US Study Assesses Flavour Use Patterns in Long-Term E-Cigarette Users

Titled, “Changes in Flavor Preference in a Cohort of Long-Term Electronic Cigarette Users,” the current study assessed changes in patterns of use in relation to flavours, self-reported adverse reactions, and evaluated users’ anticipated reactions to possible FDA flavour-related regulatory scenarios.

The researchers analysed data compiled from 383 adult participants, who completed two online e-cigarette surveys between 2012 and 2014 (baseline survey) and again between  2017 and 2019 (follow-up survey). In both surveys, participants had to answer the following question: “Thinking about your preferred liquid, what is the name of this liquid flavour?” and then asked to list all flavors used in the past 30 days. Participants were also asked to report any adverse events (open-ended description) with the associated flavour.

“Participants’ age averaged 44 ± 12 years; 86% were exclusive e-cigarette users, and 13% reported “poly-use” (i.e., e-cigarette and other tobacco product use). E-cigarette flavor preference migration occurred in all demographic groups: only 36-44% maintained a preference for their original flavor,” reported the researchers.

Preference for tobacco and mint flavours decreased over time

50% of the participants reported that they would “find a way” to buy their preferred flavour or add flavouring agents themselves, if non-tobacco flavours were banned.

“Preference for tobacco and menthol or mint decreased over time (40% baseline vs. 22% follow-up); preference for fruit remained stable (23% baseline and follow-up), but chocolate/candy or other sweets preference significantly increased (16% baseline vs. 29% follow-up), and other flavors increased slightly. Migration to sweet flavors was more noticeable in younger adults (18-45 yr); exclusive e-cigarette users preferred sweet flavors more commonly than poly-users did (31% vs. 19%).”

With regards to flavour-associated adverse reactions, 26 (6.9%) participants reported respiratory irritations. As for restrictions, 50% of the participants reported that they would “find a way” to buy their preferred flavour or add flavouring agents themselves, if non-tobacco flavours were banned.

Vapers tend to migrate from tobacco to sweeter flavours

“Flavor migration toward sweet flavors occurred in long-term e-cigarette users, a trend most pronounced in younger and exclusive e-cigarette users. The anticipated maintenance of access to flavors despite regulation suggests an element of e-cigarette-related dependence that requires further evaluation. This information could help clinicians understand the health impacts of e-cigarette flavors, develop appropriate strategies for smoking cessation, and inform the U.S. Food and Drug Administration to plan future regulation of e-cigarette flavors,” concluded the study.

New Study: Adults Who Vape Flavoured E-Cigs Have More Smoking Cessation Success

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UK Tobacco Firms Warned to Pick Cigarette Butts or Face Harsher Laws

Minister Pow has summoned the major players in the industry focusing her fire on the Tobacco Manufacturers’ Association and cigarette giants Philip Morris and Japan Tobacco International, which owns the Silk Cut, Camel and Benson & Hedges brands. “If we cannot progress this discussion… we will have to reflect on what steps the Government can take to ensure the tobacco industry takes increasing responsibility for the litter its products create,” she said in a letter addressed to the tobacco firms.

Data indicate that over five trillion butts are generated by smokers each year worldwide. Sadly, many of these tend to pile up in parks, beaches, streets and bus stops, as they are small enough to appear more harmless than the more visible type of rubbish, and are therefore more likely to be disposed of inappropriately.

Cigarette butts disrupt ecosystems

“Many smokers think cigarette butts quickly biodegrade and therefore don’t really consider them as a litter. In reality, the filter is made out of a type of bioplastic that can take years, if not decades to break down.”

A 2019 study published in Ecotoxicology and Environmental Safety had indicated how cigarette butts can disrupt an ecosystem. Titled, “Cigarette butts have adverse effects on initial growth of perennial ryegrass (gramineae: Lolium perenne L.) and white clover (leguminosae: Trifolium repens L.)” this research had found that the presence of cigarette butts in the soil harms certain plants.

“Despite being a common sight littering streets and parks worldwide, our study is the first to show the impact of cigarette butts on plants,” said lead author Dannielle Green, Ph.D. “Many smokers think cigarette butts quickly biodegrade and therefore don’t really consider them as a litter. In reality, the filter is made out of a type of bioplastic that can take years, if not decades to break down.”

Empty promises

JTI has contributed a meager £150,000 towards cigarette litter clean-up costs and the other major tobacco firms have contributed nothing at all.

Five years ago, the tobacco industry had promised to intensify its efforts to clear the waste, but since then only JTI has contributed a meager £150,000 towards the clean-up costs. Keep Britain Tidy has pointed out that the other major firms and the TMA have contributed nothing towards these efforts.

“It’s time for the tobacco industry to step up to the challenge of ridding our environment of the millions of discarded butts that litter our streets, parks and beaches, pollute our watercourses and oceans and add to the toxic plastic soup that is choking our marine environment,” said Richard McIlwain, deputy chief executive of Keep Britain Tidy.

“Warm words and empty promises are not enough. We need them to take responsibility for the products they put on the market and educate their customers about doing the right thing with their butts once they have finished with them. We know that many smokers don’t even consider their butts to be litter so there is a lot of work to do if we are to rid our environment of this menace,” he added.

Tobacco association to launch anti-littering campaign

In response to the warning, a spokesman for the Tobacco Manufacturers’ Association said that the industry takes its environmental responsibilities “very seriously”. “This autumn, the TMA will be implementing a campaign on raising awareness among consumers about the need to reduce littering and ensuring people are aware of their personal responsibility to dispose of butts appropriately when smoking outside their homes.”

Read Further: Mail Online

NZ Study: Cigarette Butts Constitute About 80% of All Litter

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6 Tips to Help You Buy the Right E-Liquid

If you are reading this, then it means that you have decided to enter the world of healthy nicotine intake. If you’ve already bought your vape device, then you must be wondering what kind of vape juice or e-liquid you should buy. If that’s the case, then worry no more. This blog is going to cover you with everything that you need to know to buy the right e-liquid for yourself.

So, without any further ado, let’s talk about the tips that will help you in selecting the right e-liquid from Vape Craft submits PMTA.

Here you go:

First thing first – Flavor Matters

One of the most common reasons that make people stop smoking is the bad taste. Therefore, it only makes sense that you make the flavor of the e-liquid your top priority.

There is a huge variety of flavors from which you can choose the one that you like the best. However, you have to make sure that the flavor you are choosing is provided by a quality company and approved by the FDA.

Understandably, this diversity of flavors can be confusing, and you may end up buying the wrong flavor. To avoid this from happening, you may need to do some research. Ask around, and if you have friends who use a vape, do listen to whatever they have to say.


Watch Out the Nicotine Concentration

The best thing about vape is that you can choose the nicotine concentration. It really helps you to quit smoking, and these may come to a point where you may stop smoking and vape. Therefore, you need to make sure that you are buying the vape juice with the desired concentration.

Choosing the right amount of nicotine means that you are going to have complete control over your nicotine. So, if you are worried about being a nicotine addict, you need to stop worrying about it. Choose the vape juice with a low concentration of nicotine and reduce your daily nicotine intake.

The PG and VG Riddle

The main ingredient that is also called the base of the e-juice is either made of Propylene Glycol (PG) or Vegetable Glycerol (VG). The basic difference between both of these bases is that PG provides more flavor, and VG provides a subtly sweet taste that somewhat mutes the flavor.

The choice completely depends on your taste buds. If you are new at vaping, then you might not be able to tell the difference clearly, but if you really want to feel the flavor of the liquid, you need to buy PG.

However, it is extremely important that you know that some people are allergic to PG. So, if you want to go for PG, make sure that you are not allergic to it.

Mix it but Test it first

Some people love to experiment with their vape juices. If you want to try a new mix of flavor that is not readily available, then you can mix your flavors. However, if you have decided to go all experimental with your e-liquids, then you must test it first.

It means, mixes a really small amount first and see how it turns out before mixing all the bottles. This way, if you don’t like the new flavor that you just created, you won’t end up wasting a lot of money.

Safety of the Device

Different kind of vape juices has different effects on the device. Therefore, you need to do complete research on your device as well as on the juice that you are going to buy. It’ll help you to save your device from the damage that can be caused by the juice to your device.

Value for Money

Lastly, you need to make sure that the juice you are buying is providing you value for money. It means that you should not be overpaying for anything that is not providing you the amount as per the money it costs you.

You can avoid being in this confusion if you buy the e-juice from authentic providers. It is essential because you’ll be sure that the e-juice they are providing is of high-end quality and will not affect your device.

Study: The Link Between Changes in Harm Perceptions Vs E-Cig Use  

Given the decreasing trend in the number of people who view vaping as safer than smoking, the study titled, “Association between changes in harm perceptions and e-cigarette use among current tobacco smokers in England: a time series analysis,” aimed to estimate whether these changes in harm perceptions among smokers, have been associated with changes in the prevalence of e-cigarette use in England.

For every 1% decrease in the belief that e-cigarettes are safer than cigarettes, the mean e-cigarette use decreased by 0.48%.

The researchers gathered their data from the Smoking Toolkit Study, which involves monthly cross-sectional household surveys of individuals aged 16+ years in England, selecting 300 current tobacco smokers between 2014 and 2019.

The compiled data did indeed indicate that between 2014 and 2019 monthly changes in the prevalence of accurate harm perceptions among current tobacco smokers in England, were strongly associated with changes in e-cigarette use.

“For every 1% decrease in the mean prevalence of current tobacco smokers who endorsed the belief that e-cigarettes are less harmful than combustible cigarettes, the mean prevalence of e-cigarette use decreased by 0.48% (βadj = 0.48, 95% CI = 0.25-0.71, p < .001).”

“Marginal age and sex differences were observed, whereby significant associations were observed in older (but not in young) adults and in men (but not in women). No differences by social grade were detected,” reported the researchers.


Studies Looking Into The Association Between Dual Use and Smoking Cessation

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Vaping Versus Tobacco: The Truth You Need To Know

Should e-cigarettes be banned? No, in fact, smokers should be encouraged to use e-cigarettes.

Before the emergence of the new coronavirus that dominates our lives, American medical institutions and other institutions are relentlessly publicly opposed to the use of e-cigarettes. Although the voice against e-cigarettes is no longer in the news headlines, the opposition has never stopped. They have successfully convinced countless people to believe that e-cigarettes are as dangerous as traditional tobacco products, or even more dangerous.

But what is shocking is that the campaign against e-cigarette smoking is based on a lot of misinformation and outright lies. In fact, by persuading smokers not to switch to e-cigarettes, these institutions are pushing thousands of people into the abyss of premature death, which is completely avoidable. In other words, more Americans will die from the botched anti-e-cigarette campaign than the COVID 19.

Let’s take a look at the actual situation. E-cigarettes do not contain tobacco. Users inhale nicotine, but they will not inhale the deadly substances in tobacco. E-cigarettes are the safest and most effective alternative to cigarettes. Therefore, the British health department has adopted the completely opposite strategy. They encourage smokers to switch to e-cigarettes.

The anti-e-cigarette group in the United States pointed out that the number of young people who use e-cigarettes has increased sharply in recent years, especially young people, implying that e-cigarettes are the gateway to cigarettes, but the fact is the opposite. In the past decade, the smoking rate among young people has dropped from nearly 16% to less than 6%.

Last year, there were a lot of news about vaping e-cigarettes causing lung diseases. There were 450 cases and 5 of them died. The fact is that most of these people use illegal e-cigarettes instead of products sold by regular e-cigarette manufacturers. They inhaled a type of cannabis containing acetate through illegal e-cigarettes, which is a chemical used in topical skin lotions.

Nevertheless, the anti-e-cigarette group still pressures the US FDA to ban manufacturers from adding flavors to e-cigarettes, which is undoubtedly paving the way for a complete ban on e-cigarettes. Therefore, it is not surprising that tobacco companies, nicotine patch manufacturers, chewing gum and other smoking cessation aid manufacturers are not optimistic about the prospects of e-cigarettes.

However, electronic cigarettes are far less harmful than traditional cigarettes. Let us take the UK as an example to stop these deadly anti-e-cigarette campaigns.

Rates of E-Cig and Marijuana Use Not Linked to EVALI Occurrence

The study titled, “Association of Vaping‐Related Lung Injuries with Rates of E‐cigarette and Cannabis Use across US States,” looked into the relationship between the total reported EVALI cases in each state per capita as of January 2020, and the corresponding pre-outbreak rates of adult vaping and marijuana use.

The study results indicated that the higher the rates of vaping and marijuana use were per state, the lower were the corresponding rates of EVALI cases per capita.

Interestingly, published in the journal Addiction, the study results indicated that the higher the rates of vaping and marijuana use, the lower were the rates of EVALI cases per capita. “If e-cigarette or marijuana use per se drove this outbreak, areas with more engagement in those behaviors should show a higher EVALI prevalence,” said lead study author Assistant Professor Abigail Friedman.

“This study finds the opposite result. Alongside geographic clusters of high EVALI prevalence states, these findings are more consistent with locally available e-liquids or additives driving the EVALI outbreak than a widely used, nationally-available product.”

Previous studies had confirmed that EVALI was linked to the consumption of illicit products

Last December, the US Centers for Disease Control and Prevention (CDC), confirmed that EVALI, the infamous “vape related” lung disease that has sadly spread across the US, was caused by Vitamin E Acetate Oil. This compound was mainly found in illicit THC Vaping Cartridges purchased on the blackmarket.

Despite these findings, many states have used the EVALI outbreak as an excuse to implement senseless bans on e-cigarettes. And once again, the current study shows that these restrictions will be counterproductive, as the negative relationship between the number of EVALI cases and the rates of vaping and marijuana use, suggest that well-established markets may pushed out that the use of the illicit and riskier products that are actually causing the lung injury.

The lung injury occurred less in states where marijuana is legal

Similarly, a study published by JAMA Network Open last April, had indicated that the occurrence of EVALI was less common in US States where marijuana products are legal. “Our results are suggestive that those in recreational marijuana states may be less likely to purchase illegal marijuana products on the black market,” said Dr. Alex Hollingsworth, assistant professor in the O’Neill School of Public and Environmental Affairs at Indiana University and co-author of the JAMA Network Open study.

US: Minnesota Issues Alert Over New EVALI Cases

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How do old smokers think about electronic cigarettes?

For many male smokers, cigarettes seem to be the best companions. They never go without it. I have seen friends who are addicted to cigarettes and get one or two packs of cigarettes a day. In their opinion, they are lonely without cigarettes. With the emergence of electronic cigarettes, it seems that smokers have found a new love. You can choose the electronic cigarette that suits you according to your own preferences.

Different from traditional cigarettes, e-cigarettes, as the name suggests, are a device driven by battery, and the better side than traditional cigarettes is that the device can be recycled, and the pod is selected according to the taste of different people, and through the mouthpiece, the anti-leakage ceramic atomization core heats up, and when a person inhales, the e-liquid and air pass through the atomization core and become smoke and are inhaled into the mouth. This kind of smoke is discharged into the air quickly, and the harmful substances contained in the smoke are also greatly reduced. There is many common brand in the market, and those brand’s reputation is very good, like Myst Labs, SnowPlus, ALD, RELX, YOOZ,VEEX, KMOSE.

Although e-cigarettes have styles or brands, generally e-cigarettes are mainly composed of catridge containing a nicotine solution, an evaporation device and a battery. The atomizer is powered by a battery, which can convert the liquid nicotine in the cartridge into a mist, so that the user has a smoking-like sensation when inhaling, and realizes making clouds. It can even add various flavors such as chocolate and mint to the pod according to personal preference.

The internal structure of the deviceuses the same basic components: a lamp PCBA board, rechargeable batteries, and various electronic circuits.

Most electronic cigarettes use lithium ion and secondary battery power components. The battery life depends on the battery type and size, the number of uses and the operating environment. And many different battery charger types are available, such as socket direct charging, car charger, USB interface charger. Batteries are the largest component of electronic cigarettes.

Some electronic cigarettes use an electronic airflow sensor to activate the heating element, and the battery circuit will work as soon as you breathe in. The manual induction requires the user to press a button and then smoke. Pneumatic vaping is easy to use, manual circuit is relatively stable than pneumatic, and the smoke output is better than pneumatic. With the development of hardware and software, some manufacturers have begun to develop fully automatic mechanical manufacturing of electronic cigarettes, eliminating the use of manual wiring, welding or electronics to achieve higher safety and reliability.

As of 2019, the number of people aged 15 and over using e-cigarettes in China is about 10 million. The population of e-cigarettes is mainly young people, and the 15-24 age group has the highest usage rate. As of 2019, the way to obtain e-cigarettes is mainly through the Internet, accounting for 45.4%.

With the upgrading of e-cigarette quality, more and more smokers have begun to choose e-cigarettes. E-cigarettes not only have a high usage rate, but also avoid the harm caused by second-hand smoke to friends around them.

Health Canada Announces Ban on E-Cig Advertising 

Earlier this year, Canada’s Health Minister Patty Hajdu, had announced a ban on adverts for vaping products in places where they can be seen by minors, such as on billboards and in convenience shops. “The latest statistics — which show that vaping has doubled among high school students — are alarming,” said the Health Minister at the time. “The new measures announced today will help, but there is more to do.”

The display of vaping products at points-of-sale accessible to youth will be prohibited,

Subsequently last week, a brief by Health Canada announced that the display of vaping products at points-of-sale accessible to youth will be prohibited, as well as in any public spaces or platforms where they can be seen or heard by this age group. Additionally, any permitted ads displayed where youth are not permitted, must convey health warnings about the health risks associated with the products.

The ban is only applicable in provinces/territories that do not already have such restrictions in place. Health Canada said that it is also considering additional regulatory measures that would further restrict nicotine content and flavours in vaping products.

Read Further: Reuters

Canada: Nova Scotia’s New Vaping Regulations

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US: Iowa Raises The Minimum Age to Buy Tobacco to 21

Senate File 2268 aligns Iowa with the federal law, raising the minimum age to purchase tobacco and nicotine products to 21. Assistant administrator with Page County Public Health Brandy Powers, said that the aim is to curb the increased vaping rates amongst teens.

“After 25, they is only a 1% chance of someone starting to use tobacco for the first time. The later someone can start using or try it, the less likely they are to become an everyday tobacco or nicotine user.”

“Under this law, it would be illegal to sell or supply the covered tobacco or nicotine products to anyone under the age of 21,” said Powers. “Someone who is under 21 cannot purchase, possess or attempt to purchase any of the covered tobacco or nicotine products.”

Vaping has just skyrocketed amongst our youth and young adults. This is really a step forward in trying to reduce the burden of tobacco and vaping on our next generation,” she added. She believes that the older a person is when they initiate tobacco/nicotine use, the likelier they are to kick the habit.

“About 90% of those who use tobacco start before they turn 18,” said Powers. “After 25, they is only a 1% chance of someone starting to use tobacco for the first time. The later someone can start using or try it, the less likely they are to become an everyday tobacco or nicotine user,” added Powers, making the mistake of referring to vaping products as tobacco products.

Sadly, the Governor is failing to consider a fact proven by countless studies, that if e-cigarettes are unavailable, some teens would go straight to experimenting with cigarettes, as they did in the past.

Educational campaign about teen vaping

Earlier this year, Gov. Reynolds announced a campaign that aims to educate the public about the risks of teen vaping, whilst focusing on social media and information programs for parents and students in schools.

Increasing awareness about the risks of vaping will help prevent young people from suffering nicotine addiction and health problems, explained Reynolds at the time. The campaign features videos targeted at teens on SnapChat, Instagram, Facebook, YouTube, Hulu and other sites.

The campaign also provides school nurses, teachers and administrators with information to help educate students and parents. Reynolds had also said that she won’t be signing bills to ban flavoured vaping products since such moves have been blocked in courts of other states.

Read Further: KMA LAND

Differing opinions about raising the tobacco age limit to 21

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SA: As Tobacco Restrictions Are Lifted People Queue Outside Shops

The bans on tobacco products and alcohol sales announced in March, sadly included safer alternatives such as e-cigarettes and snus. Naturally, this had angered many public health experts and vaping advocates. Vapour Products Association of South Africa (VPASA) chief executive Asanda Gcoyi, had reiterated that treating cigarettes and safer alternatives in the same manner poses a significant problem.

“Our findings suggest that the ban on cigarette sales is failing in what it was supposed to do. While the original intention of the ban was to support public health, the current disadvantages of the ban may well outweigh the advantages.”

On top of this, in line with arguments by international health experts, Gcoyi had added that another concern was vapers going back to smoking or purchasing vape products on the black market. “My other concern is the illicit market. People are buying vape juice from shops we know nothing about, we hear it’s available at spaza shops, stories that people are mixing juices at home, which is extremely dangerous, because they are just mixing things and the environment is not right.”

And sadly, a study conducted by the University of Cape Town, had proven these predictions to be right. Economic scholars Corné van Walbeek, Samantha Filby and Kirsten van der Zee, surveyed over 16,000 people on how they were being affected by the tobacco ban.

“Our findings suggest that the ban on cigarette sales is failing in what it was supposed to do,” reported the researchers. “While the original intention of the ban was to support public health, the current disadvantages of the ban may well outweigh the advantages. Smokers are buying cigarettes in large quantities, despite the lockdown, and unusual brands are becoming prevalent.”

Tobacco and alcohol retailers reopen

Finally, as the South African government started easing lockdown regulations, tobacco and alcohol retailers have been permitted to reopen, as long as hygiene and safety measures are still in place. As a result of this, queues of eager smokers were seen waiting outside these shops.

While tobacco sales have been forbidden since the beginning of lockdown in March, alcohol purchases were tentatively re-authorised in June and then banned again as a result of a spike in Covid cases the following month.

“Restrictions on the sale of tobacco will be lifted, the suspension of the sale of alcohol will be lifted subject to certain restrictions,” said President Cyril Ramaphosahe before reopening, adding that significant progress had been made against the disease.

Read Further: BBC

South Africa: Big Tobacco Sues Government Over Tobacco Ban

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