Doctors support passing of vape bill

Two well-respected Filipino medical luminaries applauded the Senate for ensuring that minors are protected in the so called vape bill or Vaporized Nicotine Product (VNP) bill now being discussed in the chamber.
Both doctors noted that Senate Bill 2239, while recognizing e-cigarettes and heated tobacco products (HTPs) are less harmful than cigarettes, dedicated a third its provisions to ensure that minors will not have access to these non-combustible alternatives and that only 18 years old and above are allowed to purchase and use them, the same age restriction imposed on cigarettes.

Cardiologist Rafael Castillo who together with other medical professionals conducted the first local scientific study that concluded HTPs contain less harmful chemicals than cigarettes said that, “Senate Bill No. 2239 and House Bill No. 9007, which aim to regulate nicotine products, should provide the needed controls, but they should not be more stringent than what is currently imposed on conventional cigarette products, or else the enacted laws could be self-defeating and may make inaccessible the pragmatic middle ground.” Dr. Castillo is a Fellow of the Philippine College of Physicians, Philippine College of Cardiology and European Society of Cardiology.
Dr. Lorenzo Mata, President of the advocacy group Quit For Good and an occupational medicine specialist for over 35 years, said his group envisions a regulatory framework that incorporates harm reduction measures. He said regulations for non-combustible alternatives should be “less restrictive than combustible cigarette and supportive of reasonable accessibility, while curbing unintended use of non-smokers and minors.”
Meanwhile consumers and industry groups highlighted the overwhelming support that the vape bill is receiving from the estimated 1 million vapers nationwide asserting their rights in the campaign “We vape, we vote.”.

Joey Dulay, president of the Philippine E-cigarette Industry Association (PECIA) said, “We’re seeing massive grassroots support for SB 2239 from vape shop owners and vapers both online and offline. Posters and stickers expressing support for the bill can be seen everywhere up to the Visayas region. As the deliberations in the senate continues, we are seeing more organic posts from people using the #yestovapebill on social media.”

Anton Israel, president of Nicotine Consumers Union of the Philippines (NCUP), said, “Just check the Senate live streaming on the vape bill and the 90 percent of numerous comments and reactions are in support of the bill. The stakeholders’ clamor for a balanced regulations on e-cigarettes and HTPs reflects the people’s desire to have access to less harmful alternatives to smoking. There are around 17 million smokers in the Philippines, these are people whose lives will benefit once we have a risk proportionate regulation in place.”
Dr. Mata said laws should be “carefully calibrated to ensure that adult smokers are made aware of the less harmful alternatives available and given the option to shift to these alternatives while minors and non-smokers are protected. Over-regulating these better alternatives to the point of impossibility of compliance would only perpetuate smoking.”

Dr. Castillo noted that they support the use of HTPs in recalcitrant smokers and share the concern about its potential for abuse, especially by our youth.
“This is where effective legislation can provide the necessary control measures. Not only the youth should be protected but even older nonsmoking adults, especially the women, who could be lured into the vice,” he said.
Dr. Castillo noted that the current decline in the number of smokers represents a mere 2.5-percent in the “past two years or 1,0250,000 less smokers per year. This may be a positive direction, but the number of smokers is not going down fast enough. We know there’s no quick fix to it, but a pragmatic and aggressive approach to the problem that shows some promise in mitigating the outcomes should be tried. The use of Alternative Tobacco Products and HTPs may be one such approach.”
He emphasized that, “permanent smoking cessation is still our main goal but as a mitigating measure, we allow our recalcitrant smoker patients to shift to HTPs as a relatively less harmful middle ground.”
“However, there’s a conscious effort to constantly remind them to give up smoking eventually,” he said.

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