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EGO BOOSTER THE LIE: E-cigarettes will not only cause ex-smokers to resume smoking, but will also act as a "gateway" to smoking for youth. "...by simulating the cigarette experience, electronic cigarettes might reactivate the habit in ex-smokers. They could also be a gateway into tobacco abuse for young people who are not yet hooked." - Dr. Harvey Simon, Harvard Health “It is clear from [C.S. MottChildren’s Hospital National Poll on Children’s Health] that U.S. adults are not waiting for scientific evidence of adverse health effects of e-cigarettes before before asking that they be regulated and restricted. Rather, they support restrictions on e-cigarettes based on potential risks—not just immediate health effects, but also the possibility that e-cigarettes may lead youth toward later use of tobacco cigarettes.” - Matthew M. Davis, director of poll & associate professor of pediatrics and internal medicine in the Child Health Evaluation and Research Unit at the U-M Medical School. "The FDA, the Centers for Disease Control and Prevention, and the American Academy of Pediatrics have all voiced their concern that electronic cigarettes could lead to an increase in nicotine addiction and youth tobacco use." - Center for Public Health and Tobacco Policy ANTZ CHECK: Because there is no way to prove these claims, we must believe the "experts" simply on their "say-so." However, the fact that they are even putting forth these ridiculous theories shows just how little these "experts" really know about the product they are trying to ban. 1) Smokers who quit smoking already have a very high likelihood of relapse.  Those who quit by using gums and patches have a relapse rate of 93% or more. (That means they start smoking again.) Additionally, for reasons still unknown to the "experts," relapses frequently happen even if the smoker hasn't smoked for years and couldn't possibly still front page be addicted to nicotine. Therefore, it is extremely likely that any "ex-smokers" drawn to e-cigarettes were already considering smoking traditional cigarettes but decided to try e-cigarettes instead. In that case, the e-cigarettes will have actually prevented the ex-smoker from resuming smoking. If the smoker likes the e-cigarette, he will not switch to traditional cigarettes, he will continue to use the e-cigarette until he decides to quit again. If he does not like the e-cigarette, he quit using it or will start smoking again. Either way, it's not the e-cigarette use that will cause an ex-smoker to start smoking again. 2) As smokers who switch quickly find out, using an e-cigarette (popularly known as "vaping," rather than smoking) is actually quite different from the "habit" of smoking. Instead of a long periods of abstinence, followed by 10-15 minutes of smoking, most e-cigarette users find that they will just take a few puffs from the device as needed throughout the day. It actually works more like a slow-release nicotine patch, by providing an even keel throughout the day instead of periodic, high spikes of nicotine intake (since most smokers will smoke an entire cigarette, even if they don't need that much nicotine, just to psychologically "make it" until their next break.) 3) Propylene glycol, the base of most e-cigarette liquids, is slightly sweet, which is why it is also used as a base in products such as medicines and drink mixes. This is also why many smokers don't like the artificial tobacco flavors and switch to using a flavor that tastes good in a sweeter base, such as fruit, sweets or beverage flavors. Because of this dramatic change in flavors, a significant number of e-cigarette consumers find that the taste of real cigarette smoke has become extremely unpalatable to them. It simply doesn't taste good to them anymore and they much prefer their mint, cherry or coffee flavor now. It becomes one more deterrent to returning to traditional cigarettes. Given this fact, it seems extremely unlikely that non-smoking youth would start using "candy-flavored" e-cigarettes ( see ANTZ CHECK #2 regarding "candy" flavors and youth ) and suddenly decide to start smoking harsh-tasting real cigarettes, which most smokers will tell you are an acquired taste to begin with. It's like suggesting that kids who drink sweet-tasting Mountain Dew will suddenly want to switch to bitter, black espresso for their caffeine fix. (Note: Most of the same arguments above can also be made for smoke-free tobacco alternatives. There is no reason or evidence that people who start using smoke-free tobacco products (especially mild, pleasantly-flavored brands) would want or need to "graduate" to smoking - unless the ANTZ get their way and they ban sales of all tobacco products except cigarettes.) CONCLUSION: "Save the children" is a popular tactic for ANTZ. However, not only is there no evidence that youth are even choosing to use e-cigarettes over traditional cigarettes, the idea that kids who experiment with e-cigarettes would suddenly want to smoke is completely illogical. Clues that there is no evidence that this is a risk are words the ANTZ use such as "may" and "could." They count on the fact that people will rely on opinions from people who are self-proclaimed "experts," rather than any actual evidence. It's scaremongering, pure and simple. I rate this lie to be an Ego Booter. ANTZ Check Lie icons: A Toxic Shocker: Using negative comparisons and analogy to make something sound more dangerous than it really is. Often uses scary-sounding chemical names. A B*** S*** Lie: Absolutely untrue, no evidence whatsoever visit this page to support the claim. A Truth Twister: Presenting facts in such a way that something that could just as easily be seen as positive is presented only as negative or a careful use of specific words to change the focus of a discussion. An Ego Booster: Relying on an authoritative or respected reputation to give the impression that an opinion or theory is a known fact. You must believe what they say solely because they are someone "important."
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Tobacco Truth Helping smokers avoid risks is a legitimate goal of tobacco control. But the movement has morphed into an anti-tobacco crusade intent on demonizing both tobacco users and the industry supplying them. This blog examines and comments on the scientific foundation for tobacco policies and fallacies. Friday, April 5, 2013 Misperceiving Nicotine Health Risks My research group published survey data in 2010 documenting that a highly educated population (faculty at the University of Louisville) misperceived the go health risks of smokeless tobacco use compared with smoking (discussed here ).  Half of survey participants incorrectly believed that smokeless tobacco use confers general health risks that are equal to or greater than smoking; the misperception rate for oral cancer risk was 86%. In a new study, we measure misperceptions of nicotine.  My co-authors are Dimple Patel and Nicholas Peiper, graduate students in public health at the University of Louisville; the article appears in Addiction Research and Theory (abstract here ).   Our study quantifies risk perceptions of cigarette smoking and nicotine use with respect to general health, heart attack/stroke, all cancer and oral cancer among full-time faculty. We compare the results from faculty on the health science campus with those in schools not related to health.   We find that “the majority [of faculty] incorrectly categorized nicotine as moderate or high risk for all health domains, which is contrary to expert assessments.” Our findings confirm that misperception of nicotine is widespread.  As we note, “Several surveys previously documented smokers’ misperceptions of nicotine’s risks. In 2001, a nationally representative survey of American smokers revealed that two thirds incorrectly believed that nicotine causes cancer, and 65% believed that nicotine patches confer the same or higher risk for heart attack as cigarettes ( here ). A majority of smokers also believe that reducing nicotine in cigarettes reduces harm ( here ). A 2009 survey involving smokers in Norway and Sweden reported exaggerated perceptions of harm from nicotine and NRT products ( here ). It found that 55% of smokers incorrectly regarded nicotine as being a relatively large to very large part of cigarette harm, and 59% wrongly believed that long-term use of nicotine from patches or gum is almost as harmful as smoking. Smokers in Minnesota had strong misperceptions that nicotine was the cause of heart attack, stroke, lung cancer, and oral cancer.”( here ) We write that “The FDA, which since 2009 has had regulatory authority over both tobacco and pharmaceutical nicotine, could serve as an educational resource for correcting misperceptions about the health effects of nicotine.  In fact, there is evidence that the agency is looking at its options. In October 2010, the FDA Center for Drug Evaluation and Research conducted a workshop on the risks and benefits associated with long-term use of pharmaceutical nicotine products (information here ). It is clear from the presentations that almost all participants believe that the health risks from long-term nicotine use are minimal to negligible. In addition, a presentation by Dr. Dorothy Hatsukami from the University of Minnesota addressed the importance of educating the public to correct misperceptions about pharmaceutical nicotine use.” That workshop was held two years ago, but the agency has been slow to take the simplest steps concerning nicotine.  As I wrote three years ago ( here ), the FDA never responded to New York State Health Commissioner Richard Daines’s 2008 petition requesting minor revisions in package labeling and sale of nicotine that would greatly expand consumer awareness and availability.  But the FDA has allowed Niconovum, a pharmaceutical nicotine company affiliated with Reynolds American, to sell 10-packs of its Zonnic nicotine gum to compete directly with cigarettes (website here ). On April 1 the FDA removed the 12-week limit on pharmaceutical nicotine products ( here ).  This is a message redirected to smokers that nicotine is not the problem, and it may also signal the agency’s recognition that a small percentage of former smokers use nicotine for months, even years, after quitting.     We conclude: “Nicotine is not the cause of any of the diseases associated with smoking.  There is an immense disconnect between the scientific and medical facts about nicotine and the perception of highly educated people, including health professionals… Our study documents that health education initiatives are still needed to minimize and/or eliminate these misperceptions and to inform smokers about noncombustible nicotine products that are vastly less hazardous than smoking.” Posted by
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