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

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CALL FOR DOCTORS, HEALTH CARE PROFESSIONALS AND SCIENTISTS IN SUPPORT OF 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

As seen here:

https://sciencecig.wordpress.com/move/

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The Laguna Beach City Council on Tuesday rejected a proposed ban on electronic cigarettes.

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City Manager John Pietig recommended adding e-cigarettes to the city’s ordinance restricting the use in public of tobacco and other plants or weeds that are smoked. The proposed amendment is consistent with the council’s long-standing desire to protect the public from secondhand smoke and to discourage the unhealthy habit of smoking, according to Pietig’s summary.

“The secondhand vapor from an e-cig is no more harmful than the water vapor rising out of a cup of coffee,” said Laguna Beach resident Peter French, regional vice president of Life LLC. “We sell health and wellness products. One of those products happens to be the electronic cigarette.”

E-cigarettes are battery-operated devices that generally contain cartridges filled with nicotine, flavors and other chemicals, according to a July 22, 2009, news release from theU.S. Food and Drug Administration provided by Tom Kiklas, president and co-founder of the Tobacco Vapor Electronic Cigarette Assn.

FDA tests have detected dipropylene glycol in the cigarettes, but an Environmental Protection Agency release, also provided by Kiklas, states that studies conducted up to the testing limit established by the agency have shown dipropylene glycol not to be carcinogenic.

“I am not convinced that e-cigarettes are dangerous,” said Councilman Steven Dicterow, who voted to reject a ban.

Councilwoman Toni Iseman, the council’s most avid advocate of smoking bans as a person who is made ill by secondhand smoke, said she once sat next to a smoker puffing on an e-cigarette and could not smell anything.

“A secondary [e-cig] benefit is not dropping cigarette butts on the ground, and we could possibly be helping someone quit smoking,” Iseman said.

Mayor Kelly Boyd, who quit smoking after being diagnosed with cancer but still sneaks the occasional puff, said a golfing buddy of his smokes electronic cigarettes and has cut back on tobacco products.

French compared the addictive quality of nicotine to that of caffeine.

“Nicotine has gotten a bad reputation over the years based on the company it keeps,” French said. “Wrapped up in a traditional cigarette, nicotine is surrounded by thousands of chemicals, more than 60 of which are absolutely carcinogenic and many of which are more addictive than nicotine itself.”

French said that since 2008, his sales have shown that thousands of people have moved away from traditional cigarettes.

“This is because it is an easy, effective and safe nicotine delivery system without other harmful chemicals, including tar and carbon monoxide,” French said. “This technology should be embraced and celebrated, not vilified and feared out of ignorance. “

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