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Thread: Draft National Tobacco Strategy 2012-2018

  1. #1
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    Draft National Tobacco Strategy 2012-2018

    I've just received an email from Philip Morris to let me know about this:

    National Drug Strategy - Call for public submissions on the draft for consultation of the National Tobacco Strategy 2012-2018

    Page 36:

    "Electronic cigarettes, also called “e-cigarettes”, are battery-operated devices that
    generally contain cartridges filled with nicotine, flavour and other chemicals. The
    electronic cigarette turns nicotine (which is highly addictive), and other chemicals
    into a vapour that is inhaled by the user. Unlike NRT products, e-cigarettes have not
    been approved by the Therapeutic Goods Administration for medically-supervised
    use to quit smoking.63 A number of studies raise considerable doubt about their
    quality and safety, product consistency, reliability, and utility of the labelling and
    packaging.64-69 There is evidence of e-cigarettes and other non therapeutic nicotine
    products being advertised on the internet and available in Australia.70"

    "Some international jurisdictions (notably the US FDA) have begun to develop
    responses to ‘e-cigarettes’ to protect public health. Other jurisdictions (notably the
    United Kingdom) have announced they are exploring the potential benefits of these
    devices."

    "While sale of the nicotine in the cartridges is prohibited as a Schedule 7 poison
    under the Standard for Uniform Scheduling of Medicines and Poisons, these delivery
    systems are not currently regulated in Australia. There is a need to better understand
    the potential risks and/or benefits of these products and determine whether there is a
    need to increase restrictions on their availability and use and identify the most
    appropriate policy approach for Australia."

    "The Australian Government has commissioned a regulatory impact assessment in
    relation to e-cigarettes and smokeless tobacco products, which is due to report in
    2012."


    I will be preparing a submission on behalf of ATACA this weekend but I encourage each and every one of you to do the same as an individual. The facts are electronic cigarettes are "quit smoking's best hope" and appear to be "safe" by the common usage of the word.
    Last edited by soundasleep; 19-06-12 at 06:29 PM.

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    mongrels, if course its in their best interest to see them banned.
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  3. #3
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    What would be the best content for this letter (ie : the benefits of e-cigs as pertaining to our personal health or how we see them as a whole) and who do we send it to?

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    Aren't those same mongrels working on their own kind of ecig.
    Move along!!! Nothing to see here.

  5. #5
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    Quote Originally Posted by ElDubya View Post
    What would be the best content for this letter (ie : the benefits of e-cigs as pertaining to our personal health or how we see them as a whole) and who do we send it to?
    Check out the link. It details what they are looking for and the correct way to send in a submission.
    RIDING OLD SKOOL likes this.

  6. #6
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    Below is my "first draft" letter. I'd love some feedback and/or criticism...

    The goal, as outlined in the draft for consultation is, “To improve the health of all Australians by reducing the prevalence of smoking and its associated health, social and economic costs, and the inequalities it causes.”

    The key here is smoking. The vast majority of the health and social costs of tobacco usage, including the 4000-10,000 chemicals are created during the combustion process. If Australians can stop SMOKING this risk disappears. The solution already exists in the form of Swedish Snus and electronic cigarettes.

    Starting with Swedish Snus, we know have over 30 years’ worth of research and data to show that Snus usage is “safe” (by the commonly accepted definition). The increased risk in any cancer type is nothing more than statistical background noise.

    “We were unable to confirm any excess of oral or lung cancer in snus users.”
    Oral use of Swedish moist snuff (snus) and risk for cancer of the mouth, lung, and pancreas in male construction workers: a retrospective cohort study : The Lancet

    “Current smokers who switch to using snus rather than continuing to smoke can realise substantial health gains. Snus could produce a net benefit to health at the population level if it is adopted in sufficient numbers by inveterate smokers. Relaxing current restrictions on the sale of snus is more likely to produce a net benefit than harm, with the size of the benefit dependent on how many inveterate smokers switch to snus.”
    Assessment of Swedish snus for tobacco harm reduction: an epidemiological modelling study : The Lancet

    “If, in the fight against tobacco-related ill health, we adopt a puritanical view, rejecting all nicotine use, we shall see snus as part of the problem. But if we adopt a pragmatic view, seeking to exploit all means of possible reduction of these health risks, we might well see snus as part of the solution.”
    Snus: part of the problem or part of the solution? - RAMSTR[]M - 2003 - Addiction - Wiley Online Library

    “Switching to ST compares very favorably with pharmaceutical nicotine as a quit-smoking aid among American men, despite the fact that few smokers know that the switch provides almost all of the health benefits of complete tobacco abstinence. The results of this study show that tobacco harm reduction is a viable cessation option for American smokers.”
    HRJ | Full text | Switching to smokeless tobacco as a smoking cessation method: evidence from the 2000 National Health Interview Survey

    The biggest problem with Swedish Snus is Australia is that the local retail sale as already been banned. Although reversing this decision would have a net health gain to the community I can understand the difficulty in doing so. This is where electronic cigarettes come in.

    “There is a need to better understand the potential risks and/or benefits of these products and determine whether there is a need to increase restrictions on their availability and use and identify the most appropriate policy approach for Australia.”

    Electronic cigarettes vaporize a propylene glycol and/or vegetable glycerine solution that may or may not contain nicotine. Both of these base substances have been used for over 60 years in theatrical fog machines, in IV solutions and were even tested as a germicide in the 40’s with no health risks shown.

    “There was no indication of histopathological effects in the kidneys of either species, and there were no hematological effects. No treatment-related effects were found in either rats or rabbits exposed to 300 or 1000 ppm.”
    ScienceDirect.com - Fundamental and Applied Toxicology - Propylene glycol monomethyl ether: A 13-week inhalation toxicity study in rats and rabbits

    "General Toxicity Observations
    Upon reviewing the available toxicity information, the Agency has concluded that there are no endpoints of concern for oral, dermal, or inhalation exposure to propylene glycol and dipropylene glycol.”
    http://www.epa.gov/oppsrrd1/reregist...glycol_red.pdf

    "The report of the 3 years' study of the clinical application of the disinfection of air by glycol vapors in a children's convalescent home showed a marked reduction in the number of acute respiratory infections occurring in the wards treated with both propylene and triethylene glycols. Whereas in the control wards 132 infections occurred during the course of the three winters, there were only 13 such instances in the glycol wards during the same period."
    An Error Occurred Setting Your User Cookie

    So we know that the base ingredients are safe. What about the nicotine? Again, the data clearly shows that nicotine inhalation outside of tobacco smoke to have no major health risks:

    “In conclusion, our study does not indicate any harmful effect of nicotine when given in its pure form by inhalation”
    Long-term effects of inhaled nicotine. [Life Sci. 1996] - PubMed - NCBI

    Concerns have been raised over the addictive potential of nicotine. There is available data that heavily suggests that nicotine by itself (again, outside of tobacco smoke) is nowhere near as addictive as many would believe.

    “Craving for cigarettes is more to do with the mind than the addictive influence of nicotine. In other words, it is the psychological element of smoking that makes one addicted to cigarettes, a new study conducted by Israeli scientists has revealed.”
    “Therefore, the craving effect is produced by psychological reasons rather than by the physiological effects of nicotine deprivation.”
    Study says smokers are not addicted to nicotine - Medical Daily

    This would seem to be reinforced by the fact that although addiction to NRT products does occur, the incidence is miniscule compared to tobacco smoking addiction.
    All of this would suggest that not only does the usage of electronic cigarettes completely remove the risk of second hand smoke (since nothing is burnt) but also present no risk to either the user nor bystanders. But do they work as a cessation aid?
    “The primary finding was that the 6-month point prevalence of smoking abstinence among the e-cigarette users in the sample was 31.0% (95% CI=24.8%, 37.2%). A large percentage of respondents reported a reduction in the number of cigarettes they smoked (66.8%) and almost half reported abstinence from smoking for a period of time (48.8%). Those respondents using e-cigarettes more than 20 times per day had a quit rate of 70.0%. Of respondents who were not smoking at 6 months, 34.3% were not using e-cigarettes or any nicotine-containing products at the time.”
    ScienceDirect.com - American Journal of Preventive Medicine - Electronic Cigarettes As a Smoking-Cessation Tool: Results from an Online Survey

    “Ecigarettes were used mainly to quit smoking, and may be helpful for this purpose…”
    BMC Public Health | Full text | Electronic cigarettes: a survey of users

    “We conclude that electronic cigarettes show tremendous promise in the fight against tobacco-related morbidity and mortality. By dramatically expanding the potential for harm reduction strategies to achieve substantial health gains, they may fundamentally alter the tobacco harm reduction debate.”
    Journal of Public Health Policy - Abstract of article: Electronic cigarettes as a harm reduction strategy for tobacco control: A step forward or a repeat of past mistakes[quest]

    “The use of e-Cigarette substantially decreased cigarette consumption without causing significant side effects in smokers not intending to quit”
    BMC Public Health | Full text | Effect of an Electronic Nicotine Delivery Device (e-Cigarette) on Smoking Reduction and Cessation: A Prospective 6-Month Pilot Study

    In summary, the electronic cigarettes are clearly “safe” by the common usage of the word and although further studies would benefit, initial research also shows them to be far more effective as a cessation aid than ANY currently recommended method.
    The only question remaining is the flavouring ingredients used. These flavours are all currently used in a variety of food products with no known negative health effects. Some components (such as diacetyl) which are known to have adverse effects when inhaled are not used by any reputable electronic cigarette solution manufacturer. The inclusion of these products into existing Food Safety guidelines would ensure that Australians could continue to use these products with confidence.

    I will end this submission with a quote from the testing done on Ruyan electronic cigarette products by Health NZ:
    “Electronic Cigarette Mist – harmless inhaled or exhaled”
    Ecigarette mist harmless, inhaled or exhaled

    To not make electronic cigarettes with nicotine available to smokers on the Australian market would be a travesty to public health. To even consider banning them would be downright criminal.

    Thank you for your time.

    Regards,
    Sana Nolan
    Australian Tobacco Alternatives Consumer Association
    ATACA - Australian Tobacco Alternatives Consumer Association
    HangDog, tetsky, margyb and 5 others like this.

  7. #7
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    Cheers sas, I'll have a gander.

  8. #8
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    goodluck soundasleep, i hope it brings up some interest in actually understanding e-cigarettes before legislation.
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  9. #9
    Sik
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    Here we goooooooo.

    Was bound to happen sooner or later.
    tetsky likes this.
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    Hopefully its not a bumby ride...better hold on tight....

 

 
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