealed that e-cigs can also be a catalyst for conventional smoking: they’re a gateway drug.
While the safety of e-cigarettes continues to be explored, anyone considering picking up the habit should know that they won’t be doing themselves any favors. The same goes for smoking hookah: Both hookah and e-cigs can be addictive, and both transfer cancer-causing chemicals into the mouth and lungs of a smoker.
http://www.huffingtonpost.com/entry/smoking-hookah-like-100-cigarettes_55db7783e4b08cd3359ce8af

TFND calls on GNDC to support tobacco prevention

Upon reading the New York Times article entitled, “US Chamber works globally to fight antismoking measurers”, TFND communicated its disappointment with the Greater North Dakota Chamber’s work in our state alongside Big Tobacco.
In doing so, we sent this letter: TFND Letter to GNDC – 7.1.15.

GNDC responded: GNDC – TFND Letter – 7.2.15

And our final communication back to GNDC: TFND response to GNDC – 7.2.15

Today's Smokers Are Having a Harder Time Quitting — What Changed?

Dr. Daniel Seidman,  Smoking cessation expert | From HuffPost Healthy Living Blog

Over the last 25 years, cigarette consumption by smokers in the United States decreased by almost one-third. Over that same period, however, many tobacco companies reengineered cigarettes to more efficiently deliver the nicotine that keeps their customers coming back (1,2). This is called the “yield.” Increased yield means smokers, even if they smoke fewer cigarettes per day, still get plenty of nicotine. In other words, most of today’s cigarettes are not the same ones your mother or father smoked.

Not only are today’s cigarettes different — so are smokers. They are more likely to experience stress, worry, and depression regardless of their income (3). Recent research shows that it is quitting that brings stress relief rather than the other way around; cigarette addiction itself is a source of stress, anxiety, and depression (4,5) As the number of smoke-free environments increased, and because smokers smoke fewer cigarettes on average, today’s smokers generally wait longer between cigarettes. This delay increases the psychological and emotional reward value of each cigarette. At the same time, because they can’t smoke whenever they want, the timing is often uncertain, and the payoff — being able to light up — is irregular. Paradoxically, this sort of “intermittent” sporadic or random reinforcement is actually the strongest form of psychological reinforcement, thus making current patterns of smoking behavior harder to extinguish. Waiting to smoke is not quitting smoking!

Another factor making it harder to quit smoking today is that funding for tobacco prevention has been cut significantly. This illustrates the diminished importance society places on efforts to help smokers. Meanwhile, tobacco companies spend $18 to market their products for every dollar spent to support smokers and reduce smoking (6). Ostracized from private homes, work, cars, and public spaces, many smokers report high levels of shame when they leave social gatherings to get a nicotine fix. Our cultural norm of self-help places the burden of quitting, and blame of failure, squarely on smokers’ shoulders. Self-help, however, is clearly not working for many struggling to quit.

The United States has made remarkable progress against smoking, but most of that progress occurred in the 40 years before 2004, when the adult smoking rate was cut about in half to 20.9 percent. The most recent data, released by the Centers for Disease Control (CDC) on May 22, 2015 (7), is that the median prevalence of cigarette smoking in 2011 was 21.2 percent. Even adjusting for changes in the way smoking rates are being measured, this is higher, not lower, than the 20.9 percent reported 7 years earlier! For 2012, the smoking rate was 19.6, and for 2013 it was 19.0, barely budging from a decade earlier!

As we observed World No Tobacco Day 2015 this past Sunday, May 31, many smokers continued to find themselves in a trap set for them by cigarettes. Cigarettes are designed for addiction and not for recreational “take it or leave it” use. Many of today’s smokers therefore find themselves caught between a lack of constructive social and psychological support, and the destructive effects of highly nicotine-efficient cigarettes, creating a tobacco control stalemate.

What can be done?

We can start by requiring manufacturers to limit or taper permitted nicotine levels in cigarettes. All tobacco and nicotine products should be standardized and openly disclose their nicotine levels, and how much is absorbed into smokers’ bodies the same way people track calories or carbohydrates.

Here are five quick tips for smokers trying to quit:

  • Try to challenge beliefs that justify smoking. Beliefs such as “I smoke because I’m stressed,” “I’ll quit tomorrow,” “I’ll only smoke one,” and “I’m not strong enough to quit” are common and tend to cement smoking as a behavior.
  • Consider these three “triggers” to smoking, and be prepared with strategies to cope with them: 1) Other smokers: Avoid other smokers or ask them not to smoke around you, 2) Alcohol: Avoid alcohol or limit drinks as necessary, and 3) Emotional stress: Learn to adjust to situations without smoking.
  • With cigarettes delivering a stronger dose of nicotine, consider using two forms of NRT. The combined NRT approach not only delivers nicotine more aggressively to replace that from cigarettes, the U.S public Health Service 2008 update (8) found this to be the best of the medical options available for helping smokers quit.
  • Beware of cutting down as a strategy to quit unless you schedule your reduction of smoking in advance for a limited and specific amount of time prior to a target quit date. Stalling, delaying, or reducing smoking are tactics to avoid smoking, but are also ways to avoid quitting. Randomly reducing to quit is a common cessation strategy which recent research suggests is associated with lower cessation success rates. A 2013 Gallup poll (9) found smokers who succeed are more likely to quit abruptly (48 percent) vs. gradually (2 percent). A short-term technique for building confidence to prepare a successful quit day is smoking by the clock, otherwise known as “scheduled smoking” (10).
  • Download an app on your smartphone so you always have access to scientifically supported psychological and behavioral techniques. Such an app should help you prepare for and plan a successful quit day, as well as offer relapse prevention tools. It is critical that the app address not only the physical ties to your smoking addiction, but also the emotional side. Of course, I would like to highlight my own Up in Smoke app for iPhone, iPad Android, and the web!

Dr. Daniel Seidman, a clinical psychologist, is director of smoking cessation services at Columbia University Medical Center. He is author of the book Smoke-Free in 30 Days and of the “Up in Smoke” app from Mental Workout for iPhone, iPad, Android, Mac, and PC.

References:

  • Variation in nicotine intake in U.S. Cigarette smokers Over the Past 25 Years: evidence From nHanes surveys. Martin J. Jarvis, Gary A.Giovino, Richard J. O’Connor, Lynn T. Kozlowski, John T. Bernert.
  • SRNT Journal Research Advance Access published July 25, 2014
  • Recent increases in efficiency in cigarette nicotine delivery:implications for tobacco Control. Thomas Land, Lois Keithly, Kevin Kane, Lili Chen, Mark Paskowsky , Doris Cullen, Rashelle B. Hayes, Wenjun Li. SRNT Journal Advance Access published January 13, 2014
  • 2013 Gallup-Healthways Well-Being Index.
  • Tanya R. Schlam, Megan E. Piper, Jessica W. Cook, Michael C. Fiore and Timothy B. Baker. “Life 1 Year After a Quit Attempt: Real-Time Reports of Quitters and Continuing Smokers.” Annals of Behavioral Medicine, Vol. 44, Issue 3, 309-319. December, 2012.
  • West R, Brown J (2015) How much improvement in mental health can be expected when people stop smoking? Findings from a national survey, Smoking in Britain, 3,6. http://www.smokinginbritain.co.uk/read
  • Campaign for Tobacco Free Kids. Broken Promises to Our Children: The 1998 State Tobacco Settlement Fourteen Years Later (Updated in 2014).
  • State-Specific Prevalence of Current Cigarette Smoking and Smokeless Tobacco Use Among Adults Aged ≥18 years -United States, 2011-2013. CDC, Morbidity and Mortality Weekly Report (MMWR) May 22, 2015 / Vol. 64 / 19. See Table 1. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6419a6.htm?s_cid=mm6419a6
  • The 2008 update to Treating Tobacco Use and Dependence, U.S. Department of Health and Human Services Public Health Service May 2008. See page 109 http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/treating_tobacco_use08.pdf
  • http://www.gallup.com/poll/163763/smokers-quit-tried-multiple-times.aspxhttp://www.gallup.com/poll/163763/smokers-quit-tried-multiple-times.aspxThe effects of smoking schedules on cessation outcome: Can we improve on common methods of gradual and abrupt nicotine withdrawal? Cinciripini, Paul M.; Lapitsky, Lynn; Seay, Sheila; Wallfisch, Annette; Kitchens, Karen; Van Vunakis, Helen. Journal of Consulting and Clinical Psychology, Vol 63(3), Jun 1995, 388-399.

http://www.huffingtonpost.com/daniel-seidman/todays-smokers-are-having_b_7471194.html

Tobacco Companies Have Made 9 Changes To Cigarettes, And They're All Scary Bad

Eric March, UPWORTHY
After the tobacco companies lost that major lawsuit in the ’90s, I always assumed they just sort of quietly went away. But nope. Turns out, they just laid low for a while, rebranded, and poured tons of money into figuring out these diabolical new ways to get and keep people addicted to cigarettes.
infographic-e2cdc205422dc634da47f9ff3c0052a4
 
 
ABOUT:  This graph was compiled by the Campaign for Tobacco-Free Kids. You can read their full report on the increasing danger of cigarettes, which is as massive in scope as it is infuriating,right here. You can also follow the campaign on Twitter and track them on Facebook.Thumbnail image posted to Flickr by user Javier Ignacio Acuña Ditzel, used under Creative Commons license.
http://www.upworthy.com/tobacco-companies-have-made-9-changes-to-cigarettes-and-theyre-all-scary-bad?c=hpstream

The young and poor are keeping big American tobacco alive

By Roberto A. Ferdman, The Washington Post

Big American tobacco wants to get bigger in America.

Reynolds American Inc., which sells both Camel and Pall Mall cigarettes, has agreed to acquire rival and Newport menthol-maker Lorillard for an estimated $27.4 billion. If approved, the deal will effectively combine the portfolios of two of the country’s largest cigarette companies—as of last year, Reynolds and Lorillard controlled roughly 26 percent and 14 percent of the U.S. market, respectively—and send a number of brands to the smaller but still significant player Imperial Tobacco Group.

“The deal strengthens Reynolds position in the US, supplying them with Newport’s excellent brand equity and establishes Imperial as a viable third force in the world’s third largest cigarette market by volume,” Shane MacGuill, Tobacco analyst at Euromonitor International, said in an interview.

The shuffle atop American tobacco is a sign that consolidation might be the industry’s best way to cope with the country’s growing disinterest in cigarettes. It also nods to a few areas of potential growth, most notably menthol cigarettes, for which sales have proven comparatively resilient—Newports, a menthol brand, is second only to Marlboro in U.S. sales.

The-most-popular-cigarette-brands-in-the-U-S-Cigarettes-sold-in-2013_chartbuilder

But the deal is also a surprising indication of optimism surrounding the U.S. industry.
“The U.S. is a key growth market for us,” Alison Cooper, Chief Executive for Imperial Tobacco Group, said in a call with reporters. “We’re hugely excited about the opportunities that lie ahead.”
Why? Because the American tobacco market, while challenged, is still more attractive than many of its international counterparts. The U.S. tobacco market contracted by four percent last year, according to the Food and Drug Administration, but cigarette sales in Europe are falling even faster—they are now nearly half what they were in 2000—and other markets are difficult to penetrate. China’s, while growing, is dominated by local player China National Tobacco Corp.
Make no mistake, cigarette consumption has long been in decline in the United States. Americans adults, on average, smoke fewer than 1,300 cigarettes per year, according to a report (pdf) released earlier this year by the Surgeon General. By comparison, that number was upwards of 4,200 in 1963–three times the current figure.

Tobacco-consumption-historical

But some states and demographics still seem to be clinging on to the habit–and keeping American tobacco companies afloat.

“Approximately one in five U.S. adults smoke cigarettes, and certain population groups have a higher prevalence of smoking,” the Centers for Disease Control and Prevention (CDC) noted in a report from earlier this year.

On a state-by-state level, that certainly appears to be true. Take Kentucky and West Virginia, for instance, which each sport smoking rates well above the national average, according to the CDC’s report. More than 28 percent of Kentucky’s and West Virginia’s adult population were regular or frequent smokers as of 2012. In Utah, smokers made up barely more than 10 percent of the population; in California, just over 12 percent; and in New York, just over 16 percent. The national smoking rate was just above 18 percent.

Tobacco-by-state

Smoking, as it happens, also appears to be highly correlated with both poverty and education levels in the United States: 27.9 percent of American adults living below the poverty line are smokers, while just 17 percent of those living above it are, according to the CDC; 24.7 percent of American adults without a high school diploma are smokers, while 23.1 percent of those with one are. Only 9.1 percent of those with an undergraduate degree, and 5.9 percent of those with a graduate degree are smokers.

It ranges considerably by race, too. The CDC found that Americans of mixed race were the biggest smokers, with 26.1 percent still smoking cigarettes in 2012. Next were Native Americans, with 21.8 percent smoking. By comparison, only 10.7 of Asians smoked in 2012, according to the survey.
And cigarettes are most popular among those adults between the ages of 25 and 44 years old: 21.6 percent of the age group smokes, more than any other.
Tobacco-smokers
If the big tobacco deal is approved, Reynolds will suddenly find itself with more than 30 percent of the American market, and Imperial will find itself with more than 10 percent (Altria Group, which owns Marlboro, controls nearly 50 percent). Don’t be surprised if both turn to those Americans who have been slowest at kicking their respective cigarette habits for help.
http://www.washingtonpost.com/blogs/wonkblog/wp/2014/07/16/the-young-and-poor-are-keeping-the-u-s-tobacco-industry-alive/

Hindsight, MN 2020: Cigarette Tax Increase Succeeds in Reducing Tobacco Usage

By Jeff Van Wychen, Fellow and Director of Tax Policy & Analysis
From Hindsight, Minnesota 2020 Blog

One of the reasons for increasing Minnesota’s cigarette tax was to incentivize current smokers to “kick the habit.” It appears that the cigarette tax increase is already having the desired effect. According to information from ClearWay Minnesota, “Quit attempts by Minnesotans have increased dramatically since the cigarette tax increased by $1.60 per pack on July 1, 2013. During the first two weeks of July 2013, QUITPLAN® Services received 256 percent more calls than in the first two weeks in July 2012, and saw a 289 percent increase in visits to quitplan.com.”

Long term, ClearWay projects that the tobacco tax increase enacted in 2013 will lead to a 47,800 reduction in the number of children who become addicted, a 16 percent reduction in youth smoking rates, incentivize 36,600 Minnesotans to quit smoking, and a 25,700 reduction in premature smoking related deaths.

A reduction in tobacco usage was incorporated into projections of how much revenue the 2013 tobacco tax increase would generate. As a result, the tobacco tax increase is generating about as much new revenue as it was expected to. According the most recent economic update from Minnesota Management & Budget, net tobacco tax collections are within three percent of their projected target since the tax increase took effect (through March 2014).

It is true that tobacco taxes are regressive, falling most heavily on low income households. However, the long-term health effects of the tobacco tax increase outweigh concerns over regressivity. After all, the positive health effects of the tobacco tax increase will likely be concentrated among low income smokers, since they are most sensitive to cigarette price increases and will be most incentivized to quit as a result. There are many ways we can change the tax code to help low income households; giving them access to cheap carcinogens should not be one of them.

http://www.mn2020hindsight.org/view/cigarette-tax-increase-succeeds-in-reducing-tobacco-usage

5 Important Lessons From The Biggest E-Cigarette Study

 | by  Anna Almendrala

Those colorfully lit e-cigarettes are giving off way more than just “harmless water vapor,” according to a comprehensive new study review by UC San Francisco’s Center for Tobacco Control Research and Education. Users could also be inhaling and exhaling low levels of chemicals such as formaldehyde, propylene glycol and acetaldehyde (to name a few), and this secondhand vapor could be a potentially toxic source of indoor air pollution.

While the levels of the toxins were still much lower compared to conventional cigarette emissions, the findings fly in the face of the e-cigarette industries’ claims that the handheld devices are just as safe as any other smoking cessation tool.

E-cigarettes as we know them today were invented by a Chinese pharmacist, Hon Lik in the early 2000s as a smoking cessation aid. They are handheld nicotine vaporizers that deliver an aerosol made up of nicotine, flavorings and other chemicals to users. It’s the chemicals in those vapors that are moving municipalities like Los Angeles, New York City, Washington D.C., Chicago and Boston to restrict “vaping” in some way.

Formaldehyde, for instance, is a carcinogen that also irritates the eyes, nose and throat. Propylene glycol can also cause eye and respiratory irritation, and prolonged exposure can affect the nervous system and the spleen. Acetaldehyde, also known as the “hangover chemical,” is also a possible carcinogen.

The secondhand vapor finding is just one of several that UCSF researchers highlighted in the broadest review to date of peer-reviewed e-cigarette studies. The findings, which were published Monday in the American Heart Association’s journal Circulation, include:

1. Some youth have their first taste of nicotine via e-cigarettes. Twenty percent of middle schoolers and 7.2 percent of high schooler e-cigarette users in the U.S. report never smoking cigarettes.

2. Nicotine absorption varies too much between brands. Early 2010 studies found that users got much lower levels of nicotine from e-cigarettes than from conventional cigarettes, but more recent studies show that experienced e-cigarette users can draw levels of nicotine from an e-cigarette that are similar to conventional cigarettes. Yet another study noted that the chosen e-cigarettes for the research malfunctioned for a third of participants. UCSF researchers say this indicates the need for stronger product standards and regulations.

3. Just because particulate matter from e-cigarettes isn’t well studied, doesn’t mean it’s safe. To deliver nicotine, e-cigarettes create a spray of very fine particles that have yet to be studied in depth. “It is not clear whether the ultra-fine particles delivered by e-cigarettes have health effects and toxicity similar to the ambient fine particles generated by conventional cigarette smoke or secondhand smoke,” wrote the researchers. But we do know that fine particulate matter from cigarettes and from air pollution are associated with an increased risk of cardiovascular and respiratory disease. And some research has found that the size and spray of fine particulate matter from e-cigarettes is just as great or greater than conventional cigarettes.

4. So far, e-cigarette use is not associated with the successful quitting of conventional cigarettes. One clinical trial found that e-cigarettes was no more effective than the nicotine patch at helping people quit, and both cessation methods “produced very modest quit rates without counseling.”

5. Major tobacco companies have acquired or produced their own e-cigarette products. They’re promoting the products as “harm reduction” for smokers, which allows them to protect their cigarette market while promoting a new product. Companies also using “grassroots” tactics to form seemingly independent smokers’ rights groups, just like they did for cigarettes in the 1980s.

Based on the weight of the combined research, UCSF researchers end with several policy recommendations, which include banning e-cigarettes wherever cigarettes are banned, subjecting e-cigarettes to the same advertising restrictions that constrict cigarette marketing and banning fruit, candy and alcohol flavors, which are attractive to younger customers.

http://www.huffingtonpost.com/2014/05/14/e-cigarette-studies_n_5319225.html?ncid=fcbklnkushpmg00000063

CHUCK NORRIS EXTINGUISHES THE E-CIGARETTE CRAZE

Question to Norris:  Chuck, my son joined the train of those who are smoking e-cigarettes. He claims they are better for him than regular smoking and that’s why he does it. Do you have any thoughts on this latest fad? – “Eliminate the E-Cigs, Too,” in Elko, Nev.
Answer:  E-cigarettes have become more than just one of the latest crazes among our culture. Vaping, which is the process of “smoking” or inhaling e-cigs, is a billion-dollar business in the U.S. and has its own subculture. Rather than devices that merely look like cigarettes, whole new breeds of smokeless apparatuses to help users get their next nicotine fix have been spawned by vaping.
Technically speaking, vaping isn’t smoking, at least according to its veteran users. Nevertheless, a user is viewed as inhaling and exhaling vapor that is generally mimicking smoke.
For the record, according to the Macmillan English Dictionary, “E-cigarettes are battery-powered devices that provide inhaled doses of nicotine through a vaporized solution.” They generally utilize a heating element to vaporize that nicotine cocktail.
E-liquid, aka e-juice, is normally composed of four or five ingredients, according to Project:Vape:
1) Vegetable glycerin and/or propylene glycol makes up 80-90 percent. These are touted as “generally considered safe for consumption” because they are “widely used as food additives in a variety of commercially available products.”
2) Flavor makes up 10-20 percent. These are generally food-grade flavorings intended for baking or candy making.
3) Nicotine makes up 0-2.4 percent, depending upon potency. But according to The New York Times, “Most range between 1.8 percent and 2.4 percent, concentrations that can cause sickness, but rarely death, in children. But higher concentrations, like 10 percent or even 7.2 percent, are widely available on the Internet.” (I will speak later about the potential hazards of such high dosages.)
4) Potency prompts some manufacturers to use distilled water to dilute the chemicals.
The pitch of e-cigarettes is that they are a safer alternative to smoking. Supporters say e-juice is much less harmful than tobacco, which contains tar and other chemicals that cause cancer. Some even use e-cigarettes as a way to cut down on and quit smoking.
There is selective research that says vaping may be as effective as nicotine patches in terms of quitting smoking, but a new study documented in JAMA Internal Medicine showed that those who vaped were no likelier to quit or even smoke less than tobacco smokers. (It should be noted, however, that those who smoked e-cigarettes represented only 10 percent of those in the study.)
The Boston Globe reported: “Researchers followed nearly 1,000 smokers for a year and found that those who used e-cigarettes were no more likely to quit smoking or reduce their dependence on tobacco cigarettes than those who weren’t using the products at the beginning of the study. About 14 percent of those who didn’t use e-cigarettes quit smoking compared to 10 percent of those (who) used the products.”
I have two primary concerns about e-cigarettes. The first is that there is a significant increase of use among minors. Despite the fact that e-juice’s chemicals are less harmful than tobacco, nicotine is still an addictive drug. And in liquid form, potency and ingestion (let alone unregulated chemical mixing) clearly pose greater risks among youths.
Neal L. Benowitz, a professor and specialist in nicotine research at the University of California, San Francisco, explained: “There’s no risk to a barista no matter how much caffeine they spill on themselves. Nicotine is different.”
The health risks were explained in a recent New York Times article, “Selling a Poison by the Barrel: Liquid Nicotine for E-Cigarettes.”
It noted, “Toxicologists warn that e-liquids pose a significant risk to public health, particularly to children, who may be drawn to their bright colors and fragrant flavorings like cherry, chocolate and bubble gum.”
Some even look similar to a 5-hour Energy drink, which is why many teens are mixing these vials of nicotine with energy drinks for a quick high, according to Fox News.
But e-juices can deliver far more than benign buzzes. The Times continued: “These ‘e-liquids,’ the key ingredients in e-cigarettes, are powerful neurotoxins. Tiny amounts, whether ingested or absorbed through the skin, can cause vomiting and seizures and even be lethal. A teaspoon of even highly diluted e-liquid can kill a small child.”
I mentioned earlier that higher concentrations are widely available on the Internet. The Times went on to discuss how a lethal dose at such levels could be “less than a tablespoon,” according to Dr. Lee Cantrell, director of the San Diego division of the California Poison Control System and a professor of pharmacy at the University of California, San Francisco. “Not just a kid. One tablespoon could kill an adult,” he said.
The Times further reported on increased poisonings: “Nationwide, the number of cases linked to e-liquids jumped to 1,351 in 2013, a 300 percent increase from 2012, and the number is on pace to double this year, according to information from the National Poison Data System. Of the cases in 2013, 365 were referred to hospitals, triple the previous year’s number.”
This is particularly alarming when one realizes, as the Los Angeles Times recently documented from a Centers for Disease Control and Prevention report, that e-cigarette use among minors has increased significantly. Case in point, the percentage of high-school students who have tried vaping has gone up significantly in recent years, from 4.7 percent in 2011 to 10 percent in 2012. One can only imagine how that percentage has increased in the past two years.
It’s no surprise, the LA Times continued, that “health advocacy groups, including the American Heart Assn., Tobacco-Free Kids and the American Cancer Society Cancer Action Network, have expressed concern that any delay on additional regulations would allow the fast-growing industry, which already counts billions of dollars of sales, to target more children.”
That is why even some of e-cigarettes’ biggest supporters are advocating some regulation. Chip Paul – CEO of Palm Beach Vapors, which operates 13 nationwide e-cigarette franchises and plans to open 50 more in 2014 – says: “It’s the wild, wild west right now. Everybody fears FDA regulation, but honestly, we kind of welcome some kind of rules and regulations around this liquid.”
Besides the health risks, my biggest problem with e-cigarettes remains that I’m just not a believer that introducing another popular addictive vice in society is going to help young, old or America. Instead of perpetuating a this-is-better-than-that drug consumerism – as many do with the marijuana vs. tobacco smoking debate – maybe we should simply start making healthier decisions by eliminating any and all potential health risks in our lives.
I’ve said it before: Justifying eating a plain doughnut over a glazed doughnut because it’s healthier doesn’t mean one is making a healthy decision that will empower the person for optimal human performance and longevity.
Write to Chuck Norris with your questions about health and fitness. Follow Chuck Norris through his official social media sites, on Twitter @chucknorris and Facebook’s “Official Chuck Norris Page.” He blogs at ChuckNorrisNews.blogspot.com.
Read more at http://www.wnd.com/2014/05/chuck-norris-extinguishes-the-e-cigarette-craze/#yATcDVs6ZQMUKGBU.99