A former employee of the Foundation for a Smoke-Free World claims she was fired for raising concerns about the organization’s ties to the tobacco industry, reports Bloomberg Law.
Lourdes Liz, who worked at the Foundation as social media director from February 2018 until February 2020, says she was terminated after objecting to activities “designed to increase the profits of and to do the bidding of Philip Morris International and Altria Group.”
Liz maintains that the group’s close ties to the tobacco industry violate its status as an independent nonprofit organization.
The Foundation, which has received millions of dollars in funding from PMI, has met fierce opposition from health groups. Shortly after its creation in 2017, the World Health Organization (WHO) said it would not interact with it, citing a fundamental conflict of interest between the tobacco industry and public health.
The Foundation is led by Derek Yach, an anti-smoking crusader who, while working at the WHO, was the primary architect of that agency’s Framework Convention on Tobacco Control.
A new year and new resolutions. In 2021, many Americans will attempt to lose the weight gained after weeks – and months – of stay-at-home orders. Some may have been inclined to reduce their Zoom time, but for many smokers the beginning of a new year marks a resolution to quit smoking.
Credit: Marko Tomic
This particular resolution is difficult. A 2016 study from the UK’s Royal Society for Public Health (RSPH) reported that “quitting smoking is the most difficult resolution to keep,” and that among Brits who reported making a resolution to quit smoking, “41% kept this for a month, [and] 13% [stuck] with it after a year.” A study from the University of Scranton found “only 8 percent of people who make resolutions [to quit smoking] meet their goal.”
Regardless if one is choosing to quit smoking as a New Year’s resolution, giving up cigarettes is difficult any time of the year. According to the Centers for Disease Control and Prevention, less “than one in 10 adult cigarette smokers succeed in quitting each year,” and in 2018, only 7.5 percent of smokers had successfully quit smoking.
There are many options for smokers to use to help aid their smoke-free journey, including traditional nicotine replacement therapies (NRT) like gum and patches, medication, and switching to electronic cigarettes and vapor products. In the aforementioned RSPH report, the agency noted vapor products “are becoming increasingly popular, and RSPH [recognizes] the growing body of evidence that for many they can be an effective smoking cessation tool.”
A landmark October 2020 review published in the Cochrane Library Database of Systematic Reviews examined 50 completed studies on e-cigarette use, which represented more than 12,400 e-cigarette users. The authors found that there was “moderate-certainty evidence, limited by imprecision, that quit rates were higher in people randomized to nicotine [e-cigarettes] than in those randomized to nicotine replacement therapy.” Indeed, the authors found that of “every 100 people using nicotine e-cigarettes to stop smoking, 10 might successfully stop, compared with only six of 100 people” using NRT or “nicotine-free e-cigarettes.”
Despite the science presented, many lawmakers are disregarding the evidence and seeking to limit and/or prohibit adult access to vapor products. Currently, New Jersey, New York and Rhode Island have banned the sale of flavored vapor products. Massachusetts has a current ban on both flavored combustible cigarettes and e-cigarettes, and California’s own flavored tobacco and vapor ban is currently delayed as officials verify signatures for a referendum that would create a ballot measure to repeal the flavor ban in 2022.
Worse, politicians have used the novel coronavirus to push through legislation that bans the United States Postal Service (USPS) from delivering vapor products. Literally “buried” in the thousands of pages in the December COVID-19 relief package is the “Preventing Online Sales of E-Cigarettes to Children Act” which orders the USPS to “promulgate regulations” to apply the Jenkins Act – which currently forbids the shipment of cigarettes by the USPS – to vapor products. The legislation also imposes greater tax reporting requirements on business sales of vapor products that are shipped by the USPS.
Although addressing youth use of e-cigarettes is laudable, essentially preventing online sales of vapor products will harm consumers of those products as retailers are forced to rely on an even limited number of delivery services to ship their products. FedEx recently announced that beginning on March 1, 2021 the delivery service “will begin prohibiting electronic cigarettes, vaping liquids, and other vaping products in the FedEx global network.”
New Year’s resolutions shouldn’t be broken because of government regulations. Former smokers should not be fearful of a possible return to cigarettes because policymakers are preventing access to tobacco harm reduction products. Perhaps the only good thing is that this year, unlike other New Year’s resolutions, smokers can blame the government on their broken resolution to quit smoking.
The views expressed in the above opinion are those of the authors’ and do not necessarily represent or reflect the views of Vapor Voice or its parent organization.
Lindsey Stroud is the creator and manager of Tobacco Harm Reduction 101 (www.thr101.org), a website that provides analysis and insight on tobacco and vapor products. She wrote this for InsideSources.com.
The Missoula County Commissioners in Montana has provisionally voted to expand the city’s vape ban five miles beyond city limits in what commissioner’s say is an effort to reduce youth access to vape products.
Credit: Antonin Fels
The ordinance restricts self-service display of all vaping and tobacco products and prohibits the sale of flavored e-liquids and other tobacco products, according to an article on khq.com. The approval is provisional, meaning it will be discussed again on Jan. 28 before there is a final vote of approval.
Public comment is available online, via mail or at the county commissioners meeting on Jan. 28.
In late November, the City of Missoula, Montana banned flavored vaping products and not flavored combustible tobacco products. Now, Missoula County is considering using its extraterritorial powers to extend the city’s ban on the sale of flavored vapes and their display five miles outside city limits next week.
New Year resolutions always include commitments to quit smoking. Most people fail not for want of trying but for want of options that can help them. Our interventions to date are not good enough. Will the World Health Organization’s (WHO) campaign to help 100 million people quit tobacco (WHO News Release Dec 8, 2020) make a difference? Is the WHO willing to embrace new methods and emerging scientific data to course correct and in the process save millions of lives?
Credit: Martin Budenbender
The WHO depends upon “new contributions from partners” to help smokers quit (WHO News Release Dec 8, 2020), Derek Yach and Chitra Subramaniam write in an opinion for Business Insider. They are as diverse as Amazon Web Services, Facebook, and Google. These digital giants are not known for their solutions to help people quit. Worse, WHO has turned to Allen Carr’s Easyway that has published studies of dubious quality and has a strong opposition to the use of nicotine even in nicotine replacement therapy (NRT Allen Carr, BMJ 2006).
Unfortunately, most of the countries listed as priorities for this campaign have yet to include NRTs in their national drug formularies despite WHO having included it in the Essential Drug list way back (Application for Inclusion of Nicotine Replacement Therapy (NRT) in the WHO Model List of Essential Medicines, WHO, 2009).
WHO should conduct an independent review of the evidence of each partners’ interventions in the very diverse set of countries where they will be tested. Such a review is a basic requirement for making global recommendations. It must be as rigorous and science-based as the processes that were put into action to approve COVID 19 vaccines. (WHO News Release Dec 31, 2020)
Florence, WHO’s robotic digital health worker was launched with this campaign to help smokers quit. Dr. Yach tried it (see Speak to Florence) but found Florence true to its name – robotic and unable to answer simple questions and clearly out of depth when asked real world questions outside of the algorithm. A gimmick of this nature is disrespectful as it mocks those seeking to quit.
It seems that WHO is far more interested in ending the use of tobacco harm reduction products than in saving lives.
The latest Global State of Tobacco Harm reduction (GSTHR) report (GSTHR, Burning Issues 2020) indicates that almost 100 million people are now using a range of such products with most completely off combustible cigarettes and toxic smokeless tobacco products. This report provides convincing evidence that harm reduction products, including snus, e-cigarettes and heated tobacco products, are more effective means of quitting than the use of NRTs, and substantially lower exposure to harmful products of combustion seen in cigarettes and bidis.
In contrast, WHO’s latest report from their expert committee on Tobacco Product Regulation, released December 23rd, recommends banning and prohibiting e-cigarettes and heated tobacco products. This echoes a call by the Union, a Bloomberg Philanthropy financed NGO, to all low and middle income countries (LMICs) to ban such products to “avoid being distracted” by them (WHO Expert Committee Meeting Report, Dec 23, 2020).
Distraction from what one may ask?
This “expert” report did not address snus. That may be because WHO accepts the EC ban as being the basis for its policies despite the recent USFDA decision that led to it being the first class of tobacco harm reductions products to pass its rigorous evaluation process (FDA News Release, Jul 2020).
Before the FCTC negotiations began 20 years ago under Dr. Yach’s leadership of the Tobacco Free Initiative (TFI) WHO invited tobacco industry scientists to present to the fledgling Tobacco Products Regulation Expert Committee on their progress in developing safer tobacco products. The presentations were not useable then for any specific harm reduction recommendations to be made. The hope remained that in time scientific progress would follow. For that reason – and in good faith – harm reduction found its way into the very definition of tobacco control used in the FCTC (WHO FCTC 2004).
Decades have passed and tobacco consumption continues to kill people mainly in LMICs. Science and innovation have permeated every sector of society. Dirty legacy industries are now leaders in driving sustainable development. This is underway in the oil and gas, transport, mining and food sectors. And as the GSTHR and our Tobacco Transformation Index (https://tobaccotransformationindex.org/) bears out, such transformation is underway in the tobacco sector as well. This transformation should be embraced by the WHO not shunned.
Instead of looking into the future and enabling global leadership, the United Nation’s (UN) top health agency is digging into its past with a ferocity that is difficult to comprehend. Ignoring decisions by the United States Food and Drug Administration (FDA), Cochrane Collaborating Centers and other regulatory and science oversight groups indicating the power of THR to increase quit rates more effectively than NRTs for example, or the potential to sharply reduce risks associated with combustible cigarettes or toxic smokeless products.
One hopes that as 2021 unfolds, WHO will take a fresh look at the power of THR to accelerate an end to smoking. A good way to start would be to summon the leading scientists from tobacco and e-cigarette companies to present to the WHO Tobacco Product Regulations Expert Committee in a series of open sessions. The aim could be simple: to assess whether industry has made material progress in developing products able to end smoking in order to truly judge whether the unilateral bans and prohibitions are warranted.
From what we know, the answer is yes. WHO’s unambitious aim of helping 100 million of the 1.1 billion tobacco users quit could be revised upwards dramatically if they were to open up to rapid progress underway in the very companies we rightfully condemned 20 years ago.
Knowledge that ignores science cannot help public health. We are seeing it with the COVID 19 crisis. We are seeing it differently in tobacco control. Time is not on our side.
The views expressed in the above opinion are those of the authors’ and do not necessarily represent or reflect the views of Vapor Voice or its parent organization.
Derek Yach is president of the Smoke Free Foundation, USA. He has spent four decades advancing global public health especially chronic diseases. He was a key architect of the WHO’s FCTC.
Chitra Subramaniam is the founder of CSD consulting Switzerland. A journalist by training and a media entrepreneur she writes on public health, development and trade
U.S. Customs and Border Protection (CBP) officers at the Dallas Fort Worth International Airport working in conjunction with agents from the U.S. Food and Drug Administration (FDA) have seized 33,681 units of e-cigarettes with a manufacturer’s suggested retail price of $719,453.
Credit: SFGate
In December 2020, CBP seized 42 separate shipments arriving from China destined to various Texas counties. The shipments included individual disposable flavored e-cigarette cartridges resembling the Puff Bar brand, including Puff XXL and Puff Flow.
As part of an ongoing joint operation with FDA, officers and agents were looking to intercept counterfeit or other violative e-cigarettes, including certain flavored e-cigarettes imported to the U.S. that did not meet the Federal Food, Drug, and Cosmetic Act requirements, as amended by the Family Smoking Prevention and Tobacco Control Act.
“Many counterfeit, unapproved or unauthorized products are likely produced in unregulated facilities with unverified ingredients posing a serious health concern to consumers. It is especially alarming when these types of counterfeit and unauthorized products find their way into the hands of children as studies indicate,” said CBP Port Director Timothy Lemaux in a statement. “We will continue to take every opportunity to work with our partners at the FDA to intercept and seize products that threaten U.S. consumers.”
Tobacco products including e-cigarettes imported or offered for import into the U.S. must comply with all applicable U.S. laws.
“The FDA continues to prioritize enforcement against e-cigarette products, specifically those most appealing and accessible to youth,” said Mitch Zeller, director of the FDA’s Center for Tobacco Products. “We are very concerned about how popular these products are with youth. This seizure makes clear to tobacco product manufacturers, retailers and importers that the FDA is keeping a close watch on the marketplace and will hold accountable those companies that violate tobacco laws and regulations.”
CBP’s trade enforcement mission places a significant emphasis on intercepting illicit products that could harm American consumers. In fiscal year 2020, CBP seized 93,590 units of e-cigarettes that did not meet U.S. federal regulations.
In July 2020, the FDA issued a warning letter to Cool Clouds Distribution (doing business as Puff Bar), to remove their flavored disposable e-cigarettes and youth-appealing e-liquid products from the market because they do not have the required premarket authorization.
“Protecting American consumers from illicit and especially harmful tobacco products, such as counterfeit or flavored e-cigarettes, is of utmost importance to the FDA,” said Judy McMeekin, FDA associate commissioner for regulatory affairs. “We will continue to investigate and remove from the marketplace products that pose a particular danger to the public health.”
While the Puff Bar website appears to have recently stopped online sales and distribution in the U.S, it does not mean that the firm ceased distributing products to other retailers or selling products at brick and mortar retail stores, according to the FDA. The website’s store locators are still active, indicating that potential consumers can still search for products located for sale at retail stores.
Keller and Heckman has announced two new partners, Kathryn Skaggs and Natalie Rainer.
Kathryn Skaggs
Skaggs is a resident in the firm’s Washington, D.C., office and practices food and drug law. She counsels clients on the regulation of food contact materials in a host of jurisdictions throughout North America, Europe, South America and Asia. Skaggs assists companies in bringing to market new food contact substances through submissions to government agencies in the U.S. and abroad.
She manages post-market issues for food contact substances, such as accidental adulterations, and advises on compliance with state laws including California’s Proposition 65. In addition to her extensive experience with food contact regulatory matters, Skaggs is an active member of the firm’s tobacco and e-vapor practice. She helps companies in the tobacco and e-vapor industries comply with the U.S. Family Smoking Prevention and Tobacco Control Act.
Natalie Rainer
Rainer is a resident in the firm’s San Francisco, California, office and practices food and drug law, advising clients on regulatory requirements for foods, dietary supplements, cosmetics, and food and drug packaging in jurisdictions around the world, including North America, Latin America, Europe, Asia and the Middle East.
Following the recent enactment of smoke-free laws in Paraguay, every South American country has now banned vaping and smoking in most public places.
Under Decree No. 4624, approved by Paraguay’s presidency on Dec. 29, consuming lit, heated, or electronic tobacco products is permitted only in uncrowded open air public spaces that are not transit areas for nonsmokers.
“This is a great achievement for the people of Paraguay,” said Carissa F. Etienne, director of the Pan American Health Organization, in a statement. “The country has taken an enormous step toward protecting its citizens from the devastating health, social, environmental and economic consequences of smoking and exposure to tobacco smoke.”
Credit: Ye Jinghan
Following Paraguay’s recent ban on public smoking, all South American countries have comprehensive smoke-free laws.
“This is a great moment not only for the health of Paraguayans, but for the entire region of South America,” said Adriana Blanco, head of World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) Secretariat. “Paraguay’s decree creates a subregion of the Americas that is totally free of tobacco smoke.”
According to the Campaign for Tobacco-Free Kids, some 430 million people are now protected by laws requiring smoke-free public places and workplaces. These laws also ban designated vaping or smoking areas.
This progress is the result of years of commitment and action from political leaders and civil society groups in South America working to fulfill their obligations under the FCTC.
When the FCTC came into force more than 15 years ago, only one country in South America, Uruguay, provided its citizens with broad protection against secondhand smoke and vapor.
Japan Tobacco (JT) plans to expand in Japan sales of “Ploom TECH+ with,” the more compact version of JT’s tobacco-infused vapor series, Ploom TECH+. The new device will gradually be available nationwide starting at Ploom shops and select tobacco retail stores from Feb. 1, 2021, along with convenience stores from Feb. 2, 2021.
To commemorate the nationwide expansion, JT is offering a limited time discount for the “Ploom TECH+ with” starter kit.
“After receiving positive feedback from our consumers since its launch last November, we are delighted to announce the nationwide expansion of ‘Ploom TECH+ with,’” said Toru Takahashi, vice president of the marketing group product and brand division for reduced risk products, in a statement.
“While still retaining the features of Ploom TECH+, such as producing less smell than cigarette smoke and not requiring wait time to start or finish using the device, ‘Ploom TECH+ with’ is more compact and easy to use, and we believe our consumers will find this device to enrich their experience than ever before.”
Vaping products are going to be much harder to sell in Connecticut under bills that are being introduced in the General Assembly, including a ban on the sale of all nicotine products in pharmacies, and e-cigarettes within five miles of schools.
Credit: Haiberliu
Lawmakers are also expected to reintroduce legislation from Gov. Lamont that failed in the closure of the General Assembly last March, to ban flavored vaping devices, in attempt to prevent teenagers and young adults from starting what data show can become lifetime habits, according to an article in the Middletown Press.
Several of the bills, including the outright ban on refillable e-cigarettes and vaping products in the state, have been introduced by state Sen. Saud Anwar, a physician from South Windsor who serves as vice chairman of the Public Health Committee.
“Many of the children are facing life-long addictions and we must do something,” Anwar, a Democrat, said in a Friday interview. He said that it is hypocritical for pharmacies on the one hand to be places where health aids, drugs and vaccines are available, while the nicotine-based e-cigarettes and vaping materials are in the same place.
The five-mile zone around schools would also include neighborhood variety stores and gas stations. Another bill would require Connecticut buyers of online nicotine-delivery products to produce proof of their age before transactions can be completed.
Kevin O’Flaherty, regional director of advocacy for the Campaign for Tobacco-Free Kids, said Friday said the organization’s main goal this year is to eliminate all flavored tobacco products, including cigarettes, mirroring a law that took effect last year in Massachusetts.
“We’ve got to protect kids from these flavors,” O’Flaherty said. “We really want all flavors off the market. You just have to do it that way. Smoking overall is going down. If we are serious about ending the cycle of addiction, we have to nip it in the bud. All of Connecticut’s neighbors have banned all flavored e-cigarettes, but only Massachusetts has banned flavored tobacco too.”
A spokesman for the vapor company Juul Labs, said Friday that with a customer base of one billion adults, it is committed to keeping children away from using its products, while helping grown-ups wean themselves from smoking. In September of 2019, the company ceased all marketing and advertising.
“We will continue to reset the vapor category in the U.S. and seek to earn the trust of society by working cooperatively with attorneys general, legislators, regulators, public health officials, and other stakeholders to combat underage use and transition adult smokers from combustible cigarettes,” the spokesman said.
At Puff City on River Road in Shelton, Matt Genc, a partner in the three-year-old smoke shop, says any state laws are part of the cost of doing business. He said that banning flavored vapes would hurt sales, but that the store obeys all rules. “Whatever is legal, we’re selling and whatever is not legal, we’re not selling,” Genc said in a Friday phone interview.
British American Tobacco (BAT) has pilot-launched its first CBD vaping product, Vuse CBD Zone.
This new range is available in three e-liquid flavors—mint, mango, and berry—and two strengths—50 mg and 100 mg. Vuse CBD Zone is initially being launched Manchester, U.K., in convenience stores and online (online purchase is geofenced for Manchester residents). Further rollout plans are anticipated for later in the year.
“With the rollout of Vuse CBD Zone in Manchester, our unique multicategory portfolio now, for the first time, offers products that go beyond nicotine,” said Fredrik Svensson, general manager at BAT U.K. and Ireland, in a statement. “CBD vaping is a new category for us, and we will be using this pilot launch to gain key learnings about consumer and retailer experiences, combined with our extensive expertise and knowledge of vaping, to help inform plans for a potential nationwide roll-out of Vuse CBD Zone later in the year.”
Japan Tobacco (JT) plans to expand in Japan sales of “Ploom TECH+ with,” the more compact version of JT’s tobacco-infused vapor series, Ploom TECH+. The new device will gradually be available nationwide starting at Ploom shops and select tobacco retail stores from Feb. 1, 2021, along with convenience stores from Feb. 2, 2021.
British American Tobacco (BAT) has pilot-launched its first CBD vaping product, Vuse CBD Zone.