Maryland cigarette sales down 17% since tobacco tax hike, report says

, Reporter-Baltimore Business Journal
The number of cigarette packs sold in Maryland has declined 17 percent since 2008, according to a new report released Wednesday by a health care advocacy group.
A total of 200 million packs of cigarettes were sold in Maryland in fiscal 2012, down from 243 million in 2008, according to data compiled by Maryland Citizens’ Health Initiative that analyzes data from the national Campaign for Tobacco-Free Kids. The report is intended to highlight improvements in combatting smoking among teens and adults since Maryland raised a tax on cigarette packs in 2008 to $2.
The report comes as the Citizens’ Health Initiative and other health care organizations prepare to lobby for another $1 increase on the cigarette tax. If successful in the Maryland General Assembly, the tax would rise to $3 a pack.
The total number of cigarette packs sold in Maryland has been declining for more than a decade, according to the report. Back in 1995, 389 million packs of cigarettes were sold in the state.
Maryland’s General Assembly in 2012 increased the tax on mini cigars (which come in fruit flavors and have become popular among teenagers) to 70 percent of wholesale price, up from 15 percent. The assembly also increased the tax on smokeless tobacco to 30 percent of wholesale price, up from 15 percent.
In the assembly’s next session, which starts in January, health advocates will also be seeking another increase to the tax on smokeless tobacco and mini cigars.

City Council to Vote on Raising Cigarette Purchase Age

In the latest move to snuff out smoking in New York, the City Council could vote Wednesday to bar anyone under the age of 21 from buying cigarettes and e-cigarettes.

Under federal law, no one under 18 can buy tobacco anywhere in the country, but some states and localities have raised it to 19.

Public health advocates say a higher minimum age discourages, or at least delays, young people from starting smoking and thereby limits their health risks. But opponents of such measures have said 18-year-olds, legally considered adults, should be able to make their own decisions about whether or not to smoke.

Some communities, including Needham, Mass., have raised the minimum age to 21, but New York would be the biggest city to do so.

Officials say 80 percent of NYC smokers started before age 21, and an estimated 20,000 New York City public high school students now smoke. While it’s already illegal for many of them to buy cigarettes, officials say this measure would play a key role by making it illegal for them to turn to slightly older friends to buy smokes for them. The vast majority of people who get asked to do that favor are between 18 and 21 themselves, city officials say.

Under Mayor Bloomberg and the health commissioners he has appointed, including Farley, New York has rolled out a slate of anti-smoking initiatives.

Bloomberg, a billionaire who has given $600 million of his own money to anti-smoking efforts around the world, began taking on tobacco use in the city shortly after he became mayor in 2002.

Over his years in office, the city — at times with the council’s involvement — helped impose the highest cigarette taxes in the country, barred smoking at parks and on beaches and conducted sometimes graphic advertising campaigns about the hazards of smoking.

Earlier this year, the Bloomberg administration unveiled a proposal to keep cigarettes out of sight in stores until an adult customer asks for a pack, as well as stopping shops from taking cigarette coupons and honoring discounts, but the proposal was dropped earlier this week, according to the New York Times.

Bloomberg’s administration and public health advocates praise the initiatives as bold moves to help people live better. Adult smoking rates in the city have fallen from 21.5 percent in 2002 to 14.8 percent in 2011, Farley has said.

http://www.nbcnewyork.com/news/local/Cigarettes-Vote-New-York-Wednesday-229822281.html

Lawmakers updated on efforts to fight tobacco use

By Nick Smith
BISMARCK, N.D. _ A statewide effort to fight tobacco use is spending about $55.60 on each North Dakota adult who uses tobacco products, the director of the agency behind that effort says.
State lawmakers got an update Wednesday from Jeanne Prom, the executive director of the North Dakota Center for Prevention and Control Policy, on how much her agency spends.
With an average annual budget of about $10.7 million, it amounts to $55.59 spent on each adult tobacco user in the state, or $14.57 per capita, Prom told lawmakers. But she said that is much less than the tobacco industry spends on marketing.
“It takes a lot more to market it (tobacco),” Prom said.
In North Dakota, it cost approximately $40 per capita in 2009-11 — the most recent available estimate — for the tobacco industry to market its products, Prom said. She called it a positive sign that combating tobacco use is cheaper than marketing it.
The tobacco prevention center, using an annual state Health Department survey, estimated the state’s adult tobacco-using population at 192,105.
Krista Fremming, Tobacco Prevention and Control Program director for the state Health Department, said the department had expanded its advertising efforts for the NDQuits program this past June and July, something that had not been done in years past. The advertising campaign cost approximately $467,000.
The NDQuits program pushes to keep people from starting to smoke and helping people quit, using online sources, counselors and other services.
Fremming said the program served 341 people in July, up from 255 in June. But she said the program has not seen an increase in the number of people who use or want to quit e-cigarettes, possibly because people mistakenly think they are safe.
“There has been a lot of activity over the past couple of years … regarding e-cigarettes being used as a cessation aid,” Fremming said. “The truth is, we just don’t know if they’re safe.”
Fremming added that e-cigarettes are not approved by the U.S. Food and Drug Administration for that purpose. She said a large number of NDQuits members who reported e-cigarette use also smoke traditional cigarettes.
“A large portion of the upcoming NDQuits media campaign will focus on reaching smokeless and dual tobacco users,” Fremming said.
http://bismarcktribune.com/news/local/govt-and-politics/lawmakers-updated-on-efforts-to-fight-tobacco-use/article_7275a6e4-41ac-11e3-b615-0019bb2963f4.html

Conceal and carry: kids with e-cigarettes

By KEPR-TV, Pasco, WA
KEPR went to Kennewick High School to talk candidly with your kids; they say electronic cigarettes and pocket vaporizers are in their peers’ pockets and right under parents’ noses.
What you need to know about this growing trend.
“Is it here in the Tri-Cities,” KEPR asked a high school student, “yeah, definitely,” he replied.
We’re not just talking tobacco, we’re talking pot smoked through e-cigarettes. Within a minute of school getting out, KEPR found out not just if kids were using it, but where to go. “Go over there to the park,” another student told us.
A park, car, even your house to smoke and you probably won’t know. “The house won’t stink, clothes won’t stink, car won’t stink,” said Randy Schiewe, the owner of 9’s Electronic Cigarette shop in Kennewick. The same reason many adults are switching from a cigarette to an electronic smoker, but for kids consider it conceal and carry.
“It probably looks like a pen to them,” said Schiewe about parents who don’t know. He says it’s not the intent for electronic smokers to look like something they’re not. They were never intended for kids, and you have to be 18 to buy them. But just like kids can get their hands on alcohol, Schiewe says kids can get their hands on these and that’s why he wants to make sure you know what to look for.
The pens are elongated and most have a tapered end. “This would be the easiest way you would see liquid marijuana being used,” he said. People put liquid THC, the active ingredient of pot, or hash oil in the vaporizer instead of tobacco. As a parent, he says you might not find the vaporizer laying around, but you might find the charger and dismiss it. It looks like a cell phone charger, USB port on one end, a small box with a female screw port on the other. “You might find it plugged into a wall, computer or car,” he said.
Pull up You-Tube and in less than two minutes, a kid has a way to smoke pot without a trace.
“If there’s a way to do something bad with it, they will find a way,” said Schiewe. The one benefit says Schiewe, right now liquid THC isn’t as easy to get. “I am in the business and I don’t know how to get it,” he said. It’s a matter of being informed of the new trends hitting your kids to keep them safe. Schiewe hopes it’s a conversation you’ll now be ready to have.
Reporter’s notes:  However you feel on the electronic cigarette issue, I did find when talking to kids one overwhelming trend.  All the kids who knew teens who smoked e-cigs, called it a safe alternative.
http://www.keprtv.com/Conceal-and-carry-kids-with-e-cigarettes-229818931.html

Latest Research on Tobacco Use and Health Care Cost Has Global Implications

By Derek Yach, Executive Director, The Vitality Institute, and a former executive director of the World Health Organization (WHO), and Katie Tryon, M.D., Clinical Director, The Vitality Institute.
This month’s articles on health care costs and tobacco control in the South African Medical Journal (SAMJ) have far reaching implications beyond the shores of South Africa. The latest Global Burden of Disease data (Lancet, 2012) show that two of the top three risk factors that contribute to the highest burden of disease in Western Europe and the U.S. are tobacco and high Body Mass Index (BMI). This not only has serious health consequences, it has significant financial implications for governments, businesses and individuals — both in terms of direct health care costs and indirect costs such as work productivity.
One of the papers, published by RAND Corporation and Vitality, looks at the direct health care cost impact of these two risk factors. They show that severely obese individuals have a 23 percent higher health expenditure than those at a healthy weight, and moderately obese individuals have an 11 percent higher health cost. Furthermore, current or past smokers have an 11 percent higher health expenditure. The research was carried out on an insured South African population with similar demographic and health care profiles to counterparts in Western Europe and the US. It supports recent research carried out by Pandya et al. in the U.S. (Health Affairs, 2013) which predicted a significant increase in healthcare costs in the U.S. from cardiovascular disease due to the aging population, declining mortality and ever increasing obesity rates.
While Pandya et al. research highlighted declining smoking rates in the U.S. as positively influencing cardiovascular disease cost projections, they were not outweighed by the other pressures increasing the costs. An additional paper published by Reddy et al. also adds caution to the enthusiasm over declining smoking rates. It shows that while there has been a significant decline in smoking in school age children in South Africa between 1999 and 2008, there has been a marginal increase between 2008 and 2011 (to 16.9 percent in 2011). This has been mirrored in the U.S. by the CDC Youth Risks Behavior Surveillance that showed a significant decline in youth smoking rates between 1997 and 2009, but no significant decline between 2009 and 2011 (remaining at 18.1 percent in 2011). As today’s young smokers are our tomorrow’s smoking adults, a leveling of the decline, or even a potential increase could have significant impact on future health care costs.
Continued cigarette consumption worldwide, despite all interventions that have been tried, argues for a look at new breakthrough interventions to prevent the inevitable future costs.The editorial co-authored by David Sweanor of the University of Ottawa highlights the need to provide smokers with alternative viable options, rather than continuing along the same lines of controlling combustion cigarette supply and demand. Taxes have played a key role in getting smoking rates down across the world but an improved approach, complimentary to accepted policies in place, is needed to better tackle addiction. E-cigarettes have been a consumer breakthrough that should be embraced by public health personnel and governments rather than vilified. As they state, “We can still strive for complete nicotine cessation… but we are currently presented with the very real prospect of massively reducing the individual and population risks of smoking by something in the range of two orders of magnitude.”
High BMI and smoking remain among the top three risk factors that contribute to the highest burden of disease in Western Europe and the U.S., and the research mentioned above highlights this issue and discusses potential solutions, with implications far beyond South Africa.
The Vitality Institute is a global health think tank with the mission to advance knowledge about the evolving science and art of prevention and health promotion in order to build healthier societies. To join the conversation, follow us on Twitter at The Vitality Institute @VitalityInst.
http://www.huffingtonpost.com/dr-derek-yach/tobacco-use-research_b_4164593.html

Mondays Might Be Your Best Day to Quit Smoking

Smokers most likely to seek online advice about quitting on the first day of the workweek, study finds

By: Robert Preidt
——-
(HealthDay News) — Smokers are most likely to think about kicking their habit on Mondays, according to a new study, and this finding may help boost the effectiveness of anti-smoking campaigns.
For the study, the investigators monitored online searches about quitting smoking that were conducted in English, French, Chinese, Portuguese, Russian and Spanish worldwide between 2008 and 2012.
The results showed that people searched about quitting smoking more often early in the week, with the number of searches highest on Mondays. The number of searches on Mondays was 25 percent higher than the combined average number of searches on Tuesday through Sunday.
This pattern was consistent across all six languages, according to the study, which was published Oct. 28 in the journal JAMA Internal Medicine.
On Mondays, searches in English for information about quitting smoking were 11 percent higher than on Wednesdays, 67 percent higher than on Fridays and 145 percent higher than on Saturdays, the results showed.
These findings may lead to changes in the way health officials and providers design anti-smoking programs, said study lead author John Ayers, of San Diego State University.
“Popular belief has been that the decision to quit smoking is unpredictable or even chaotic,” Ayers said in a university news release. “By taking a bird’s-eye view of Google searches, however, we find anything but chaos. Instead, Google search data reveals interest in quitting is part of a larger collective pattern of behavior dependent on the day of the week.”
Study co-author Joanna Cohen, director of the Johns Hopkins Institute for Global Tobacco Control, suggested that “campaigns for people to quit may benefit from shifting to weekly cues. We know it takes smokers many quit attempts before they succeed, so prompting them to try again on Mondays may be an effective and easy-to-implement campaign.”
Further research is needed to learn more about the reasons for these findings and how they could help boost quit rates, Ayers said, but the immediate message for smokers is straightforward: “If you’re a smoker, just remember: Quit this Monday. Everyone else is doing it.”
More information
The American Cancer Society offers a guide to quitting smoking.
http://consumer.healthday.com/cancer-information-5/cigarette-smoking-tobacco-health-news-665/briefs-emb-10-28-4pmet-smokers-mondays-jama-ia-sdsu-release-batch-991-681544.html

Camels: 100 years and still killing

By Robert N. Proctor
We’re quietly approaching the 100th anniversary of the modern cigarette, but don’t expect much in the way of fanfare. Cigarette sales have been falling since 1981, when 630 billion were smoked in the United States. Now we smoke only about 300 billion in any given year, mostly in the style of the “American blend” introduced by Camels.
Camels were first sold in October 1913. Only 1 million were sold that first year, but this quickly grew to 425 million in 1914 and to 6.5 billion two years later. Twenty-one billion were sold in 1919, and by the early 1920s, nearly half of all cigarettes sold in the U.S. were Camels.
And though other “standard brands” were soon introduced — Chesterfields, Lucky Strikes and Old Golds — Camels still had a 30 percent share of the cigarette market in the late 1940s. By its 65th anniversary in 1978, the brand had sold more than 3 trillion sticks. Camel still holds the record for the most cigarettes sold in a single year: 105 billion in 1952.
The success of the brand is traceable partly to marketing genius. N.W. Ayer & Son was the agency hired to handle the launch, which began with a teaser campaign. Newspapers nationwide announced “the Camels are coming,” with no hint that the blitz was for a new brand of cigarettes. (Reynolds had not even sold cigarettes before 1912.) One ad crowed that “Tomorrow there’ll be more CAMELS in this town than in all Asia and Africa combined!”
The cigarettes came in a new kind of packaging. Camels were the first cigarette sold in that boxy “cup” we now identify as a cigarette pack, with 20 cigarettes per. Camels were also the first smoke to be sold in cartons of 200, and the first sold coast to coast. And (crucially) the first to incorporate what came to be known as “the American blend,” a juiced-up concoction of flue-cured and burley tobacco leaf that was both mild enough to be inhaled and sweet from sugars added to the mix.
A lot has changed since then. The machines that produced those early Camels could manage only seven or eight per second; today’s machines spit out 20,000 sticks per minute, or about 330 per second. And cigarettes today are far more affordable, even with all those taxes going to governments (“the second addiction”). Cigarettes used to be a luxury smoked by dandies and the effete; now they are more likely to be smoked by the mentally ill and destitute.
Some things, though, haven’t changed. Cigarettes still kill about half their long-term users, despite industry bluster about filters, low tars and lights, none of which has made smoking safer. Cigarettes still contain arsenic and cyanide and radioactive polonium-210, the poison used to kill that Russian spy in London a few years back. Cigarettes cause one death for every million smoked, which means that the 4 trillion Camels consumed over the last 100 years have probably caused about 4 million deaths.
And it would be wrong to think of the cigarette business as moribund. Shareholders of the three largest makers in the U.S. all earn dividends in excess of 4 percent, and those holding stock in Altria (parent company of Philip Morris) earn closer to 6 percent.
Youth is still key to the business because most smokers start in their teens and stay fiercely brand loyal. Joe Camel was retired in 1997, but until 2009 (when Congress passed the Family Smoking Prevention and Tobacco Control Act), Camels came in candy-fruit-tropical flavors, including Camel Mandarin Mint and Camel Mandalay Lime. Camel No. 9s, advertised as “light and luscious” and sold in feminine black and pink packs, are still allowed on the market, despite fears that this “Barbie cigarette” targets girls. And Camel Crush offers a hit of mint to those who like menthol “refreshment.” Advertising for such products has increased in recent months, and on my last trip to the dentist, I found four different ads for cigarettes in magazines in the waiting room.
Camel’s anniversary is really only being celebrated overseas, where cigarettes sales remain robust. Worldwide, 6 trillion cigarettes (of all brands) were sold in 2012, which explains why smoking remains the leading preventable cause of death. JTI, the company that owns rights to the Camel brand abroad, is celebrating with a giant “iPad controlled video jukebox” in the shape of a camel, with slogans such as “Discover more” and “Inspiring creativity since 1913.” Most Europeans can buy packs celebrating the anniversary, and Mexico City has held brand-themed events. All of which helps keep Camels among the five bestselling brands in the world.
Here in the birthplace of Camels, though, things are quieter. The cigarette is something of a cardiopulmonary anachronism, and not much to party about. Camel’s success has been literally breathtaking, caravaning millions into that sleep from which we never awake.
Robert N. Proctor is a professor of the history of science at Stanford University. He wrote this for the LA Times.
http://www.denverpost.com/opinion/ci_24381870/camels-100-years-and-still-killing
 

The E-Cigarette Industry, Waiting to Exhale

By , New York Times
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Geoff Vuleta was in the crowd at a Rolling Stones concert last year when Keith Richards lit up a cigarette on stage, the arena’s no-smoking policy be damned. Feeling inspired, Mr. Vuleta, a longtime smoker, reached into his pocket and pulled one out himself. People seated nearby shot him scolding glances as he inhaled. So he withdrew the cigarette from his mouth and pressed the glowing end to his cheek.

His was an electronic cigarette, a look-alike that delivers nicotine without combusting tobacco and produces a vapor, not smoke. Mr. Vuleta, 51, who has a sardonic humor, clearly relished recounting this story. He is the chief marketing officer for NJOY, an electronic cigarette company based in Scottsdale, Ariz., and it is his job to reframe how everyone, nonsmokers included, view the habit of inhaling from a thin stick and blowing out a visible cloud.

Mr. Vuleta, who told his tale in the office of Craig Weiss, the NJOY chief executive, calls this a process of “renormalizing,” so that smokers can come back in from the cold. He means that literally — allowing people now exiled to the sidewalks back into buildings with e-cigarettes. But he also means it metaphorically. Early in the last century, smoking was an accepted alternative for men to chewing tobacco; for women, it was daring and transgressive. Then, in midcentury, it became the norm. As the dangers of tobacco — and the scandalous behavior of tobacco companies in concealing those dangers — became impossible to ignore, smoking took on a new identity: societal evil.

Mr. Vuleta and Mr. Weiss want to make “vaping,” as e-cigarette smoking is known in the industry, acceptable. Keith Richards might still be smoking tobacco, but in Mr. Vuleta’s vision, that grizzled guitarist’s gesture could inspire the audience, en masse, to pull out e-cigarettes. “The moment Keith Richards does it,” he said, “everyone else does, too.”

Mr. Vuleta’s words are more exuberant than the official company line, which is that NJOY doesn’t want everyone to smoke e-cigarettes but only to convert the 40 million Americans who now smoke tobacco. The customers NJOY attracts, and how it attracts them, are at the center of a new public health debate, not to mention a rush to control the e-cigarette business.

At stake is a vaping market that has grown in a few short years to around $1.7 billion in sales in the United States. That is tiny when compared to the nation’s $90 billion cigarette market. But one particularly bullish Wall Street analyst projects that consumption of e-cigarettes will outstrip regular ones in the next decade.

NJOY was one of the first companies to sell e-cigarettes; now there are 200 in the United States, most of them small. Just last year, however, Big Tobacco got into the game when Lorillard acquired Blu, an e-cigarette brand, and demonstrated its economic power. Within months, relying on Lorillard’s decades-old distribution channels, Blu displaced NJOY as the market leader.

Mr. Weiss still sees NJOY as having an advantage — in building e-cigarettes that look, feel and perform like the real thing. It’s a different strategy than that of competing products that look like long silver tubes or sleek, blinking fountain pens.

“We’re trying to do something very challenging: change a habit that is not only entrenched but one people are willing to take to their grave,” said Mr. Weiss, who is not a smoker but has tried both regular and e-cigarettes. “To accomplish that, we have to narrow as much as possible the bridge to familiarity. We have to make it easy for smokers to cross it.”

To some, though not all, in public health, that vision sounds ill-conceived, if not threatening. Among their concerns is that making smoking-like behavior O.K. again will undo decades of work demonizing smoking itself. Far from leading to more smoking cessation, they argue, e-cigarettes will ultimately revive it, and abet new cases ofemphysema, heart disease and lung cancer.

“The very thing that could make them effective is also their greatest danger,” said Dr. Tim McAfee, director of Office on Smoking and Health at the Centers for Disease Control and Prevention.

To achieve his ends, Mr. Weiss is building a company of strange bedfellows. He has hired former top tobacco industry executives, but also attracted a former surgeon general, Dr. Richard H. Carmona, who has joined the board. NJOY recently hired away a prominent professor of chemistry and genomics from Princeton to be the company’s chief scientist. The company has attracted investment from Sean Parker, the former Facebook president, and Peter Thiel, the PayPal co-founder. There has also been a celebrity endorsement from the singer Bruno Mars.

Mr. Weiss sees his company as doing something epic. Not long after he was named its president in June 2010, he asked his psychologist if he might record his regular sessions. It was an unusual request, but he thinks that recording his thoughts might ultimately help him write a book or movie script about how he and the company made the cigarette obsolete.

“We’re at this incredible inflection point in history,” he said, adding that the company has a chance to “make the single most beneficial impact on society in this century.”

<nyt_text>

Over dinner at Federal Pizza, a trendy place in Phoenix owned by a close friend, Mr. Weiss put a Camel Crush cigarette onto a table beside an NJOY King. “These are almost identical,” he says, “but we still have a ways to go.”

The two sticks on the table were roughly the same size. But NJOY’s weighs around 5 grams, more than twice as much as the Camel. When squeezed, the NJOY isn’t as spongy, and it lacks the Camel’s fragrance (though a nimbus of tobacco bouquet emerges when you open the pack). The tip is plastic with an LED glow, not real fire, and it produces no ash.

These distinctions can mean everything to heavy smokers for whom each detail in the smoking ritual — a “moment in the day,” as Mr. Vuleta summarizes the experience of each cigarette — adds up to something exquisite.

“Smokers talk about a ‘throat hit,’ ” Mr. Weiss explained as he sipped a strawberry wine cooler over pizza, referring to a tickle or slight burn at the back of the throat, a part of the overall Pavlovian experience that comes before the nicotine rush. It’s something, he said, that the company’s products are becoming better at imitating, along with changing the chemistry inside the e-cigarette so that nicotine is absorbed more quickly by the body, more like the real thing. But it is not there yet.

The NJOY King, which sells for $7.99, is disposable and tries to deliver as much nicotine as a pack of 20 cigarettes; other kinds of e-cigarettes are rechargeable, their nicotine fluid refills costing around $3 or $4.

If the NJOY and a regular cigarette look similar on the outside, the inside is another story. Inside the e-cigarette’s polycarbonate tube casing is an integrated circuit, a small computer chip. Then comes a lithium-ion battery and a wick wrapped in cotton soaked in a mixture of nicotine and a carrier liquid of glycerol and propylene glycol. The battery is turned on when the user drags on the stick, heating the gadget’s inside to around 180 degrees and turning the nicotine into vapor. When inhaled, it leaves the throat with an “ambient feel,” Mr. Weiss calls it — a caress, not the desired throat hit.

Not all e-cigarette companies embrace experiential authenticity the way NJOY does, and some make a deliberate effort at difference. NJOY executives like to mock the more exotic efforts. “An e-cigarette that doesn’t look like a cigarette, but looks like a silver tube with a white light at the end, is anything but an exquisite experience,” said Roy Anise, NJOY’s executive vice president in charge of sales, who came to the company from Philip Morris, the tobacco company whose parent is Altria. Mr. Anise worked in the tobacco industry for 24 years, eventually in the division that sold smokeless products.

Blu eCigs, NJOY’s biggest competition, are slender black tubes, with tips that glow blue, not ember-red. Murray S. Kessler, the C.E.O. of Lorillard, which sells Blu, described the look as “edgy” and “cool” and said that, with such a look, there is a better chance to make it a “complete replacement” to the cigarette. “I don’t want to emulate a cigarette,” Mr. Kessler said. “The big idea isn’t to try to keep people in cigarettes, but to normalize smoking e-cigarettes and vaping as the next generation.”

E-cigarettes that look different, he said, could “solve the social stigma issue” and erase the tension of smoking in public places.

Doesn’t that cannibalize his tobacco business? Yes, he said, it might, but he added that his shareholders “don’t care whether we sell cigarettes or e-cigarettes” so long as the company maintains profits. Right now, though, real cigarettes are much more profitable, as Mr. Kessler conceded, but he said he thought that e-cigarette profit margins could grow.

Bonnie Herzog, a tobacco industry analyst at Wells Fargo who is particularly bullish on e-cigarettes, said that there was room for different e-cigarette styles. But tobacco companies have a decided edge over small companies like NJOY, she said, because of their entrenched distribution, deep pockets and databases of contact information for millions of customers.

Her assertion seems to be borne out by the success of Blu. Since being acquired by Lorillard, Blu has a convenience-store market share that has climbed to 39 percent from 12 percent in a little more than a year, while NJOY’s has fallen to 30 percent from 48 percent. (NJOY expects its revenue to triple over this year to more than $100 million; Mr. Weiss declined to be more specific about sales.)

Lorillard is pushing hard, saying it will spend $40 million this year on marketing — a budget that amounts to 35 percent of the $114 million in Blu sales in the first half of the year.

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Two other big tobacco companies are exploring the market. The MarkTen, from Altria, can be recharged; it is being sold in Indiana in a test. The Vuse, from the R. J. Reynolds Tobacco Company, is a long, silver model that is being tried in Colorado.

If those large companies decide to go full force into the market, they could further erode NJOY’s market share, adding a business reason for Mr. Weiss to vilify the tobacco giants. One selling point of NJOY may be its likeness to real cigarettes, but another could be that it was never a tobacco company. He has brought on Mr. Anise and others with tobacco experience, he said, because success depends on relationships with convenience stores that sell cigarettes. But, unlike Mr. Kessler, Mr. Weiss can still rail against the companies that “kill half their customers.”

Mr. Weiss, who turned 40 in July, didn’t come to NJOY as a public health advocate or even as someone whose life was touched by the hazards of smoking. “I have no personal ‘my dad died of lung cancer’ type of story,’ ” he said. Rather, his zeal seems to be equal parts outrage and inborn entrepreneurial excitation. He obtained the first of his three patents at age 15 — it was for a net to catch tennis balls — and went on to become a lawyer before starting a hedge fund.

NJOY was started by Mr. Weiss’s brother, Mark Weiss, a lawyer in Scottsdale, who was inspired by a crude version of an electronic cigar at a trade show in China in 2005. In 2009, the company faced a near-death experience when a shipment from China, where the NJOY cigarettes are made, was seized at the port of Long Beach, Calif. The Food and Drug Administration charged that the e-cigarettes were an unapproved drug-delivery device.

NJOY initially argued that it had made no health claims and therefore shouldn’t be regulated. But just months after the seizure, the Family Smoking Prevention and Tobacco Control Act was passed. It gave the F.D.A. the power to regulate tobacco products, but not to ban them. (At the time, Craig Weiss was a shareholder but not part of management; he did weigh in on legal matters.) After the change in federal law, NJOY updated its legal position, arguing that nicotine is derived from tobacco, and therefore that the F.D.A. had the power to regulate e-cigarettes under the new law. In a 2010 ruling, a federal district court in Washington accepted that argument, preventing an outright ban of NJOY’s product as an unregulated drug delivery device and punting the specifics of how the products should be regulated over to the F.D.A.

The F.D.A. has said it plans to issue preliminary rules for public comment on e-cigarette regulations as soon as the end of this month, but the partial government shutdown appears to have delayed that process. Earlier this month, the European Parliament endorsed limits on sponsorship and advertising of e-cigarettes, and on their sale to minors, but scrapped tougher regulations favored by some in public health that would have regulated them as tightly as medical devices.

Some critics say NJOY and other e-cigarette companies are trying to have it both ways. “When it’s convenient to be like tobacco, they’re like tobacco,” says Stanton A. Glantz, director of the Center for Tobacco Control Research and Education at the University of California, San Francisco, “and when it’s not convenient, they’re not.”

One day in mid-August, Dr. McAfee, the tobacco expert from the C.D.C., received an e-mail with statistics about e-cigarette use among young people. The statistics compared e-cigarette experimentation in 2012 with that of 2011, the first year the C.D.C. had collected data on the phenomenon.

Alarm bells went off the instant Dr. McAfee saw the numbers: among students in grades 6 to 12, experimentation with e-cigarettes had doubled, to 6.8 percent from 3.3 percent. Not surprisingly, the numbers were higher among high school students, 10 percent of whom reported trying an e-cigarette, more than double the share in 2011.

Within hours, Dr. McAfee called Mitch Zeller, the director of the Center for Tobacco Products of the F.D.A. As Dr. McAfee recounted his conversation, he told Mr. Zeller: “This is not business as usual.”

One of the strongest predictors of whether someone becomes a lifelong smoker is how early he or she starts experimenting, and Dr. McAfee saw experimentation with e-cigarettes as a gateway to tobacco. Three weeks later, the C.D.C. issued an “emergency note from the field,” a communication typically reserved for acute disease outbreaks.

From a public health perspective, e-cigarettes raise two questions: How harmful are they? And, regardless, will they lead to smoking cessation or, perversely, reinforce the tobacco smoking habit?

Most public health officials seem to agree that the levels of toxins in e-cigarettes are far lower than those in traditional cigarettes. But they also say that far too little is known, not just about potentially harmful aspects of particular brands of e-cigarettes, but also about whether there is harm from “secondhand vapor.” Dr. Glantz of U.C.S.F. says that in the absence of data, indoor smoking bans should also cover e-cigarettes.

Mr. Weiss asserted that such indoor bans would eliminate a competitive advantage for e-cigarettes and thus harm the effort to normalize this alternative behavior. More broadly, he said, public policy should err on the side of giving e-cigarettes a chance, even if everything about the health effects isn’t known. “This idea of saying we don’t have data — that ‘in the absence of data we’re going to act’ — is potentially condemning people to a painful and early death,” he said. Public health officials who want more research before accepting vaping, he said, are “suffering from P.T.S.D. from the lies they were told by tobacco companies.”

The public health officials don’t disagree; in fact, they say they blew it with cigarettes by ignoring warning signs, waiting years to mount ironclad scientific proof and thus allowing a deadly habit to take hold. They are trying to learn from the past. “We can’t allow e-cigarettes to establish themselves the way cigarettes did and, five years from now when all the scientific questions are answered, try to stuff the genie back in the bottle,” said Dr. Glantz, who advocates tighter regulation.

Another area of sharp disagreement is the question of whether e-cigarettes really help people quit smoking. Given that electronic cigarettes aren’t considered as satisfying a nicotine rush, skeptics worry further that if the e-cigarette takes hold, it will lead people to using the tobacco version.

There is no data to validate that concern, just as there is little data on cessation. Surveys suggest that e-cigarette users are quitting or cutting down on cigarettes. But one scientific studypublished in September in The Lancet, a British medical journal, found that six months into smoking e-cigarettes, 7.3 percent of users had quit smoking tobacco. That was the statistical equivalent to the modestly effective patch (a quit rate of 5.8 percent).

“We were hoping for the magic bullet,” said Natalie Walker, director of addiction research at the National Institute for Health Innovation in New Zealand, and one of the study’s authors. “We were surprised by the low quit rate.” Still, she says she thinks e-cigarettes have potential as “another tool” and notes that they have a crucial advantage over other nicotine replacement strategies: “E-cigs have a large and dedicated fan club.”

Dr. Carmona, the former surgeon general who has joined NJOY’s board, is not willing to accept defeat. As surgeon general, he emphasized the dangers of secondhand smoke, and e-cigarettes seem to him the best bet for a cessation device. “We don’t have all the answers” he said, “but we see there is potential for this to be a very disruptive force in cessation.”

Mr. Weiss favors regulation that would require companies to disclose ingredients, set manufacturing standards and prohibit sales to minors, but he objects to restrictions on marketing. At the moment, absent F.D.A. regulations, e-cigarette companies, unlike tobacco companies, can sponsor sports and entertainment events, or advertise on television.

What they can’t do is make health claims; if they did, they would face regulation as a drug company. So the ads tend to be implicit, as in one that ran during the Super Bowl last year. In it, a handsome man smoked an NJOY with a voice-over that said: “You know what the most amazing thing about this cigarette is? It isn’t one,” and then continued, “The first electronic cigarette with the look, feel and flavor of the real thing.”

Reynolds, the maker of Vuse, has a commercial that sounds much like old TV ads for cigarettes, promising “a perfect puff, first time, every time.” A commercial for Blu features Jenny McCarthy complaining she doesn’t like a kiss “that tastes like an ashtray.”

Mr. Weiss said NJoy’s Super Bowl ad prompted a 40 percent uptick in sales in the five markets where it ran. That kind of impact is why he doesn’t want the F.D.A. to forbid television advertising. “Any ad restrictions that limit our ability to let smokers know they have an alternative only serves the interest of Big Tobacco,” he said, because tobacco companies have such an edge on the traditional channels of distribution. He does agree, however, that there should be no advertising during children’s TV shows. He declined to say how much the company spends on marketing.

The push for regulation is coming from many quarters, including a majority of the state attorneys general. Forty of them wrote a letter in September to the F.D.A., seeking “immediate regulatory  oversight of e-cigarettes, an increasingly widespread, addictive product.” The letter said that the nicotine in e-cigarettes “has immediate biochemical effects on the brain and body at any dosage, and is toxic in high doses.”

Then, last week, the group sent a second letter reiterating its position, urging rules that would “ensure that companies do not continue to sell or advertise to our nation’s youth.”

In the first letter, the state attorneys general singled out NJOY’s Super Bowl ad, not in its appeal to youth but the way it looked just like the thing it seeks to replace: “The advertisement depicted an attractive man smoking an e-cigarette that looked just like a real cigarette.”

Mr. Weiss doesn’t see a problem with this. “We want it to look exactly like a cigarette because that’s how we’re going to get smokers to change behavior,” he said. For decades, he noted, there have been smoking alternatives, like patches and pills and gum, that were nothing like cigarettes. Going down that road, he said, is “Einstein’s definition of insanity — doing the same thing over and over again and expecting a different result.”

At the same time, he conceded that his strategy “creates some confusion” that “is not irrational to me, and just requires education.”

“People say, if it looks like a duck, and quacks like a duck, it must be a duck.”

Mr. Weiss’s challenge, if he’s to reach what he envisions as a place in history, will be to prove that looks can be deceiving.

http://www.nytimes.com/2013/10/27/business/the-e-cigarette-industry-waiting-to-exhale.html?pagewanted=1&_r=1

Mayo Clinic Experts: What Should You Know About E-cigarettes?

ROCHESTER, Minn. — E-cigarettes are becoming increasingly popular and widely available as the use of regular cigarettes drops. Recently, the Centers for Disease Control and Prevention (CDC) reported that e-cigarette use by children doubled from 2011 and 2012. The health effects of e-cigarettes have not been effectively studied and the ingredients have little or no regulation. Mayo Clinic’s Nicotine Dependence Center experts are available to discuss what people should know before trying e-cigarettes.
Electronic cigarettes, often called e-cigarettes, are battery-operated devices that provide inhaled doses of a vaporized solution of either propylene glycol or vegetable glycerin along with liquid nicotine. An atomizer heats the solution into a vapor that can be inhaled. The process, referred to as “vaping,” creates a vapor cloud that resembles cigarette smoke. Some liquids contain flavoring, making them more appealing to users.
“As of right now, there is no long-term safety data showing the impact of repeated inhalation of propylene glycol or vegetable glycerin on lung tissue,” cautions Jon Ebbert, M.D., associate director at Mayo Clinic’s Nicotine Dependence Center. “There is some short-term data suggesting that e-cigarettes may cause airway irritation, but until we have long-term safety data, we are not recommending e-cigarettes for use among cigarette smokers to help people stop smoking.”
So, what is known about electronic cigarettes?

    • Manufacturers claim that electronic cigarettes are a safe alternative to conventional cigarettes.
    • The Food and Drug Administration (FDA) has questioned the safety of these products.
    • FDA analysis of two popular brands found variable amounts of nicotine and traces of toxic chemicals, including known cancer-causing substances (carcinogens).
  • The FDA has issued a warning about potential health risks associated with electronic cigarettes, but is not yet regulating their use or standards of manufacture.

“It’s an amazing thing to watch a new product like that just kind of appear. There’s no quality control,” says Richard Hurt, M.D., director of Mayo Clinic’s Nicotine Dependence Center. “Many of them are manufactured in China under no control conditions, so the story is yet to be completely told.”
Mayo Clinic’s Nicotine Dependence Center offers FDA-approved medications and evidence-based care that is safe and effective in helping people quit smoking.
The American Association for Cancer Research (AACR) will host a press conference about e-cigarettes and their health effects on Tuesday, Oct. 29 at 9:30 a.m. ET, at the 12th Annual AACR International Conference on Frontiers in Cancer Prevention Research, held Oct. 27-30 in National Harbor, Md. Scott Leischow, Ph.D., co-lead, Cancer Prevention and Control Program, Mayo Clinic, Scottsdale, Ariz., will join other experts for a discussion about existing scientific research on e-cigarettes and their impact on health, as well as the need for additional research that can inform effective cancer prevention strategies, public health messages, and regulatory activities.
The press conference will be held in the Camellia Room at the Gaylord National Resort and Convention Center in National Harbor, Md. Reporters who cannot attend the press conference in person can join by telephone: 800-446-2782 (toll-free).
To schedule an interview with a nicotine dependence expert, please contact Kelley Luckstein at 507-284-5005 or newsbureau@mayo.edu.
http://www.webwire.com/ViewPressRel.asp?aId=181927#.Une3C5RUM0M

E-cigarette industry lobbies to avoid regulation as tobacco product

By Stuart Pfeifer
They have the shape, feel and nicotine of tobacco cigarettes, but e-cigarettes should not be regulated like tobacco products, makers of the popular new product say.

The Smoke Free Alternatives Trade Assn., an industry group, is lobbying to avoid Food and Drug Administration regulation under the Family Smoking Prevention and Tobacco Control Act.
“This is a critical time for … the e-cig industry at large,” said Cynthia Cabrera, the trade group’s executive director. “While our industry understands reasonable and appropriate regulation is needed, it is vital our young industry not be grouped with combustible cigarettes as federal guidelines are developed for these products. Excessive regulation could limit adult access to e-cigs and stifle growth and innovation in the segment.”
Members of the trade organization said they are traveling to Washington on Nov. 4 to urge members of Congress to not classify the devices as tobacco products.
Last month, attorneys general from 40 states urged the FDA to regulate e-cigarettes as tobacco products, noting the cigarette alternatives contain highly addictive nicotine and, unlike cigarettes, can be advertised and sold to children.
“People, especially kids, are being led to believe that e-cigarettes are a safe alternative, but they are highly addictive and can deliver strong doses of nicotine,” Massachusetts Atty. Gen. Martha Coakley said. “We urge the FDA to act quickly to ensure that these products are regulated to protect the public, and are no longer advertised or sold to youth.”
E-cigarettes are plastic or metal devices, shaped like oversized cigarettes, that use batteries to heat nicotine oil and create a vapor that users inhale. They provide nicotine without inhaling the smoke of burning tobacco.
The products have become so popular that some tobacco companies have been acquiring e-cigarette manufacturers as a way of getting into the business.
The Centers for Disease Control reported recently that e-cigarette use by middle and high school students doubled from 2011 to 2012. The trade group has scoffed at that report, noting that it was based on the number of students who tried the product, not those that regularly used them.
Further, the group said, studies have found that e-cigarettes are a safe alternative to tobacco cigarettes, the health risks of which are widely known.
“There is no evidence of which we are aware which would suggest that the risk/safety profile of e-cigarettes is in any way comparable to that of tobacco products,” Todd A. Harrison, an attorney for the trade group, said in an Oct. 17 letter to the White House Office of Information and Regulatory Affairs.
http://www.latimes.com/business/money/la-fi-mo-ecigarette-industry-lobby-tobacco-product-20131024,0,2455539.story#axzz2iesS7W00