M.O.V.E. – Medical Organizations supporting Vaping & Electronic cigarettes



As physicians and health professionals we see everyday patients who are severely affected by tobacco smoking, many of whom will eventually die or have their health severely affected despite our help and advice. Tobacco smoking remains the most serious public health issue in the world.
People smoke for the nicotine but die from the chemicals produced when tobacco is burned.i Unfortunately, currently available smoking cessation medications have limited efficacy and acceptability for the majority of smokers. However, we believe that there is a solution: the use of electronic cigarettes clearly has huge potential to help many smokers turn their backs on tobacco.
To this end, we strongly believe that ethically and scientifically speaking it is our responsibility to draw attention to the following:
  • It is the combustion of tobacco and the 4000 chemical substances that are produced when smoking cigarettes that are harmful to health of smokers, not the nicotine.
  • The dangers of electronic cigarettes are considerably lower than those of tobacco. From analysis of the constituents of e-cigarette vapour, e-cigarettes can be expected to be at least 95 to 99% safer than smoking tobacco cigarettes in terms of long-term health risks.ii
  • The vapour exhaled from e-cigarette users is highly unlikely to be harmful to bystanders; nicotine concentrations in exhaled vapour are too low to have pharmacological effects on bystanders.iii
  • Randomised controlled trials show that e-cigarettes are effective in smoking cessationiv and studies of the use of e-cigarettes in real world settings show that they are more effective than other means for stopping smoking including Nicotine Replacement Therapy.v
  • It is estimated that for every one million people who switch from smoking to electronic cigarettes, some 6000 premature deaths a year would be averted.vi
E-cigarettes do not ‘renormalise smoking’ – ‘vaping’ is not smoking.  In many countries the rise in e-cigarette use has been accompanied by a continued decline in tobacco sales and prevalence of smoking.vii
The characteristics of electronic cigarettes should always be compared to those of conventional cigarettes, and discussion about the absolute long-term safety of electronic cigarettes must be contrasted ethically and scientifically with the absolute certainty of the harmfulness of smoked tobacco.
Already estimated 29m consumers in Europe use e-cigarettes.viii But we believe that the individual and public health gains associated with electronic cigarette use are held back by misconceptions about the product.
In light of the numerous studies undertaken to date we – as health professionals – cannot remain passive in the face of the clear public health benefits of electronic cigarettes.
We therefore recommend that our colleagues actively learn more about electronic cigarettes as a new public health tool in the ongoing global health campaign against tobacco-related diseases.
We call on our colleagues to sign this declaration in support of the merits of electronic cigarettes based on scientific evidence and ethical debate.
Yours faithfully,
Group of professionals who support this statement.
If  you  agree  with  the  M.O.V.E  statement  please  click  on  the  image  below  to  add  your  support.

i Russell, M. A. Low-tar medium-nicotine cigarettes: a new approach to safer smoking (1976) BMJ  1 (6023) 1430-1433

ii Farsalinos, K. E., & Polosa, R. (2014). Safety evaluation and risk assessment of electronic cigarettes as tobacco cigarette substitutes: a systematic review. Therapeutic Advances in Drug Safety, 5(2), 67–86. doi:10.1177/2042098614524430

iii Hajek P, Etter J-F, Benowitz N, McRobbie H (2014) Electronic cigarettes: review of use, content, safety, effects on smokers, and potential for harm and benefit. Addiction.

iv McRobbie, H., Bullen, C., Hartmann-Boyce, J., & Hajek, P. (2014). Electronic cigarettes for smoking cessation and reduction. The Cochrane Database of Systematic Reviews, 12, CD010216. doi:10.1002/14651858.CD010216.pub2

v Brown, J. et al (2014).  Real-world effectiveness of e-cigarettes when used to aid smoking cessation: a cross-sectional population study. Addiction doi:10.1111/add.12623

vi West, R. B. J. (2014). Electronic cigarettes : fact and fiction. British Journal of General Practice, (September), 442–443.doi:10.3399/bjgp14X681253

vii West R, Brown J, Beard E. Trends in electronic cigarette use in England. Smoking Toolkit Study 140122. 2014.www.smokinginengland.info/latest-statistics

viii Vardavas, C.et al (2014). Determinants and prevalence of e-cigarette use throughout the  European Union: a secondary analysis of 26 566 youth and adults from 27 Countries.  Tobacco Control, 1–7. doi:10.1136/tobaccocontrol-2013-051394

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SUPPORT YOUR COMMUNITY!! Three Reasons Main Street Independent Businesses are the Backbone of your Community…


As part of the month-long celebration of  National Preservation Month and its theme  “New Age of Preservation: Embark, Inspire, Engage,” it’s important to take a look and the role and impact of independent businesses in preserving the places that house the vast majority of historic buildings:  our downtowns, village centers, and neighborhood commercial corridors.

To put it simply:  Independent businesses have been and are the backbone of historic communities and downtowns, thereby preserving the buildings, character, culture, and fabric of the community.  There are three main reasons why:

1) They are the trailblazers:  Our indies are typically the first ones to go into a historic mixed-use commercial district, supplying rent to the property owner, a reason to go to that district to the public, and ultimately taxes to the local community.  By running businesses in historic buildings, indies give economic value to that property, enabling it to be maintained for the present and future generations.

2) They are part of the story:   Independents bring authenticity to the community table.  They may be quirky, crabby, creative and/or chaotic, but they are real.  Indies foster a unique vibe for the community they inhabit; they are run by characters that add character to their place.  These businesses, already invested in and committed to that place, are also the first to support local causes and events, giving of themselves while enriching the community at large.

3) RecycleRe-use. Repeat. Local independent businesses cycle so much more of their income in the community where they are located.  They are more likely to source locally and work together within their district.  There is plenty of researched data on this (for example – herehere, and here.)  But then there are the stories – about the business owner in a small Kentucky community who paid his employees with $2 bills one payday, and still found them circulating around town months after the fact.  Keeping money local longer is a crucial benefit that strengthens our communities.

Westfield, NJ Main Street

Anna Mastroianni, owner of the SOLE shoe store in Westfield, NJ, a Great American Main Street Award winner (2004) notes that as an independent business owner “you get to know and be part of the character of the town and bring to it what you know it will appreciate. To us it’s like having the opportunity to take care of our family, which the Main Street community has become.”  And by running a successful business at 201 East Broad Street, SOLE has supported the upkeep and vitality of the landmark historic building where it is located.

In Main Street New Jersey lingo, independents are crucial to growing a community’s economic, physical, social, and civic value.  They are what makes a place be not just any place, and by doing so have, either knowingly or unknowingly, saved countless historic buildings.  Moving forward, we could just as well say:  Preserve historic buildings – Support independent businesses!

About the Author

Jef Buehler has been with Main Street New Jersey and Improvement District Programs since 1996.  He created the NJ350 Pop-Up Store Program, a first-of-its kind statewide temporary retail outlet program that covers 12 months and over 1,000 miles across NJ. He’s considered an entrepreneurial thought leader in the downtown revitalization and management field, but more importantly, he gets things done in support of authentic place-based economic growth, one community at a time.