Category: Uncategorized

  • By the book

    While the World Health Organization’s narrow focus on smoking cessation suggests otherwise, the FCTC also requires governments to implement tobacco harm reduction strategies.

    By Jeannie Cameron

    The Framework Convention on Tobacco Control (FCTC) treaty continues to drive the pace of tobacco regulation globally, and while the harm reduction versus cessation debate continues, few have noticed that the FCTC actually supports the case for harm reduction. The FCTC makes clear that harm reduction strategies are part of tobacco control. It provides an obligation on FCTC Parties to not only allow reduced risk products but actively promote them as part of implementing their tobacco control policies based on the most current and relevant scientific, technical and economic considerations—so as to provide for the universal right to the highest attainable standards of health, politically, practically or otherwise.

    Article 1(d) of the FCTC defines “tobacco control” as “a range of supply, demand and harm reduction strategies that aim to improve the health of a population by eliminating or reducing their consumption of tobacco products and exposure to tobacco smoke.” Article 1(f) describes “tobacco products” as “products entirely or partly made of the leaf tobacco as raw material which are manufactured to be used for smoking, sucking, chewing or snuffing.” Accordingly, the FCTC admits the concept of harm reduction.

    The FCTC envisages that parties to the treaty will, among other things, consider harm reduction strategies that eliminate or reduce consumption or exposure to tobacco products/smoke. Tritely, and rhetorically, if the FCTC were not to admit that concept it would, in effect, provide for only those tobacco control strategies and measures that secure cessation. Why does the definition include the word “reduce” in addition to “elimination”? Because each person has the right to the highest attainable standard of health (a right, not an obligation)—see for example Recital 1 and Recital 19 in the preamble to the FCTC: “It is the duty of governments, public health, etc., to promote any and all strategies that are necessary for, or incrementally (howsoever small) conducive to, the attainment of such a standard, which includes any harm reduction strategy that aims to improve health by reducing consumption and/or exposure.”

    The FCTC did not anticipate reduced-harm nicotine products such as e-cigarettes. There is, in effect, a regulatory lacuna. The FCTC regulates tobacco products. Nicotine may or may not be made from leaf tobacco. However, the point is moot (and possibly circular), as it is broadly accepted that switching to nicotine products has resulted in reduced smoking and therefore a reduction in the consumption of cigarettes and the risk of exposure to cigarette smoke. Accordingly, the promotion of reduced-harm nicotine products would constitute tobacco control.

    Clearly, not everyone views it that way, and the discussion about harm reduction rages on. However, to the common man, the guy in the street, with or without a cigarette or e-cigarette between his lips, the debate is akin to two drunks arguing about who gets the girl—the girl who left with the bartender an hour ago.

    Recital 21 in the preamble to the FCTC recites that the FCTC is a result of the resolution of the parties to promote tobacco control measures based on current and relevant scientific, technical and economic considerations. The inescapable fact is that considerations that were current and relevant when the convention was created are no longer current or relevant today, and that there is a need to revisit the provisions of the FCTC to resolve known ambiguities and to put in place regulation that is relevant and provides for the universal right to the highest attainable standards of health, politically, practically or otherwise.

    Harm reduction is not defined in the FCTC, but if one were to take the acknowledged definition attributed to Robert Wallace in his Institute of Medicine testimony to the U.S. House of Representatives in 2003—“Tobacco harm reduction refers to decreasing the burden of death and disease without completely eliminating nicotine and tobacco use”—then it follows that the provision of reduced-risk products, such as nicotine-containing products, can be deemed to be tobacco control measures based on current and relevant scientific, technical and economic considerations and should be promoted by parties in implementing their FCTC obligations.

    The FCTC provides for the right to health

    The FCTC is described as an evidence-based treaty that reaffirms the right of all people (thus including smokers) to the highest standard of health, and it recalls these rights in its preamble. It follows therefore, that any person who chooses to consume nicotine has the right to products that may be deemed “less harmful” as a means of enabling them a higher attainable standard of health than if they consumed combustible cigarettes.

    The FCTC preamble states: “The Parties to the Convention, determined to give priority to their right to protect human health [Preamble 1], … recalling Article 12 of the International Covenant on Economic, Social and Cultural Rights adopted by the UN General Assembly on 16 December 1966, which states that it is the right of everyone to the enjoyment of the highest attainable standard of physical and mental health [Preamble 19], recalling also the preamble to the Constitution of the World Health Organization (WHO), which states that the enjoyment of highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition [Preamble 20] ….”

    The preamble of an international treaty sets out the context in which the agreement was negotiated and concluded and is generally drafted after the substantive elements of the treaty are agreed. Under general rules of treaty interpretation the preamble is not considered to be part of the legally binding or “operative” text of the agreement, but rather the preamble forms part of the “context” in which the agreement’s obligations must be interpreted. A preamble will often recall and refer to any related international agreements that may have provided the mandate for the negotiations or that the negotiators felt were relevant principles or concepts to the international agreement.

    The FCTC has been ratified or acceded to by 180 governments, and in so doing each must assume the obligations. Yet, as we head toward the seventh FCTC Conference of the Parties in October 2016, it is apparent that the right to the highest attainment of health may be in jeopardy as the WHO continues to pursue a cessation-only approach to future policy development. By focusing on cessation-only strategies and measures, it implies that consumers don’t have a right to a safer option, when there is a justified obligation in the FCTC to permit it.

    Sidebar:

    Hidden in plain sight

    While few people realize it, harm reduction is an integral part of the World Health Organization’s Framework Convention for Tobacco Control. Here is what the treaty says on the topic:

    • Article 1 (d) defines tobacco control as meaning: “a range of supply, demand and harm reduction strategies that aim to improve the health of a population by eliminating or reducing their consumption of tobacco products and exposure to tobacco smoke.”
    • Article 1 (f) defines tobacco products as meaning: “products entirely or partly made of the leaf tobacco as raw material which are manufactured to be used for smoking, sucking, chewing or snuffing.”
    • Article 3 of the FCTC – Objective states that: “The objective of this Convention and its protocols is to protect present and future generations from the devastating health, social, environmental and economic consequences of tobacco consumption and exposure to tobacco smoke by providing a framework for tobacco control measures to be implemented by the Parties at the national, regional and international levels in order to reduce continually and substantially the prevalence of tobacco use and exposure to tobacco smoke.”

    The FCTC Preamble, containing the overriding principles of the treaty, states: “The Parties to the Convention, determined to promote measures of tobacco control based on current and relevant scientific, technical and economic considerations.”

    In effect, together, this means that parties to the FCTC Treaty (now 180 countries) in implementing national tobacco control strategies or measures should be including not only demand-and-supply strategies and measures, but also harm-reduction strategies and measures as part of FCTC implementation.—J.C.

     

     

  • New realities

    New realities

     What the RAI-BAT tech deal means for your business

    By Givi Topchishvili

    December began with an announcement that Reynolds American Inc. (RAI) and British American Tobacco (BAT) have formalized a framework to collaborate on R&D activities and regulatory, scientific and manufacturing issues relating to vapor products.

    This is great news for both RAI and BAT, but it will also have an immediate ripple effect on the vapor industry as a whole. As the cost of participating in the market grows, smaller e-cigarette and vapor companies must figure out how to adapt in order to survive.

    While these changes might be new to vapor entrepreneurs, the type of power consolidation evident in the RAI/BAT deal is part of the natural evolutionary process inherent to any emerging industry. I give a detailed analysis of market evolutions in my book, Marketing in the New Millennium, but in a nutshell the standard trajectory looks like this: An innovative product is initially offered by a large number of small companies until it becomes clear that it has significant long-term potential. As the marketing focus shifts from early adopters to broader mass-market appeal, competitors tend to deplete their differentiation, and technologies rapidly commoditize. At that point large corporations move in to buy up and push out most of the competition. It’s a David and Goliath story, where trying to compete dollar-for-dollar in R&D and marketing capacity against the big companies is suicidal. I would advise against counting on heavenly intervention as part of your business strategy.

    What smaller companies must understand is that a single vapor industry no longer exists. Instead, there are now two parallel business realities: the mainstream market, controlled by a handful of major players, and the world of niche markets, where smaller companies might still be able to carve out a sustainable presence and avoid direct competition with Big Tobacco until the size of their business or uniqueness of their product draws interest from the large corporations’ M&A departments.

    We have seen this scenario play out every time a revolutionary solution arrives. In the early 2000s, Voice over Internet Protocol (VoIP) technology was used by entrepreneurs as a means to wrestle control of 150 million local telephone customers from the world’s four largest telecom companies. Early adopters were lured by cheap pricing and bonus features. Very soon the market became oversaturated with a plethora of small and medium companies offering nearly identical products. That’s when the major telephone providers moved in to protect their territory, leading to rapid market consolidation.

    There were smaller companies like MCC that survived to this day by focusing their marketing efforts on small ethnic groups. Their entire strategy (including long-distance pricing and customer support) is based on the individual needs of each one of these ethnicities. But this way MCC avoids direct competition with large telecoms maintaining a robust business model.

    There was also Gizmo5, which tailored its products to a very specific technical need within the VoIP industry and sold itself to Google when the latter began exploring entry into telecom. Some of the Gizmo5 proprietary technology was used in the creation of Google Voice—a fine exit strategy for a business at a crossroads.

    And then there were companies like Primus that chose to ignore the trends and believed that they could compete in the new mainstream. They chose to have the dollar-for-dollar war with large telecoms, and despite having excellent prospects in the early days of VoIP, raising funds and receiving Wall Street backing, the company was forced to file for Chapter 11 in 2009.

    The same paradigm applies to small and medium-sized vapor companies today. They have three options:

    • Strategically focus on a specific niche within the industry
    • Discover the fastest way to become an M&A target
    • Die

    To remain relevant, companies must step away from mass-market products and refocus on a niche. These niches could be built around geographic, demographic, aesthetic or technical industry voids. But brand differentiation must be tangible. Laying claim to a clearly defined niche market will allow smaller companies to stay out of the interest spheres of larger corporations and focus on growing the business rather than waging an unequal war.

    This approach also opens the door to making your company an attractive acquisition target, once you have a clearly defined advantage—be it a patent, distribution channel or a niche market—and are lucky enough to capture a meaningful share of a market.

    Ultimately, this is the surest way to not only survive the forceful entry of Big Tobacco into the vape industry but to turn these very changes into golden opportunities for greater focus, clarity and profit.

    Givi Topchishvili is a co-founder of Calumet Advisors, an international strategic consulting company dedicated to the e-cigarette segment.

  • Up close and personal

    Up close and personal

    For Vapor Corp., distribution is key in an ever more competitive market.

    By Stefanie Rossel

    It’s a success story that we have almost gotten used to: The vapor industry continues to show growth rates that other sectors can only dream of. In the United States, value sales of e-cigarettes have been doubling each year, from $20 million in 2008 to around $1.5 billion in 2014, according to Forbes, and they are anticipated to continue increasing at an annual rate of 20 percent in the future. Bonnie Herzog, managing director of beverages, tobacco and convenience store research at Wells Fargo Securities, expects the U.S. market for vaping devices to grow to $3.5 billion by the end of this year, up from $2.5 billion in 2014. She also forecasts that, by 2018, e-cigarette sales will hit $10 billion.

    A poll carried out by Reuters/Ipsos in May and June 2015 found that about 10 percent of U.S. adults currently vape, which is almost four times the share estimated by the U.S. government in 2013 (2.6 percent). According to the poll, nearly 70 percent of new vapers started in the past year alone. By comparison, smoking prevalence among U.S. adults currently stands around 19 percent, according to Reuters. Sales of traditional cigarettes in the U.S. have been declining over the past few years, and, as Euromonitor reports, cigarette value sales growth has slowed considerably, with value sales even declining in 2013, for the first time in more than a decade.

    Little wonder then that the leading tobacco companies, after some initial hesitation, embraced the vapor sector to help make up for lost profits in their conventional business. From 2012, they began entering into the e-cigarette market. Today, the top four e-cigarette brands are owned by Big Tobacco manufacturers. According to Nielsen data* from May 2015, R.J. Reynolds Vapor Co.’s Vuse leads the U.S. market with a share of 35.7 percent, followed by Imperial Tobacco’s Blu (22.7 percent), Japan Tobacco’s Logic (13.8 percent) and Altria’s MarkTen (6.1 percent).

    Of the many independent manufacturers that started the e-cigarette industry, only NJoy approaches the leading brands’ sales levels in U.S. mass-market retail, according to Nielsen. Anticipated federal regulation of the vapor business is expected to make business even more challenging for independent players.

    Point of sale in the limelight

    In this highly competitive environment, critical mass and clever strategies are keys to long-term success. Florida-based vaporizer and e-cigarette manufacturer Vapor Corp.—in its own words the only “pure-play” company in the vapor industry that is listed on a major stock exchange (NASDAQ]—is in the process of creating a national vapor product brand. To this end, the company has optimized distribution right down to the end consumer.

    In July 2015, Vapor Corp. raised $41.4 million and embarked on an aggressive retail expansion strategy. “We presently have 15 company-owned stores and anticipate at least doubling that number before the end of the year,” says Jeff Holman, Vapor Corp.’s CEO. “By the end of 2016 we are looking forward to having 75 to 100 company-owned stores. Vapor Corp. is in the process of converting both its previously branded stores, as well as new store acquisitions, into a nationally branded ‘VaporMax’ trademarked retail program. This will allow us to create a comfortable and familiar vaping experience for both novice and experienced customers, no matter which store they visit across the U.S.”

    The number of vape stores in the U.S. has risen to at least 15,000, with some estimates being as high as 35,000 stores, according to Wells Fargo Securities’ Herzog. Holman says that $2 billion of the $3.5 billion market is spent on vaporizers and that $1.2 billion of that $2 billion is spent in vape stores.

    At Vapor Corp.’s stores, particular emphasis is put on the customer experience. Holman explains: “Our vape stores are more than just places to purchase products; they’re places for vapers to relax, interact and enjoy a quality vaping experience. We offer free Wi-Fi, sell coffee and other beverages, as well as light snacks in some locations. Eventually, we are looking to be the Starbucks of the vape store industry. We also obtained our first beer and wine license and are now hosting our customers for the watching of sporting events, as well as other social gatherings.”

    In its stores, the company offers proprietary e-liquid brands, including its The Vape Store line (more than 200 flavors) and its new premium Naked Fish line. In addition, the stores sell accessories such as batteries, tanks and mods, and rechargeable vaporizer kits, all of which can be used with e-liquid solutions, wax, dry herbs or leaf.

    With its comprehensive portfolio, the company seeks to cater to the needs of users in a market characterized by change. In September 2014, MarketWatch.com reported that open-system vaporizers had officially overtaken cigalikes, contributing $1.5 billion—$0.5 billion more than cigalikes—to the overall vapor sector in 2014.

    Vapor Corp. is developing new flavor profiles that are distinct to its brands, enabling users to develop preferences for a certain product based on taste and flavor, like smokers do with their favorite brands of combustible cigarettes. To allow users of competing e-cigarette products to try and transition to Vapor Corp.’s cartridges, the company offers a universal-fit mouthpiece that can be used in conjunction with the battery section of most other popular e-cigarette brands.

    The company also has a patent pending for a dynamo-powered e-cigarette that can be recharged by shaking the product, thus enabling continued use without having to plug the device into an electrical outlet.  Vapor Corp. also has a patent pending for a biometric fingerprint locking system, which would allow only the adult owner to power up the device. This innovation is meant to prevent children from secretly using their parents’ vaporizers.

    Going new ways

    Just as important as innovation, however, is building brand awareness and getting the product to the consumer. When entering the vape market and taking their brands national, the traditional tobacco companies could draw not only on their considerable financial resources but also on their long-standing experience in distribution and marketing in a heavily regulated product category. As a result, each of the leading four e-cigarette brands is currently available in around 100,000 retail outlets nationwide.

    Vapor Corp.’s approach is different, according Holman. “To begin with, the traditional tobacco companies have not entered into the vape-store segment of the industry, which is where we are targeting our major expansion,” he says. “Ownership of retail stores has never been their model, and in our pursuit to become the biggest player in this segment, we have in a sense decided to take our proverbial ball and ‘go play where the big boys ain’t.’ This essentially gives Vapor Corp. several advantages. As compared to our competition, we have superior buying power that comes not only from our 15 stores but also from our wholesale business, which still services over 30,000 retail locations, as well as our online efforts.”

    What’s more, says Holman, following the company’s $41.4 million capital injection, Vapor Corp. likely has the biggest war chest in this industry segment from which to grow its store brand. The firm has also set itself apart by connecting at the local level. “We have begun to create a major presence in Florida and will continue to grow throughout the state and into the rest of the U.S. By establishing relationships with key local constituents, we now have an understanding about how to break into existing vaping communities that already include our key demographics.”

    To take distribution of its products even further, Vapor Corp. intends to set up a franchise system. “In the coming weeks Vapor Corp. will announce a plan for a franchise program that will allow us to further expand our national vape store concept under the trademarked name ‘VaporMax’ with the tagline ‘The Original Vape Store,’ capitalizing on our existing 15-store footprint. Our strategy is to attract ambitious franchisees who share our vision and look to join forces with the leading retail vape store concept in the U.S. We will also seek to convert existing, successful vape store retailers by showing them how they can increase their profits by being a Vapor Corp. franchisee.”

    As the company expands, it is taking into account the anticipated regulation of the vapor segment by the U.S. Food and Drug Administration (FDA). In the absence of federal regulations, many states have adopted their own e-cigarette regulations. Needless to say, the differences in regulation between jurisdictions make launching a new vapor product challenging.

    Holman sees FDA regulation as an opportunity for Vapor Corp., which he says consistently adheres to FDA regulations and requires its business partners to do the same. “When the regulations are enacted, the e-liquid bar will be raised for all retailers in the FDA’s efforts to protect the public good,” says Holman. “Smaller stores that had been mixing their own blends in back rooms with cheaper ingredients will see their margins decline when they have to purchase higher-quality products, and will likely have to close. Before that occurs, we invite mom-and-pop stores across the country to engage with us as part of our national retail expansion strategy in light of the difficulties that they will face under the new FDA regulations.”

    *Nielsen data focus primarily on convenience store sales; they do not include vaporizers or open-tank systems, which are typically purchased in vape shops or tobacco outlet stores.

     

  • Muddy waters

    Confusing claims about e-cigarettes may deter smokers from giving up their habit.

    By George Gay

    According to the liar paradox, if somebody says she is now speaking falsely, what she says is true if and only if it is false; but don’t take my word for it. The truth is that the truth is often a devilishly difficult thing to pin down, and, in fact, some people claim that we should not worry whether our beliefs are true or false as long as they work for us. Others go a step or two further and say that the truth can be ruinous to the ordering of the things of the world, and I’ve started to believe that some nicotine- control advocates see the world this way.

    Why all the talk about truth? Well, there just seems to be a huge outbreak of interest in it at the moment. In September, the American Legacy Foundation, which described how in the past it had “waged a bold and historic battle with Big Tobacco,” reported that it had been renamed the Truth Initiative.

    Also in September, the advertising watchdog Truth in Advertising was warning consumers “eager to try out e-cigarettes” that they needed to be “wary of the flood of questionable ad claims on the Internet.” A review it had carried out had apparently found that nearly two-thirds of sites made one or more of the following “problematic claims: vaping products are safer than tobacco, can be smoked anywhere, can help smokers quit, and are cheaper than traditional cigarettes.”

    In my view, two of the “problematic claims”—the first and the third—are almost certainly truthful; one—the fourth—is probably truthful in more places than it is not; and the other, if you want to be pedantic, is not true because, for instance, you couldn’t use a vapor product while undergoing an MRI scan because there simply wouldn’t be room. So, again in my view, what this organization is saying isn’t untruthful—after all, what does it mean by “problematic”—but it is unhelpful because, in being vague, it sows confusion in the minds of people. It is the pursed-lips warning from the congenitally unadventurous: “You can never be too careful.”

    In a press note, the watchdog’s executive director, Bonnie Patten, was quoted as saying that consumers needed to do their own independent research and not simply rely on the marketing claims made by companies on their websites. But I wonder what she means by this. Surely, she isn’t suggesting that consumers start out on a scientific quest that seems for the time being at least to have confounded the best brains at the U.S. Food and Drug Administration (FDA)? But if she merely means that consumers should head for the Internet, I can tell them what they will find: more confusion. And I’m not talking about the sorts of confusion that you might expect, where health lobbyists and pro-vapers trade dodgy factlets. This is confusion caused also by health experts who cannot agree among themselves.

    For example: On Aug. 28, Action on Smoking & Health ASH issued a statement saying that it was “saddened to see The Lancet editorial today attacking Public Health England (PHE) for having ‘fallen short of its mission.’”

    “To criticize Public Health England for quoting an estimate, contained in the expert review it commissioned, that e-cigarettes are 95 percent less harmful than tobacco on the basis that the methodology behind the estimate was weak is to miss the point,” the statement said. “To quote professor Michael Russell in the British Medical Journal in 1976, ‘People smoke for nicotine but they die from the tar.’ As the expert review concludes, e-cigarettes do not contain most of the toxic and carcinogenic constituents of smoke. Any they do contain are in very low doses, mostly far below safety limits for occupational exposure.”

    ASH went on to say that it was concerned that, based on YouGov smoke-free Britain polls, a growing number of smokers were failing to understand the relative risks and might as a result be put off switching from smoking.

    Justified concern

    ASH seems right to be concerned. Stories about the decline in smokers switching to vaping and about vapers returning to smoking are not hard to find. And no doubt some of this decline can be attributed to stories in the media concentrating on the most sensationalist aspects of the findings of research that is later found to be totally misleading.

    And what needs to be remembered here is that this isn’t just another academic spat. Six million people die prematurely each year because of smoking-related illnesses, we are told; so, having found another less risky product capable of substituting for cigarettes among smokers—the other being snus—it seems absurd that people with the power to influence public opinion should muddy the water.

    This is not an argument against free speech or for stifling the pronouncements of people who have tested e-cigarettes using a method that fairly replicates the way in which vapers use them and found what are in the minds of the testers worrying results. Such people should come forward without delay. This is an argument against the sowing of confusion on the back of the results of poorly conducted research, and against the propagation of reports where the results are poorly presented.

    Often, I have noticed, research results will be accompanied by meaningless phrases such as, “It is possible that these figures are underestimated,” as was the case in one recent report about worldwide deaths—estimated at more than 250,000—linked to smokeless tobacco use. “More than 250,000” suggests a possibly unlimited number within the confines of the number of smokeless-tobacco users, and even this unlimited number, according to the researchers, could be an underestimate. This is not providing information; it is spreading confusion. It is closer to marketing than to science, and clear water needs to be maintained between the two. When people see that the makers of Vimboom Plus claim that their product provides up to 90 percent of the daily requirement of vitamin C, they are aware that they are being cajoled into thinking the figure is close to 90 percent when it might, of course, be 0.0005 percent. But when “scientists” or “researchers” make claims, these are often accepted at face value by the general public.

    This matters. Many smokers don’t need much of an excuse to stick with their habit. And it is not only because of the spread of confusing “information” that they are likely to do so. There is what I would call the worm technique, usually delivered to the brain through headlines. Here are a few I spotted during September: “More than half of kids exposed to e-cig marketing”; “Do e-cigarettes lead to cigarette smoking?”; “South Florida investigative report teens vaping dangerous drugs on the rise”; “School pupils exposed to e-cigarettes”; “Use of e-cigarettes to vaporize marijuana common among teens”; “Vaping poison put children at risk”; “Tobacco industry uses advertising to target youth with e-cigarettes”; “E-cigarettes still not banned on airlines”; and “Long-term effects of e-cigarettes still unknown.” I don’t have space here to go through these individually, but it is pretty obvious how these worms work. A lot of them appeal to the emotions through the exploitation of young people, others raise questions that the reader is expected to assume have only one correct answer, and others deliver assumptions: E-cigarettes still not banned on airlines.

    Smokers—well those who take notice of such things—are subjected to all of these worms and are immersed in all of this confusion, but it has to be remembered that they see also a lot of positive stories about e-cigarettes and a lot of what I shall call, for want of a better term, “positive worms.” When I was looking at headlines, I saw at least as many vapor-product-positive headlines as negative ones. And there are beacons of reason out there. Whenever I’m getting to the point where the confusion is building up, I head for Michael Siegel’s blog, and I’m sure that a lot of vapers take shelter there.

    Siegel is a professor in the Department of Community Health Sciences at the Boston University School of Public Health, and his only vested interests seem to be improving public health and telling the truth. Last month, he turned his attention to a decision by the FDA to order the removal from the U.S. market of four cigarettes, a decision that seemed to be based partly on the idea that the ingredient and delivery levels of cigarettes determined how detrimental they were to the public’s health—an idea that most of us thought got thrown out with the idea of “light” and “mild” cigarettes. “But even more preposterous than this is the fact that, while the FDA views some cigarettes as being safer, it does not view e-cigarettes as being safer than tobacco cigarettes,” Siegel wrote.

    Given that there are these antidotes (there are a number of others out there besides Siegel) to all of the confusion and despite the fact that some smokers will clutch at straws to allow them to continue smoking, the question has to arise as to why a considerable number of smokers seem to be deterred from switching to vapor products. It seems to be the case that there must be other factors at work. One thing that strikes me is that, while smokers are being assailed with a considerable amount of negative publicity, some of the vapor products that they had started to use seem no longer to be available or seem now to have much lower profiles than they once did. Certainly, this is what I seem to have noticed in the U.K., and people in the U.S. tell me that this has happened also in their country. And advertising for some of these products has seemingly almost disappeared even though the products have been taken over by big companies with deep pockets.

    I cannot help thinking that the atrophying of advertising for e-cigarettes is going to fertilize the negative perceptions planted in the minds of smokers and vapers by reports questioning whether e-cigarettes are less risky than are traditional cigarettes. I’m not advocating the use of “problematic” advertising for these products, but it has to be borne in mind that these are still new-ish products, and if people are going to have confidence in them, at the very least they’ve got to be seen to exist.

  • Science or silliness

    Science or silliness

    Conflicting vapor studies are making global headlines and confusing consumers.

    By Timothy S. Donahue

    Statistics can be a tricky business. When three new studies on the vapor industry were released in late August and early September, they sent seemingly conflicting messages about whether e-cigarettes could help people quit smoking or would lead them to tobacco. Then, major media outlets ran separate stories on all the studies, which sent the vapor industry into a deeper state of confusion.

    First, researchers from the University of Pittsburgh Center for Research on Media, Technology and Health and the Dartmouth-Hitchcock Norris Cotton Cancer Center published a study in the Journal of the American Medical Association (JAMA) Pediatrics that linked e-cigarette use to higher probabilities of teens turning to tobacco cigarettes. Then, just a few minutes later, Public Health England (PHE) released its report claiming that e-cigarettes were “95 percent” safer than traditional tobacco.

    The JAMA study stated that teens who use e-cigarettes are significantly more likely to try combustibles later on, finding that teens who use e-cigarettes are much more likely to start using traditional cigarettes within a year, compared to peers who do not use e-cigarettes. Researchers looked at about 700 people from ages 16 to 26. None had tried cigarette smoking at the study’s start, and 16 had tried e-cigarettes. The study asked participants if they would try a cigarette if a friend offered them one, or whether they thought they would smoke a cigarette within the next year. Those who answered “definitely no” were found to be “non-susceptible” to cigarette smoking.

    A year later, 10 percent of the never-triers of e-cigarettes had taken at least one puff on a traditional cigarette. But 38 percent (six of 16) of e-cigarette triers had taken at least one traditional cigarette puff. “What is extremely worrisome is that these findings further indicate that e-cigarette use by our nation’s youth, which is a major concern in itself, may also be a gateway to smoking,” American Heart Association CEO Nancy Brown said in a statement. “This new study truly underscores just how dangerous of a habit e-cigarette use can be, especially if it is leading to teens taking up additional tobacco products.”

    Not everyone agreed. In fact, numerous researchers went on the record as saying the JAMA study was meaningless, citing specifically the criteria of calling someone who had taken “just one puff” a smoker. “This study focused on cigarettes and reports no information on prior hookah, cigar, marijuana, alcohol or smokeless tobacco use,” Lynn Kozlowski, a professor of health behavior at The University at Buffalo, wrote in The Conversation, an academic journal. “If even two of the 16 were discounted because of prior use of other products [and two were], these results would likely be statistically insignificant.” It should be mentioned that several researchers disagreed with Kozlowski’s assertions, stating that they “are not actually legitimate.”

    Gregory Conley, president of the American Vaping Association, a vapor advocacy group, said it should come as no surprise that teens who are willing to try vaping are also going to likely try a cigarette. “These ‘gateway’ studies aren’t even assessing habitual use of cigarettes; they’re only asking about ever use,” says Conley. “The fact is youth smoking has declined by a record, dramatic 40 percent since experimentation with e-cigarettes began to increase in 2011. The evidence showing e-cigs to be a gateway out of smoking for both teens and adults is far more clear than any assertion that vaping is leading teens to take up cigarettes.”

    In contrast to the JAMA study, the PHE report found that regular users of e-cigarettes are almost exclusively adults who are already smokers, that there is no evidence that e-cigarettes are “renormalizing smoking or increasing smoking uptake,” and that they are not acting as a “gateway” for young adults and adolescents. The PHE report nevertheless advised caution and underlined the importance of providing balanced information.

    Overseen by Peter Hajek, a professor of clinical psychology at the Wolfson Institute of Preventive Medicine, and Ann McNeill, a professor of psychiatry, psychology and neuroscience at King’s College London, the PHE report stated, “While vaping may not be 100 percent safe, most of the chemicals causing smoking-related disease are absent and the chemicals which are present pose limited danger.”

    “It is not known whether current [e-cigarette] products are more or less effective than licensed stop-smoking medications,” the report continues, “but they are much more popular, thereby providing an opportunity to expand the number of smokers stopping successfully.”

    Shortly after the PHE study’s release, The Lancet, a weekly peer-reviewed general medical journal, claimed the PHE “95 percent safer” figure came from a 2014 study published in European Addiction Research, an academic journal. The Lancet said that PHE failed to disclose that the previous study used no “hard evidence” to reach its conclusion.

    That 2014 study, led by Imperial College London researcher David Nutt, was based on the conclusions of a two-day workshop of “international experts,” during which the members scored a range of nicotine products for harm. They concluded that e-cigarettes had 4 percent of the harm of traditional cigarettes. Nutt and his co-authors conceded in the study that there was a “lack of hard evidence for the harms of most products on most of the criteria” and that “there was no formal criterion for the recruitment of the experts.”

    However, the PHE authors responded to The Lancet critique, which was based on the one perceived flaw. The “error” was centered on just one of 185 references PHE used, essentially ignoring the rest of the 111-page document. “The Lancet believes that the message [that] smokers can benefit from switching to vaping is an undesirable one,” the authors wrote in their response. “The estimate that e-cigarette use is around 95 percent less harmful than smoking is based on the facts that, first, cigarette smoke constituents that harm health are either absent in e-cigarette vapor or, if present, are mostly at levels much below 5 percent of smoking doses; and second, the main chemicals present in e-cigarettes only have not been associated with any serious risk. Our review highlighted how smokers are currently misinformed about these relative risks.”

    Carl V. Phillips, chief scientific director for the Consumer Advocates for Smoke-Free Alternatives Association (CASAA), a consumer advocacy NGO that supports tobacco harm reduction, agreed with some of The Lancet’s criticisms, adding that the “95 percent” claim came from a made-up number (referring to Nutt’s study) and the study is a “case of working that magic that turns vague junk science claims” into concrete facts. “The ‘95 percent’ claim has led to criticisms and attempts at clarification, every single one of which, as far as I can tell, is wrong,” said Phillips. “Everyone in sight is trafficking in non-science at a minimum, and nonsense quite often.”

    Then it happened again. Just a few days after the PHE study, the Center for Environmental Health (CEH), a California, USA-based health advocacy group, reported that 97 e-cigarette products purchased from major retailers and online sellers were shown to produce two potentially cancer-causing chemicals, acetaldehyde and formaldehyde, after testing by an independent laboratory. This was in complete contradiction to PHE’s second “fact” that it had used to base its conclusions.

    Vapor industry experts and anti-smoking advocates alike cried foul of the CEH study almost immediately after its release. Not only did the study not list any methods, they argued, but it also didn’t state what products were tested. It did, however, name a few of the companies whose products it had tested. Oddly, the CEH study also included an apparently staged photo of a seemingly pregnant woman vaping, an issue the study didn’t confront.

    “[The CEH report] made junk science claims that would tend to scare smokers away from switching to e-cigarettes,” said Phillips. “In particular, their headline claim in their press release was ‘High Levels of Cancer-Causing Chemicals in the Majority of Nearly 100 E-cigarettes Tested.’ How high? They offer absolutely no context for that word in the press release and nothing clear in the report. We know that the real answer is ‘not high enough to worry about.’ The two chemicals they are talking about are formaldehyde and acetaldehyde, which have been measured in pretty much every study of e-cigarette emissions and found not to be present at levels that pose a concern.”

    Numerous vapor industry experts complained that all the mentioned studies had serious flaws. According to Francisco Garcia, a researcher at the University of Arizona, the truth is that “there is not enough evidence to evaluate the effectiveness, safety, or benefits and harms of using e-cigarettes to help people quit smoking.” Anecdotally, however, there are possibly millions of stories and blog posts that can be found online of ex-smokers extolling the virtues of vapor. Just the CASAA website has a testimonials section with more than 5,300 stories of smokers using vapor to quit.

    Several studies show that vaping more likely helps smokers quit, rather than push people towards traditional tobacco. In fact, a new online poll out of Scotland by psychologist Christopher Russell and colleagues at the Centre for Drug Misuse in Glasgow (an independent research entity), found that of the 7,300 people surveyed who said they had vaped at least once, 5,000 had been regular smokers when they first started vaping. More than 80 percent of smokers had quit completely since beginning to vape regularly, which, at the time of the survey, was an average of 14 months before they took the survey.

    More than 56 percent of respondents who were still smoking at the time of the survey had at least halved their daily smoking since beginning to regularly vape (defined as at least every other day). The average reduction was from 23 cigarettes per day pre-vaping to four per day. In full disclosure, The Centre has received research funding from public bodies, such as the UK Government Department of Health and the United Nations, and from tobacco companies, such as British American Tobacco and Philip Morris International.

    Conley quit smoking using watermelon-flavored e-liquid in 2010. He says one of the major issues with vapor studies is that the major medical journals that have the best public relations firms generally publish only research by those ideologically opposed to harm reduction for smokers. “Meanwhile, quality studies often get ignored by the media, in part because good news isn’t sexy,” says Conley. “With each passing year the number of negative and slanted studies just keep piling up. This has undoubtedly impacted smokers’ perceptions of the relative risk of vaping versus smoking, which is why one of the major conclusions of the recent Public Health England report was that health authorities need to combat this rampant misinformation.”

    The one thing that can be garnered from most vapor industry studies to date is that e-cigarettes are most likely a reduced risk over smoking cigarettes. “E-cigarettes are not completely risk-free, but when compared to smoking, evidence shows they carry just a fraction of the harm,” said professor Kevin Fenton with PHE, who was not involved in this particular PHE study.

    Exactly how much risk is reduced remains an open question—but we can expect the researchers to continue confusing us all.

  • From good to great

    Calumet Advisors offers a unique combination of knowledge and expertise to help vapor companies leap to the next level.

    TR Staff Report

    Navigating the ever-evolving vapor business can be tricky. Rapid changes in legislation, technology and competitive dynamics force players to constantly re-evaluate the overall market. How, for example, has JT’s acquisition of Logic impacted the valuation of still-independent brands? How will new regulatory demands on e-liquid containers impact access to shelf space? In addition, the industry’s global nature requires companies to understand the nuances of different cultures, which can have real business consequences.

    Gathering such intelligence is time-consuming and expensive, which means the best information tends to be available only to the companies with the deepest pockets—Big Tobacco. Yet the vapor business comprises many small- and medium-sized players that also need access to world-class expertise. To serve this group, three businessmen recently established Calumet Advisors. By combining their knowledge, skills and networks, they are able to offer an unprecedentedly wide spectrum of consulting services.

    Calumet’s creators—Givi Topchishvili, Ron Tully and Dmitri Churakov—boast years of experience in the tobacco, pharmaceutical and financial services industries, and each has a strong interest in the vapor business. Topchishvili is the founder and president of 9.8 Group, a holding with a portfolio of consulting companies in various verticals. He has more than 25 years of experience in international business, covering marketing, communications and advisory services for various industries. Tully brings a quarter-century of tobacco industry experience to Calumet Advisors. Among other things, he is the founder of TNV Ventures, a specialty consultancy for the tobacco, nicotine and vapor fields. Churakov is the founder and CEO of the Wingle Group, a China-based consulting service and authority on e-cigarette technologies, accessories and e-liquids.

    Vapor Voice caught up with Topchishvili to discuss the group’s ambitions.

    Vapor Voice: Please describe the circumstances under which the members of Calumet met; what does the name stand for?
    Topchishvili:
    The idea of launching a full-fledged consulting service devoted specifically to the vaping industry had been on our minds for some time. The marketplace was craving professional services that could help mid-size enterprises “leap” to the next level. Also, the natural consolidation taking place in the industry revealed a huge gap in industry-specific advisory.

    The idea to start Calumet Advisors arose on a plane from Europe to the U.S., when three visionaries, each with unique capabilities and extensive networks, started talking. As entrepreneurs with a global mindset, we realized that, when combined, our knowledge of industry innovation, market-entry strategies and regulatory issues would perfectly fill that advisory gap. We understood the opportunity and the fact that we were going to be on the market just in time. Although each of us already had several well-established businesses, we realized that joining forces would open up considerable new opportunities. That reminds me one of my favorite quotes, from John D. Rockefeller: “Don’t be afraid to give up the good to go for the great.”

    As for the name, we were thinking of something authentic and meaningful that would tie to our mission to provide wise and balanced solutions. The calumet is a ceremonial pipe used in some Native American cultures during sacred ceremonies. We found it symbolic and reflective of the message our company wanted to convey to the market.

    What will Calumet be able to offer to the vapor industry that the partners’ companies could not offer individually?
    Calumet Advisors offers consulting services rooted in industry-specific practical knowledge and methodologies, combined with access to international markets and capital. That’s not something partners could have offered individually. You will find companies providing fragments of the services we offer, but Calumet Advisors’ ability to provide the full range on a global scale is unprecedented in this industry.

    What type of knowledge is most in demand within the vapor industry?
    The new tobacco industry currently faces challenges typical for the period of transition from early adopter-oriented startups to institutional mode, namely a period of market consolidation.

    Just a year ago many thought that the low barriers to entry were a major industry threat. Today the discussion is if there will be any small players left in the coming years. Big Tobacco, as well as major PE and family funds are coming in with cash, strategic marketing and global distribution networks. And these are the very areas where everyone else must keep their eyes on.

    Companies that are looking to sell either strategically or feel forced to do so by new realities must do everything to increase their valuation, and increasing sales will not necessarily be the best way to get there—in some instances it’s even detrimental!

    On the other side of the spectrum, you have many successful international brands that are now considering entering the United States, and U.S. brands eyeing the lucrative Asian markets. Those companies need the tools to replicate their business success while facing new realities, and this is where market-entry knowledge is crucial. And just about everyone is vying to increase their distribution, which is difficult to do in an oversaturated market. Just look at the recent retail partnership between PAX and Tenet Southampton—that was a very elegant and creative way to make retail inroads.

    We give our clients the knowledge and resources to stay competitive, increase valuation and gain market share, without competing with Big Tobacco dollar to dollar—because that’s not a war one can win.

    What do you see as the three greatest challenges to the vapor industry in the near future? Why those?

    The accelerated pace of consolidation in the vapor industry today implies more mergers and acquisitions. That’s a challenge for many companies because it requires them to have a management team with expertise in M&A and investments. Unfortunately, entrepreneurs in this industry often lack both. Accordingly, this knowledge gap will put such companies under a lot of pressure when they start searching for investors and negotiating company valuation.

    It’s surprising to see how many companies today are being valuated using outdated criteria—that includes companies with significant market share and real opportunities to attract investors. But without the necessary financial skill set they lose the momentum and risk failing in the new environment. On the other hand, this atmosphere provides investors and shareholders with a unique opportunity to quickly grow the business and get a lucrative exit, should they chose to do so.

    Another challenge is the constant demand for R&D and innovative technologies. There is so much happening right now in search of “that perfect device.” We mentioned PAX earlier. PAX2 is a great vaporizer, but Juul really seems to take things in a new direction with its slick pocket-size design and swappable juice cartridges. It is very common for companies to become complacent and chose stability over innovation. Fortunately, the vapor industry does not allow companies much leisure—you either swim or sink.

    The third challenge is developing know-how for using vaping devices outside of the vapor industry. There are numerous opportunities for secondary vaping applications in Big Pharma, healthcare and wellness industries. For example, learning to adopt vaping devices for medicine intake, or as a tool to manage hunger, facilitating weight loss. We expect that some of the secondary applications of vaping devices might become dominant in the future.

    In general, how would you recommend vapor companies prepare for those challenges?
    To quote Guy Kawasaki, “You have to start with the basic premise that you need to know what your competition is doing.” If you carefully analyze the successes and failures of other players, it could give you any number of successful strategies. They key is having the knowledge to truly understand the market nuances and the ability to turn it into an opportunity for your company.

    How will you define success? In other words, what will you accept as evidence that the consulting services provided are making a positive difference for your customers?
    Quick-paced business does not allow for intangible results. To us success and positive difference means creating innovative business opportunities for our clients: bringing them to new markets, helping them expand market share, enabling higher valuations.

    What general advice would you have for any person or company considering an entry into the vapor business?
    The gold rush is definitely over. Now it’s more of a Spartan race for shelf space and innovative products as the key targets. So we would recommend to only go into it if you have the money, patience and determination to win.

    Where do you see the industry five years from now?
    Predicting the future for such a volatile industry is a vain exercise. What we expect it to accomplish in the next five years is to become a far deeper integrated lifestyle gadget, adopt industry-wide quality and safety standards, and learn how to take the vaping technology to other industries. And, of course, to make leaky cartomizers a concern of the past.

     

  • Gathering intelligence

    Gathering intelligence

    A state-of-the-industry seminar presented by the Vapor Technology Association set a solid foundation for the newly formed advocacy group.

    By Timothy S. Donahue

    It’s coming. Once deeming regulations for the vapor industry are finalized, the lobbying efforts and court battles will intensify. Training for the big fight could prove to be one of the toughest tests for the fledgling industry as it attempts to take over tobacco. In fact, vapor advocates have already gained valuable experience and momentum in various battles in multiple levels of government across the U.S. It isn’t enough, however. There is still a lot of work ahead.

    The vapor industry needs to do a better job of informing legislators and the general public about the public health benefits of vaping. Too much misinformation has been disseminated and propagandized by major media outlets and the anti-vapor faction. This was the main message of the first e-cigarette summit hosted by the newly formed Vapor Technology Association (VTA). Held in Washington, D.C., in early October, the inaugural event brought fresh ideas from voices not typically heard at e-cigarette seminars.

    Lobbyists, lawyers and industry leaders all shared their insights into the rapidly evolving vapor market. Fittingly, the focus was on the U.S. Food and Drug Administration’s (FDA) deeming e-cigarette regulations and strategies for state and federal lobbying efforts. Ella Yeargin, ombudsman for the FDA, told the invitation-only crowd that she serves as the focal point for addressing complaints and assisting in resolving disputes between companies or individuals and FDA offices, such as the Center for Tobacco Products. She said her office expects to be quite busy once deeming regulations have been reviewed by the White House.

    The ombudsman serves as a neutral and independent resource for members of FDA-regulated industries (such as vapor and tobacco) when they experience issues with the regulatory process. She expressed that her office could be contacted without repercussions from the FDA. “Firstly, I know nothing about when deeming [regulations] are coming,” she said. “Contacts to my office are held in confidence [between the person/company and the ombudsman].” This could prove vital as companies may want to ask questions before having a formal discussion with the regulatory agency.

    Drew Perraut, founder of Radiant Strategies—who formerly worked with the Office of Information and Regulatory Affairs (OIRA), a statutory arm of the White House’s Office of Management and Budget that is currently reviewing the FDA’s deeming regulations—said the FDA has a very “particular” perspective concerning the vapor industry. The FDA’s mission is the protection of public health. “The impact on the regulated community is not of great interest to them,” he said.

    OIRA has a different role, said Perraut. The White House looks more at the effects on industry, as well as society. “As ‘deeming’ wraps up, OIRA is a place where your interests will really be taken into account. It is your best chance to impact how these policies come about,” he said. “The FDA is going to have to make their case [for the proposed rules] since all the science seems to indicate that the risk profile [for e-cigarettes] is dramatically lower than the FDA wanted to admit in the proposed rule.”

    That is a fundamental change. “It is extremely important that people weigh in on the final rule,” Perraut said, adding that deeming regulation has the ability to create change unlike any other proposed rule in tobacco history. “Moving to a product-by-product analysis opens up the final rule to be quite different than the proposed rule.” In reference to flavors, Perraut said there will “be action on flavors before the end of this administration.” That is in stark contrast to the view of industry experts who have said that the FDA will not act on flavors until after the presidential election in 2016.

    Beyond regulation, speakers also confronted current legislation that could benefit the vapor industry. Ashley Davis, a partner at West Front Strategies, said the industry needs to get behind legislative issues such as the Cole Bill, which would amend the Food, Drug and Cosmetics Act to change the grandfather date for “deemed tobacco products.” This change would allow for all vapor products currently on the market to remain on the market without being subject to the burdensome premarket FDA approval application process.

    A provision of the Tobacco Control Act echoed in the FDA’s draft deeming regulations would require any product deemed by the agency to be a tobacco product to go through a lengthy, expensive “premarket tobacco application” process to remain on the market—unless its marketers can prove that it’s “substantially equivalent” (SE) to a similar product already on the market as of Feb. 15, 2007, an essentially random date chosen by those who wrote the law. “The SE requirement could destroy the industry,” said Davis.

    Another bill, sponsored by U.S. Rep. Robert Aderholt of Alabama, would prevent the FDA from requiring premarket reviews of e-cigarettes that already are on the market. The provision is a technical change that would keep the deemed products under FDA oversight but allow them to be regulated in the same way as currently regulated tobacco products. “We are supporting these bills because they are the best options we have available right now,” said Davis.

    Beyond the regulatory debate, there are things the industry could be doing now in preparation for the final rule, according to William McGrath, a partner at Potomac Law Group. “This is the kind of stuff we can pretty much guarantee will be in the final rule,” he said. “Child-resistant caps, for example, will be a final rule.” McGrath said a successful future for a vapor business will be based on how well those businesses weather the storm. “You need to be ready for the regulations so you can pick the battles and prepare yourself to do what needs to be done to keep your products on the market.” Other steps manufacturers could make include nicotine warnings on labels and packaging that doesn’t appeal to youth.

    Creating industry-wide standards could help motivate regulators to move in a more vapor-friendly direction, according to Arnaud Dumas de Rauly, the secretary-general for European and international relations of FIVAPE, a French vapor trade association. He told attendees that because France had little to no vapor manufacturing standards, the French vapor industry decided to create its own standards.

     

    “We were then able to use those standards and use them to lobby regulators so they could make decisions based on these standards,” he said. The industry basically incorporated the basic [Tobacco Products Directive] principles for Europe into vapor industry standards, according to de Rauly. “I got an e-mail today from the European Commission that states they will base all of the implementation acts on the works being done at the European standards body.” This is something the American vapor industry should try to mimic, said de Rauly. “It has really helped us over the past two years. We are using standards to get regulators to do what we want them to do.”

    Welcome to the industry

    The VTA is the latest addition to the long list of industry associations. Ron Tully, a partner at Next Generation Labs and a co-founder of the VTA, said the organization was created because there are different needs in terms of commercial interests concerning vapor regulation and legislation that other associations are not currently addressing. “What we are finding is there isn’t a sufficiently broad-based trade association that is actively engaged in areas such as positive and active engagement with the FDA and state-level regulators,” Tully said. “Having a trade association that is positive and proactive can make an important impact in filling voids where there is currently no guidance in the vapor industry.”

    During an exclusive interview with Vapor Voice before the seminar, Tony Abboud, national legislative director for the VTA, said the organization will be run by a professional public policy and communications team “never before seen” in the industry. This would include federal lobbyists, state lobbyists, and lawyers and public affairs professionals with industry experience. “Our mission is keeping vaping markets competitive for both large and small players,” said Abboud. “We want to ensure the long-term viability of the industry, defeat bills that stifle innovation critical to public health and transform the public debate on vapor products.”

    The organization has a three-pronged approach to accomplish its goals, according to Abboud. He said that the VTA must not only confront attacks on at the state and federal legislative levels but also keep an eye on how the media reports on the vapor industry.

    “The anti-vaping regulatory and media campaigns are being conducted by an entrenched, highly coordinated and well-funded public-health lobby, aided by Big Pharma corporate interests,” said Abboud. “These groups, along with the Centers for Disease Control [and Prevention] and state departments of public health, are unethically peddling fear and false information by making statements that are contradicted by science and are inconsistent with the FDA’s own position on nicotine-containing products.”

    The VTA messaging will be based on the significant body of scientific data supporting the positive health implications of vapor products on adult consumers, according to Abboud. “The VTA will not only respond to negative press, but we also will develop a proactive engagement strategy promoting the obvious and established life-saving potential of the vapor industry with national and local media outlets,” he said. “We will not stand idly by while lawmakers and regulators try to destroy our industry based on emotion, but will coalesce the forces to advocate for rational regulation based on science.”

  • Harvard’s distortion

    A recent Harvard study published in Environmental Health Perspectives pointed out that diacetyl, acetyl propionyl or acetoin were present in 92 percent of the 51 tested electronic cigarette products. This information is misleading and has to be placed back in context.

    By Arnaud Dumas de Rauly

    Layman’s background

    Diacetyl is an aromatic molecule (ketone) commonly found in the food industry. The aromatic notes of diacetyl are buttery and/or caramelized. This is why it is often used in baking, dough products, coffee flavors, chocolate, vanilla and caramel.

    This molecule has been singled out because it presents a risk if inhaled and can cause chronic bronchitis otherwise known as popcorn lung. As there is no risk in case of ingestion, its use in the food industry faces no restrictions.

    Konstantinos Farsalinos, a cardiologist and researcher at the Onassis Cardiac Surgery Center in Greece, and known expert on e-cigarettes, was the first to launch a global analysis on e-liquids targeting diacetyl. His work concluded that traces of diacetyl may appear if they are less than 22 parts per million (ppm) and not represent a hazard to health. Some recent studies pointing to e-liquids containing diacetyl have reported more than 500 ppm, hence the need for product standards and their implementation (also known as regulation).

    Product standards

    In the past three years I’ve been all around the world trying to get this industry up to speed on the need for product standards without too much traction. In 2014, during my tenure as the president of FIVAPE (the French Vaping Trade Association) we managed to launch a nationwide call for these standards leveraging AFNOR (the French equivalent to ANSI in the U.S., the national standards body). This built interest as there aren’t that many nascent industries willing to set standards for self-regulation purposes.

    The AFNOR standards body voted to launch the specific Vapor Products Steering Committee, which was broken up into 3 working groups:

    1. Electronic Cigarette Hardware (XP D90-300-1)
    2. E-liquids (XP D90-300-2)
    3. Emissions ((XP D90-300-3)

    This paved the way for three product standards documents, of which the first two were released to the public in March 2015. The last one on emissions, being the one that requires the most work and input, is due out in April 2016.

    You might be thinking at this point, how is any of this relevant to the Harvard study? Stay with me, though; we’re almost there.

    These e-liquid standards (XP D90-300-02) prohibit diacetyl from being added as an extra ingredient in flavoring mixtures, but also sets a maximum limit of 22 ppm (or 22 mg/ml) as diacetyl is naturally found in certain fruit extracts, plants & nuts as explained above. It is found for instance in coffee beans and chocolate beans.

    If every e-liquid producer had followed these standards, there wouldn’t be any issue. All the major e-liquid producers in France are or are getting certified for these standards. As France was the first country to set these standards and publish them, we are chairing the CEN (European Standards) using the French ones as a building block. These standards have also been presented to ANSI in the U.S. and currently a TAG team to ISO TC 126 Sub-Committee on Vapor Products is being setup. I encourage every e-liquid producer to become an active member and expert in this committee.

    Why the Harvard study is irrelevant

    As for the study itself, it is worth explaining that there are a couple of inconsistencies, both in terms of form and content:

    • Analysis for quantities of diacetyl, acetyl propionyl or acetoin are made once the e-cigarettes vaporize the whole of the e-liquid, but everyone knows that a vaper doesn’t vape a whole tank in one shot
    • The logic of this study is very “tobacco-like” as we can easily see that they use only cigalikes but most of all, the conclusions aren’t useful as they state “e-liquid A produces Xmg of diacetyl” without ever talking about which quantity of e-liquid was used (Another question that can be asked: was the same quantity used for each e-liquid? Was quantity the same for each cartomizer?)
    • The wording used to present the results is nevertheless very thought through: “the quantity of diacetyl measured up to 239 mg”. Whereas, of the 51 e-liquids tested, only one had 239 mg, the next one was already down to 38 mg and the median measurement is 8 mg: in other words, nothing harmful.

    As Farsalinos says, “They failed to mention that these chemicals are present in tobacco cigarette smoke and violated a classical toxicological principle that the amount determines the toxicity and the risk.”

    Which brings me to my last comment: please keep in mind that e-cigarettes are an alternative to traditional cigarettes, so any data on e-cigarettes must be compared to their traditional counterparts. In this case, a single cigarette contains between 80 and 120 ppm of diactyl.

    Considering what has just been said, I can easily imagine that this same study, if put through a spinning engine (and of course by being more thorough with protocol) could actually show very good information about the vaping industry. I can only encourage every e-liquid producer to be very straightforward and thorough when putting their products on the market.

    We at Gaïatrend, the No. 1 e-liquid producer in France since 2008, have a checklist for every single SKU that comes out of our production lines:

    1. MSDS in French and in English,
    2. Toxicology reports on:
      1. Diacetyl
      2. Acetyl propionyl
      3. Acetoin
      4. Formaldehyde
      5. Acetaldehyde
      6. Acrolein
    3. List of any allergens

    All of this is done in-house and also by an external independent lab, just to make sure that there aren’t any inconsistencies. This information is available to the consumer at any time on our website.

    Arnaud Dumas de Rauly is president of Gaïatrend USA (Alfaliquid Brands) and a board member of the Vapor Technology Association.

  • The taxman cometh

    As more jurisdictions start taxing e-cigarettes, the vapor industry and its customers can only hope for reason and restraint in the world’s revenue departments.

    By Shane MacGuill

    Increasingly, global and regional governments appear willing to look to e-cigarette consumption as a source of public revenue, with taxation, particularly on e-liquid, becoming an ever more prominent policy issue in jurisdictions worldwide.

    Of course, the drive to taxation is increasingly at odds with a more positive scientific view of the products from the health community—it is hard to reconcile the relatively safe, potentially lifesaving product described in the recent Public Health England report with almost any level of taxation, much less the tobacco-style taxation often mooted. Assuming the industry manages to sustain itself in the face of the restrictive regulatory developments that 2016 promises, what (perhaps even greater) challenges await in the form of excise taxation?

    In most instances the rationale for taxation of e-cigarette products appears to be either administrative or speculative. In the case of the former, where e-cigarettes and vapor products have been legislated for “as tobacco,” the logic of excise taxation follows as night does day. (The Minnesota, USA, state revenue service advances the straightforward proposition: “E-cigarettes and e-juice are considered tobacco products and are subject to the tobacco tax.”) In the latter scenario, an explicit connection is made between dwindling tax revenue from combustible products and the need to “fill the gap” through taxation of products that are, at least in part, contributing to this decline.

    For example, ruminating on the drop in Italian tobacco tax revenue, Giancarlo Scotta, member of the European Parliament, asked the EU Council in 2013 “what action it intends to take to address the differences in tax revenue materializing in state coffers following the proliferation of electronic cigarettes, which currently appear to be free from any form of duty.”

    While these twin logics are potent drivers in themselves, it is a point of some optimism for the e-cigarette sector that, outside some nongovernmental organizations, there appears to be little outright support for e-cigarette sin taxation in itself—in other words, framing them as products that uniquely require disincentivization (rather than simply inheriting taxation as a function of a broader regulatory categorization). Indeed, there are encouraging signs that governments eventually may be willing (or may be forced) to tax along a continuum of risk in order to retain an advantage, of kinds, for e-cigarette and vapor products against their more harmful combustible competitors.

    STILL SCARCE

    Currently, only a few countries explicitly levy tax on e-cigarette or vapor products. Togo reportedly applies an ad valorem rate of 45 percent to the products, while in South Korea products containing nicotine fall under the purview of Ministry of Strategy and Finance and are taxed at an elevated level of around $1.50 per milliliter of liquid. In the EU, Italy and Portugal have also experimented with e-cigarette taxation.

    In the absence of federal regulation and direction, a number of U.S. state legislatures have sought to pass e-liquid taxes. Most of them have failed. While some states have passed e-cigarette taxation, sometimes at substantial levels (67 percent rate on all products in Washington, D.C., for example), others have rejected excise or in certain cases actively sought to protect e-cigarettes from taxation. If consensus on e-cigarette taxation appears difficult to achieve at a state level, the trend to impose excise on vapor has moved to the municipal level as the city council of Chicago, Illinois, USA, prepares to adopt a tax of $1.25 per cartridge and $0.25 per milliliter of e-liquid, as proposed by Mayor Rahm Emanuel.

    BACKFIRING IN PORTUGAL AND ITALY

    In this respect, where Chicago leads, other large U.S. cities and international jurisdictions are likely to follow with predictably deleterious results. While the effect of taxation on liquid nicotine in Korea is perhaps obscured by the length of time it has been in place—and indeed, huge recent excise increases on tobacco mean that consumption of e-cigarettes is surging there—the impact of taxation on an established, developing vapor market can be seen in the only other two markets that currently apply excise to the products.

    At the end of 2014, Portugal imposed taxation of €0.60 ($0.64) per milliliter of e-liquid—in many cases, more than doubling the price per bottle to the consumer. Virtually overnight, the market for e-liquid, which had seen huge growth in 2014, collapsed, with expectations that it contracted well over 75 percent by the end of 2015.

    In Italy, meanwhile, after several years of substantial growth during which the user base swelled to some 750,000 vapers by 2013, the imposition of an excise tax has had a substantial impact on the market. The tax was initially set at an outright 58.5 percent in mid-2014, and then a rate of 50 percent of the “tobacco equivalent” was imposed in its stead (after the earlier “tobacco-comparable” rate was suspended following a—ultimately successful—legal challenge).

    Between 2013 and 2014 the Italian e-cigarette market lost some 40 percent of its value, and while it is now showing signs of stabilizing (and the current “tobacco equivalent” rate is likely also to be challenged), the advent of the revised Tobacco Products Directive (TPD2) in 2016 promises fresh difficulties. It should be noted that the success of the legal challenge to direct comparison, in effect a validation of a graduated excise regime, is a positive to emerge from the Italian experience.

    FRAGMENTATION IN THE NEAR TERM

    A further cause of some hope (at least in regard to the overall impact of taxation) is the immediate likelihood that e-cigarette taxation will remain fragmented and geographically limited. While a measure like the impending Chicago tax would undoubtedly make life difficult, if not impossible, for vape stores in the affected urban areas, it would arguably have little impact on the consumption of consumers, because in the absence of a wider state or federal measure, consumers will simply travel to acquire tax-free products or order from vendors online. The same is undoubtedly true of the world’s second largest e-cigarette region—Europe—where individual country taxes like those in Portugal and Italy may be less impactful than an EU-wide measure reportedly being investigated by the EU’s Fiscalis project (and for which Article 20 of the TPD2 may well lay the groundwork).

    There are a range of markets globally where e-cigarette products are either explicitly banned for all commercial sale (e.g., Brazil, Mexico, Turkey) or where a twin-track approach exists (e.g., Australia, Mexico, Scandinavia). In the latter markets, often nicotine-free products are widely available while nicotine e-liquid cartridges and refills are banned or nicotine-containing cartridges and products require a medicinal license (which in most cases amounts to a de facto ban). It is reasonable to suggest that developments in these markets could serve as a proxy for developments in markets where products are made less accessible through the imposition of taxation.

    BENEFITTING COMBUSTIBLES AND ILLICITS

    Demand for vapor products, most of which are manufactured in China and distributed online, is surging. Restrictions on their availability and affordability are sustaining consumption of combustible products and creating a black market for e-cigarette products and nicotine liquids. As demand grows and restrictions and taxation increase, this phenomenon is likely to become a substantial challenge for authorities, as well as the vapor and tobacco industries.

    Surveys in the U.K. and the U.S. indicate that a large minority of e-cigarette users use e-cigarettes to save money. Eliminating the cost advantage of vapor products versus combustible tobacco through the levying of excise would have a predictable impact on the balance of consumption between the categories.

    TWIN CERTAINTIES

    Further, one can foresee informal markets developing. In July 2014, the results of an E-Cigarette Forum survey suggested that about 80 percent of e-cigarette users would “look to the black market” if products they used were banned. It is reasonable to extrapolate from this expressed inclination that, to some extent, the same would be true if products were rendered less accessible through taxation.

    Reports suggest that markets such as Denmark, where nicotine-containing e-liquid is banned, already boast black markets in the products, an effective illicit trade in e-liquids. Anti-illicit enforcement would be made difficult by the fact that products required for e-cigarette use can be reduced to components that, individually, authorities may not be able or want to restrict.

    We appear to be left then with a dual set of certainties. In the absence of a rapid (and unlikely) official recognition of the potentially substantial public health benefits of the wider availability and use of e-cigarette products, governments will lurch toward the default application of excise on the category. The second certainty—that the sector will be impacted—is a truism, qualified only by the possibility that enlightened governance in this respect may be limited to the level of variation in rates as against combustible products.

     

    Shane MacGuill is senior tobacco analyst at Euromonitor International, a market intelligence firm.

     

     

  • The writing on the wall

    The writing on the wall

    The FDA’s treatment of tobacco provides clues about what the vapor industry can expect, post-regulation.

    By Patricia Kovacevic

    These past couple of months the Food and Drug Administration (FDA) Center for Tobacco Products, which is the primary regulator of tobacco products in the United States, has been perhaps more active than ever in enforcement against tobacco products manufacturers, as well as with respect to rulemaking and issuance of guidance documents.

    Why should we in the vapor industry care? In the immediate future the FDA will assert its authority over vapor products (and, possibly, vapor devices) containing tobacco-derived nicotine. Vapor products will be covered by the same regulatory regime as cigarettes, barring a successful challenge to some or all of the FDA’s authority to regulate such products. Thus, the FDA’s current behavior and thinking vis-a-vis conventional, regulated tobacco products (such as cigarettes) will be consistent with the FDA’s future actions on vapor products, once these are deemed tobacco products. While we may disagree vigorously that e-cigarettes or e-liquids are tobacco products—they are, after all, anti-tobacco products by definition—the FDA has no choice but to act within the legal framework Congress provided through the 2009 Family Smoking Prevention and Tobacco Control Act (TCA) amendment to the Federal Food, Drug and Cosmetic Act.

    What are some of the recent the FDA developments that should concern vapor products manufacturers and importers in the United States?

    On July 1, 2015, the FDA issued an advance notice of proposed rulemaking (ANPRM) and opened the docket for public comment to obtain information related to the regulation of new “tobacco products” subject to the TCA and restrictions regarding the sale and distribution of such tobacco products. Specifically, this ANPRM is seeking comments, data, research results or other information that may inform regulatory actions the FDA might take with respect to nicotine exposure warnings and child-resistant packaging for liquid nicotine and nicotine-containing e-liquid(s) that are made or derived from tobacco and intended for human consumption, and potentially for other tobacco products including, but not limited to, novel tobacco products such as dissolvables, lotions, gels and drinks. This FDA ANPRM comes before the FDA has had the opportunity to finalize regulation, which will bring (“deem”) additional products, including vapor products, under the TCA and thus subject to the FDA’s regulatory authority.

    An ANPRM is an early rulemaking stage, but it’s important in collecting scientific and other types of information the FDA will use in issuing its proposed or even, directly, its final rule on nicotine exposure warnings and child-resistant packaging. There the FDA lags behind other foreign and even domestic (state level) U.S. legislation, at least with respect to child-resistant packaging, which is certainly an important feature of a product.

    The FDA cannot require nicotine warnings or child-resistant packaging on vapor products before such products are brought under the FDA’s regulatory authority through the deeming rule. Also, the FDA will likely exercise caution in issuing a specific nicotine warning requirement because the FDA’s nicotine warnings, like any warnings, must be science-based and must withstand a possible First Amendment challenge. As you may know, to date the FDA’s attempt to impose certain graphic health warnings to cigarette products was challenged successfully on First Amendment freedom of speech grounds, on an “as applied” basis. Both the United States District Court for the District of Columbia, in R.J. Reynolds Tobacco Co. v. Food and Drug Administration (845 F. Supp. 2d 266 (D.D.C. 2012)), as well as the United States Court of Appeals for the District of Columbia Circuit, in R.J. Reynolds Tobacco Co. v. Food and Drug Administration (696 F.3d 1205 (D.C. Cir. 2012)) determined that the actual graphic health warning images chosen by the FDA violated the First Amendment.

    Later this summer, on Aug. 27, the FDA issued warning letters to three cigarette manufacturers that describe their cigarettes on product labeling as “additive-free” and/or “natural.” The FDA found that this labeling represents explicitly and/or implicitly that the products or their smoke do not contain or are free of a substance and/or that the products present a lower risk of tobacco-related disease or are less harmful than one or more other commercially marketed tobaccos. Thus, the warning letters are for violations of Section 911 of the TCA, a section that addresses modified-risk tobacco products (MRTPs). The FDA has determined that these products, described as “natural” and “additive-free” on their labeling, need an MRTP order from the agency before they can be legally introduced as such into interstate commerce. MRTPs can only be introduced into interstate commerce after scientific evidence to support them has been submitted to the FDA and the FDA has issued an order permitting their marketing. To date, the FDA has not issued any orders that would permit label claims of reduced risk or harm to users and nonusers. The costs to submit an MRTP application are likely—and easily—in the millions of dollars per product, because the FDA MRTP guidance suggests extensive studies are needed, and are therefore prohibitively expensive for the vast majority of the vapor industry, and with unknown commercial benefits.

    Let’s think for a second what would the FDA do if a vapor product, once regulated as tobacco product, made a claim such as “tobacco smoke free” or “no tobacco-specific nitrosamines” or, better yet, “no carbon monoxide” (all of which are harmful features of conventional cigarettes or their emissions). Even if such a claim were absolutely true—after all, e-cigarettes do not emit tobacco smoke or carbon monoxide—the FDA, according to its strict views, could still issue a similar warning letter to the respective e-cigarette manufacturer based on the fact that the product labeling represents that the product or its smoke “does not contain or is free of a substance“ (such as, for instance, carbon monoxide). The list of comparative claims that would thus be barred could be vast. While consumers would rightfully benefit from accurate information, the TCA’s Section 911 appears to prevent manufacturers from incorporating factually accurate information about their products in labeling or advertising. One can see a potential First Amendment issue here as well—to date unchallenged, but to be watched.

    Substantial equivalence

    Another interesting development is the issuance this past September of a final guidance (second edition) titled “Demonstrating the substantial equivalence of a new tobacco product: Responses to frequently asked questions” (which I will refer to as the SE FAQ Guidance). This is the third iteration of a 2011 draft guidance that was updated in March 2015 and subsequently challenged in court by several tobacco product manufacturers. The FDA suspended the application of its March 2015 version of the guidance, and the respective lawsuit was withdrawn without prejudice, meaning it could be refiled at any time. There was hope that the FDA would issue a revised guidance actually based on the statutory language, which requires manufacturers to file substantial equivalence reports with the FDA for changes in the product, not product packaging or product count. That did not happen, and the FDA’s SE FAQ Guidance reinforces the FDA‘s own interpretation of a “change” to a product to mean also a change in the product packaging, which, again, does not appear supported by the language in the TCA.

    This guidance describes the FDA’s current thinking on whether and when a change to a tobacco product’s label, product quantity in the package, additives or specifications renders that later product a “new tobacco product” subject to premarket review (whether or not the new tobacco product replaces the original tobacco product). It explains that a manufacturer may submit streamlined SE reports for certain modifications to labels and changes to product quantity. The guidance also explains the FDA’s plans and processes for review of the streamlined SE reports. Finally, this guidance responds to several questions that have been raised about the SE process more generally.

    While in the FDA’s own words, guidances describe the FDA’s current thinking on a topic and should be viewed only as recommendations, unless specific regulatory or statutory requirements are cited, the FDA acts and enforces the law according to its guidance documents. Why should vapor product manufacturers care? Well, if the FDA’s upcoming deeming rule remains unchallenged, or survives potential legal challenges, all guidance documents published to date by the FDA regarding tobacco products will be applicable to vapor products, including this one.

    There are many issues with this SE FAQ Guidance. I will only focus on the most glaring issue, the very definition of tobacco product. First and foremost, in the SE FAQ Guidance Section B, the FDA concludes, correctly, that a label (i.e., packaging, but could also be an insert or certain other types of communications about the product) is “not a part of a tobacco product.” Yet substantial equivalence reporting requirements are currently applicable to tobacco products only, as provided in the TCA and as currently enforced by the FDA. (Ingredients of tobacco products could be required to undergo premarket review, but at present the FDA does not intend to enforce this requirement.) The FDA then proceeds to justify why label changes still require a substantial equivalence report, in spite of a label not being a part of a tobacco product as per the statutory definition, and as agreed by the FDA itself. One would inevitably ask, where is the logic, and is the FDA making new laws and circumventing the legislator? Why do we need an SE FAQ Guidance for something (such as product labels) that is not supposed to undergo the substantial equivalence reporting and review process?

    This matter is certainly of interest to vaping products manufacturers. According to this SE FAQ Guidance, at a date as of yet unknown in the near future all vapor products and their packaging would remain virtually “frozen in time,” and no change, line extension or rebranding would be possible without filing a substantial equivalence report with the FDA, at a non-negligible cost and effort. And, given the FDA’s track record of protracted yet diligent review (think years!) and challenges to the content of substantial equivalence reports, there is little hope that changes to products, even cosmetic changes to packaging, would be permitted by the FDA without extensive and costly filings, or at least that the respective “streamlined” substantial equivalence reports would be reviewed in a time that is realistic from a commercial/competition point of view to enable progress and innovation in the industry.

    On Sept. 30, Imperial Tobacco Group, Reynolds American and Altria filed a new lawsuit against the FDA in the U.S. District Court for the District of Columbia, stating that the updated SE FAQ Guidance violates their commercial speech rights under the First Amendment and exposes manufacturers to civil or criminal penalties. Although the guidance is described by the FDA as nonbinding, it creates legal obligations. The FDA appears to have failed to follow the necessary rulemaking procedures required for substantive measures. Plaintiffs are seeking an order to enjoin the FDA from enforcing the SE FAQ Guidance, declare the SE FAQ Guidance unlawful and vacate it.

    I strongly urge you to read this and other FDA guidance documents. The SE FAQ Guidance can be found at http://www.fda.gov/downloads/TobaccoProducts/Labeling/RulesRegulationsGuidance/UCM436468.pdf

    The docket for this guidance is open for comments indefinitely. The FDA must read and consider your comments and will appreciate science-based, well-reasoned submissions. In the words of Mitch Zeller, the director of the Center for Tobacco Products, referring to the industry’s ability to educate the FDA through written, formal docket comments, “This is not a spectator sport,” so stay engaged!

     

    Patricia Kovacevic is general counsel and chief compliance officer for Nicopure Labs, a leading U.S. e-liquid and vaping device manufacturer.