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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/

Smoking may increase suicide risk, study says

By MONTE MORIN, Los Angeles Times

It’s well known that cigarettes are bad for your health, but does smoking make you more likely to kill yourself too?

In a paper published Wednesday in the journal Nicotine & Tobacco Research, authors argued that smoking and suicide may be more closely related than previously thought.

The researchers analyzed suicide rates in states that aggressively implemented anti-smoking policies from 1990 to 2004 and compared them to suicide rates in states that had more relaxed policies.

Those states that imposed cigarette excise taxes and smoke-free air regulations had lower adjusted suicide rates than did states with fewer anti-smoking initiatives, authors wrote.
“There does seem to be a substantial reduction in the risk for suicide after these policies are implemented,” said lead study author Richard Grucza, a psychiatric epidemiologist at Washington University School of Medicine in St. Louis.

“For every dollar in excise taxes there was actually a 10% decrease in the relative risk for suicide,” Grucza told Washington University BioMed Radio. “The smoke-free air policies were also very strongly associated with reduced suicide risk.”

Study authors said that states with lower taxes on cigarettes and more lax policies on public smoking had suicide rates that were up to 6% greater than the national average.

This is not the first study to document a correlation between cigarette smoking and suicide, but it is among the first to suggest smoking and nicotine may be specific factors.

Up until now, researchers believed smoking coincided with suicide because people with psychiatric problems or substance abuse problems were more likely to smoke as well as to commit suicide.
“Markedly elevated rates of smoking are found among people with anxiety disorders, alcohol and drug dependence, schizophrenia and other diagnoses, in both clinical and general studies,” authors wrote. “However, it is also possible that smoking is not merely a marker for psychiatric disorders, but rather directly increases the risk for such disorders, which in turn increases the risk for suicide.”

Grucza said that the imposition of anti-smoking rules presented the researchers with a naturally occurring experiment. However, the authors did note that there were limitations on their research.

In particular, they said that since they considered state-imposed anti-smoking efforts only, their research would not account for local-level policies aimed at smoking behavior.

“While further studies may be required to establish a compelling weight of evidence, this study provides strong epidemiological support in its favor of the proposition that smoking is a casual risk factor for suicide,” authors wrote.

http://www.latimes.com/science/sciencenow/la-sci-sn-smoking-suicide-20140716-story.html

Secondhand smoke as harmful to pets as people

By SUE MANNING, Associated Press

LOS ANGELES (AP) — Ten years ago, Shirley Worthington rushed Tigger to the vet when the dog’s mouth started bleeding. When she was told he had cancer, she knew to blame her heavy smoking, an addiction she couldn’t kick until after her pet died.

Secondhand smoke can cause lung and nasal cancer in dogs, malignant lymphoma in cats and allergy and respiratory problems in both animals, according to studies done at Tufts University’s School of Veterinary Medicine in Massachusetts, Colorado State University and other schools.

The number of pets that die each year from tobacco exposure isn’t available, but vets know from lab tests and office visits that inhaling smoke causes allergic reactions, inflammation and nasal and pulmonary cancers in pets, said Dr. Kerri Marshall, the chief veterinary officer for Trupanion pet insurance.

Despite Worthington’s certainty about the cause of her dog’s death, more research needs to be done before veterinarians can definitively say whether a dog’s cancer was caused by secondhand smoke or something else, said Dr. Liz Rozanski, whose research at Tufts College focuses on respiratory function in small animals.

Worthington, 52, of Brooklyn, New York, said she was a teenager when she started smoking and she had always smoked around Tigger, who was 8 when he died in 2004. A year later, Worthington, her mom and sister all quit in honor of the bichon frise.

Then, in 2007, Worthington’s mom died while suffering from cancer.

“Cigarettes took my mother,” she said. “And they took my dog.”

Pets aren’t mentioned in this year’s surgeon general’s report, but in 2006, it said secondhand smoke puts animals at risk. The Legacy Foundation, the nation’s largest nonprofit public health charity, encouraged smokers to quit for the sake of their pets, and the American Society for the Prevention of Cruelty to Animals urged making homes with pets smoke-free.

It’s even more important to safeguard cats, which are more susceptible to tobacco smoke than dogs.

Lymphoma is one of the leading causes of feline death. The Tufts research showed that repeated exposure to smoke doubled a cat’s chances of getting the cancer and living with a smoker for more than five years increased the risk fourfold. It can also cause a fatal mouth cancer.

Tobacco companies acknowledge the risks of smoking in people but haven’t taken the same stance with dogs and cats. Philip Morris USA says on its website that it believes cigarettes cause diseases and aggravates others in non-smokers and that the problems warrant warnings.

But “we haven’t taken a stand on the potential impact on pets,” said David Sylvia, a spokesman for Altria Group Inc., the parent company of Philip Morris.

Symptoms of cancer in animals include coughing, trouble eating or breathing, drooling, weight loss, vomiting, nasal discharge, bleeding and sneezing. Cancer kills more dogs and cats than any other disease, according to Denver-based Morris Animal Foundation, which has been funding pet cancer research since 1962.

In addition, the recent surge in the use of electronic cigarettes has raised questions about their impact on pets. The greatest danger is the trash, where dogs can find nicotine cartridges from e-cigarettes, said Rozanski, the Tufts veterinarian.

“You wouldn’t think dogs would eat such things, but they do,” she said.

___

Online:

Tufts University: www.tufts.edu/vet

ASPCA: www.aspca.org

Legacy Foundation: www.legacyforhealth.org

Morris Animal Foundation: www.morrisanimalfoundation.org

http://bismarcktribune.com/news/national/secondhand-smoke-as-harmful-to-pets-as-people/article_8a132d3e-e45d-53ed-8ca8-cb831ca46390.html#.U8VrjqFboDM.facebook

Further Review: Hey, baseball, time to quit the spit

By Steve Hummer

The Atlanta Journal-Constitution

Tony Gwynn, hitter nonpareil, died in mid-June of the kind of cancer that should have sent a chill through every clubhouse in baseball. A member of the dip-and-spit set when he played, Gwynn suffered salivary gland cancer. He was only 54 at his death.
In a story looking at baseball’s and the Braves’ reaction to Gwynn’s death — to appear in Sunday’s print edition of the AJC, as well as on myajc.com — it was necessary to include the disclaimer that there was no precise science connecting Gwynn’s cancer to his past use of smokeless tobacco.
But, c’mon, a little common sense here. Gwynn had said the cancer begin very near the area of his mouth where he once loaded his dip. He blamed his fate on his tobacco use. Even without the seal of definitive medical proof, that should be good enough for the third of baseball that still spews foul brown juice.
The use of chewing and dipping tobacco has been a stain on baseball, literally, since forever. Trying it is a rite of passage for every young player — the nausea and the dizziness that the first-timer experiences, that’s just all good fun. Staying with it is a sort of concession, a player admitting he can figure no better way to spend his many idle hours than to stuff a caustic weed in his mouth and spit it out one dirty dribble at a time.
And once they get hooked, good luck trying to get off the nicotine dragon.
An athlete faces so many risks that he or she is powerless to avoid. Each sport takes its own kind of toll on joint and organ. Why in the name of Nike — the winged goddess of victory, not the shoe — would anyone willingly add to the potential harm by taking up such a frivolous, filthy habit?
Not as many in baseball use the stuff now as 20 years ago. And some have been forced to a reckoning by the news of last month. Braves closer Craig Kimbrel for one seemed genuinely motivated to quit his dipping when the season is done.
But I fear too many players will put off the hard work of quitting until the season passes, gradually set aside the lesson of this summer and stay with the slow, comfortable slide that smokeless tobacco provides. Then it will be just the same ol’ spit from there.
Gwynn’s legacy deserves so much more than that.
http://www.ajc.com/news/sports/further-review-hey-baseball-time-to-quit-the-spit/ngYZ5/

Tobacco companies have made cigarettes deadlier than ever

Updated by 

Over the last five decades, the tobacco industry has engineered cigarettes to be more addictive — and has also made them more dangerous.

Smokers suffer from higher risk of lung cancer and chronic obstructive pulmonary disease (COPD) todaycompared to 1964, when the very first Surgeon General’s report on cigarettes was issued. This infographic, from The Campaign for Tobacco-Free Kids, lays out exactly how cigarettes have changed in the last 50 years.

Screen_Shot_2014-06-23_at_1.50.55_PMCompared to cigarettes in Australia and Canada, tobacco blends used in U.S. cigarettes have higher levels of tobacco-specific nitrosamines (TSNAs), chemicals known to cause cancer. TSNA levels have increased since 1964.

Cigarette companies also introduced ventilation holes in cigarette filters so that cigarettes would look healthier on paper. The ventilation holes cause machines to report lower levels of tar and nicotine when testing cigarettes. However, it’s been documented that these ventilation holes actually change how people smoke cigarettes. Smokers inhale more frequently and more deeply, drawing cancer-causing chemicals farther into the lungs.
The ill effects of these design changes are compacted by efforts to make cigarettes more attractive and more addictive.
Tobacco companies have introduced flavorings to make the taste of cigarettes more appealing, while also introducing chemicals that reduce discomfort and irritation in the lungs. Higher levels of nicotine, ammonia, and sugars have increased the addictiveness of cigarettes over time.
The smoking rate in the United States has hit an historic low — but tobacco use remains the greatest source of preventable death in the United States. According to the Surgeon General, smoking kills 480,000 Americans each year. It’s estimated that half of today’s smokers will die prematurely, losing, on average, ten years of life. It takes a toll on the nation’s economy, too: $289 billion is spent on health care and other financial losses associated with cigarettes annually.
The Tobacco Free Kids report calls for more aggressive oversight of the tobacco industry by the Food and Drug Administration. This is somewhat new terrain for the FDA; the agency wasn’t able to regulate tobacco much until 2009, when Congress enacted the Tobacco Control Act. Early efforts to stretch this regulatory muscle haven’t always been successful — the FDA wasn’t able to require cigarette manufacturers to totally overhaul their labeling to make health hazards more obvious, for example.
http://www.vox.com/2014/6/23/5835158/tobacco-companies-have-made-cigarettes-deadlier-than-ever?utm_medium=social&utm_source=facebook&utm_campaign=ezraklein&utm_content=sunday

Tobacco use still high in college ball, off field

USA Today

OMAHA, Neb. (AP) — Virginia pitcher Josh Sborz slips a pinch of chewing tobacco between his cheek and gum every now and then, even though the NCAA banned the substance 20 years ago,

“I enjoy the taste. It’s not like I’m addicted to it,” Sborz said. “I just enjoy it, definitely. I do it maybe once a month or every other week.”

Sborz said this week’s death of Hall of Fame baseball player Tony Gwynn might give college players some pause. Gwynn died at 54 of oral cancer believed to be connected to his long use of chewing tobacco.

“It should have an impact when such a star-studded player’s life was ended by the addiction he had. It’s sad,” Sborz said.

Whether Gwynn’s death has any real impact is an open question and it comes amid some concerns: Baseball players acknowledging using spit tobacco at least once in the previous month rose from 42.5 percent in 2005 to 52.3 percent in 2009, according to the NCAA’s quadrennial survey substance use trends among its athletes. Results of the 2013 survey have not yet been released, though preliminary results suggest a drop since 2009.

About 15 percent of teams in each NCAA sport are asked to participate in the anonymous survey, with a total sample size of about 20,000 athletes. Among all male athletes, 16 percent acknowledged using tobacco in 2005 and 17 percent in 2009.
Sborz said he thinks the survey is “skewed” when it comes to ball players.
“All those people don’t do it every day,” he said. “If people do it every day, that’s where it becomes a problem. If they do it once every week, I don’t see any issue with it.”
Minor-league baseball banned tobacco in 1993, a year before the NCAA. Tobacco is not banned in the major leagues.
Though tins of tobacco aren’t visible in college dugouts like they were before 1994, that doesn’t mean players aren’t dipping when they’re away from the ballpark.
“It’s 100 percent part of baseball culture,” said Virginia second baseman Branden Cogswell, who estimated half his teammates chew tobacco at least occasionally. “It’s kind of a habit for people, kind of a comfort thing. I’ve never been a part of that group, but so many guys do it. People take those risks. It’s their choice.”
Dave Keilitz, executive director of the American Baseball Coaches Association, said he was surprised to find out so many baseball players were using tobacco.
“I think most of our coaches, if not all of our coaches, are very aware of the danger and also don’t want their players using it,” Keilitz said. “In my 20 years of doing this, I haven’t seen any evidence of that taking place in dugouts, in games. I hope the same holds true in practice sessions.”
Keilitz said his organization adamantly opposes the use of smokeless tobacco and participated in the making of a video that illustrates the dangers.
Virginia coach Brian O’Connor said he chewed during his playing days in the late 1980s and early ’90s. Like Keilitz, he was surprised so many players acknowledge using tobacco.
“If kids are doing it, they’re doing a heck of a job of hiding it,” he said.

The NCAA said the ban was put in place as part of its charge to protect the safety and welfare of athletes. The penalty for violating the ban was left to the committee that oversees each sport. The Baseball Rules Committee instructed umpires to eject any player or coach who is using tobacco or who has tobacco in his possession. Enforcement was spotty until the committee made it a point of emphasis in 2003.

In spite of the warnings the players receive, Texas coach Augie Garrido said he knows some members of his team chew tobacco.

“There’s a lot more of it in Texas,” he said, “because it’s not only about the baseball. It’s about hunting, it’s about fishing, it’s about being a man.”

As for Sborz, he started chewing for a simple reason.

“I saw an older kid do it, so I thought I’d try to do it,” he said.

http://www.usatoday.com/story/sports/college/baseball/2014/06/20/tobacco-use-still-high-in-college-ball-off-field/11121159/

As baseball ponders tobacco issue, Tony Gwynn to get his say

Jorge L. Ortiz, USA TODAY Sports

OAKLAND – Tony Gwynn’s multitude of accomplishments, career batting average of .338 and his pioneering use of video earned him the rapt attention of players whenever he talked baseball.

Major League Baseball hopes an even more important message he’s delivering posthumously sinks in as well.

Gwynn, who died of mouth cancer Monday at 54, speaks out against smokeless tobacco use in a taped segment of an informational video MLB is producing and plans to release this season. The Hall of Fame outfielder believed he developed cancer because of his years-long habit of using spit tobacco, although that was never medically confirmed.

Whether Gwynn’s untimely death and his stance against smokeless tobacco will curtail its use among players remains an open question.

Research by the Pro Baseball Athletic Trainers Society revealed the number of major leaguers who use spit tobacco has declined from about 50% to 33% in the last 20 years.
However, that’s still about 10 times the amount in the general population, according to the American Cancer Society, whose data from 2012 showed 3.5% of Americans 12 and older – or 9 million – use the highly addictive product.
“It’s definitely ingrained and something that’s part of our baseball culture, but it’s not exclusive to baseball,” said Oakland Athletics first baseman Brandon Moss, a non-user. “You would hope a figure like (Gwynn), something tragic like that happening, would be a wake-up call for everyone, not just those in baseball. … But most guys are probably going to look at it as the loss of a great man and a great baseball player and leave it at that.”
Indeed, the stance among players seems to be that they’re aware of the dangers but, like smoking, it’s up to every individual to decide whether to use what remains a legal product.

The National Cancer Institute says in its website that smokeless tobacco contains at least 28 chemicals that have been found to cause cancer – typically of the mouth, esophagus and pancreas – and may also lead to heart disease, gum disease and oral lesions.

“People understand the risks involved and still choose to do it,” Texas Rangers general manager Jon Daniels said. “We all do stupid things, whatever your vice happens to be. People may criticize these guys for dipping, and then somebody’s texting and driving.”

And while Gwynn’s passing was lamented throughout the game, it doesn’t figure to be interpreted by many players – who are usually in their 20s or early 30s, with the concomitant sense of invincibility – as a cautionary tale.

“It’s one of those things that’s scary and obviously you hope you’re not the one,” said A’s catcher Stephen Vogt, who said he dips once in a while. “I don’t think it’s good. I definitely don’t advocate it, but at the same time, it’s an adult decision.”

Baseball has taken steps to sway that decision, or at least make the practice less visible to minimize the impact on young fans.

The current collective bargaining agreement, in effect from 2012-16, bans players, managers and coaches from using smokeless tobacco during TV interviews and team appearances. And they have to keep tobacco products out of sight while fans are at the ballpark.
In addition, MLB and the players union have stepped up educational efforts, and teams – which in the past freely distributed cans of dip in the clubhouse – can no longer do so and are now required to administer oral exams as part of the spring training physicals every year.
Longtime TV announcer Joe Garagiola, who quit his smokeless tobacco habit in his 30s, made it his life’s mission to warn other baseball folks about its dangers, making presentations during spring training alongside former major league outfielder Billy Tuttle, who died of oral cancer at 69 in 1998.
“I don’t think we talk about it enough anymore,” says Atlanta Braves manager Fredi Gonzalez. “I remember as a young A-ball manager, Joe Garagiola would always come around in spring training with Bill Tuttle. It was scary.
“And I still see people chewing tobacco. Not only in the big leagues, but you still see kids in junior high and high school.
For me, it’s not enough yet. It’s a shame.”

Indeed, the sight of players constantly spitting, some sporting a large wad of tobacco inside their cheek, remains one of the game’s enduring images.

“Every spring training we have a guy that comes in who’s had mouth cancer through tobacco,” Rangers utilityman Donnie Murphy said. “So you see it. But at the same time, it’s like an addiction thing. You do it for so long, you’re going to want to keep doing it.”

Players say using smokeless tobacco provides a form of relaxation and becomes part of their routine in a daily sport with lots of down time.

And with amphetamines now banned from baseball, the jolt of energy from the nicotine in the tobacco – absorbed during a longer stretch through dip or chew than by smoking – can help players navigate the season’s six-month grind.

Commissioner Bud Selig has expressed a desire to banish smokeless tobacco from the majors the same way MLB barred it from the minors starting in 1993. But the issue is subject to collective bargaining and the players association has declined, opting to protect personal freedoms and emphasize education.

“The MLBPA discourages the use of smokeless tobacco products by its members or by anyone else. These products carry serious health risks, yet remain legally and widely available,” union spokesman Greg Bouris said via e-mail. “In general terms, included in the smokeless tobacco policy negotiated in 2011 are restrictions/prohibitions on its use, increased emphasis on education and cessation programs, as well as oral examinations. At this point in time, player education continues to be a focus of ours.”

Contributing: Paul White in Washington

http://www.usatoday.com/story/sports/mlb/2014/06/19/mlb-tobacco-tony-gwynn/10937253/

Electronic Cigarettes Makers Under Fire in Senate

By JENNIFER C. KERR Associated Press

E-cigarettes with fruity flavors like “cherry crush” ignited an intense Senate debate Wednesday about whether manufacturers are trying to appeal to youngsters similar to the way that Big Tobacco used Joe Camel decades ago.

“The last thing anyone should want to do is encourage young people to start using a new nicotine delivery product,” Senate Commerce Committee Chairman Jay Rockefeller, D-W.Va., said as he opened a hearing on the battery-powered devices and worries that e-cigarette makers aim to tempt young people to take up something that could prove addictive.

Jason Healy, president of blu eCigs, and Craig Weiss, president of NJoy, were challenged for more than two hours about industry marketing practices that include running TV commercials and sponsoring race cars and other events. Both men insisted they aren’t trying to glamorize smoking and don’t target young people and that their products are a critical alternative for people desperate to quit traditional smokes.

Electronic cigarettes heat a liquid nicotine solution, creating vapor that users inhale. E-cigarette users say the devices address both the addictive and behavioral aspects of smoking without the thousands of chemicals found in regular paper-and-tobacco cigarettes. But there’s not much research on any health risks of e-cigarettes, and the studies that have been done have been inconclusive.

As the Food and Drug Administration considers regulating e-cigarettes, critics wonder whether e-cigs keep smokers addicted or hook new users and encourage them to move on to tobacco.

Healy of blu eCigs, which is owned by the tobacco company Lorillard Inc., testified that his company has voluntary restrictions in place, such as limiting advertising placements to media and events where the target audience is at least 85 percent adults.

Sen. Barbara Boxer, D-Calif., questioned the youthful-sounding flavors for e-cigarettes. Healy’s company, for example, sells electronic cigarettes that come in flavors like Cherry Crush, Peach Schnapps and Pina Colada. Healy countered that the average age for consumers of his e-cigarettes is 51.

Rockefeller was not swayed, bluntly admonishing both men and telling them: “I am ashamed of you. I don’t know how you sleep at night.”

About 2 percent of U.S. teenagers said they’d used an e-cigarette in the previous month, according to a survey done in 2012 and released by the Centers for Disease Control and Prevention. And about 7 percent said they’d tried an e-cigarette at least once in 2012, which translates to nearly 1.8 million.

In April, the FDA proposed regulating e-cigarettes, banning sales to anyone under 18, adding warning labels and requiring agency approval for new products. But the FDA didn’t immediately place marketing restrictions on e-cigarette makers or a ban on fruit or candy flavors, which are barred for use in regular cigarettes. The agency has left the door open to further regulations, but says it wants more evidence before it rushes into more restrictions.

————

AP Tobacco Writer Michael Felberbaum in Richmond, Virginia, contributed to this report.

http://abcnews.go.com/Health/wireStory/electronic-cigarettes-makers-fire-senate-24202582

Big Tobacco Looks to Keep Pace With E-Cigarettes

ABC News — NEW YORK June 17, 2014 (AP)

Tobacco companies are moving quickly to keep pace with the evolution of their industry by embracing the increasingly popular e-cigarettes and making them more available to consumers.

Reynolds American Inc., the second-largest tobacco company in the U.S., moved forward on its ambitious goal for sales, announcing Tuesday that next week it would begin distributing its Vuse brand electronic cigarette nationwide.

Altria Group Inc., which owns the nation’s biggest cigarette maker, Philip Morris USA, is seeking to expand its MarkTen electronic cigarette brand nationally during the first half of the year.

Lorillard, the nation’s third-largest tobacco company, acquired e-cigarette maker Blu eCigs in April 2012. Blu now accounts for almost half of all e-cigarettes sold and can already be found nationwide.

Reynolds said Tuesday that retail outlets in all 50 states will be carrying Vuse starting on June 23. More stores will be added throughout the remainder of the year.

Reynolds launched Vuse in Colorado last summer and expanded into Utah earlier this year. The Winston-Salem, North Carolina company said that Vuse quickly became the top-selling brand in both states with high levels of repeat purchase.

Like other tobacco companies, Reynolds American is looking to capitalize on the fast-growing e-cigarette sales and to diversify its business more. To that end, the company announced last month that it was expanding its Tobaccoville, North Carolina manufacturing complex ahead of Vuse’s national rollout in order to meet anticipated market demand.

The market for e-cigarettes has grown from thousands of users in 2006 to several million worldwide and reached nearly $2 billion in sales last year. The battery-powered devices heat a liquid nicotine solution, creating vapor that users inhale. E-cigarette users say the devices address both the addictive and behavioral aspects of smoking without the thousands of chemicals found in regular cigarettes.

The Vuse can monitor and adjust heat and power to deliver the “perfect puff,” according to Reynolds American. It also has a smart light on the tip of to let users know when it’s getting low, needs to be replaced or recharged.

The country’s biggest tobacco companies have all entered the e-cigarette realm as they look to become less dependent on the traditional cigarette business, which is increasingly tougher to be a part of due to tax hikes, smoking bans, health concerns and social stigma.

But the growing popularity of e-cigarettes has left it open to closer examination by the government and health advocates. The Food and Drug Administration has proposed restrictions on the buying, packaging and advertising of e-cigarettes. This includes a ban on selling to minors and warning labels. The Senate will hold a hearing Wednesday to examine the marketing of e-cigarettes and potential consequences for minors.

Shares of Reynolds American shed 46 cents to $59.88 in midday trading, while Altria’s stock fell 12 cents to $41.69. Shares of Lorillard declined 59 cents to $61.39.

http://abcnews.go.com/Business/wireStory/reynolds-expanding-cigarette-nationally-24170948

With few regulations, e-cigs grow in popularity throughout area

By: Patrick Springer, INFORUM

MOORHEAD – Aaron Templin tried quitting smoking multiple times but his efforts always fizzled after a matter of days.

Nicotine patches or gum never appealed to him as the path to cessation. Then, at a friend’s suggestion, he tried one of the much-in-vogue electronic cigarettes, which are tobacco-free but allow users to inhale a vapor, usually containing nicotine.

Two months later, he and his fiancée consider themselves ex-smokers on the way to breaking free from nicotine altogether.

“It was really easy,” Templin said. “Whenever we had a craving, we’d have an e-cigarette.”

E-cigarettes find themselves under a cloud – enthusiastically embraced by some as a safer alternative to conventional cigarettes, while under fire from health officials who vehemently warn the unregulated products can make no scientifically valid safety claims.

The Food and Drug Administration is taking steps to regulate e-cigarettes, including banning their sale to those under the age of 18 and requiring makers to disclose ingredients.

“I can’t stress enough that there are a lot of unknowns and there isn’t enough scientific evidence” to prove the safety of e-cigarettes and similar devices, said Jeanne Prom, executive director of BreatheND.

Three recent studies cast doubt on the safety or effectiveness of e-cigarettes as alternatives to smoking, she said.

One published in the Journal of the American Medical Association found that e-cigarettes did not help smokers quit or reduce their use of conventional cigarettes.

Another study published in JAMA concluded that e-cigarettes did not discourage tobacco use, while the journal Nicotine and Tobacco Research suggest that some e-cigarettes yield formaldehyde, a known carcinogen, with their nicotine-laden vapor.

“Until they’re proven to be great, we’ll treat them with caution,” said Prom, who urges users or those considering e-cigarettes to do the same. She stressed that multiple proven smoking cessation methods are available, including over-the-counter options.

Templin, a Moorhead resident who smoked for nine years, has read news reports about health concerns regarding e-cigarettes. But his experience persuades him that their benefits outweigh possible risks as a safer alternative to conventional cigarettes.

“They are obviously a healthier alternative to analog cigarettes, and an excellent way to kick the habit,” he said. “It worked for me and my fiancée, and it was almost effortless.”

The nicotine potency of the e-cigarette “juice” that Templin uses has diminished dramatically, he said, as he weans himself. He also uses the device less often.

His fiancée, Linsey Kneisl, rarely uses hers, he said.

Inhaling the vapor is a lot like smoking a cigarette, which makes it an attractive substitute for someone trying to quit, Templin said.

“It’s just like smoking,” he said. “That helps.”

Others have embraced e-cigarettes as less bothersome than secondhand smoke.

Lindzee Morgan of Fargo is not an e-cigarette user, but persuaded her boyfriend, a smoker, to switch to the vapor-emitting alternative.

“I hate cigarette smoke and having to be around it,” she said, “but now I don’t have to worry about it. The e-cigs don’t have a terrible smell and actually some of them smell quite pleasant.”

As for health effects, Morgan said she is much less concerned for herself and her boyfriend “even after reading the numerous articles out there.”

Because e-cigarettes are unregulated, consumers can’t be certain what they contain, regardless of what manufacturers list, said Holly Scott, tobacco prevention coordinator at Fargo Cass Public Health.

Although some e-cigarette juice is billed as nicotine-free, “What guarantee do you have as a consumer that there’s no nicotine?” she asked.

Darius Endres, co-owner of Sports Vape, a vendor of e-cigarettes and juice on South University Drive in Fargo, said regulation is inevitable, including banning the sale to minors and requiring ingredients to be listed.

North Dakota already includes e-cigarettes in its smoke-free law, which prohibits smoking in public buildings. A growing number of cities ban the sale of e-cigarettes or juice to those under 18 and require behind-the-counter sales.

“I am completely done with smoking, Enders said, adding that he uses only nicotine-free juice.

Sports Vape is one of a growing number of e-cigarette sellers in Fargo-Moorhead, reflecting the rapidly growing adoption of the smoking alternative.

Although at least a handful of specialty shops have opened, Scott said most e-cigarettes and juice probably are sold at gas stations and convenience stores, where they are commonly featured alongside tobacco products.

Both Prom and Scott worry that e-cigarettes, with their fruity flavor options and bright packaging, are being marketed to children.

The significant drop in prices also is of concern, said Prom, who noted that the cost of a “starter kit” when look-alike e-cigarettes first appeared on the market was $50 to $100.

Now a bottle of juice that can last a week costs $7, she said.

Anecdotally, both Scott and Prom have received reports that e-cigarettes are being used by schoolchildren around the state.

A check with school administrators in the Fargo, West Fargo, Moorhead and Northern Cass public school districts, however, indicates that no reports have reached the central school offices.

Moorhead has added e-cigarettes to its anti-tobacco policy, and Northern Cass will do so soon, according to school officials. Scott predicts that most school districts will follow.

The claims by e-cigarette proponents that they provide a safe alternative to tobacco echo earlier claims, including filtered and menthol cigarettes, Prom said. Studies later debunked those claims.

Meanwhile, e-cigarette backers say they have studies to show the safety of the products. Those on both sides of the debate agree that science has more work to do to settle the issue.

“We’re actually still probably rounding first base right now as far as the studies go,” Endres said.

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