Vaping is for wimps.....
Yeah, real men enjoy the smooth, refreshing taste of cancer. From the only legal products that kill you when used as intended by the manufacturer.
My opposition to vaping is not just based on safety. There's no evidence that the vapours cause harm, although let's be clear that vaping has not been proven safe. Tobacco used to be considered in the same way - at one time, there was no evidence of harm, so we got adverts like this:
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E-Cigarettes may have the potential be safe, but they're currently not subject to any significant regulation. There's evidence that at least some vapour products in the USA contain carcinogens, which does cause concerns.[1] Furthermore, there is preliminary evidence to support risk associated with passive exposure to e-cigarette vapours.[2] However, the evidence of harm isn't strong at the moment. Frankly, adverts like this are simply making fallacious statements:
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This is because statements like "no risk of lung cancer or harm from passive smoke" are wrong and misleading - there is no evidence of risk, true, but they cannot say that there is no risk.
The biggest concerns I have about e-cigarettes is the marketing. First of all, they are often marketed to consumers as an alternative to tobacco products which can help you quit. Frankly, there is currently no evidence supporting this. There are some studies demonstrating short term benefits (up to one month) in using e-cigarettes as smoking cessation aids, but longer term studies have failed to show any such benefit. [3] There's still work to be done in this field, and whilst e-cigarettes may have a role in smoking cessation, their use alone currently has no evidence of long term success. At the end of the day, the products continue to have nicotine in them, so without a plan to reduce your nicotine consumption, you're still addicted.
More concerning, e-cigarette manufacturers are often owned, and are being purchased by and are receiving investments from, tobacco companies.[4] They don't seem like natural allies - the products should be in direct competition if we believe the marketing.
And the reality is that vaping is being used to make the act of smoking appear more socially acceptable. Advertising demonstrating the use of e-cigarettes is growing, and I find it concerning to see adverts like this on the television in the 21st century.
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Then look at this one (not safe for work).
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The aim of this advert is to make the product appear glamorous. Looking at the adverts, it's hard to believe the claims that they're not marketing their products to non-smokers. True, they are all aimed primarily at smokers, but the glamour exuded by the products is similar to that from the original smoking adverts in the 60s, and I find it hard to believe that they're not targeting non-smokers as well. Often, the reference to existing smokers is somewhat covert (most notable in that last advert).
And here's why I'm really concerned. I don't trust tobacco companies. At all. It seems likely to me that they are using e-cigarettes to 1) retain smokers who are trying to quit. There's no evidence of long term success, so chances are they'll go back to smoking their usual brand of cigarettes. And even if they don't, they're still hooked on your vapour product. More concerningly, I think that 2) companies are targeting non-smokers and young smokers with their products, which could act as a gateway to real tobacco products. A recent study in JAMA Pediatrics (sic) does demonstrate that teenagers who use vapour products are more likely to progress to tobacco use than non-vaping peers.[5] Whilst it's hard to say that those teens wouldn't have started smoking anyway, it is a concerning that these products are being used by young people.
My position overall would be that vaping should be treated cautiously, and any suggestions that they offer any health benefits should be treated with scepticism until proven otherwise.
The biggest reason I support regulating e-cigarettes in the same manner as tobacco products is that they are clearly being used by the tobacco industry to reverse decades of work in the field of smoking cessation. The various regulations banning tobacco sale, display, advertising and use have done a good job to remove that glamour and acceptability surrounding tobacco. Sadly, e-cigarettes threaten this progress. Their use in enclosed public places, including trains, should be restricted in the same way as cigarettes and tobacco products because it promotes the image that smoking is socially acceptable.
References
[1]
Tobacco Companies Sued Over Cancer-Causing Substances in E-Cigarettes
[2]
E-cigarette vapour could damage healthy of non-smokers, (subscription or ATHENS required to access)
[3]
Studies suggest E-cigarettes don't aid long-term smoking cessation
[4]
Big Tobacco light up e-cigarettes (subscription or ATHENS required to access)
[5]
Progression to Traditional Cigarette Smoking After Electronic Cigarette Use Among US Adolescents and Young Adults