Tobacco and E-Cigarettes

Dear World

We have World No Tobacco Day so let’s start with the highlights from our forensic blog on Tobacco last year.

FOR THE RECORD – Simple Living Global is not short of content but this snapshot gives us a laser update…

The tobacco epidemic is one of the biggest public health threats the world has ever faced. (1)  

7 million people die from tobacco use every year
8 million predicted by 2030 (2)

Six trillion – 6,000,000,000,000 cigarettes are smoked every year (3)

Over 1 billion smokers in the world (1)

$1,000,000,000,000 – one trillion US dollars
Tobacco industry’s annual revenues (4)

Nicotine is a toxic poison and is highly addictive (5)

We could actually leave it at that because this one page of stats speaks volumes to all of us.
Anyway we choose to look at Tobacco and what it is doing to us tells us it is harmfull.

We cannot get away from that immutable fact.

WORLD No Tobacco Day 2018: Tobacco and Heart Disease
31 May 2018

WNTD focus for 2018 is Tobacco and Heart Disease.
Cardiovascular diseases (CVD), including stroke, are the world’s leading causes of death.

Tobacco use is the second leading cause of CVDs after High Blood Pressure.

12% all heart disease deaths are from Tobacco use and second hand smoke exposure.

50% all deaths in WHO European region is CVDs
28% – highest overall prevalence for smoking in 2017 estimated in the European region.

The campaign for World No Tobacco Day aims to increase awareness on feasible actions and measure that key audiences, including governments and the public, can take to reduce the risks to heart health posed by Tobacco. (6)

If we keep it Simple and just join the dots here, we know that Tobacco hurts our heart and causes damage.

What if we stopped coming up with the next campaign or Solution and instead put all our efforts and focus onto finding out the following –

What is hurting the hearts of our children and teenagers that leads them to taking up smoking?

Would this be the game changer for us in the world as these kids are our future adult population?

Do we need to put our attention on education so we can warn them up front at a very young age that any form of smoking is bad for us?

Kids like things simple and they want to learn so why not give them an understanding as to WHY smoking affects our heart?

Next – it’s been well over a century that we have known cigarettes kill us and we all have this awareness. Let’s stop pretending and let’s stop thinking we don’t know.

Ask a young child and they will tell us it is bad – they just know.

So, with due respect to all those who are in positions of power and can make changes at a country and global level, let’s Get Real – is reducing the risks to heart health posed by Tobacco the answer?

Is this a form of reductionism?
In other words,  are we looking for ways to band-aid our biggest killer that comes from a lifestyle choice?

Are we with our yearly No Tobacco day actually getting on the front foot and can we be Absolutely Honest and say things are not great and things are not working and could there be Another Way?

Can we admit that our soft and nice approach is doing nothing?
Can we admit that banning smoking means most find another way to continue?
Can we admit that our policymakers have not really stopped those who want to smoke?Can we admit that we are so creative we will find alternatives like electronic cigarettes?
Can we admit we are nowhere near getting to the root cause of WHY anyone smokes?
Can we admit that we simply demand more and more research to tell us the same thing?Can we admit we are really into reading the same thing circulating over and over again?Can we admit that we need to stop judging those who smoke and find out why they do?

Can we admit that there are no articles out there on Smoking that give us what Simple Living Global is presenting to us?
In other words, all the facts and the possibility that there could be another way.

Next –

Electronic cigarettes have grown rapidly among youth and are the fastest growing part of the Tobacco market. (7)

What are Electronic Cigarettes?

Also known as –

  • E-Cigs
  • E-Cigarettes
  • E-Hookahs
  • E-Vaporizers
  • Electronic nicotine delivery systems
  • Hookah pens
  • Mods (customizable, more powerful vaporizers)
  • Tank systems (8)
  • Vapes
  • Vape pens

Electronic cigarettes are battery operated devices that are used to inhale an aerosol which contains nicotine, flavourings and other chemicals.

They resemble traditional Tobacco cigarettes (cig-a-likes), cigars or pipes and items like pens or USB memory sticks.

Other devices with fillable tanks may look different.

Generally, they operate in a similar manner regardless of design and appearance. (8)

How E-Cigarettes Work

Most e-cigarettes consist of four different components –

  • Cartridge or reservoir, which holds a liquid solution containing varying amounts of nicotine, flavourings and other chemicals.
  • Heating element – atomiser
  • Power source – battery
  • Mouthpiece – used to inhale

Puffing activates the battery-powered heating device, which vaporises the liquid in the cartridge.

The smoker then inhales the resulting aerosol or vapour (called vaping). (8)

First Generation E-Cigarettes

2004 – development of first electronic cigarette generally attributed to a company in China.

Electronic cigarettes consist of battery, vaporising chamber and electronic cigarette liquid.

First generation were typically designed to look like a cigarette and use cartomisers that combine both the vaporising system and e-cigarette liquid in a single unit.

When the user takes a puff or presses a button, depending on the model, a heating coil is activated and subsequently vaporises the electronic cigarette liquid creating a mist or vapour that can be inhaled.

Many first generation models have LED on the end of the device that glows when puff is taken. (9)

Second Generation E-Cigarettes

Look less like a regular cigarette and contain a ‘tank’ which user fills with electronic cigarette liquid. They choose the flavours and strength (nicotine concentration ranging up to 24mg/ml).

There appears to be a trend towards more experienced electronic cigarette users (vapers) preferring newer generation electronic cigarettes (often called personal vaporisers).

They bear little resemblance to cigarettes and can be used with a range of atomisers, cartomisers and tank systems giving the user a greater range of choice.

These systems typically use larger batteries with adjustable power settings and replaceable coils and wicks.

Third Generation E-Cigarettes

These devices allow user to adjust the voltage applied to the atomiser using a control unit that can be set to different modes. The atomisers sit in the fluid and use different types of coils or wicks that can be replaced. Some come with ‘puff counters’ or downloadable software so the user can program their own voltage level and monitor their patterns of use. (9)

Electronic cigarettes have been developed as a ‘lifestyle’ or consumer product and not as a medicine.

Think about how creative we are and where we choose to put our so-called Intelligence?

While the world continues to Sit on the Fence, waiting for more and more research, there are people out there coming up with another way to use the lethal substance called Nicotine and because that is foul they add the fancy flavours that hook us in and bingo we buy it?

ADD to that they know there is an untapped market who are not keen on that puffing smoke business, we call cigarettes that is so last century. So, they create these devices that are so smart, slick and sophisticated that youngsters like to own one.

ADD to that the older generation, who want bespoke because they have the bling and money to do so, there are fancy places to hang out and buy and try these devices.

If not, there is always the Internet to search for the latest, unusual, must have top of the range so it will guarantee we get noticed.

We want it and it is there.

We call that demand and supply.

Let’s stop Blaming the inventors, producers, retailers, manufacturers, dodgy dealers, the government, the boredom at school, our mates and our parents with bad habits.

Let’s just take the RESPONSIBILITY that we make the choices and it is us who can change those choices.

E-Cigarette Use in Teenagers 

E-cigarettes are popular among teens.
Now the most commonly used form of Tobacco among youth.

  • Easy availability
  • Alluring advertisements
  • Various e-liquid flavours
  • Belief they are safer than cigarettes

All the above make them appealing to this age group.

1 in 4 teenagers reported using e-cigarettes for dripping – practice where people produce and inhale vapours by placing e-liquid drops directly onto heated atomiser coils.

  • 5% used dripping to create a thicker vapour
  • 7% to improve flavours
  • 7% to produce a stronger throat hit – a pleasurable feeling the vapour creates

More research is needed on the risks of this practice. (8)

E-liquids reach higher temperatures when dripped directly onto the coil. This also creates a bigger vapour cloud and provides a bigger throat hit.

A new study now raises special concerns for teenagers who drip.

Allowing the liquid to get superhot can transform harmless chemicals in the e-liquid into toxic ones.

One study showed the hotter the vaped liquid, the more likely it is to undergo toxic transformation. (10)

Vaping hobbyists that do smoke tricks may have popularised dripping.
Suchitra Krishnan-Sarin – Psychiatrist
Yale University, New Haven, Connecticut

Connecticut, USA

1,080 high school students said they vaped

1 in 4 teenagers who vaped had tried dripping

This is the first study reporting on the popularity of dripping in teenagers.
Researchers do not yet know how common dripping is among adults. (11)

In addition to the unknown health effects, early evidence suggests that e-cigarettes may serve as an introductory product for preteens and teens who then go on to use other Tobacco products, including cigarettes, which are known to cause disease and premature death.

Study showed students who used e-cigarettes before 9th grade – more likely to start smoking cigarettes and other smokable Tobacco products within the next year.
Leventhal AM, Strong DR, Kirkpartrick MG et al.,
Association of Electronic Cigarette Use with Initiation of Combustible Tobacco Product Smoking in Early Adolescence. JAMA. 2015; 314(7): 700-707. doi:10.1001/jama.2015.8950 (8)

Another study showing high school students who used e-cigarettes, 7 times more likely to report that they smoked cigarettes 6 months later, compared to student that did not use e-cigarettes.

These results suggest teens using e-cigarettes are at greater risk for smoking cigarettes in the future.
Bold Kw, Kong G, Camenga DR et al.
Trajectories of E-Cigarette and Conventional Cigarette Use Among Youth. Pediatrics. December 2017: e20171832. doi: 10.542/peds.2017-1832 (8)

However, more research is still needed to understand if experimenting with e-cigarettes lead to regular use of smokable Tobacco.

WHY is it that we need more research to understand something that is a no brainer staring us in the face? In other words, we are all capable of joining the dots here and coming to our own conclusion.

If in any doubt, could this forensic article and part 1 Tobacco that Simple Living Global are presenting be enough evidence to bring us all a deeper understanding of the harm of Tobacco, whichever way we want to look at it?

2016 – FDA established a rule for e-cigarettes and their liquid solutions.

Because e-cigarettes contain nicotine derived from Tobacco, they are now subject to government regulation as Tobacco products, including the requirement that both in-store and online purchasers be at least 18 years of age.

Hello again

Can we just stop here and re-read the whole section on e-cigarettes?

Can we join the dots and work this out without another study telling us?

Do we really need more research to suggest that any form of Tobacco is bad for us?

Is this the best way to fund our research knowing what we already know about Tobacco?

Do we really need to now find out more about dripping and if we do what is it that we are asking?

Do we need to wait any longer to find out the ‘unknown health effects’ when we all know Tobacco has nicotine in it and that means it is the same in cigarettes and e-cigarettes? The End.

What is it about science and all the evidence-based thinking, that we seem to demand above common sense?

What if good old fashion back to basics knowledge that some of us call innate wisdom is available on tap to all of us and we go with that?

Would that cut it?

Are we bonkers thinking the age thing is going to stop our kids finding a way to get what they want on or off line?

Let’s get real, our kids are up to stuff that we would not dare even think about, yet it is going on.

Burying our head in the sand and hoping it will pass is no longer going to help them or us.

Blaming the creators of this new device or the government or x y and z will not change anything.

Next – who on earth comes up with these creations?

What makes someone create something – be it a substance, device or practice that is going to pull in the masses and get them hooked and create ill health, not only to their body but to society as a whole?

What is behind the people who keep coming up with whatever they think will sell?

What is it about us that goes for it without any responsibility to the short and long-term consequences?

WHY are we all not uniting on the fact that education is the way forward if we are ever going to stop the rise of Tobacco products in all their forms?

WHY are we not asking serious Questions, so we get to find out why our children are even thinking about lighting up and before we know it are addicted to a lethal legal substance?

WHY are we going to wait for more research into e-cigarettes before they tell us it is just as harmfull as traditional cigarettes and we cannot get away from that immutable fact?

Have we ever stopped long enough to think that e-cigarettes may just be another version of the same stuff?

In other words, it is still ice-cream but a different flavour?

Is this making sense?

Does any of the blue commentary on this forensic blog make sense to us on the street?

Are we ready to look at this serious topic from all sides and open up conversations and discussions so more of us become aware of the killer that Tobacco really is?

How E-Cigarettes Affect the Brain 

The nicotine in e-liquids absorbs in to the bloodstream.

When it enters the blood, nicotine stimulates the adrenal glands to release the hormone epinephrine (adrenaline).

Epinephrine stimulates the central nervous system and increases blood pressure, breathing and heart rate.

Like most addictive substances, nicotine increases levels of a chemical messenger in the brain called dopamine, which affects the part of the brain that controls reward (pleasure from natural behaviours). These feelings motivate smokers to use nicotine again and again, despite possible risks to their health and well-being. (8)

Would it be wise to learn more about our adrenal glands and the importance of the hormones that they naturally produce which are essential to life?

Do we need to find out more about Adrenal Fatigue and whether it is possible to suffer from Adrenal Exhaustion where it goes undetected for years?

Could it be possible that smokers are not aware that they may have depletion in the form of lack of vitality levels in their body?

Could it be possible that nicotine becomes a way to mask and hide the real drain of the body that goes on behind the stress of daily life?

Could it be possible that nicotine is messing with our internal body clock hence sleep is way off and whacky for many smokers, regardless of age?

Could it be possible that without a strong Sleep rhythm our adrenals suffer from fatigue?

Could it be possible that the disturbance from sleep is linked to our nervousness and anxiety?

Has anyone ever noticed that those who smoke are not settled or steady in their body?

Could it be possible that this is because nicotine can cause High Blood Pressure so the heart is pumping at an un-natural pace, leaving us edgy and shaky, not solid and stable?

Nicotine

Chemistry 

Nicotine is an alkaloid – a chemical compound that is present in Tobacco.
0.6 to 3.0% of dry weight of Tobacco made up of nicotine.

Nicotine is found in Tobacco plants (Nicotiana tabacum) where it is synthesised in the roots and accumulates in the leaves. It is an oily liquid that is miscible with water in its base form.

Tobacco smoked – nicotine is absorbed through the wall lining of the small air sacs in the lungs. When it is sniffed or chewed, it is absorbed through the mucous membranes of the nose or mouth. Nicotine can be absorbed through the skin. (12)

Nicotine works by mimicking the actions of a naturally occurring brain chemical acetylcholine, by docking with its special receptor molecules. Some of these nicotine receptors in the brain activate part of the ‘pleasure centre’ which could be responsible for nicotine’s euphoric affects. (13)

Regardless of how nicotine is absorbed, it enters the blood stream where it circulates throughout the body and travels to the brain where it crosses the blood-brain barrier. Once in the brain, it binds to and activates receptors called the cholinergic receptors. (12)

Nicotine and the Blood Brain Barrier

The blood brain barrier is a physiological barrier between the circulatory system and the central nervous system that establishes a privileged blood supply, restricting the flow of substances into the central nervous system. (14)

However, some substances can get through the Blood Brain Barrier –

Passive diffusion:
Fat-soluble substances dissolve in the cell membrane and cross the barrier –
Alcohol, Nicotine and Caffeine. (15)

In both pre-clinical and clinical studies, psycho-stimulants including

Methamphetamine
MDMA
Cocaine
Nicotine

produce Blood Brain Barrier dysfunction through alterations in tight junction protein expression and conformation, increased glial activation, increased enzyme activation related to Blood Brain Barrier cytoskeleton remodelling and induction of neuroinflammatory pathways.

These detrimental changes lead to increased permeability of the Blood Brain Barrier and subsequent vulnerability of the brain to peripheral toxins. (16)

Nicotine is a toxic substance which because of its lipid solubility can cross the Blood Brain Barrier.
It has several different actions in the Central Nervous System, one of which is neuroexcitation where it can result in seizure activity. (17)

Nicotine is a soluble small molecule that rapidly diffuses through the Blood Brain Barrier and can interact directly with nicotinic acetylcholine receptors (nAChRs) on brain endothelial cells. (16)

Effects 

Cholinergic receptors are present in the brain as well as in other areas such as the muscles, heart, adrenal glands and other vital organs. Normally these receptors are activated by the neurotransmitter acetylcholine, which is produced at nerve endings in the brain and in the nerves of the peripheral nervous system.

The actions of acetylcholine help to maintain healthy respiration, heart function, muscle movement and cognitive functions such as memory.

Since nicotine has a similar structure to acetylcholine, it can activate the cholinergic receptors.

Unlike acetylcholine, nicotine enters the brain and disrupts its normal functioning.

Regular smoking leads to a change in the number of cholinergic receptors and to changes in their sensitivity to nicotine. This can lead to the development of nicotine tolerance.

Once this happens, the person needs to use nicotine regularly to maintain normal brain function. If the level of nicotine falls, the smoker may experience withdrawal symptoms that lead them to ‘top up’ their nicotine levels by smoking again.

Smoking is considered by the American Heart Association to be one of the hardest addictions to break because of its highly addictive properties. (12)

Hello

WHY IS THIS NOT BASIC EDUCATION AT SCHOOL?

What if we all got a simple clear understanding of what the harmful chemical called nicotine is doing to us if we smoke?

Would we then be equipped to make different choices because we know the facts?

What if we made it super simple so our kids just get it, like this example –

Our body has a job to do and it just KNOWS everything so we do not have to worry.

It has chemicals that activate and do jobs like breathing and move our heart and muscles.

There are special ones designed just to do particular things in the brain like memory, so we never forget things when we need to recall them.

Cigarettes and e-cigarettes (this new stuff) is dangerous because it has nicotine inside it. That is the poison chemical that pretends to be the real natural thing when we smoke it and our brain is tricked so it cannot function like it normally would.

The worst thing is we want more of this dangerous stuff as it hooks us in and so we do even more damage inside our brain and body.

Most people cannot stop and give it up as they do not like the ugly feelings when they stop smoking.

So most smokers continue to smoke and fill up their lungs with a false breath, which they take in with smoking poison, but really deep down they want the real breath that came with us when we were born.

So, could it be possible all of us need to be reminded and learn how to breathe the true breath, so we never ever will end up smoking or harming our precious body?

Would it be wise to help all children and get this information into every single school in the world?

What if simply connecting to our own natural breath and having that as a basic teaching from first school is the answer, because the rest will take care of itself?

What if this is the missing ingredient on the school agenda that will support our young children to become steady responsible adults in the future?

Next –

Why is Nicotine Addictive?

Nicotine is addictive because the brain starts to rely on it to work properly, so that it becomes sensitive to its own chemical – acetylcholine.

90% smokers say they would like to stop but can’t.

Nicotine withdrawal symptoms include irritability, anxiety, sleeplessness and loss of concentration.

Cigarette smoke contains other harmful substances including carbon monoxide and tar.

25% of all cancer deaths are caused by smoking. (13)

Health Effects of E-Cigarettes – are they Safer than Tobacco Cigarettes? 

Some research suggests e-cigarettes may be less harmful than traditional cigarettes when those who regularly smoke switch as a complete replacement.

Nicotine in any form is a highly addictive drug (8)

Research suggests e-cigarettes can even prime the brain’s reward system, putting vapers at risk for addiction to other drugs.
Levine A, Huang Y, Drisaldi, B, et al. Molecular Mechanism for a Gateway Drug: Epigenetic Changes Initiated by Nicotine Prime Gene Expression by Cocaine. Sci Transl Med. 2011; 3(107):107ra109. doi:10.1126/scitranslmed.3003062 (8)

E-cigarette use exposes the lungs to a variety of chemicals, including those added to e-liquids and other chemicals produced during the heating/vaporising process. (8)

University of California study where scientists looked at first generation e-cigarettes because they are inexpensive, which can make them attractive to teenagers.

Five different brands of e-cigarettes where the liquids came packaged from the manufacturer and were non-refillable. Traces of toxic metals included nickel, chromium and manganese were found and the amounts varied between brands.

Research suggests that nickel and certain forms of chromium may cause Cancer. Manganese can harm the nervous system. (11)

Additionally, another study found significantly toxicant exposure in adolescent e-cigarette users.

In most cases, these harmful chemicals were present whether the product contained nicotine or flavourings.

More research is needed on the health consequences of repeated exposure to these chemicals. (8)

Researchers found significant levels of lead, arsenic and other metals in the e-liquids inside the refill dispensers of vapers.
John Hopkins Bloomberg School of Public Health, Baltimore

It is important for the FDA, the e-cigarette companies and vapers themselves to know that these heating coils, as currently made, seem to be leaking toxic metals, which then get into the aerosols that vapers inhale.
Ana Maria Rule – Senior Study Author (18)

Dear World,

WHY do we need more research when we have enough already telling us, spelling it out to us that SOMETHING IS NOT RIGHT?

WHY are we all sitting around after a century of knowing that anything to do with smoking is bad for us and has no health benefits?

WHY are we all not united on the simple fact that no more research is needed as WE KNOW SMOKING OR VAPING IS NOT FOR HUMAN CONSUMPTION?

Could our researchers be put to better use with their time and skills as the old way is not working?

Could we get them on the street, talking and having conversations and finding out what gets our youth into taking up smoking for the very first time?

Could we then get them digging deeper and looking at their family life and lifestyle choices that go with that and see what they come up with?

Could we then join the dots and see what is missing that makes someone so young want to get hold of a poison that will seriously harm their body?

Could we then interview adult smokers and find out everything we can about them and use this anecdotal evidence to report real life findings and end the hypothesis of this and that?

Could we then get our researchers uniting, so on a global scale we leave no stone unturned?

Could we ensure that all research is funded and is Absolutely Independent and that means no back handers from those in the industry that could tamper with the findings to suit an agenda?

Could this type of research get us to the root cause of why anyone smokes in the first place?

Could this be the research of the future that will see the tides turning once and for ALL?

In other words, real change that benefits us ALL.

Health Effects for Teenagers 

Teenage years are critical for brain development.

Nicotine affects the development of the brain’s reward system and continued e-cigarette use can not only lead to nicotine addiction but it can make other drugs such as Cocaine and Methamphetamine more pleasurable to a teenager’s developing brain.

Nicotine affects the development of brain circuits that control attention and learning.

Other risks include mood disorders and permanent problems with impulse control – failure to fight an urge or impulse that may harm oneself or others. (8)

Surgeon General Reports on Smoking

The Surgeon General report process is an enduring example of evidence-based public health in practice.

Cigarette smoking remains one of the most pressing global health issues of our time. (19)

The Surgeon General has published 34 reports on Tobacco since 1964

1964
Smoking and Health: Report of the Advisory Committee to the Surgeon General of the Public Health Service

1967
The Health Consequences of Smoking: A Public Health Service Review: 1967

1968
The Health Consequences of Smoking: 1968 Supplement to the 1967 Public Health Service Review

1969
The Health Consequences of Smoking: 1969 Supplement to the 1967 Public Health Service Review

1971
The Health Consequences of Smoking: a Report of the Surgeon General: 1971

1972
The Health Consequences of Smoking 1972

1973
The Health Consequences of Smoking

1974
The Health Consequences of Smoking 1974

1975
The Health Consequences of Smoking 1975

1976
The Health Consequences of Smoking: A Reference Edition

1978
The Health Consequences of Smoking 1977-1978

1979
Smoking and Health

1980
The Health Consequences of Smoking for Women

1981
The Health Consequences of Smoking: The Changing Cigarette

1982
The Health Consequences of Smoking: Cancer

1983
The Health Consequences of Smoking: Cardiovascular Disease

1984
The Health Consequences of Smoking: Chronic Obstructive Lung Disease

1985
The Health Consequences of Smoking: Cancer and Chronic Lung Disease in the Workplace

1986
The Health Consequences of Involuntary Smoking

1986
The Health Consequences of Using Smokeless Tobacco

1988
The Health Consequences of Smoking: Nicotine Addiction

1989
Reducing the Health Consequences of Smoking: 25 Years of Progress

1990
The Health Benefits of Smoking Cessation

1992
Smoking and Health in the Americas

1994
Preventing Tobacco Use Among Young People

1998
Tobacco use Among U.S. Racial/Ethnic Minority Groups –
African Americans, American Indians, Alaska Natives, Asian Americans, Pacific Islanders and Hispanics

2000
Reducing Tobacco Use

2001
Women and Smoking

2004
The Health Consequences of Smoking

2006
The Health Consequences of Involuntary Exposure to Tobacco Smoke

2010
How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease

2012
Preventing Tobacco Use Among Youth and Young Adults

2014
The Health Consequences of Smoking: 50 Years of Progress (19)

1964 Surgeon General Report

This famous report from Luther Terry, the Surgeon General alerted Americans to the deadly dangers of cigarettes.

A 150,000 word report title – Smoking and Health (20)

Hello

Let’s not fall asleep reading this long list…
Let’s ALL wake up and smell the smoke…

54 years later – can we be Absolutely Honest and say that the biggest change is the statistics have gone up and things have got worse?

In 1964 a 150,000 word report about smoking and health was published.
That is around 7 times the size of this article from Simple Living Global.

Could it be possible that either we are not reading the stuff or those who do read it do not have the power to change things even at a country level?

How can we end this cycle of 54 years and bring about real change?
Is it time to at least consider Another Way?

What if those who can really help need to have a clear radar?
In other words, the quality that they live needs to be Absolutely free of Tobacco and their health needs to show us vitality levels so that means they are not living on stimulants or modern day alternatives to function in daily life.

What if we put these people into schools, colleges, universities, workplaces, hospitals and GP surgeries to give small presentations about the harm of smoking in any form?

What if this could be the game changer simply because these people hold a vibration in their body that others can feel and it gets them to at least stop and consider what is being presented?

What if this would be a cheap and cost-effective way to get down on the street and get on with it and humanity benefits as a whole and no one is left out?

Is this not what our world needs to be about?

In other words, those who can help and support others instead of leaving them to it and then complaining or blaming as we seem to have a habit of doing that.

The study identified cigarette smoking as the chief cause of lung cancer in men (and later as the gender gap between smokers narrowed, women too).

Smoking was also named as the most important cause of chronic bronchitis in men and women and laryngeal cancer.

Committee – 10 scientific experts, five smokers and five non-smokers.

14 month review
7,000 scientific and public health studies
“the most comprehensive analysis ever taken”

Conclusion

70% of smokers more likely die of fatal heart attack than non-smokers

Strong association between cigarette smoking and Cancer of the oesophagus and bladder, emphysema, peptic ulcers and premature babies.

42% of all adults were smokers in 1964 (20)

“It is the judgement of the Committee that cigarette smoking contributes substantially to mortality from specific diseases and to the overall death rate.”

The public’s health has long been stymied on this issue by the powerful Tobacco industry, a business so ingrained in the American fabric that Tobacco leaves are inscribed in stone on the façade of the U.S. Capitol building.

Introducing this seminal document, Dr Terry promised to ‘move promptly’ in taking bold steps to ‘advise anyone to discontinue smoking’ or at least recognise ‘the health hazard of cigarettes. Although roadblocks were in the way for him and his successor, he was responsible for one of the most famous warnings ever made in this history of medicine and public health:

“Caution: Cigarette smoking may be hazardous to your health” 

The following year, Congress passed legislation requiring this warning to be prominently displayed on every package of cigarettes.

27 July 1965 – President Lyndon Johnson, a smoker himself signed the act into law.
It took another 6 years to fully implement.

1971 – cigarette manufacturers were finally banned from advertising on television.
In each of these years, up to the present, 500,000 Americans died from the results of smoking.

1980’s – cigarette smoking” banned from airplanes, hospitals, restaurants and other public spaces.

Cigarette manufacturers did their best to discredit the scientific findings of the 1964 study, which have only proved to be more ominous in the decades that followed.

The Tobacco industry also stepped up the marketing of their products not only to the millions of Americans who were already hooked on smoking but also to women and minorities who had not previously taken up the habit.

Millions of dollars were put into lobbying congressmen and senators to keep their products profitable and widely used.

A few decades later, cigarette manufacturers tried to discredit subsequent scientific research on the dangers of second hand smoke and the addictive nature of nicotine.

1967 – Dr Terry continued to warn the American public about the dangers of smoking as Chairman of the National Interagency Council on Smoking and Health.

“The period of uncertainty is over. There is no longer any doubt that cigarette smoking is a direct threat to the user’s health. There was a time when we spoke of the smoking and health ‘controversy’. To my mind the days of argument are over…”

1990s – coalition of state attorneys general sued the Tobacco industry for the harm caused to many addicted smokers.

Yet we are nowhere near ending the profitable sales of these toxic deadly products.
Cigarette smoking remains the leading cause of preventable disease and death according to the United States Centers for Disease Control. (20)

USA

U.S. Tobacco Companies will run Anti-Smoking Ads everywhere – except Social Media (21)

A court in U.S. directed that 4 Tobacco companies publish the corrective statements on – 

  • The Health effects of Tobacco use
  • Second hand smoke
  • False sale and advertising of low tar and light cigarettes as less harmful than regular cigarettes
  • That smoking and nicotine are highly addictive
  • That they have designed cigarettes to enhance the delivery of nicotine

The statements, appearing in advertisements paid for by the Tobacco industry, were ordered to appear in more than 50 U.S. newspapers, as well as on American television stations.

The publication of the corrective statements, which started 26 November 2017, follows a lawsuit filed by the U.S. Justice Department in 1999 under the Federal Racketeer Influenced and Corrupt Organizations law. The Federal Court first ordered Tobacco companies to implement these corrective statement adverts in 2006, but years of Tobacco industry appeals blocked their publication. (22)

Following numerous appeals to the original lawsuit, the U.S. District Court for the District of Columbia ruled that these major tobacco companies have “lied, misrepresented and deceived the American public” and thus, must “clarify for the public the effects of Tobacco use” by financing the barefaced campaign, which underlines undeniable facts such as
“more people die every year from smoking than murder, AIDS, suicide, drugs, car crashes and alcohol combined.”

The digital print ads are slated to run for four months, while the commercials will air for a full year.

Note – these ads are not on social media, where Big Tobacco’s youngest audiences would see them. (21)

Cigarette Smoking

2016

37.8 million adults currently smoke cigarettes

16 million live with a smoking-related disease

Men more likely to be current cigarette smokers
Higher among age 18 to 65 years
Higher among persons living below poverty level
Higher among persons with disability/limitation
Adults that experienced serious psychological distress more likely to be current smokers (23)

Hello

Can we all get honest here and admit we all like to blame when something is not right for us?

What if we stopped blaming the Tobacco industry and just looked at this from another angle?

What if the Tobacco industry exists as it does because it has the punters, the customers who demand ‘keep supplying, we want it’ and so they do and they make big fat profits and they are not interested in human health as they are a business, just like many in this world that put PROFITS BEFORE PEOPLE?

Could it be that simple?

We all like this finger pointing business but not once do we stop and truly consider that word RESPONSIBILITY and that means we have a hand in this and so it is time to stop all blame.

Blaming guarantees no evolution and if we are seeking to evolve it would be worth reading our blog on this website about Blame.

2016

 E-Cigarette Use Among Youth and Young Adults

The 2016 Surgeon General’s report comprehensively reviews the public health issue of e-cigarettes and their impact on U.S. youth and young adults.

Studies highlighted in the report cover

  • Age 11 to 14 young adolescents
  • Age 15 to 17 adolescents
  • Age 18 to 25 young adults

Scientific evidence in the report supports the following facts:

E-cigarettes typically deliver nicotine, flavourings and other additives to users via an inhaled aerosol.

E-cigarettes are battery powered devices that heat a liquid into an aerosol that the user inhales.

The aerosol is also the vapour – the big cloud we see when smokers exhale e-cigarettes. This can be potentially harmful to the public’s health as it includes nicotine; ultrafine particles; flavourings such as diacetyl – a chemical linked to serious lung disease; volatile organic compounds such as benzene, which is found in car exhaust; heavy metals such as nickel, tin and lead.

The liquid has nicotine and can include solvents, flavourants and toxicants. (24)

E-cigarette products can also be used as a delivery system for Marijuana and other Illicit Drugs.

E-cigarettes are now the most commonly used Tobacco product among Youth.

E-cigarette use among youth and young adults has become a public health concern.

The use of products containing nicotine in any form among youth, including e-cigarettes is unsafe.

E-cigarette use is strongly associated with the use of other Tobacco products among youth and young adults, including cigarettes and other burned Tobacco products.

2015

25% youth in middle and high school have tried e-cigarettes
3 million youth used e-cigarettes in past month
6 out of 10 high school cigarette smokers also used e-cigarettes

Among young adults, e-cigarette use more than doubled from 2013 to 2014. (24)

So what would the real figures be today in 2018?

We all know the popularity among our youth for this new form of tobacco is on the rise.

Are we going to stop and ask Questions or shall we just accept it and carry on, which is how we have always dealt with our youth issues?

Do we point the finger and Blame our education systems and the policy makers for all this?

Do we think that parents could do more but they seem too stressed with other issues?

Do we think this is happening on our watch and in our world so we each have a hand in this?

Do we ever go deeper to ask why is there such a huge demand and what is going on for our young people of today that they need to consume a poison?

Can we come together and start conversations and keep asking questions until we get to the root cause of why this is happening?

Is there more that each one of us can do, talking in the community, writing and expressing or sharing something we have observed – in other words, good old fashion citizen journalism?

What would it be like if we had jobs for elders in the community to get them active and be a guardian for our youth?

What if a good old fashion daily talk would cut it, because most of us tend to respect the older generations as we know they are wise?

Research has found youth who use tobacco products, such as e-cigarettes are more likely to go on to use other tobacco products, like cigarettes.

The brain is the last organ in the human body to develop fully.
Brain development continues until the early to mid-20s.

Nicotine exposure during periods of significant brain development in adolescence can disrupt the growth of brain circuits that control attention, learning, and susceptibility to addiction.

The effects of nicotine exposure during youth and young adulthood can be long-lasting and include lower impulse control and mood disorders.

Nicotine in e-cigarettes and other Tobacco products can prime young brains for addiction to other drugs, such as Cocaine and Methamphetamine.

Nicotine can cross the placenta and affect foetal and postnatal development.

Nicotine exposure during pregnancy can result in multiple adverse consequences, including sudden infant death syndrome.

Ingestion of e-cigarette liquids containing nicotine can cause acute toxicity and possible death if the contents of refill cartridges or bottles containing nicotine are consumed.

E-cigarettes are marketed by promoting flavours and using a wide variety of media channels and approaches that have been used in the past for marketing conventional Tobacco products to youth and young adults. (24)

2014

$3.5 billion – e-cigarettes business in United States

$125 million – manufacturers spent on advertising

70% middle and high school students had seen e-cigarette advertising

Retail stores were the most frequent source of this advertising, followed by the Internet, TV and movies, magazines and newspapers.

2012 Surgeon General’s Report on Tobacco use among youth and young adults found that Tobacco product advertising causes young people to start using Tobacco products. (24)

85% users aged 12 – 17 use flavoured e-cigarettes and flavours are the leading reason for youth use.

90% young adult e-cigarette users said they use e-cigarettes flavoured to taste like menthol, alcohol, fruit, chocolate or other sweets.

Action can be taken at the national, state, local, tribal and territorial levels to address e-cigarette use among youth and young adults.

Actions could include –

  • Incorporating e-cigarettes into smoke free policies
  • Preventing access to e-cigarettes by youth, price and tax policies, retail licensure
  • Regulation of e-cigarette marketing likely to attract youth
  • Educational initiatives targeting youth and young adults

The Food and Drug Administration (FDA) now regulates the manufacturing, importing, packaging, labelling, advertising, promotion, sale and distribution of e-cigarettes.

2016 – FDA began enforcing a ban on vending machines sales unless in adult-only facilities and a ban on free samples and sales to minors.

Parents, teachers, health care providers and others who influence youth and young adults can advise and inform them of the dangers of nicotine; discourage youth Tobacco use in any form, including e-cigarettes; and set a positive example by being Tobacco-free themselves. (24)

Is something missing or have we nailed it?

Are those who set the rules on the front foot?
Are our Solutions going to work when it comes to our Youth?
Are any of us ready to be a positive example to our kids?

Has anyone tried as an adult to give up Tobacco and remain Tobacco free?

Are we aware how difficult it is to give up a highly addictive drug?

Could it be possible that even our best efforts to set an example and be Tobacco-free is just not happening as it really is not that simple?

Could it be possible that our kids need real role models and when they look around there does not seem to be any?

Could it be possible that our children would truly benefit from good old fashion daily no nonsense talk and some discipline with a big dose of Responsibility?

In other words, talk to them like adults and get them to step up and realise that their choices have consequences and teach them about decency and respect.

Could it be possible that our youth are getting out of control because there is no one out there who is a constant in their life that they can go to in times of need?

Could it be possible that no adolescent will ever listen if we tell them to stop smoking while we are still doing the stuff, albeit behind their back?

900% increase in e-cigarette use among high school students (25)

Understanding e-cigarette use among young people is critical (24)

No kid should be using any tobacco product
Dr. Scott Gottlieb – FDA Commissioner (26)

9 in 10 adult smokers first try conventional cigarettes during adolescence (24)

Crack Down on E-Cigarettes

March 2018

The Food and Drug Administration (FDA) is failing in its responsibility to regulate e-cigarettes. By inaction, the agency allows a wall of vapour to obscure the fact that Tobacco in any form poses a real danger and imperils children’s lives. (27)

Sleek, featherweight, metallic dark colours are now a brand of electronic cigarettes that have become a fashion – a contagion among high school students across America.

Easily mistaken for a flash drive, USB stick, the gadgets let kids do vaping without notice in hallways or school cafeterias and conveniently recharge on their laptops.

Hello World

Is this where we need to just stop and ask who on earth comes up with these things and what drives them to do this when we all know it harms?

WHY are these inventors so creative in making sure they are on the front foot and coming up with this stuff that they know will be a hit and bring in the big bucks?

WHY are we back peddling and not getting ahead and knocking this stuff out with our innate wisdom and know how?

Are we able to admit that whilst we don’t like what it is doing to our youth, we are not hating it enough, so we just leave it, hoping others will take action or say something?

2016 

1,700,000      high-school students used e-cigarettes

500,000         middle-school students used e-cigarettes

Beguiled by unregulated advertisements and fruit flavourings.
Undeterred by the federal prohibition on sales to minors.
Children take in as much nicotine from these vaping devices as from combustible cigarettes.
Research suggests once addicted to vaping, they may be more easily drawn to old fashioned smoking.

Anyone vaping suffers the ill effects of Nicotine on blood pressure and heart rate and expose themselves to any number of other toxic chemicals that may inflame airways and otherwise poison teenage and adult lungs and other organs. (27)

FDA Commissioner hopes e-cigarettes might be useful in helping smokers quit.
But there is far too little evidence to support that idea.

On the contrary –
new research suggests that smokers who switch to e-cigarettes may be less likely to quit than those who don’t.
Even if e-cigarettes help a few people escape Tobacco, they attract so many teenagers that their net effect is decidedly harmful. (27)

The FDA is belatedly considering limiting or banning e-cigarette flavourings like ‘peanut butter cup’ and ‘bubble pop’ which obviously appeal to kids.

The FDA Commissioner has postponed any further regulations and requirements that e-cigarette makers disclose their ingredients.

The American Academy of Pediatrics and several other health groups, including Campaign for Tobacco-Free Kids have filed suit to challenge the FDAs delay.

Litigation should not have been necessary. The agency ought to move quickly to restrict e-cigarette advertising and online sales and to impose testing and labelling rules so consumers know what dangerous ingredients e-cigarettes contain.

Further delay will prolong the myth that e-cigarettes are benign, give a malignant habit time to spread and destroy the health of millions of American children.
Just because there is no smoke, it does not mean that cigarettes cannot kill us. (27)

1 in 3 students – 12th grade report using some kind of vaping device which contains nicotine, marijuana or ‘just flavouring’.

Survey suggests use of hookahs and regular cigarettes declining.

2017 Monitoring the Future (MTF) survey of 8th 10th 12th graders in schools nationwide.

Annual research conducted by scientists of University of Michigan and National Institute on Drug Abuse (NIDA)

2017 – MTF survey

43,703 students
360 public and private schools

1975 start of survey to measure how teenagers report their drug, alcohol and cigarette use and related attitudes in 12th graders nationwide.

1991 – 8th and 10th graders were added. (28)

Important to note that some research suggests many teenagers do not actually know what is in the device they are using. Not all labelling is consistent or accurate.

27.8% – high school seniors reported ‘vaping’

1 in 10 – 12th graders say they use nicotine
1 in 20 – report using Marijuana in the device

“We are especially concerned because the survey shows that some of the teens using these devices are first-time nicotine users.
Recent research suggests that some of them could move on to regular cigarette smoking, so it is critical that we intervene with evidence-based efforts to prevent youth from using these products”.
Nora D. Volkow M.D. – Director of National Institute on Drug Abuse (NIDA) (28)

2017

79.8% – 8th graders said they disapprove of regularly vaping nicotine (28)

E-Cigarette Brand ‘In’ With Today’s Teenagers
How the FDA is Cracking Down –

April 2018 

The Food and Drug Administration will target 7-Eleven stores, Shell gas stations and other vape retailers in a nationwide crackdown on sales of vape pens to underage teenagers.

There is one particular brand of e-cigarette that has become wildly popular among high schoolers with flavours such as fruit medley, cool mint and crème.

As teen smokers did in past decades, kids vape in the boy’s and girl’s room.
The bathroom is the main source of it.
As students grow bolder, usage has moved to classrooms.
Maureen Byrne – Principal of Dublin High School, San Francisco

What is the FDA doing? 

The agency issued warnings to 40 online and traditional retailers, including convenience stores and vape speciality shops. This is part of a “blitz” that FDA Commissioner Scott Gottlieb said will continue through with additional actions in coming weeks.

Immediately after the FDAs announcement, a particular e-cigarette company announced its own $30 million campaign to curb underage use of its products, funding both research and a panel of experts led by an Attorney General. (29)

Is this campaign the answer?
Is this a Solution in any way?
Will the experts be unbiased?

Can we guarantee that the research will be totally Independent if it is funded by those who are being exposed – in this case the makers of a popular device where sales are growing rapidly for the youth market?

The wallop of nicotine packed into these pods could backfire for kids seeking a cigarette alternative. The nicotine’s addictive nature amounts to a “very real possibility” users will move from vaping to smoking.
Dr. Steven Masters – Family Physician, Tennessee (29)

Is this family doctor telling us something that we need to pay attention to?

Is this man on the front foot and spelling it out for us that our kids could end up being the adult smoking population in the future?

Many e-cigarettes contain traces of formaldehyde and other chemicals but the health effects of those are not clear. (29)

Is this something we should be concerned about?

Can we trust the research is going to tell us the Truth?

Do we have reservations or are we going to wait and accept what research tells us?

Is this statement ok for now because it says ‘traces’ of this gas called formaldehyde?

Do we need to be worried as we do not know what the ‘other chemicals’ are right now?

WHY are we all not banging on about this to get the facts clear?
WHY are the media not reporting the dangers and serious harm of e-cigarettes?
WHY are we not being Absolutely Honest and being totally transparent about this topic?

WHY are we Sitting on the Fence when it comes to conversations that require our attention before things get even more out of control?

Ads for E-Cigarettes Today

Robert Jackler is an ear, nose and throat surgeon from Stanford University and has spent more than a decade researching the history of advertisements produced by Big Tobacco, who are the five largest global Tobacco industry companies.

His diverse collection contains more that 50,000 ads from magazines, newspapers, billboards, television and the Internet from 1900 to present day.
The collection is archived within the Smithsonian’s National Museum of American History and it highlights the Tobacco industry’s efforts to deceive the public about the health risks of their products.

Central themes of Jackler’s collection include faux medical imagery and exaggerated health claims, posh cultural icons and celebrity endorsements and the explicit targeting of youth populations with cartoon characters, sweet flavours and promises of elevated social status.

Now, decades after the U.S. government began regulating Tobacco advertising, these techniques are being diverted toward getting young people to try e-cigarettes.

Late 1900s – Federal government tightened regulations on the placement and content of traditional Tobacco advertisements, largely limiting their exposure to children. The first of these regulations came when Congress passed the Public Health Cigarette Smoking Act of 1970 to ban the advertising of cigarettes on television and radio, following the landmark 1964 Surgeon General report that causally linked lung cancer and chronic bronchitis to smoking.

In early 2000s – emerging companies promulgated a new way of getting hooked on nicotine:
Electronic cigarettes, commonly known as e-cigarettes.
Jackler has collected 13,000 items pertaining to this fad and his research has revealed troubling similarities between the campaigns of old and the practices used today.

“E-cigarette producers ignore absolutely everything that was ever agreed to around combustible cigarettes.
You have pictures of doctors saying ‘use this e-cigarette’. You have all sorts of claims in e-cigarettes that are the kinds of things that would have been forbidden. E-cigarettes show up on television and radio.”

His collection of e-cigarette ads has misleading and targeted messages from pseudoscientific health claims to kid-friendly bubble gum flavours and ‘back to school’ sales.

Jackler and others argue that e-cigarette companies’ marketing campaigns carry much more appeal to adolescents – most of whom never may have considered cigarettes and have not been subjected to heavy cigarette marketing thank to new regulations.

With bright colours, sleek design and fashionable millennial models, advertisements for a device that is a popular high nicotine product, could easily be promoting the newest smartphone line.

“Very clearly, they do the same thing today as they did then. The messaging is very subtle, very carefully crafted. They target, in the same way, adolescents” says Jackler. (30)

We could say this surgeon is on a mission to expose the Tobacco industry because he sees first hand what smoking does because he is a throat specialist.

Whatever our views and beliefs are, we cannot negate the fact that the marketing of a device, small enough to fit in a closed fist, with tech inspired design that resembles a USB flash drive, was manufactured for a certain age group.

ADD to that the flavours like mint, mango and crème brulee and bingo you have a ready-made market called adolescents. It is the ultimate appeal for young people and facilitates initiation of Tobacco use.

One cartridge has 200 cigarette puffs which is equal to a pack of cigarettes.

What is alarming and should be of great concern to us all is that many young people do not even realise they are inhaling nicotine when they vape or use e-cigarettes. The majority think they are vaping only flavouring, not nicotine according to the University of Michigan’s 2016 Monitoring the Future study. (31)

The Centers for Disease Control and Prevention reported that in 2015 –
99% of e-cigarettes sold in U.S. convenience stores, supermarkets and similar outlets contained nicotine.
(32)

While e-cigarettes are advertised as a less-harmful alternative to their combustible counterparts, studies have linked e-cigarettes to a host of health issues, including Asthma and chronic bronchitis.

They can also act as a gateway to traditional smoking: studies find adolescents who use e-cigarettes are 20% more likely to take up traditional cigarettes in the future.

One fMRI brain imaging study supports Jackler’s claims that e-cigarette ads appeal particularly to kids. Research by Yvonnes Chen suggests that some e-cigarette advertisements may trigger high levels of activation in the reward centres of adolescent brains – even for those who have never smoked.

Themes of rebelliousness, sex appeal and kid-friendly flavours abounded in the e-cigarette ads, which explains the adolescents’ heightened neural and behavioural responses.

“If you take a look at these categories, these have been traditionally used by Tobacco companies when they were trying to market the combustible Tobacco products.
The appeals are very consistent throughout the decades…and clearly, these are the traits that are traditionally appealing to adolescents and even children.”
Yvonnes Chen – University of Kansas

Many studies have shown for adult smokers watching videos featuring Tobacco products, it activates the reward centre in the brain in the same way that physically smoking a cigarette would.

It is a very harmful effect that tends to result in more intense cravings for cigarettes, thus reinforcing the vicious circle of nicotine addiction.

Chen’s team in their study looked at the same reward centres in a group of 30 non-smoking participants aged 14 to 21.

In addition to the neural activity, the adolescents expressed a stronger desire to use e-cigarettes than the other products after exposure to the advertisements suggesting that youth appeal may be even stronger than researchers had expected.

“These ads are designed to appeal to users who are not of age…and we know based on animal models that adolescents’ brains are already so much more susceptible to nicotine…there definitely are a lot of consequences socially with that.

E-cigarette companies have a bigger role to play in terms of being more responsible citizens.
Yvonnes Chen – University of Kansas (30)

According to Jackler, far from being a win for anti-tobacco groups, the e-cigarette industry’s youth appeal and outpacing of regulatory activity could be a win-win for Big Tobacco…he foresees a marketplace where the major Tobacco companies swallow up their more youthful competitors.

The e-cigarettes’ adolescent customer base might then be Big Tobacco’s next generation of combustible cigarette smokers.

Smoking initiation is an adolescent thing…they smoke, they get hooked on the nicotine and they become lifelong consumers.
Robert K. Jackler MD Otolaryngologist – Stanford University, California (30)

Alcohol Flavoured Tobacco Products 

50 alcohol-flavoured Tobacco product lines are marketed by over 400 Tobacco brands and these products attract teenagers, luring them into Tobacco addiction, according to a new study.

Adolescent drinking and smoking go hand in hand and the combination of alcohol flavours in Tobacco products appeal to teen users.

So-called characterizing flavours in cigarettes are banned by the U. S. Food and Drug Administration (FDA) and these restrictions should be extended to the many flavoured Tobaccos for cigars, cigarillos and hookahs, as well as e-cigarette liquids the study authors add.

Jackler and colleagues analysed the top 20 U.S. brands of cigarillos and e-cigarettes using the Nielsen database, which includes unit sales in 25 major chains and 14,000 convenience stores.

The researchers also looked for the top hookah and shisha brands online.
Then they searched among the top brands for products with flavours related to alcoholic beverages such as beer, appletini and margarita.

The research team found –

455 e-cigarette brands
100 flavoured cigar, cigarillo and hookah brands 

Most popular fruity flavours were pina colada, mojito and margarita
Most popular spirit flavours were rum, bourbon and whiskey

We found it disturbing that major International Tobacco companies, which claim to be socially responsible and who profess they would never target underage youth, produce a wide spectrum of flavoured mini-cigars and e-cigarettes, including quite a few with alcohol-themed names.
Robert Jackler MD

June 2017 – San Francisco Board of Supervisors unanimously banned flavoured Tobacco.

One Tobacco company is reported to have spent $700,000 on a campaign to collect 34,000 signatures and bring a referendum before city voters.
Ballot to be held in June 2018

If this company spent this much money on a local policy in one city they are sending a message that these bans could severely hurt their business and affect who smokes.
Dr. Pamela Ling – University of California at San Francisco School of Medicine
She was not involved with the study.

Jackler and colleagues are now studying how flavoured products are advertised to appeal to teens. They are comparing differences on Social Media channels, which predominantly appeals to adult smokers and another platform which appeals to younger smokers.

Dr. Pamela Ling of the University of California at San Francisco School of Medicine encourages parents to be informed and take a stand in their communities as well.

Parents should take action and say they do not want these products in their stores or neighbourhoods.
There is not a good scientific reason to leave these products on the market.
Dr. Pamela Ling (33)

Research study at University of North Carolina to know whether e-liquid flavours affected how safe people thought vaping was.

40 studies on flavoured Tobacco products reviewed, including flavoured e-cigarettes.

Most studies were conducted between 2010 and 2016

Both Tobacco users and non-users said Tobacco products more appealing when pleasing flavour.

Younger people were particularly interested in fruity and candy-flavoured products.

2009 – U.S. Food and Drug Administration banned flavoured cigarettes except menthol. It was to limit their appeal to kids.

“Interest in flavours is one of the main reasons youth try e-cigarettes.
It is important to note that just because something does not taste like Tobacco does not mean it is safe. Studies have shown that some flavour compounds in e-liquids such as cinnamon extract appear to become harmful when heated in an e-cigarette.

Research suggests that if you remove the flavours, far fewer youth around the country would use any Tobacco product and that would put fewer kids at risk for vaping-related damage to the mouth and lungs.”
Adam Goldstein, Researcher – University of North Carolina (11)

Loophole Allows Tobacco Products to be Sold on Social Media

Tobacco companies and vendors are making use of Social Media to market and sell their products, including to children under 18.

Research by Stanford University’s Medical School found Tobacco and E-Cigarette companies making extensive use of unpaid or ‘organic’ marketing to sell their products on a social network.

108 pages found by the researchers

50% contained links to buy Tobacco products

75% included coupons and discounts to entice potential buyers

99% pages contained images of E-Cigarettes, Cigars and Smokeless Tobacco

50% Tobacco brand-sponsored pages and
90% online Tobacco store pages did not have “age-gating” safeguards

The social media platform bans “buy now” links and images of Tobacco products under their Tobacco advertising rules.

Their terms require private sellers to restrict children’s access to pages promoting sales of regulated goods and services, which include items such as prescription drugs, Alcohol, firearms and Tobacco.

2 billion people worldwide use this social media platform and brands are increasingly using this medium to market their products and services to young people. (34)

WHY do we have a hole in social media that allows this to happen?

Have we forgotten that each of us has a Responsibility and each of us does make a difference as each of us make up this whole world?

What if we simply started up conversations and posted well-researched articles, like this one so more people become aware?

What if those of us who are ready, can express and use our skills to get the message out on social media and on the Internet?

What if we changed our way and instead of the next photo we choose to upload that has zero purpose for humanity, we made a difference by talking about stuff like this that needs to be out there?

Would that help and support our world that is currently in a real mess?

Recently Tobacco companies have come under fire for marketing cigarettes to children particularly in low and middle income countries.

The focus of this study was on younger people, as they are more likely to take up smoking and tend to be the most active on social media.

Very few adults decide ‘I am smoking today’
Smoking infiltration begins with teenagers
The industry understands that is where its customers come from.
Many of the tactics employed by marketers on this social media platform were deliberately designed to appeal to young people.
Dr. Robert Jackler – Lead Author of the Study and Principal Investigator of Stanford Research (34)

Could we all agree with what Dr Jackler is telling us?

Can we read between the lines and note that something happens in the teenage years and so we need to put our Focus and Priority into finding out what is missing that starts the smoking infiltration that this big wig surgeon is telling us?

How evil we could say it is that the industry knows this and it knows how to market and keep the customers happy BUT what if the real evil is the thoughts that we have entering our mind that makes us do what we do?

For the record – we are using the word evil as a force that separates us from who we truly are.

This may be too far-fetched, way off, whacky and weird right now for most of us, but what if there is something here that the scholars of our future will study?

What if those who will study this website one day, know beyond doubt that back in the early 21st century there were people on the front foot, delivering volumes of what is going to be needed in the years to come, so man will know there is another way?

Liquid Nicotine is a Poison
Why is it Being Packaged Like Junk Food?  

1st May 2018  

Food and Drug Administration (FDA) and the Federal Trade Commission sent 13 warning letters to manufacturers, distributors and retailers for selling e-liquids used in e-cigarettes with labelling and/or advertising that cause them to resemble kid-friendly food products, such as juice boxes, candy or cookies, some of them with cartoon-like imagery.

The FDA is an agency within the U.S. Department of Health and Human Services and protects the public health by assuring safety, effectiveness and security of human and veterinary drugs, vaccines and other biological products for human use and medical devices.

The agency is also responsible for the safety and security of the nation’s food supply, cosmetics, dietary supplements, products that give off electronic radiation and for regulating Tobacco products.

The Federal Trade Commission works to promote competition and protect and educate consumers. (35)

Nicotine is poisonous because it mimics one of the chemical messengers that nerves use to communicate. It can affect signals like how fast your heart beats, muscles move and can lead to vomiting, abdominal cramps, drooling, seizures, problems breathing, paralysis and even death.

The risk is real.  This is not new, it is not hidden – it is common and it is well described.
This is by no stretch of the imagination a scare tactic.
Professor Edward Boyer, Toxicologist – Brigham and Women’s Hospital, Boston (36)

Our children can be exposed to dangerous doses of nicotine by eating Tobacco products like cigarettes, cigarette butts and e-cig liquids.
National Poison Control Center (36)

The packaging can make liquid nicotine refills for e-cigarettes look delicious.
The agency called out products which looks like a juice box and another that looks like candy and also is packaged with actual candy.
That kind of marketing strategy is dangerous because depending on the concentration, even less than a teaspoon could be fatal, according to the Federal Trade Commission. (36)

Feds Warn E-Cigarette Companies about Packaging

8,200 e-cigarette and liquid nicotine exposures among children age 6 or under
January 2012 to April 2017
Analysis of National Poison Data System

For children, exposure to the nicotine in e-liquid products, even in small amounts, could lead to death from cardiac arrest, seizure, coma and respiratory failure.

No child should be using any Tobacco product and no Tobacco products should be marketed in a way that endangers kids – especially by using imagery that misleads them into thinking the products are things they eat or drink.
Scott Gottlieb, Physician – FDA Commissioner (37)

The Food and Drug Administration has the authority to regulate e-cigarettes and e-liquids. (18)

Can E-Cigarettes Help a Person Quit Smoking?  

People believe e-cigarettes may help lower nicotine cravings in those who are trying to quit smoking.

E-cigarettes are not an FDA-approved quit aid.

There is no conclusive scientific evidence on the effectiveness of e-cigarettes for long-term smoking cessation.

E-cigarettes have not been thoroughly evaluated in scientific studies.
For now, not enough data exists on the safety of e-cigarettes, how the health effects compare to traditional cigarettes and if they are helpful for people trying to quit smoking. (8)

On this point, Simple Living Global has just done some citizen journalism and that means talking to smokers on the street. What was clear is that they all said e-cigarettes are just as bad for health and may even be worse.

Note – Simple Living Global is very aware this is not valid data evaluation for a scientific study and it was not double blind tested or carried out in a laboratory, so it would be seen as not reliable.

Nevertheless, it was simple real life ‘get talking on the street’ and finding out what the people had to say – those who are doing the habit day in and day out as they would know from lived experience. They call this anecdotal evidence and may be one day man will rely on this type of information as the true facts to work out how to get out of all the ills we have created.

Concerns over New Health Risks of Vaping 

Irfan Rahman, a Toxicologist from University of Rochester, New York – talked to young vapers and some complained of bleeding mouths and throats. These bloody sores seemed slow to heal.
He investigated what the vapours inhaled from electronic cigarettes might be doing to mouth cells.

October 2016 – his team showed those vapours inflame mouth cells in ways that could potentially promote gum disease. That gum damage can destroy the tissues that hold teeth in place and lead to teeth loss.

Vapers inhale those same gases and particles into their lungs
E-Cigarette vapours also make it hard for lung cells to repair damage

Students age 12 or 13 are now more likely to vape than to smoke
Many under the impression that e-cigs do not contain Tobacco so less risk to health

Research has evidence now that vaping can pose many brand new risks

The vapours affect Immunity
‘Smokers cough’ and bloody sores have begun showing up in teenage vapers
Hotter a vaped liquid gets, the harsher its effects on human cells

New vaping behaviour called dripping ups the heat, which threatens to intensify a teen’s risks from those vapours.

“There are a lot of potentially harmful substances in e-cigarettes
If you are a teenager with your whole life in front of you, why would you take that risk?”
Rob McConnell – Internal Medicine Specialist
University of Southern California in Los Angeles
(11)

New emerging data suggest that adolescents ignore these risks

Impaired Wound Healing 

Cells in the body face constant damage from foreign substances, infections and injury.
The body has a system in place to heal itself
Most organs have special cells – fibroblasts
These cells repair damaged or injured tissue

Fibroblasts make up the connective tissues that keep organs in place
When injured, these cells morph together into wound-healers
“If you cut your hand, fibroblasts are the guys that are going to come in and help heal it,” explains Irfan Rahman

In their wound-healing form, fibroblasts at the edges of a cut will shrink. This causes the wound to close up. This squeezing or contraction of the skin takes a lot of energy.
Fibroblasts are powered by cellular engines called mitochondria and these tiny powerhouses turn food into fuel.

A lab experiment was carried out where growing cells were exposed to e-cigarette vapours.
As expected, the fibroblasts morphed into wound-healing cells. But they did not close up the cut.
Rahman looked more closely at the cellular machinery, some mitochondria had been destroyed.
The fibroblasts simply had run out of the energy they needed before they could successfully squeeze the wound closed.

Smokers Cough – Vapers Cough

Inhaling pollution can irritate the lungs
When the assaulting particles are breathed in regularly, the lungs tend to respond by triggering a cough that will not go away.
There are a lot of these irritants in e-cigarette vapour
Rob McConnell – Internal Medicine Specialist
University of Southern California in Los Angeles (11)

2,000 students in last two years of high school in Los Angeles, California
Researchers asked about their vaping habits and any respiratory symptoms

Anyone who reported daily cough for 3 months was judged to have chronic bronchitis.
Persistent congestion or phlegm for three months or more, not accompanied by cold or flu was also suspected of having chronic bronchitis.

500 students had vaped at some point
200 vaped within past 30 days

Recent vapers twice as likely have chronic bronchitis to those who never vaped.

Researchers looked for other possible causes for students’ persistent coughs and phlegm.
Local air pollution, exposure to triggers for allergic asthma were looked at.

Accounting for above, it did not erase the link between vaping and chronic bronchitis.

Findings were first announced in November 2016

Vapers show some of the same lung symptoms as cigarette smokers.
More teenagers are taking up vaping.

Cigarette smokers with chronic bronchitis often develop permanent lung damage as they get older.

Researchers do not know yet whether long-term vapers will too.

People have not been using e-cigarettes long enough to answer that question.
E-cigarettes have been available in the United States only since 2007 (11)

Hello World

Do we really need to wait another 50 years for research to tell us the long-term damage of vaping?

Can we use our common sense, as we already know with the evidence thus far?

The Week

Smoking Triggers DNA Mutations

Researchers for the first time examined the impact of smoking on human cells.

The study analysed DNA sequences of more than 5000 cancers, in tumours found from both smokers and non-smokers and found those who smoke 20 cigarettes a day for a year typically develop an extra –

150 mutations in every lung cell
97 more in the cells of the larynx
23 in the mouth
18 in the bladder
6 in the liver

Mutations are changes to a cell’s genetic programming that can occur when cells divide.
When they start to build up, cells are more likely to begin dividing uncontrollably – which is what leads to the growth of cancer tumours.

“If you smoke even a little bit, you will erode the genetic material of most of the cells in your body.
You can really think of it as playing Russian roulette”.
The Week – Issue 1100 Page 23 19 November 2016

Risk Factors for Lung Cancer

Cigarette, Cigar and Pipe Smoking 

Tobacco smoking – most important risk factor for lung cancer

Cigarette, cigar and pipe smoking all increase the risk of lung cancer.

90% lung cancer in men caused by Tobacco smoking
80% lung cancer in women

Studies have confirmed that smoking low tar or low nicotine cigarettes does not lower risk of lung cancer.

Studies also show risk of lung cancer from smoking cigarettes increases with the number of cigarettes smoked per day and the number of years smoked.

20 times risk of lung cancer for people who smoke.

Second hand smoke also a risk factor for lung cancer

Smoke that comes from burning a cigarette or other tobacco product or that is exhaled by smokers is classed as second hand smoke.

People who inhale second hand smoke are exposed to the same cancer-causing agents as smokers.

Inhaling second hand smoke is called involuntary or passive smoking. (38)

So this involuntary business tells us we did not sign up for it but hey ho it is what it is.

Do we just sigh and give up and accept that is life or do we say NO this has to stop?

What about the tiny babies where adults smoke in a small space in the home?
What about our precious pets who let’s face it, are like family to most owners?
What about the vet bills that go with the smoke they inhale daily?

Family pets are equally, if not more at risk of being affected by passive smoking as humans, research suggests.

Animals inhale more smoke and because of their grooming routines they also digest nicotine when licking their fur – a study by Glasgow University.

Smoke exposure worsens bronchitis and asthma in animals that already have those conditions.
Source: Royal College of Nurses (39)

Has anyone noticed that banning smokers from trains, planes, eating places and hospitals has not stopped them going outside to puff and leave their ciggie butts by the entrance?

Are we getting any closer to nailing this for all of humanity with our campaigns, solutions and new research which are telling us the same thing – smoking is harmful?

Family History

People who have a relative who has had lung cancer, twice as likely to get lung cancer.

Cigarette smoking tends to run in families and Family members are exposed to second hand smoke, so it is hard to know whether the increased risk of lung cancer is from the family history of lung cancer or from being exposed to cigarette smoke. (14)

Why is it hard to know?

Can we work this out?

Can we use a dose of common sense?

Are we asking enough Questions?

What if the behaviour that leads to anyone smoking in the first place, is the thing that is passed down and this is the family history?

In other words, we have role models as young children growing up and if they happen to be smokers, then we may pick up the patterns of behaviour and do the same.

Could it be possible that if an environment growing up has people who smoke, there is a high chance we will pick up the same habits because it is the accepted normal?

HIV Infection

Human immunodeficiency virus, the cause of acquired immunodeficiency syndrome (AIDS), is linked with a higher risk of lung cancer.

People infected with HIV – more than twice the risk of lung cancer.

Smoking rates higher in those infected with HIV.

It is not clear whether the increased risk of lung cancer is from HIV infection or from being exposed to cigarette smoke. (38)

There are many things we are not clear about, so let’s stick to what we know and the obvious in our face stuff, like this blog and this website full of content to bring more awareness so we are not left in the dark about topics like Tobacco.

Beta Carotene Supplements

Taking beta carotene pills increased the risk of lung cancer.

Higher risk – one or more alcoholic drink or smoking one or more packs of cigarettes a day. (38)

Difference Between Healthy Lungs and Smoker’s Lungs Revealed 

https://www.independent.co.uk/life-style/smoking-lung-damage-healthy-difference-black-video-facebook-nurse-north-carolina-a8334616.html

This video showing the reality of what smoking does to our lungs was posted by a nurse from North Carolina on Facebook.

It compares one set of healthy lungs with those of a full-time smoker.

On one side of the footage, a pair of red-coloured healthy lungs – taken from someone who has never smoked before – are shown inflating and deflating as normal.

The much larger black and cancer ridden set belonged to a smoker who used a packet of cigarettes a day for 10 years. The lungs are failing to properly inflate.

“These lungs are COPD, cancerous lungs.
The elasticity has gone, so they stretch but the recoil of them just snaps right back because there is nothing to help them open. You can see how fast they deflate” the nurse states.

Chronic Obstructive Pulmonary Disease is constriction of the airways and difficulty breathing

Teenager Develops ‘Wet Lung’ After Vaping 3 Weeks

18 year old female vaping for three weeks developed symptoms and went to emergency room of the University of Pittsburgh Medical Center.

Doctors recorded cough, difficulty breathing that was worsening by the minute, stabbing pains in her chest with every inhalation and exhalation.

When coughing became more frequent, ER doctors admitted her to paediatric intensive-care unit and started antibiotics, but her condition rapidly worsened.

Soon the young woman experienced what is commonly known as respiratory failure.

She was unable to get enough oxygen into her blood from her lungs and required a mechanical ventilator (respirator) to breathe for her until her lungs recovered.
Dr. Daniel Weiner (40)

In addition to a breathing machine, tubes were inserted on both sides of the chest to drain fluid from the lungs.

Doctors diagnosed hypersensitivity pneumonitis, (wet lung) an inflammation of the lungs due to an allergic reaction to chemicals or dust.

“Chemicals in the e-cigarettes led to lung damage and inflammation, which triggered the body to mount an immune response.
This immune response can lead to increased inflammation and ‘leaky’ blood vessels, which can lead to fluid accumulation in the lungs.”
Dr. Casey Sommerfeld, Pediatrician – Lead author of the study (40)

This case was written up as a study in the Medical Journal Pediatrics – published May 2018

UK

2014 

Most recent UK data show 15% smokers surveyed currently using electronic cigarettes

2.9 million adults vape

1.5 million ex-smokers use e-cigarettes (41)

Promoting E-Cigarettes to Stop Adults Smoking is Encouraging Young People to Vape

2016

Researchers from the University of Stirling, Scotland studied 4,000 teenagers to examine whether there was a relationship between adolescents’ recollection of e-cigarette displays at point of sale and their past use and intended use of the products.

Promotion of e-cigarettes needs to be considered “carefully” experts have said, after finding that if teenagers notice the products in shops it may influence whether or not they use them.

Officials must consider the balance between promoting e-cigarettes to adult smokers to help them quit and minimising their uptake by teens. (42)

Warnings Over E-Cigarettes That Look Like Sweets

All of the products are available in the UK, either via the Internet or from vaping stores.

The Department of Health said it would be ‘closely monitoring’ the situation but has not issued warning letters to manufacturers.

E-cigarettes are being promoted by UK health officials as a safer alternative to Tobacco.

Yet experts say too little is known about their long-term effects and studies have linked them to Cancer, Heart Disease and Lung conditions.

By law, the devices and fillers can only be bought by over-18s.
But many are purchased online and customers only have to tick a box saying they are 18 or over.

The availability of the confectionary-like brands in the UK was uncovered by the Pharmaceutical Journal.
Daily Mail – 5 May 2018

YES – we all know what the law is but there are holes because things are not rubber tight.

We have the Internet, which for many is a form of access to get what we want, even if it is super harmful. Policing is simply not there when it comes to the Internet so our Youth get away with it.

Can we be deeply honest and ask – have we got the resources to get on the front foot and monitor the industry closely and stop them from advertising to kids?

Would it be true to say that our kids are on the front foot as they seem to find ways of getting what they want and Getting away with it?

Who comes up with these new creations and do we stop to ever ask why would anyone buy this stuff in the first place?

Would it be true to say that as long as we keep the demand going, the suppliers will come up with new ways to keep us going with no value on human health?

WHY would any responsible adult, organisation or an industry even consider marketing e-cigarette products that look like sweets?

Would it be true to say that the marketing has a simple agenda and that is to get maximum sales from a group of people who are not yet hooked into this poisonous substance, which is replacing conventional cigarettes?

Have those who design and produce packaging to tempt our kids forgotten their moral compass?

Did we somewhere along the line, lose our way and make it all about how we can profit from people without any care about human health?

Are we innately configured to make it all about people before profit?

Have we dropped our real true standard about what is Truth and what is not?

Is it simple to say ‘companies have a responsibility’ but they do not dish out the same RESPONSIBILITY to each and every single one of us in this world?

So we seem to be on it when it comes to protecting our children’s health but what about adults?

Have we lost sight of the damage smoking in any form is doing and the real cost, not only to our body but to our family, community, country and society at large?

Where does this freedom to choose and free will come from if it is harming our human frame?

UK councils under pressure as funds managing the pension investments of local authority staff still own at least £1 billion of Tobacco stocks. (43)

One of the obstacles to council pension funds selling tobacco stocks is a legal argument that trustees are obliged to prioritise the need to maximise investment returns over anything else.

“Local governments should give serious thought to divesting, particularly given the cost to the public purse of smoking-related illness.
We call on all government–related pension funds and sovereign wealth funds to look again at their policy.
The health sector across the world is unified on Tobacco but that alone will not be enough.
If the finance sector continues to invest in Tobacco and strives to profit from it, we are working against each other.”
Dr. Bronwyn King – an Oncologist who was instrumental in persuading a large financial service organisation to drop its Tobacco investments (43)

So do we have a hand in this supply and demand chain?

Maybe not directly but on another level what if we are demanding higher investment returns so we get a bigger better pension pot and we are not really fussed or bothered how that money is made?

What if this supports our lifestyle?

What if we do care but only to a point?
In other words, we are willing to say no but only where it suits us and not across the board in all areas of life.

What if we hate smoking and what it is doing to others but at the same time we want the profits that the Tobacco industry makes, as it will let us live the life we want and demand because our work pension can give us that?

75% British smokers aged 16 to 24 began smoking before age 18

Children who start smoking younger – more like to smoke heavily (34)

“There is a real risk that easy access to cheap Tobacco through the Internet could undermine the Government’s vision, set out in the Tobacco Control Plan for England, of achieving a ‘smoke-free generation’.
The guidelines are clear – promoting the sale of use of Tobacco is forbidden, yet cigarettes are still readily available on this social media platform and complaints about it have been ignored.”
Deborah Arnott – CEO of Action on Smoking and Health (34)

The Week

Even One Cigarette a Day is a Risk

A meta-analysis of 141 studies looked at smoking and heart health.
50% raised risk of cardiovascular disease for one a day smokers.

The findings tally with earlier studies that found passive smokers have raised risk of arterial stiffness and inflammation.

Heart Disease is the biggest smoking related killer, linked to even more premature deaths than lung cancer.

“No safe level of smoking exists for cardiovascular disease”.
University College London Team – Report published in British Medical Journal
The Week – Issue 1161 Page 21 3 February 2018

AUSTRALIA 

New South Wales parliament has banned vaping in public spaces.

E-cigarette smokers could be fined up to $550 if caught vaping in public spaces or on public transport across NSW under new laws from July 2018.

This includes shopping centres, cinemas, libraries, trains, buses, public swimming pools, near children’s play equipment, sports grounds, public transport stops and outdoor dining areas.

Put simply, where you are not allowed to smoke cigarettes, you now cannot vape either.
Brad Hazzard – Health Minister

There is evidence of potential health risks from e-cigarette vapours – even if there is no illegal nicotine in the e-liquid.
Vapours can contain chemicals, toxins and metals and some of these substances like formaldehyde are known to cause cancer.
Dr, Kerry Chant – NSW Chief Health Officer (44)

Note – Formaldehyde is a colourless, strong smelling gas.
It is used to make building materials and household products. (45)

There is conclusive evidence that e-cigarette vapour increases particulate matter and nicotine in the air, which may be a risk to bystanders who are exposed to the vapour.

The new laws also force retailers to notify NSW Health they are selling e-cigarettes. (44)

Indigenous Women – Three Times More Likely to Die from Lung Cancer 

There has been an overall surge in female lung cancer deaths as a result of women taking up smoking in the 1970s.

Latest figures show it is having a damaging impact on the indigenous population.

“Lung cancer has now overtaken breast cancer as the leading cause of cancer deaths in women and Indigenous women factored highly in the statistics.
Women who are Aboriginal and Torres Strait Islander living in Victoria are more than three times as likely to be diagnosed and die from lung cancer as non-Indigenous women.
Aboriginal Victorians tend to smoke more than non-aboriginal Victorians, so we are going to see that difference in mortality as a direct relationship to the difference in smoking rates.”
Dr. Sarah White – Director of Quit Victoria (46)

BHUTAN

A small Himalayan nation and the only country in the world that completely bans sale and production of Tobacco and Tobacco products.

Any individual found selling Tobacco can face imprisonment for 3 to 5 years.

A woman who sells Tobacco illegally from her shop says –
“Look at everything in the store. Cigarettes bring more profit than anything else.
I have to pay rent for this place and if I stop selling cigarettes my profits will plummet”

700,000 population and long history of Tobacco control

1729 – first country in the world to have Tobacco regulation

1990s – many districts began autonomously declaring smoke-free zones

2004 – National Assembly banned sale of Tobacco throughout country.
Smoking also banned in public places, private offices and bars.

It was highly praised for being the first country in the world to go smoke-free.

Implementation of the ban remained weak. 

2010 – Government passed the Tobacco Control Act under which smoking cigarettes or chewing Tobacco became non-bailable offence.

First person to be imprisoned was a Buddhist monk caught with 180g chewing Tobacco $2.25.

2012 – Under public pressure amended Act increased permissible amounts of Tobacco that can be imported for personal consumption.

Import now authorised on the following –

300 cigarettes
400 bidis
50   cigars
250g other Tobacco products

However, a receipt for import duties has to be produced or if caught, face hefty fines.

The strict laws have given rise to a thriving black market.
Most sellers get supplies of cigarettes and chewing Tobacco from a dealer, twice a week.
The dealer smuggles in the products across the border from India. (47)

CHINA

World’s biggest consumer of cigarettes
Data from the World Health Organisation

  1. Belarus, Europe
  2. Lebanon, Middle East
  3. Macedonia, Europe
  4. Russia (48)

COLUMBIA

20,900 people killed by Tobacco caused disease

72,000 children aged 10-14 use Tobacco every day

4,138,000 adults continue to use Tobacco each day

3,416,058 million Colombian pesos Economic cost of smoking
this includes direct costs related to Healthcare and indirect costs related to loss productivity due to early mortality and morbidity.

28,600 metric tons of Tobacco produced in 2014

6.58 billion cigarettes produced in 2016

Solutions 

Current Policy in Colombia 

30% product packaging is covered by a graphic warning label

All public places completely smoke-free (49)

COSTA RICA 

2012 – one of the strictest smoking regulations in the world was passed.

Legislation prohibits lighting up in taxis, buses, trains, public buildings, bars, casinos and workplaces. Smoking is also banned from all enclosed public-access buildings and no separate “smoking areas” are allowed.

The country has seen high compliant rates since the ban came into effect. (50)

FRANCE 

2017 – French Bank BNP Paribas announced it would stop its financing and investment activities related to Tobacco companies, including producers, wholesalers and traders.

BNP is the latest financial institution to declare it is ending its association with the Tobacco industry, including Axa SA and the Bank of New Zealand. (22)

GERMANY 

1 in 5 children between grade 5 and 10 have smoked shisha Tobacco

Survey by health insurance company DAK-Gesundheit reveals use of water pipes known as hookahs, is widespread among children and adolescents.

The company believe this is to do with sweet and fruity flavours added to the Tobacco that give the impression that smoking shisha is harmless.

INDIA

Tobacco Consumption

267 million Tobacco users (52)

Majority adults smoke bidis, which are small, thin hand rolled cigarettes.
Bidis comprise Tobacco wrapped in a tendu or temburni leaf (plants native to Asia) and may be secured with a colourful string at one or both ends. They can be flavoured e.g. – chocolate, mango. (53)

Second Hand Smoke Exposure

30.2% adults exposed in indoor workplaces

36.6% youth aged 13-15 exposed in public places
21.9% exposed at home

Health Consequences

1 million killed each year from Tobacco use

926,000 people killed from second hand smoke

200,000 people killed from smokeless Tobacco

74% global burden of smokeless Tobacco

13% of all deaths by 2020 – Tobacco will account for, if current trends continue.

Tobacco Industry

85 billion cigarettes sold in 2016

Bidi rolling is a cottage-based industry employing mainly women and children.

Bidis outsell cigarettes by a ratio of eight to one 8:1 (52)

Tobacco product packs will need to carry new pictorial warnings and for the first time a helpline number for those who wish to quit.

The health ministry notified a new set of two graphic pictorial warnings that doctors say display advanced stages of oral cancer in former tobacco users.

These images will replace the existing warnings that also display images of oral cancer and had come into effect in 2016 and cover 85% of the total surface area of packs of cigarettes, beedis and chewing Tobacco products.

One image will have a health warning TOBACCO CAUSES CANCER
Another image TOBACCO CAUSES PAINFUL DEATH
Both will have QUIT TODAY CALL 1800-11-2356

The idea of making available a helpline number on Tobacco packs is a great step forward by the government – it will offer free cessation advice to those wishing to quit or even thinking of quitting.
Pankaj Chaturvedi – Surgical Oncologist Tata Memorial Centre Hospital, Mumbai (54)

INDONESIA

Tobacco Consumption

65% male age 15+ smoke Tobacco

2% women smoke Tobacco

19.8% tried first cigarette before age 10

88.6% tried first cigarette before age 13

88.4% of smokers use kreteks – clove flavour cigarettes

Second Hand Smoke Exposure 

85% are exposed at restaurants

70% on public transportation

51% adults working inside exposed at workplace

60% youth age 13 – 15 exposed in public places

57% youth are exposed at home

Health Consequences

214,000 people killed annually by smoking

Costs to Society

2010

1,85 TRILLION IDR ($192 MILLION USD)

3.5 million disability-adjusted life years from loss of productivity due to premature mortality and disabilities from consumption of Tobacco, which corresponds to –

106 TRILLION IDR ($11 BILLION USD) ECONOMIC LOSS (55)

January 2018

Vaping is under threat in Indonesia as chain-smoking is moving to stub out booming e-cigarette sector, sparking criticism that the government is siding with giant Tobacco firms at the expense of public health.

Cigarette advertising is everywhere across the vast archipelago, which once had the distinction of being home to the world’s youngest nicotine addicts. A chain-smoking toddler made global headlines in 2010.

Smoking cessation products are hard to find.

Indonesia stands out as a key growth market for global Tobacco firms who are increasingly shut out of countries with tough anti-smoking legislation.

Despite the countries Tobacco-haven status, e-cigarette cafes have been popping up in recent years amid debate over their safety.

57% tax on non-Tobacco alternatives to be imposed in summer 2018

We agree with a tax plan to control consumption but 57% duty is too high and will kill a growing industry.
Rhomedal Aquino, Spokesman –  Association of Indonesian Personal Vaporisers (56)

The early scientific consensus was that e-cigarettes are likely safer than conventional cigarettes for adults.

The trade minister set off a backlash from anti-smoking groups when he suggested Tobacco farmers would be hurt by the fledging industry and that those turning to e-cigarettes should smoke regular cigarettes instead. We should turn vapers into conventional cigarette smokers he said.

The customs office said it hopes the big tax hike will make e-cigarettes unaffordable for children, while the health ministry said it is not sold on the argument that vaping is safe.

“E-cigarettes are just as dangerous and can be even more carcinogenic than regular cigarettes.
We reject both conventional and electronic cigarettes – it is better to quit smoking altogether.

There is no such thing as ‘less dangerous’ when it comes to smoking.”
Muhammad Subuh – Senior Ministry Official (56)

$10.5 BILLION USD TOBACCO TAX ANNUALLY

$7.5 MILLION VAPING INDUSTRY SALES TAX 

State income from the vaping sector is not as big as Tobacco duty.
Cigarette duties vary with a top rate of 54%.
Deni Sirjantoro – Spokesperson for Indonesian Customs and Excise Office (56)

Activists say most popular brands are taxed at rates 35 – 40% and there are concerns that the ‘safe’ image will create a new generation of nicotine addicts and act as a gateway to traditional smoking.

E-cigarettes is still an addictive substance

Imposing higher duties is the most effective method to control consumption – people care more about losing money than losing their health. (56)

Regarding the trade minister’s comments, this is nothing new, say observers of politics and that because of the power of the Tobacco industry here, Indonesia lags far behind the rest of the world in controlling use and suffers from severe health problems as a result.

Indonesia only country in Asia-Pacific region that has not ratified the World Health Organization’s Framework Convention on Tobacco Control. (57)

5 million children smoke cigarettes

The Tobacco industry here is very strong.
Unlike in most other countries, they still perceived simply as normal business.
We lack many control measures that are needed and those rules we do have, like on advertising to children, often go unenforced.
Dr. Widyastuti Soerojo – Head of The Tobacco Control Unit
Indonesian Public Health Association
(57)

Other Substances

The government periodically execute people by firing squad, usually foreigners for non-violent drug offences.

It is the world’s largest Muslim-majority country and the sale of Alcohol is prohibited in convenience stores and is heavily taxed where available.

It is likely that Tobacco use causes more death and illness than the use of illegal Drugs.
Direct comparable data is not available.

Children see lengthy Tobacco ads before watching a Hollywood superhero movie
Cigarettes are cheap
Cigarette tax level far below what United Nations recommend
Smoking indoors is common

The big companies have convinced the government they are important for local Tobacco farmers and for tax revenues.

60% men smoke – Highest known rate of male Tobacco consumption in the world

In reality, the costs of treating diseases caused by Tobacco far outweigh any economic benefits.
Mark Hurley – Communications Director, Former Indonesia Country Director at
The Campaign for Tobacco-Free Kids in Washington (57)

The new legislation concerning vapour products will require vendors to seek a combination of special government licenses, which could take many years to acquire.

These are standards we will never be able to meet.
It will really hurt both small businesses and consumers in our sector.
Rhomedal Aquino, Spokesman –  Association of Indonesian Personal Vaporisers (57)

ITALY

2011

44% Health Professionals smoke – twice the rate of the general population

Dr. Giuseppe La Torre describes seeing doctors and nurses smoking on hospital grounds and even in hospital bathrooms, sometimes while still wearing their medical uniforms.

50% Nurses are smoking

34% Physicians are smoking

22% General Population currently smoking

Many medical students pick up smoking while at university due to high stress levels in medical courses, students who may be away from home for the first time and the lack of formal anti-smoking education.

Research suggests that doctors and nurses who smoke are likely to be less proactive in advising their patients to kick the habit. There is a national problem of teen smoking, especially among young girls.

In the most recent report from the European School Survey Project on Alcohol and Other Drugs, Italy had the highest rates in Europe of 15 – 16 year olds who had smoked a cigarette within the past month – 35% for boys and 40% for girls.

2005 Italy introduced a ban on smoking in public places and were one of the first European countries to do so and has since continually toughened legislation on smoking in advertising and graphic warning labels on packages and has stiffened penalties for those selling to minors. It is becoming socially less acceptable.
Professor Giuseppe La Torre, Tobacco Researcher based in Florence – Sapienza University of Rome (58)

Italy votes to Effectively Destroy the Independent Vaping Sector 

2017 – legislation adopted introducing a “super-tax” of €5 for every 10ml e-liquid and even banned the sales of vaping products both online and in specialised shops without a Tobacco license.

The move is expected to put thousands of companies out of business and leave thousands of people unemployed. (59)

59,000,000 current population (60)

25% population smokes

1.5 million vapers (59)

93,300 people killed each year by Tobacco caused disease

64,000 children age 10-14 use Tobacco each day

11,062,000 adults age 15+ use Tobacco each day

Societal Harms

€26,041 million – economic cost of smoking

This includes direct costs related to healthcare expenditures and indirect costs related to lost productivity due to early mortality and morbidity.

Industry

53,925 metric tons of Tobacco produced

5.91 billion cigarettes produced in 2016

Solutions

65% product packaging covered by graphic warning label (61)

Do we need to look at this a bit deeper by reading between the lines?

Is it time to ask who benefits and is any of this truly going to help us?

Are we controlling the masses here and will it really work?

Are we Being Fooled or is the whole thing worth reviewing?
In other words, are we ready to ask some serious Questions?

Are we ready to read this article and Tobacco Part 1 and come to our own conclusions?

JAPAN

21.7% adults smoke

Figure higher among men and older generations, according to the World Health Organization

2017 – Tokyo based organisation granted non-smoking employees 6 extra days paid holiday as staff complained they were working more than those who took time off for cigarette breaks. (62)

MALAYSIA 

Smoking banned in hospitals, airports, public toilets, government premises, Internet cafes.

2010 – RM10,000 or 2 years imprisonment if smoking in private office space with air conditioning.

2017 – No smoking zones in public and national parks to protect from second hand smoke. (50)

SAUDI ARABIA 

2016 – smoking banned in most public places under royal decree and includes religious, educational, health, sport, cultural institutions, company workplaces, government offices, factories, banks and all public transport facilities.

Also banned in all food and drinks manufacturing and processing facilities
Petrol, gas and fuel distributions systems; warehouses, elevators and restroom and “several unspecified public places”.

Under 18 forbidden from designated smoking areas in public facilities.

The law issues 8 new regulations intended to curb selling of Tobacco and these include:

  • Tobacco products may only be sold in closed containers
  • Not to be discount
  • Not to be given away as free samples
  • Not to be purchased using self-serving cashiers
  • Not be sold in vending machines
  • Not to be sold to anyone under 18

Inventions related to Tobacco will not be patented in the kingdom.

SR20,000 ($5,331) fine for anyone who violates the law

SR200 ($133) fine if smoking in a prohibited area

Repeat violations incur higher fines (63)

URUGUAY

2004 – first Latin American country to prohibit smoking in public places, including restaurants, bars and the workplace. (50)

ZIMBABWE 

Tobacco Farms: Child Labour, Abuse Rife

Zimbabwe is world’s 6th largest Tobacco producer.

$933 million generated in 2016 from Tobacco as country’s most valuable export commodity.

Malpractice in Zimbabwe Tobacco industry is rampant.

Human Rights Watch said cases of child labour, worker exploitation and low pay, rife on farms.

Farm workers face serious health risk, particularly younger labourers.

The report, titled A Bitter Harvest: Child Labour and Human Rights Abuses on Tobacco Farms in Zimbabwe documents how children work in hazardous conditions, performing tasks that threaten their health and safety or interfere with their education.

Research was conducted in four provinces responsible for nearly all Tobacco production.
Report based on interviews with 125 small scale Tobacco farmers, hired workers, children and former child workers – late 2016 to early 2017.

Zimbabwe government needs to take urgent steps to protect Tobacco workers.
Companies sourcing Tobacco from Zimbabwe should ensure that they are not buying a crop produced by child workers sacrificing their health and education.
Margaret Wurth – Children’s Rights Researcher, Human Rights Watch (64)

Child workers are exposed to nicotine and toxic pesticides
Many suffer symptoms consistent with nicotine poisoning from handling Tobacco leaves

Adults working on Tobacco farms also face serious health risks and labour abuses

At one of the biggest auction floors, teenage boys and girls accompany parents and sleep at the floor premises after travelling overnight to sell their Tobacco.

Because they cannot afford to outsource labour, many rural families depend on the produce of Tobacco, including underage children, who are forced to miss school or drop out altogether.

$900 million – Tobacco industry contribution to economic growth and improved livelihoods

So this is telling us that Tobacco contributes to the country’s economic growth but have we really improved the livelihoods and if so, AT WHAT COST to human life?

Is it time we all got deeply and Absolutely Honest about the real harm of Tobacco?

Making any country dependent on a substance that is killing the human being is well worth studying as it guarantees no evolution.

We cannot get away from this immutable fact. 

The rights group discovered government and companies have generally not provided workers with enough information, training, and equipment to protect themselves from nicotine poisoning and pesticide exposure.

They also found similar conditions on Tobacco farms in research in other countries including United States.

Some of the world’s largest multinational Tobacco – purchase Tobacco grown in Zimbabwe

Under human rights norms, companies buying Tobacco from Zimbabwe have a responsibility to ensure that their business operations do not contribute to child labour and other human rights abuses.

Most of the multinational companies involved have policies prohibiting their suppliers from using child labour and engaging in other human rights abuses, but the findings in this report suggest there are serious gaps in carrying out and monitoring these policies in Zimbabwe.

“Tobacco companies should explicitly prohibit direct contact by children with Tobacco in any form, conduct regular and rigorous human rights monitoring in the supply chain and report transparently on their findings.”
Human Rights Watch (64)

One of the most serious health risks in Tobacco farming is acute nicotine poisoning or Green Tobacco Sickness caused by absorbing nicotine through the skin from Tobacco plants.

Child workers and most adults interviewed said they had experienced at least one symptom consistent with acute nicotine poisoning; nausea, vomiting, headaches or dizziness while handling Tobacco.

The law in Zimbabwe sets 16 as the minimum age for employment and prohibits children under 18 from performing hazardous work, but does not specifically ban children from handling tobacco.

The labour ministry told Human Rights Watch that it had not documented any cases of child labour in the Tobacco industry. (65)

Almost no one interviewed had ever heard of acute nicotine poisoning or received information about how to protect themselves.

Children and adults interviewed also handled toxic pesticides, often without proper protective equipment.

They also found some workers on large-scale farms worked excessive hours without overtime compensation or that wages were withheld for weeks or months in violation of labour law and regulations. Some workers were paid less than they were owed or promised, without explanation.

120 labour inspectors for the whole country.

Farmworker union organisers were concerned that the government lacked resources and personnel for effective labour inspections.

Every time they spray pesticide, people go home sick.
Rufaro – age 15 Tobacco worker

During grading, you are sneezing and having trouble breathing. It is the smell of Tobacco.
Once it hits you, it is like you have been burned.
Fungai – age 16 Tobacco worker

It causes a lot of absenteeism. You see right from the onset of the Tobacco growing season, these children start being absent. Out of 63 days of the term, a child is coming 15 to 24 days only.
Joseph – Grade 5 Teacher

The way I am growing up is not a good starting point.
Prosper – age 13 Tobacco worker

During Tobacco season, I always have chest pains and coughing.
We normally share our bedroom with cured Tobacco and the air is not good.
It is not safe and I also feel dizzy and have headaches.
Moses – age 18 Tobacco worker (65)

Dear World

Is this blog a no brainer?

In other words do we get it, as it is so clear what smoking does to us.

This is not new stuff and this is not something that science is telling us today. Every single one of us knows that smoking has zero benefits.

What we do all know is that any form of smoking is harmfull and that means we are allowing and accepting Abuse.

What is it about us humans that keeps wanting more and more research?

Are we ready to admit that we may be going about it the wrong way?

Are we as independent citizens – jo public going to start asking more Questions and finding out the TRUTH about smoking?

Has the time come to say – enough we need to find out the root cause of WHY we take our first puff way back as a teenager?

Can we stop judging others and have an open mind about this serious topic that needs to be in every conversation?

What is going on in the life of someone who ends up being a smoker?

Is this where we need to Focus our new research and make this a Priority so we can stop this out of control lifestyle choice that is killing us?

Can we be Absolutely Honest and say that the Tobacco industry exists because they have the customers – those who demand it?

Could it be possible that we all have a hand in this and we cannot just let this go on any longer as there is a Responsibility?

We have been great at Blame and Solutions and so far neither have cut it and history has confirmed this over and over again?

So is there Another Way or are we simply going to just think it is not our problem and hope others will Get on with it?

Simple Living Global is dedicated to bringing more awareness and will leave no stone unturned when it comes to delivering the TRUTH.

We will report more next year on World No Tobacco Day – 31 May 2019

References

(1) (March 9, 2018). Tobacco. World Health Organization. Retrieved May 27, 2018 from
http://www.who.int/en/news-room/fact-sheets/detail/tobacco

(2) (2017). World No Tobacco Day, 31 May 2017. World Health Organization. Retrieved May 27, 2018 from
http://www.who.int/campaigns/no-tobacco-day/2017/event/en/

(3) Proctor, R.N. (2011). Golden Holocaust: Origins of the Cigarette Catastrophe and the Case for Abolition. California, CA: University of California Press. (p.3)

(4) Eriksen, M., Mackay, J., Islami Gomeshtapeh, F., & Drope, J. (2015). The Tobacco Atlas, 5th Edition (p.7). Retrieved May 25, 2018 from
http://3pk43x313ggr4cy0lh3tctjh.wpengine.netdna-cdn.com/wp-content/uploads/2015/03/TA5_2015_WEB.pdf

(5) Martin, T. (2018, February 13). Important Facts About Nicotine. Very Well Mind. Retrieved May 27, 2018 from
https://www.verywellmind.com/nicotine-facts-you-should-know-2825019

(6) (2018). World No Tobacco Day 2018: Tobacco and Heart Disease. World Health Organization. Retrieved May 27, 2018 from
http://www.euro.who.int/en/media-centre/events/events/2018/05/world-no-tobacco-day-2018-tobacco-and-heart-disease

(7) Tressler, C. (2018, May 1). Nicotine is Not a Child’s Food. Federal Trade Commission. Retrieved May 27, 2018 from
https://www.consumer.ftc.gov/blog/2018/05/nicotine-not-childs-food

(8) (2018, March). Electronic Cigarettes (E-cigarettes). National Institute on Drug Abuse; National Institutes of Health; U.S. Department of Health and Human Services. Retrieved May 27, 2018 from
https://www.drugabuse.gov/publications/drugfacts/electronic-cigarettes-e-cigarettes

(9) Mc Robbie, H. (2014). Electronic Cigarettes. National Centre for Smoking Cessation and Training (NCSCT). pp. 4 – 6. Retrieved May 27, 2018 from
http://www.ncsct.co.uk/usr/pub/e-cigarette_briefing.pdf

(10) Raloff, J. (2016, July 28). E-Cigs Create Toxic Vapours from Harmless E-Liquids. Science News for Students. Retrieved May 27, 2018 from
https://www.sciencenewsforstudents.org/article/e-cigs-create-toxic-vapors-harmless-e-liquids

(11) Konkel, L. (2017, April 25). Concerns Explode Over New Health Risks of Vaping. Science News for Students. Retrieved May 27, 2018 from
https://www.sciencenewsforstudents.org/article/concerns-explode-over-new-health-risks-vaping

(12) Mandal, A. (2014, October 8). What is Nicotine? News Medical. Retrieved May 27, 2018 from
https://www.news-medical.net/health/What-is-Nicotine.aspx

(13) (n.d). What is Nicotine? Science Museum. Retrieved May 27, 2018 from
http://whoami.sciencemuseum.org.uk/whoami/findoutmore/yourbrain/howdodrugsaffectyourbrain/whatarestimulants/whatisnicotine

(14) (n.d). Blood Brain Barrier. The Visual MD. Retrieved May 27, 2018 from
http://www.thevisualmd.com/searchimg/?idu=1083612083&q=blood&p=10

(15) Jain, K. (2012). Nanobiotechnology-Based Strategies for Crossing the Blood-Brain Barrier. Medscape. Retrieved May 27, 2018 from
https://www.medscape.com/viewarticle/770396

(16) Kousik, S.M., Napier, T.C., & Carvey, P.M. (2012). The Effects of Psychostimulant Drugs on Blood Brain Barrier Function and Neuroinflammation. Front. Pharmacol. 3:121. doi:10.3389/fphar.2012.00121

(17)  DIler, A.S., Üzüm, G., Lefauconnier, J.M., & Ziylan, Y.Z. The Effect of Nicotine Pretreatment on the Blood-Brain Barrier Permeability in Nicotine-Induced Seizures. Biology and Physiology of the Blood Brain Barrier. Retrieved May 27, 2018 from
https://link.springer.com/chapter/10.1007%2F978-1-4757-9489-2_54

(18) John Hopkins University Bloomberg School of Public Health. (2018, February 21). Lead and Other Toxic Metals Found in E-Cigarette ‘Vapors’: Potentially Dangerous Levels of Metals Leak from Some E-Cigarette Heating Coils. Science Daily. Retrieved May 26, 2018 from
https://www.sciencedaily.com/releases/2018/02/180221152347.htm

(19) Alberg, A.J., Shopland, D.R., & Cummings, K.M. (2014, January 15). The 2014 Surgeon General’s Report: Commemorating the 50th Anniversary of the 1964 Report of the Advisory Committee to the US Surgeon General and Updating the Evidence on the Health Consequences of Cigarette Smoking. American Journal of Epidemiology, Volume 179(4) 403 – 412. Retrieved May 20, 2018 from
doi.org/10.1093/aje/kwt335

(20) Markel, H. (2018, January 11). This Surgeon General’s Famous Report Alerted Americans to the Deadly Dangers of Cigarettes. PBS. Retrieved May 27, 2018 from
https://www.pbs.org/newshour/health/this-surgeon-generals-famous-report-alerted-americans-to-the-deadly-dangers-of-cigarettes

(21) Valenti, L. (2017, December 1). U.S Tobacco Companies Will Run Anti-Smoking Ads Everywhere – Except Social Media. Vogue. Retrieved May 27, 2018 from
https://www.vogue.com/article/anti-smoking-court-mandated-ads-us-tobacco-philip-morris

(22) (2017, November 29). Tobacco Industry Admissions Should Strengthen Global Resolve on Tobacco Control. World Health Organization. Retrieved May 27, 2018 from  http://www.who.int/tobacco/communications/statements/tobacco-industry-corrective-statements/en/

(23) (2018, February 15). Current Cigarette Smoking Among Adults in the United States. Centers for Disease Control and Prevention (CDC). Retrieved May 20, 2018 from
https://www.cdc.gov/tobacco/data_statistics/fact_sheets/adult_data/cig_smoking/

(24) U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General—Executive Summary. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016

(25) Vivek Murthy – U.S. Surgeon General  – U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General—Executive Summary. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016, p. vii

(26) (2018, April 8). Vaping Now an Epidemic Among US High Schoolers. CBS 46. Retrieved May 23, 2018 from
http://www.cbs46.com/story/37903846/vaping-now-an-epidemic-among-us-high-schoolers

(27) The Editors. (2018, March 28). Crack Down on E-Cigarettes. Bloomberg. Retrieved May 20, 2018 from
https://www.bloomberg.com/view/articles/2018-03-29/the-fda-must-take-action-on-e-cigarettes

(28) (2017, December 14). Vaping Popular Among Teens; Opioid Misuse at Historic Lows. National Institute on Drug Abuse (NIH). Retrieved May 20, 2018 from
https://www.drugabuse.gov/news-events/news-releases/2017/12/vaping-popular-among-teens-opioid-misuse-historic-lows

(29) Hafner, J. (2018, April 25). Juul E-Cigarettes are ‘In’ with Today’s Teens. Here’s How the FDA is Cracking Down. USA Today. Retrieved May 27, 2018 from
https://eu.usatoday.com/story/money/nation-now/2018/04/25/juul-e-cigarettes-todays-teens-heres-how-fda-cracking-down/549893002/

(30) Keller, K. (2018, April 11). Ads for E-Cigarettes Today Hearken Back to the Banned Tricks of Big Tobacco. Smithsonian.com. Retrieved May 27, 2018 from
https://www.smithsonianmag.com/history/electronic-cigarettes-millennial-appeal-ushers-next-generation-nicotine-addicts-180968747/

(31) Johnston L.D., O’Malley, P.M., Miech, R.A., Bachman, J.G., & Schulenberg, J.E. (2017). Monitoring the Future National Survey Results on Drug Use, 1975 – 2016: Overview, Key Findings on Adolescent Drug Use. Ann Arbor: Institute for Social Research, The University of Michigan, p.8. Retrieved May 27, 2018 from
http://www.monitoringthefuture.org/pubs/monographs/mtf-overview2016.pdf

(32) Marynak K.L., Gammon, D.G., Rogers, T., Coats, E.M., Singh, T., & King, B.A. (2017, May 1). Sales of Nicotine-Containing Electronic Cigarette Products: United States 2015, American Journal of Public Health 107, no 5, pp.705 – 705
doi: 10.2105/ajph.2017.303660

(33) Crist, C. (2017, September 21). Dozens of Alcohol Flavoured Tobacco Products May Lure Teens. Reuters. Retrieved May 27, 2018 from
https://uk.reuters.com/article/us-health-flavors-tobacco-teens/dozens-of-alcohol-flavored-tobacco-products-may-lure-teens-idUKKCN1BW2XH

(34) Majid, A. (2018, April 8). Loophole Allows Cigarettes to be Sold on Facebook. The Telegraph. Retrieved May 20, 2018 from
https://www.telegraph.co.uk/news/0/loophole-allows-cigarettes-sold-facebook/

(35) (2018, May 1). FDA, FTC Take Action Against Companies Misleading Kids with E-Liquids that Resemble Children’s Juice Boxes, Candies and Cookies. U.S. Food and Drug Administration (FDA). Retrieved May 26, 2018 from
https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm605507.htm

(36) Becker R. (2018, May 1). Liquid Nicotine is a Poison, so Why is it Being Packaged Like Junk Food? The Verge. Retrieved May 27, 2018 from
https://www.theverge.com/2018/5/1/17309184/e-cigarette-liquids-nicotine-flavors-packaging-poisoning-children-fda-ftc

(37) O’Donnell, J. (2018, May 1). Feds Warn E-Cig Companies about Packaging After Thousands of Kids Drink Toxic Liquid. USA Today. Retrieved May 27, 2018 from
https://eu.usatoday.com/story/news/politics/2018/05/01/feds-warn-e-cigarette-makers-packaging-after-thousands-kids-drink-toxic-liquid/567949002/

(38) (2018, May 4). 6 Risk Factors for Lung Cancer Everyone Should Know. Health Minute. Retrieved May 27, 2018 from
https://healthminute.org/2018/04/6-risk-factors-for-lung-cancer-everyone-should-know/

(39) (2017, October 30) Second-hand Smoke Linked to Pet Deaths and Illnesses, Experts Say. BBC News. Retrieved May 27, 2018 from
http://www.bbc.co.uk/news/uk-41748090

(40) Scutti, S. (2018, May 17). Teen Develops ‘Wet Lungs’ After Vaping for Just 3 Weeks. CNN. Retrieved May 27, 2018 from
https://edition.cnn.com/2018/05/17/health/case-study-teen-vaping-wet-lung/index.html

(41) Bradley, S. (2017, July 27). E-Cigarettes Help People Quit Smoking, Study Says. Wired. Retrieved May 27, 2018 from
http://www.wired.co.uk/article/e-cigarettes-help-people-quit-smoking-study-says

(42) Pickover, E. (2016, April 14). Promoting E-Cigarettes to Stop Adults Smoking is Encouraging Young People to Vape, Researchers Claim. Independent. Retrieved May 26, 2018 from
https://www.independent.co.uk/life-style/health-and-families/health-news/promoting-e-cigarettes-to-stop-adults-smoking-is-encouraging-young-people-to-vape-a6984671.html

(43) Davies, R. (2017, May 31). UK Councils Under Pressure Over £1bn of Tobacco Investments. The Guardian. Retrieved May 20, 2018 from
https://www.theguardian.com/business/2017/may/31/uk-councils-under-pressure-over-1bn-of-tobacco-investments

(44) (2018, April 12). NSW Bans Public Vaping with $550 Fine for Offenders. SBS News. Retrieved May 23, 2018 from
https://www.sbs.com.au/news/nsw-bans-public-vaping-with-550-fine-for-offenders

(45) (2016, February 10). Formaldehyde and Your Health. Agency for Toxic Substances and Disease Registry (ATSDR). Retrieved May 26, 2018 from
https://www.cdc.gov/nceh/drywall/docs/whatyoushouldknowaboutformaldehyde.pdf

(46) Indigenous Women Three Times More Likely to Die from Lung Cancer in Victoria. SBS News. Retrieved May 27, 2018 from
https://www.sbs.com.au/news/indigenous-women-three-times-more-likely-to-die-from-lung-cancer-in-victoria

(47) Parameswaran, G. (2012, September 28). Bhutan Smokers Huff and Puff Over Tobacco Ban. Alijazeera. Retrieved May 27, 2018 from https://www.aljazeera.com/indepth/features/2012/09/201292095920757761.html

(48) Pearson-Jones, B. (2017). The Average Number of Cigarettes Smoked Per Person, Per Year, Mapped. Indy 100. Retrieved May 27, 2018 from
https://www.indy100.com/article/average-number-of-cigarettes-smoked-per-person-per-year-mapped-7759421

(49) (n.d). Columbia. The Tobacco Atlas. Retrieved May 27, 2018 from
https://tobaccoatlas.org/country/colombia/

(50) Ogrodnik, I. 5 Countries with Strict Smoking Bans. Global News. Retrieved May 27, 2018 from
https://globalnews.ca/news/271458/5-countries-with-strict-smoking-bans/

(51) (2017, December 12). One in Five German Schoolkids Have Smoked Shisha Tobacco: Survey. The Local de. Retrieved May 26, 2018 from
https://www.thelocal.de/20171212/one-in-five-german-schoolkids-smokes-shisha-tobacco-survey

(52) (2018, January). The Toll of Tobacco in India. Campaign for Tobacco-Free Kids. Retrieved May 23, 2018 from
https://www.tobaccofreekids.org/problem/toll-global/asia/india

(53) (2018, January 17). Bidis and Kreteks. Centers for Disease Control and Prevention (CDC). Retrieved May 27, 2018 from
https://www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/bidis_kreteks/index.htm

(54) (2018, April 5). Helpline and New Warning on Cigarettes. The Telegraph India. Retrieved May 23, 2018 from
https://www.telegraphindia.com/india/helpline-and-new-warning-on-cigarettes-221116

(55) (2017, August). Tobacco Burden Facts: Indonesia. Tobacco-Free Kids. Retrieved May 26, 2018 from
https://www.tobaccofreekids.org/assets/global/pdfs/en/Indonesia_tob_burden_en.pdf

(56) Vaping Under Threat in Tobacco-Loving Indonesia. The Straight Times. Retrieved May 26, 2018 from
https://www.straitstimes.com/asia/se-asia/vaping-under-threat-in-tobacco-loving-indonesia

(57) Bevins, V. (2017, November 27). Indonesia Where Smoking is Widespread, Just Placed Tough Restrictions on E-Cigarettes. The Washington Post. Retrieved May 26, 2018 from
https://www.washingtonpost.com/news/worldviews/wp/2017/11/27/in-heavy-smoking-indonesia-with-its-powerful-tobacco-lobby-e-cigarettes-face-high-hurdles/?utm_term=.dd262ee73665

(58) Watkins, J. (2018, April 30). Why Do Italian Doctors Smoke So Much? Ozy.com Retrieved May 26, 2018 from
https://www.ozy.com/acumen/why-do-italian-doctors-smoke-so-much/86237

(59) (2017, December 6). Italy Votes to Effectively Destroy the Independent Vaping Sector. Vape Ranks. Retrieved May 26, 2018 from
http://vaperanks.com/italy-votes-to-effectively-destroy-the-independent-vaping-sector/

(60) Italy Population 2018. World Population Review. Retrieved May 26, 2018 from
http://worldpopulationreview.com/countries/italy-population/

(61) (n.d). Italy. The Tobacco Atlas. Retrieved May 26, 2018 from
https://tobaccoatlas.org/country/italy/

(62) (2018, April 18). Japanese Workers Banned from Lifts for 45 Minute ‘Decontamination Period’ After Smoking. The Telegraph. Retrieved May 26, 2018 from
https://www.telegraph.co.uk/news/2018/04/18/smokers-japan-banned-using-lifts-stubbing/

(63) Staff Writer. (2016, June 13). Saudi Arabia Bans Smoking in Public Areas. Arabian Business. Retrieved May 26, 2018 from
http://www.arabianbusiness.com/saudi-arabia-bans-smoking-in-public-areas-635068.html

(64) Muchinjo, E. (2018, April 8). Zimbabwe Tobacco Farms: Child Labour, Abuse Rife, HRW says. Alijazeera. Retrieved May 23, 2018 from
https://www.aljazeera.com/news/2018/04/zimbabwe-tobacco-farms-child-labour-abuse-rife-hrw-180408072948552.html

(65) (2018, April 5). Zimbabwe: Tobacco Work Harming Children. Human Rights Watch. Retrieved May 23, 2018 from
https://www.hrw.org/news/2018/04/05/zimbabwe-tobacco-work-harming-children

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Comments 28

  1. Once, when I was walking in the street with my Mum and Dad, I saw somebody in a car smoking and then they crashed.

    It was in the distance and I could see they were smoking because smoke was coming out of the open window of their car and they were still driving.

    Why were they smoking while they were driving?

    Can they concentrate or will they crash when they are thinking about it?

  2. Absolutely stunning blog – which should be part of a public health awareness raising.
    There is no place to hide once reading this blog on Tobacco and E-Cigarettes – the facts are laid bare.
    A very sobering read.

  3. If I had read this blog at the age of 17 I would not had picked up a cigarette. As a smoker my life was chaotic and it was so easy to smoke a cigarette when things were tough and use it as a calming moment. Or so I thought.
    All smoking did was make my anxiety worse and I had chronic exhaustion.

    The detail in this blog is amazing. I have learned a thing or two.

    I know several people who have given up smoking and switched to E-cigarettes. I have asked why?
    One said they like the feeling of something in their hand.
    Another said they wanted that feeling of a cigarette in their mouth.
    I know another person who has been using E-Cigarettes for 5 years. Have they really given up?
    Are we looking for resourceful ways to hang on to the idea of smoking because deep down we are not ready to deal with what is going on in our life?

    I know how hard it was to give up cigarettes but once I got support from Bina Pattel, the founder of this website and was able to pin point what the trigger was, it was an easy decision to Stop and I have never looked back.

  4. I am stunned.

    There is much here for us to consider. So much.

    “The tobacco epidemic is one of the biggest public health threats the world has ever faced” – is this not something of which we should all be acutely aware?

    I go about my life seeing people smoking every day. I accept this as part of life – free will and all that.
    Reading this blog brings that into stark view:

    What is underneath this epidemic?
    Why do people start smoking in the first place?
    What is happening in their lives for smoking to be the answer?
    What was happening for them as kids that they took up the habit as teenagers?
    What has been allowed in the tobacco industry for the last 100 years that we have arrived in this place?
    Why do we have loopholes in the law on this subject?

    And – hugely – what if researching and educating our youth could hold the answer?

    If what our kids are experiencing is what causes them to pick up a cigarette later in life, then let’s study what is going on for them. Let’s understand how life is from their point of view – how the propensity to smoke begins.

    And let’s educate and confirm them in what they naturally know so clearly from a young age – that smoking is damaging to the body. Let’s get to them before the peer pressure and the branding and the excitement of the gizmos take hold.

    What if by educating our children at a young age, they come out of school equipped with what the facts are?
    They can then make the choices knowing what they now know about the Truth of smoking and e-cigarettes.

    Thank you Simple Living Global for putting this work out there. It feels like compulsory reading for the Health Ministers of every country in the world, every teacher, every parent, every doctor, every one of us…

  5. My children have been fascinated and confused by smoking since being tiny.

    It is like they instinctively know it was unnatural for the body to have smoke in the lungs.

    They have always pointed out people smoking and did so before they could even talk. And they often ask questions about it. Questions about why people are smoking and what happens when people smoke.

    Increasingly, they seem to have concluded – still fascinated – that people who choose to smoke need it somehow, but they always share how bad they feel it is and how much harm they feel it is doing.

    There is something innately wise about children and the simplicity with which they see the world. Perhaps we should start listening to them more.

  6. As a child I hated smoking. My dad was a heavy smoker (he quit 25 years ago) and I remember the smell would make me feel sick.

    So despite me feeling this way what made me smoke? It was most definitely a build up of trauma growing up. I had so much tension in my body I thought this was the only way to let it out. Mixed with bulimia, it was a toxic combination.

    Each time I tried to give up smoking something or someone would upset me and I would go back to cigarettes. This would bring in more frustration, hence the long road of anxiety and depression.

    Cigarettes were my go to every time. In my head they made me feel better. But deep down I was miserable.

    Slowly but surely with the support from Bina Pattel – the author of this blog, I was able to let go a lot of the trauma and really start to take care of myself.
    Going to bed early, looking after my well being and most of all start to feel the real me again.

  7. It is amazing the level of denial our world is in around smoking.

    Any one who smokes knows how bad it is for them. How is it that they can ignore this self-abuse?

    The reason for this self abuse is what needs to be looked at – that is the first step in dealing with Tobacco.

  8. BBC News – Vaping – the Rise in Five Charts
    31st May 2018

    https://www.bbc.co.uk/news/business-44295336

    2011 – 7 million vapers
    2016 – 35 million
    2021 – 55 million vapers expected

    Seychelles and Brazil have also banned e-cigarettes.

    $22.6 billion – global vapers market
    4.2 billion rise in 5 years

    USA, Japan and UK are the biggest markets.

    2016 – $16.3 billion combined spend on smokeless tobacco and vaping products.

    2018 – $8.9 billion estimated spend on vape pens.
    Vape pens are an open system where the liquid that is vapourised can be refilled manually by the user.
    This sounds like the second-generation e-cigarettes mentioned in this article by Simple Living Global.

    UK – 2,000 vaping outlets. Europe’s biggest e-cigarette market.
    The majority of e-cigarette users buy their devices in specialist shops.

    Most common reason for using e-cigarettes – people believe they are “less harmful than regular cigarettes” (survey by Ernst & Young).

    Cited health concerns from the World Health Organization –

    Long term affects are unknown.

    Nicotine in the vapourising liquid in e-cigarettes is addictive.

    Risk of user’s spilling refillable liquid on their skin could lead to nicotine poisoning.

    Some sweeter flavours of e-cigarettes are irritants, potentially causing inflammation of the airways.

    This is just a snippet of the article but we get the gist that the e-cigarette market is growing exponentially and there are grave concerns that this product is harming.

    One only need read this article by Simple Living Global which gives the background and history to e-cigarettes along with all of the current concerns especially for our youth, to know that this product is no different to cigarettes and the many public health warnings that occurred back in the 1960’s from the first Surgeon General’s report.

    I have learnt a lot from reading this BBC news article and from reading this monumental article and extensive analysis of Tobacco and E-Cigarettes by Simple Living Global and its Part 1 https://simplelivingglobal.com/world-no-tobacco-day-part-1/

    It has made me want to find out more and I very much look forward to Part 3 in 2019.

  9. Citizen Journalism – on the street reporting today 7 June 2018

    Observing from the car at the lights, a new friend for drivers is on the scene.

    If we were from another planet we would think it is something we need and we hold it tight and close to us and inhale it like a false breath from the mouthpiece, not a breath from the nose. It has a force with the inhalation and then a sort of relief with lots of white cloud.

    I would say it could be very dangerous as the fog it creates could affect the vision when driving. Of course this would have to go through endless research and science would need to prove it and double blind test it and then it would be another 30 year long term study.

    But what if we just took the word of a caring citizen who just happens to write big fat blogs and seems to know what is going on in our world?

    Could this save us a ton of money and time?

    Do we have the luxury of waiting for proof or are we going to get on the front foot and not wait for those accidents to happen before we take this seriously?

    Next – another observation is on the street these vaping things are super popular at the bus stop with the youth and vape shops are popping up on our local high streets everywhere.

    I am in no doubt that this creation we have come up with is no different to Tobacco smoking but a modern new style – a new way of the same thing. Bit like ice cream but now its a different flavour, but nevertheless it is still ice cream.

    Hope that makes sense?

  10. Why are our children grabbing on to any new fad that comes along?

    They are trying to fill a need, an emptiness, with something outside of themselves.

    It does not work. Everything we think we need, we already have in our hearts.

    Simple Living Global’s, Back to Basics Program has supported me to reconnect to this place. It is as simple as breathing your own breath.

    When I am connected to this place, I cannot do anything that is harmful to myself, or anyone else.

    That is the how we can support our children to make good choices in their lives. Just reflect to them that it is ok to just be themselves. To do what feels right in there own bodies.

  11. Driving past a man yesterday, it looked like he was having a picnic on a wall next to the road. He had the air and movements of someone eating e.g. a sandwich.

    When I got and looked closer, he was smoking an e-cigarette.

    It was so interesting to see his movements. He really looked like he was eating.

    It made me reflect on how similar the impulse might be, of turning to food and turning to a cigarette/e-cigarette.

    Both coming from a place of ‘wanting something’, needing to fill up somehow, get a boost of something or make ourselves feel better.

    I wonder what would happen if we started to look at that really honestly – at the reasons why we turn to cigarettes and e-cigarettes.

  12. I often observe women pushing their babies in the pram with their right hand and smoking a cigarette with their left hand. This I believe is to avoid them smoking over the baby.

    This does not make sense to me. Either way the baby is still inhaling smoke. Could it be deep down they know this is not right; hence the need to avoid smoking over the baby in the first instance.

  13. Citizen Journalism – real life on the street talk reporting in.

    Few brief chats with a young 26 year old who said she started smoking age 16 when things were not good in her life. Same time she had some tattoos.

    This is what is worth taking note of dear reader –

    She could hear sound recently coming from her lungs that she associated with a smoker.

    She knows smoking is bad but said ‘ignorance is bliss’ when I suggested she reads the blogs on this website about Tobacco.

    Next time we spoke, few days later – very quiet, low mood and said she was so tired but is not able to sleep.

    So the thing I keep finding out wherever I go is smoking starts in the teenage years.

    This has been the case for every single person I have spoken to and those I know who smoke. So there has to be something going on during this time of transition from child to adult that is not natural and why some turn to smoking cigarettes.

    Recently, the big thing is our health chiefs saying smoking is on the decline with youth but let’s not get too excited or put our feet up thinking we have nailed it.

    I am certain this is because our youth have found another way to have the effects of smoking and that is flavoured e-cigarettes or other drugs.

    Let us not be fooled and if we think this is twaddle, hang out where the young people go and observe and you will be left in no doubt, it is going on under our nose.

    Back to the real life anecdotal evidence from my local community.

    This young person KNOWS the harm but the truth is she cannot stop and we parted with her saying she will read the sleep blog on this website which may help her to understand what true sleep is about.

    Whether she does read it or not, makes no difference to me.
    All I know is that I cannot keep my mouth shout when I know so much.
    I have a duty to humanity to share what I know and what they do with it is up to them.

    Bit like this website, I will keep writing, keep researching and keep bringing more awareness because I know, I just know the tides are turning, albeit at a slow pace.

    Finally, I am a great advocate of the fact that when someone presents what they live, it holds a quality, a vibration so to speak. Others feel that on some level, even if they are not conscious of it. So if I write or talk to another about the harm of smoking knowing in my body I am Absolutely clear of that substance, as it is nowhere in my radar, then it can and will make a difference. It is like it plants a seed, a pulse that they feel and wake up to – maybe not overnight but it remains there.

    This is probably too way off and whacky for most to comprehend but I know that one day, scholars of the future will be saying it was said in the early 21st century, at a time where very few valued or accepted this immutable truth.

  14. An article in euractiv.com, 30th March 2018, says, ‘Greek court says e-cigarettes do not differ from traditional smoking’.

    A top Greek court has decided that electronic cigarettes should have the same legal restrictions as traditional smoking does when it comes to bans in public places and advertising, and Greece’s Supreme Administrative Court has rejected an appeal launched by the Electronic Cigarette Business Association.

    Greece has imposed restrictions and prohibitions on the advertising, sale and use of regular cigarettes and tobacco products (ban on smoking in public places transport etc) and has also introduced sanctions against offenders.

    The e-cigarettes association said that the ban on e-cigarettes in public places and advertising was having an adverse economic impact. It also said the constitutionally protected economic freedom of those operating in the electronic cigarette market and the constitutional principles of equality and proportionality have been breached.

    Although Greece has put a strict anti-smoking legislation in place, the ban is not effective in practice and this has been criticised by citizens, public health NGO’s and EU officials.

    The Council of the European Union’s recommendation on smoke free environments (November 2009) called on member states to adopt and implement laws to fully protect their citizens from exposure to tobacco smoke in enclosed public places, workplaces and public transport, within three years of its adoption.

    Just like traditional cigarettes, more and more research is coming through that exposes the harm of e-cigarettes but with many companies, profit will always be more important than the health of others.

    It doesn’t come as much of a shock to see the resistance of the bans, and likewise, in all cases where big businesses are feeling that they may lose some opportunity for the loss of earnings of their product – could it be possible that these organisations continue to put profits ahead of the true health and well being of others?

    Although the Greek Court has taken the right action in claiming that e-cigarettes should have the same legal restrictions as traditional cigarettes and tobacco, it doesn’t really hold any weight if those in authority then choose not to enforce those restrictions.

    The Electronic Cigarette Business Association say that ‘the constitutional principles of equality and proportionality have been breached’.

    What about those of us that choose not to smoke?

    Is it possible that our constitutional principles of equality and proportionality have been breached due to the fact that we may have to breathe in the smoke of these electronic cigarettes?

  15. Talking to someone I know today who uses E-Cigarettes (and I have spoken with others), the common theme seems to be the letting go of smoking. She explained that she needed something in her hand and that the hand movement to the mouth made her feel calm.

    I can relate to this as this is what I thought I needed to do, have something in my hand or something to replace it before I could give up smoking. But the reality was I needed to get to the root of why I smoked. Once I was able to understand this it was easy to give up.

    Are we still looking at ways to avoid giving up, hence the E-Cigarette being so popular worldwide. Is it an easy option to avoid what is really going on.

  16. At an event where they had shisha pipes. These were portable pipes which had been designed to look cool, like a tall wooden box with a tube attached. People were walking around with them.

    Talking to the dispenser, he said they are becoming more and more popular and people are redesigning them to appeal to a new crowd. They are apparently especially popular in Russia.

    There is a sort of tar-looking block that gets burned and the pipe draws the smoke through water to filter it before you inhale it. You can chose different flavours.

    One woman was saying her friends are in to it as something to do on a night out – a point of interest. She said she won’t go near it because she inhaled it once and got disgusting tar water in her mouth.

    Another guy said he doesn’t use it because usually you all smoke from the same pipe which is unhygienic.

    There was very little cigarette smoking at the event but the shisha seemed very popular.

    It was eye opening to the ways we find to consume tobacco and make it engaging and socially acceptable.

  17. An article in The Week magazine, 21st July 2018, talks about how passengers on a flight experienced a terrifying mid-air plunge, owing to one of the co-pilots smoking an e-cigarette in the cockpit.

    The co-pilot had tried to turn off a fan that was blowing his vapour into the cabin, but instead turned off the air conditioning, triggering a low-oxygen alarm and the deployment of masks.

    In response, the captain initiated a descent of 6,500 metres.

    Two of the pilots have since had their licences revoked.

    The first question that came to mind was, why was the co-pilot allowed to smoke on the plane, when smoking has been banned for all staff and passengers?

    As users of online airline forums have occasionally accused pilots of smoking during flights and so it appears this practice has been going on for quite a while.

    Is it possible that there needed to be an incident like this to highlight the issue of pilots smoking in the cockpits?

    Is it possible that this happened, not only to expose the blatant disregard of the smoking ban, but to also highlight the harm caused by our smoking?

    Of course, this scenario is quite extreme, but the point that smoking harms us is very pertinent.

    For those of us that want to defend smoking, we will do so with all of our might but is it possible that, if we could ask our lungs how they feel with having this substance inside of them, they would give us an answer very different to the ones that we give ourselves?

    Probably every child in the world knows that smoking is harmful to ourselves, so as adults, however we want to defend smoking, is it possible that there is a deeper reason of why we choose to smoke?

  18. Thank you for this brilliant and arrestingly powerful blog on tobacco.

    Increasingly recently, I have noticed that the displays of vaping products in the supermarkets I frequent have become bigger and more prominent.

    Vaping supplies seem to be sold almost everywhere, not just in the dedicated vaping shops that are so common now or in supermarkets. I’ve seen vaping products available in post offices, newsagents, petrol stations and pound shops.

    I wonder if the decision makers at these retailers, big and small, ever ask themselves if they should be selling vaping products.

    Or would they sell anything, no matter how harmful, if it was legal, there was a demand for it, and there was a profit to be made?

  19. https://eu.usatoday.com/story/news/nation/2018/08/13/teen-vaping-fda-weighs-ban-flavored-e-cigarette-liquid/890218002/

    USA TODAY – 14 August 2018

    This news story is saying that Teenagers vaping is at the tipping point before possible epidemic levels.

    Some health groups sued the FDA – Food and Drug Administration for delaying regulation of vape products.

    “Companies have introduced new products at an alarming pace in total defiance of law, with no apparent concern for FDA enforcement,” the groups wrote.

    Over 2 million middle school, high school and college teens use these battery-powered devices to heat liquid-based nicotine into an inhalable vapor.
    E-cigarettes were by far the most popular Tobacco product among teenagers.

    ‘That puts hundreds of thousands of them at “exceedingly high” risk of developing nicotine addictions’. “The nicotine can rewire an adolescents brain.”
    FDA Commissioner Scott Gottlieb told USA TODAY.

    The FDA are not ignoring the issue. They are reviewing more than half million public comments whether to restrict or even ban flavors in the liquid and are investigating youth marketing by a certain company which attracts young vapers with its nicotine packed products, in an easily hidden USB size and alluring social media presence.

    This month the FDA have asked four e-cigarette companies for information about the appeal of their products to youths and said it could take enforcement action against the companies based on what it learns.

    Next month – the FDA will launch a vaping prevention campaign targeting 10 million youths who vape or are open to trying it.

    “We are very concerned that we could be addicting a whole generation of young people. We only have a narrow window of opportunity to address it.”

    Robin Koval – CEO of the anti-tobacco group Truth Initiative said there is ample evidence that flavors attract teens.

    Are we being fooled because E-cigarettes are marketed as alternatives to traditional cigarettes, because they can quell smokers’ urges for nicotine without cancer causing Tobacco?

    Have we stopped long enough to read and study this forensic blog and Part 1 on Tobacco?
    https://simplelivingglobal.com/world-no-tobacco-day-part-1/

    Can we be left in any doubt once we have the facts presented about Tobacco, Nicotine and E-Cigarettes?

    WHY are we choosing not to simply join the dots and ask some valid important questions –

    WHY are young people ‘newly lured’ to nicotine and chemicals found in vaping juice?

    WHY are chemicals needed and what exactly are the side effects of these substances?

    Do we have the statistics in our face now if we KNOW ‘young adults who use e-cigarettes are more than four times as likely to begin smoking Tobacco cigarettes within 18 months’?

    Do we really need to wait for more and more research to tell us what we all know right now?

    WHY are teens and 20-something vapers interviewed, describing moving back and forth between vaping and smoking, sometimes because the battery on their device was dead and cigarettes were available?

    WHY are these youth using Cigarettes or E-cigarettes – whichever was handy when heavy drinking was involved?

    What is going on for our young people that excess alcohol is needed together with another mind altering addictive substance called Tobacco?

    WHY is there a whole genre of Twitter memes about bathroom vaping for kids?

    WHY are kids giving vaping devices as gifts?
    WHY does a teen say, because their mother smokes they cannot say anything why they vape?

    WHY are young people describing vaping as a de-stressor?
    WHY are they stressed in the first place?
    WHY would a child self-medicate for stress?

    WHY are child psychologists saying that it is usually because they are anxious or depressed and vaping is numbing those feelings?

    If we have real life feedback from a teen trying to give up vaping and saying she wound up moody, with the shakes and unable to sleep – should we take note here?

    What is the buzz the kids are saying they get from vaping?
    Should we be asking more questions directly to them?

    What is this need for making it a ‘social thing’?

    What is missing that a mind altering addictive substance is needed in school time?

    Dear World

    How have we ended up with a $3 billion dollar vaping company that has become so ingrained in social media and youth culture?

    Are we aware that this is a side step and not really evolution, because moving from cigarettes to another addictive substance changes nothing?

    Are we aware that billion dollar companies have the powerful attorneys in place to defend because this is how the game works?

    Are we aware that even if we stop all companies and ban the product, the next substance will already be out there to hook us back in?

    Are we aware that nothing in truth will change until we get to the root cause of the demand?
    In other words, why is anyone wanting to use a substance that is poison for their body?

    So who are we blaming?
    https://simplelivingglobal.com/why-do-we-blame/

    WHY are we wanting solutions?
    https://simplelivingglobal.com/solutions-solutions/

    Where is our Responsibility?

    Are our policymakers and lawmakers on the front foot with the governments?

    While we consider weighing it all up – have those who created this poison already inventing the next chemical we need?

    Have we considered that a multi billion dollar product can only be popular if we demand it?
    That means without us wanting it there would be no business for the suppliers.

    So if we join the dots and add this all up – would it be wise to consider what exactly is going on for our children and what is missing for them that gives rise to taking any substance that alters their natural state?

    Can we bring it back to us and ask – how are we living that contributes to such ill on our planet?

  20. The Times – 3 August 2018

    Britain’s 2.8 million vapers could be taxed in the Autumn 2018 budget.

    Due to the £83 billion extra needed for the health service from 2018 – 2022, the Treasury are looking at a range of possible ‘sin’ taxes.

    Is it possible that the mere fact that we have taxes on certain products called ‘sin’ taxes, tells us that there are certain products that we have legalised that we know are harmfull to the human body?

    Users typically spend about £275 a year on vaping fluid.

    A 5% tax could cost vapers £13.75 per year, raising £40 million.

    Is this a true move, to be making money off other people harming themselves, even if it is to improve health services?

    Is the mere fact that the money has been raised through people buying a harmfull substance, really going to create initiatives that will boost patients’ health?

    Is it possible that if money has been raised from products that are detrimental to the human body, that it can in no way go towards any true healing?

    There is much debate about e-cigarettes and what the long-term effects will be.

    Is it possible that if a substance is taken that does not support the human body to be nourished and live with vitality, that there can be no beneficial long term effects?

    Do we need to wait for any research studies to answer this question, or can we simply observe what we see in our daily lives regarding those who use e-cigarettes to answer this?

  21. Science Magazine – 18 September 2018

    University of California San Francisco has been awarded a five-year $20 million grant from the U.S. Food and Drug Administration and the National Institutes of Health to study the impacts of new and emerging tobacco products, including e-cigarettes and heated tobacco products (HTPs), which heat tobacco without combustion.

    The UCSF team also received a five-year $20 million TCORS grant when the program started in 2013.

    The new research projects will range from the products’ impacts on lung and cardiovascular disease, to school-age usage and the impact on health care costs in general and vulnerable populations.

    They will independently study the health effects of these products, how they are perceived by consumers and their effects on health care costs, with the goal of protecting public health.

    “Tobacco companies are using new products they claim are ‘safer’ to try to position themselves as part of the solution rather than part of the problem” says Professor Stanton A. Glantz who is leading the research team.

    So here we have $40,000,000 over a decade, telling us what most of us are very aware of. Even kids know at a very young age smoking is not right.

    Any product that we ingest that has tobacco or nicotine is going to harm us.

    To what extent and exactly what brain receptors they trigger and all the ins and outs, will of course be what science tells us.

    For now, what would happen if we ALL just read this blog and then re-read it and also read our blog on Tobacco and ponder on every single question that is being presented?
    https://simplelivingglobal.com/world-no-tobacco-day-part-1/

    Then we go back and check the facts and stats and sit with it and see what we feel and come up with.

    Could this be another way to save some money, because a clear article like this one just lays it down for us and we don’t have to wait around for any more evidence or proof?

    What if our future Independent research were to focus on those who are free of all drugs, stimulants and outer distractions that man has conveniently created to avoid taking the real responsibility that we all need to get to, in order to live daily life on this earth plane?

    What would that anecdotal evidence spell out to us?

    Would real life case studies be enough, or are we going to carry on insisting on the current methods of research, because they have dominated science and we seem to think this is the one and only way?

    Is it time to consider everything and think outside the box, so to speak – as let’s get real, things are getting worse and whoever created e-cigarettes were on the front foot albeit in a harm-full way?

    Can we honestly say we have nailed it and are on the front foot?

  22. At the bus stop yesterday, I started talking to a woman about her vaping as it was almost non stop – as soon as the smoke came out, she had the bit to her mouth again.

    She told me it had no nicotine and just peppermint flavour with water. Nothing else.

    I thought SOMETHING IS NOT RIGHT

    Firstly, I drink peppermint tea daily and this was smelling nothing like natural peppermint.

    Next thing is I have this enquiring mind that was not buying it when she sold me the line that this was completely safe.

    The other thing is I had to move as I started coughing. Surely this was some sort of anecdotal evidence coming from my body and communicating something.

    Then the school kids moved away as the smoke was non stop as she was inhaling at every breath she could.

    This article from the Centre on Addiction website confirms the truth.
    https://www.centeronaddiction.org/e-cigarettes/tobacco-replacement/are-nicotine-free-e-cigarettes-harmful

    The other chemicals found in e-cigarette liquid, flavourings and aerosols are not safe.

    According to the U.S. Food and Drug Administration, inhalation of diacetyl and acetyl propionyl, which have been found in almost 75% of flavoured e-cigarettes examined in this study, is associated with respiratory disease.

    Another study – https://www.sciencedirect.com/science/article/pii/S0890623812002833
    Evaluated 40 e-cigarette refill liquids and found toxic levels regardless of nicotine content.

    As always, additional studies are needed and that is where we have been at, throughout history. We need more evidence and we seem to only accept this type of evidence as worthy and valuable.

    Back to the bus stop lady – I observed the lung area of her body which confirmed the shallow breathing and the actual difficulty in breathing. She did tell me her smoking was really a bad habit and now this one is totally ok even though it is used a lot, as there is no nicotine.

    My take is if we are not aware or not educated or given ALL the facts, then our choices are limited, simply because those choices may be different if we knew everything there is to know.

    Are we being fooled with the adverts and what goes on behind the scenes with this new latest product out to replace old fashion smoking, OR are we just changing something but not addressing the root cause, so in truth there is no evolution for mankind?

    Who benefits and are the shareholders and investors of the huge billion dollar Tobacco industry going to continue the profits by simply selling us another form which we go for, as if it’s better for our health?

    In other words, is it still ice-cream, but we just get sold a new flavour as if it’s something new and different?

    This article concludes that evidence to date suggests that e-cigarettes and other vaping devices certainly are not risk free.

    So do we wait for contra opposing evidence, as we know that is coming OR do we read this forensic blog by Simple Living Global and join the dots and work things out and get on the front foot?

    Chemicals of any kind are going to alter our natural state.

    Human beings are not naturally designed to inhale or ingest any form of substance that can affect the precise and perfect detail, to which the body moves and operates.

    What I have come to realise is I cannot shout from the rooftops and this is not my intention, but what I can do with ease is write about what I see on the street, in my neighbourhood and in my community, to raise awareness about what I know is causing ill to my fellow brothers and to the planet we enhouse.

    My commitment is absolute when it comes to expressing what I see going on as this is the microcosm, which we all know is part of the big stuff – the macrocosm.

  23. CNBC – 2 October 2018
    https://www.cnbc.com/2018/10/02/fda-seizes-documents-in-surprise-inspection-of-e-cigarette-maker-juul.html

    News story just out telling us that the FDA has seized documents from a well known company who supply e-cigarettes.

    This is because the FDA are looking into the company’s marketing practices as the Commissioner calls teenager use of nicotine vaping devices an “epidemic”.

    This organisation represents over 70% of the market share making them the leader.

    3 million high school children are using e-cigarettes according to last year’s National Youth Tobacco Survey.

    This step for concerned parents and others would seem like a positive move, but is there more we need to consider if we are to ever get on the front foot?

    Our kids are looking to ingest something that most of us would agree is harmfull to the human frame. We are all aware of the harm tobacco has caused and now we have a new substitute, albeit a different form, but nevertheless it has toxic chemicals not designed for human consumption.

    What is missing for our youth of today that they require a mouth piece to inhale and what is the message this gives out to the world? In other words what are they actually communicating by doing this practice as a lifestyle choice.

    What if we conducted a study of young children, not on e-cigarettes and observe them through school and see how may end up smoking and what is going on in their lives at the time they start to smoke or vape?

    Could we find some clues or see a certain type of child who goes for this?

    What is missing and how is their behaviour in everyday life?

    Whilst it is great our governments are clamping down and doing something, is there more that can be discussed, so we leave no stone unturned?

    We have known for over 150 years about what cigarettes do to our body and yet we continue to wait for more and more evidence to tell us what we already know.

    If a new market like e-cigarettes is growing so rapidly in a short space of time, surely this is a strong sign SOMETHING IS NOT RIGHT or do those who turn a blind eye have a vested interest?

    We need to get to the truth of why anyone wants to light up or vape and unless we consistently question things and not settle or accept anything we will not eradicate harmfull substances like this, which are designed for the pleasure of a human but with no regard for the body.

  24. Thank you for this superb blog.

    Not so long ago, I had a conversation about vaping with a friend of mine who vapes.

    He told me that, after a couple of years of vaping and experimenting with different vaping products, he had finally found a vaping combination that he was happy with.

    So, after considerable expense, research and trial and error, he now had a combination of vaping pen, vaping liquid flavour and vaping liquid nicotine strength that he liked.

    I don’t know much about vaping, but it seems to me that the vaping industry offers its customers a huge variety of products and then encourages them to keep buying from that huge list of products in the pursuit of an ideal, but probably elusive, personal vaping formula.

    I am sure that this idea of getting the customer to keep trying different varieties until they get their formula right is one way for an industry to sell more product. And the vaping industry seems to push this concept with some gusto, regardless of the cost to human health.

  25. Travelling on the underground this week as I stood on the platform, there was a group of about 5 American teenage boys. I noticed large amounts of smoke and looked over at them to see what was happening.

    One of them was smoking one of those USB type – e-cigarettes.

    I have read about this a lot, but this is the first time I have actually seen one in real life. They look just like a USB stick and so could very easily be hidden in a classroom setting or in the family home, if teachers and parents are not astute.

    Each time the young man inhaled the substance, a light would go off on the device. I watched his movements which were very unsettled and jittery and he was unable to keep still.

    The FDA Commissioner – Scott Gottlieb, is already calling this an epidemic.

    Whilst calls are being made to have e-cigarette companies remove flavourings for example from these products, so that they are less attractive – have we really considered what is truly going on for our youth as to why they are demanding e-cigarettes – as use amongst teens is high.

    Before we make any legislative changes, are we willing to investigate how our youth our feeling about themselves and about life today?

    Are we asking them how their home life is and are we ready to hear what is going on for them on a day to day basis?

    Could it be possible that our youth are living with a deep form of disconnection to who they truly are.

    What if the starting point in dealing with this epidemic, would be to support them and ourselves as adults to plug in and connect?
    https://simplelivingglobal.com/plug-in-and-connect/

  26. The Times – 21 November 2018

    Plan to stamp out smoking in social housing

    Vaping kits should be given to tenants by housing associations to encourage them to quit smoking in their homes, campaigners have urged.

    They have found that smoking was twice as common among those in social housing than other tenures.

    Is providing vaping kits really the answer?

    Having read this forensic article by Simple Living Global we know that vapes contain nicotine, flavourings and other chemicals, so are we not just encouraging one harmful substance to be smoked in exchange for another?

    Who says that vaping is better for us than smoking cigarettes?

    If we take just one country – USA we have an epidemic of youth using e-cigarettes which the Food and Drug Administration’s Commissioner has expressed deep concern about just this week?

    Are we prepared to consider if the solutions that we are offering are really progressive as we would like to think, or are they just more of the same?

  27. CBS NEWS – 28 January 2019

    https://www.cbsnews.com/news/vaping-among-teens-kids-threatens-five-decades-of-public-health-gains-american-academy-pediatrics/

    The American Academy of Pediatrics called for a major new effort to discourage children and teenagers from using e-cigarettes.

    According to AAP data there has been a 75% rise in e-cigarette use in one year – 2017-2018.

    HELLO

    Is this a big STOP for all of us – a wake up call things are really serious and we need to get to the root of this and not offer any band aid solutions which may not weather in the long term?

    In other words, we have a bullet wound and a pack of band-aids will not do the job down the line.

    The health organization called for new federal regulations to include –
    Setting a minimum age of 21 to buy the products
    Banning online sales and youth-targeted marketing
    Stopping production of certain flavoured e-cigarette products

    As a parent or elder in the community – does an age, a birthdate actually change the behaviour of a young adult?

    In other words, the adolescent lives in a way that is not responsible, but when they suddenly have a birthday, it gives them permission to do ‘adult’ things like smoking and vaping.

    How is that going to work and do we ever question WHY they have a need to ingest a highly addictive substance?

    Dr Tara Narula – Cardiologist speaking on the news video – (see link) called the use of e-cigarettes among young people “an epidemic” that is affecting 3.6 million youth and that it is a gateway to traditional cigarette use.

    Is that just a number or can we STOP again and reflect on what this means and the bigger picture?

    In other words, we have 3,600,000 young people who are going to be the adult generation of our future.

    What is the cost going to be to their own health and how will they be contributing to society by way of work if they suffer ill health as a result of vaping poison, because nicotine and all the chemicals used in e-cigarettes confirms that?

    What will the cost be in terms of medical health bills and what is the knock on effect to those close to them?

    Read what this news story has to say about what nicotine does, which is also covered in detail on this blog.

    We all know it is highly addictive and the concern is that ‘one pod has as much nicotine as a whole packet of cigarettes’.

    HELLO again

    Can we stop and join the dots and keep it simple?

    This e-cigarettes business is actually worse because children and teenagers are choosing it and the truth is it contains more than a whole pack of cigarettes. That means even more poison consumed in one go and as they are not adults and they are still developing, it would be obvious it is going to have some serious effects on their mind and body.

    But as always, we as a world will wait for science and research to do studies and then more studies and then even more studies to tell us what we all know right now, if we just choose common sense and join these simple dots.

    What we really need to do is have Independent studies that give us anecdotal evidence.

    Get in there with the kids, hang out with them morning, noon and night and observe what exactly goes on in their daily life. Then look for the correlation and it will be there because what we do know is SOMETHING IS NOT RIGHT.

    What if we started with these questions and use this as a new form of research?
    Would this benefit the public and all of society and get their attention?

    How are they engaging with parents, siblings, teachers and school friends?

    Does their behaviour change depending on the environment?

    Is there a certain time they feel the need to get the vaping kit out?

    Are there times where it is used more and are there any obvious changes post vaping?

    Where are they getting the money for this expensive habit?

    How is their appearance and communication with others?

    If we compare to others in the same age who do not smoke or vape can we observe anything?

    Can we look at how well they are doing at school when it comes to learning?

    How are these kids when left alone on their own with no one around?

    How are their sleeping habits and what times are they sleeping and waking?

    What are they eating or is this new habit kicking out the need to eat proper healthy food?

    Back to the news story –
    The same kind of treatments available to adults is simply not there for nicotine addiction for kids because they have not been approved.

    So does that mean we wait for approval or do we get on the front foot?

    Do we ask some serious questions and consider everything that has been presented in this forensic blog which confirms Simple Living Global are on the front foot, by delivering an educational tablet of truth that can be used in schools and colleges to bring awareness and understanding?

    Then the child or young adult can choose what they want, once they know the facts and the real truth about e-cigarettes.

    Another point of interest for the reader here is in 2017 the Food & Drug Administration were tasked to review tobacco products to include e-cigarettes and it delayed its review of e-cigarettes until 2022.

    Does this tell us that the US government did smell something was needed but to get on the front foot, we need to take action and any delay will come at a cost, as we are seeing clearly just from this one news story.

    Finally – how do we get to the root of WHY any child or teenager makes the choice to ingest a substance that is poison?

    Is that a question we need to be asking at every opportunity and at every dining table if we want the tides to turn once and for all?

  28. I believe that these days one crisis is young people smoking.

    Just now I saw three young girls, about 15, .

    If you that is not a big deal,then wake up.

    It is a big deal because l have been seeing it for a huge amount of time.

    And this means that lots of young people are smoking.

    This is a big deal because it will get in their lungs. It will get in the air. And it will make people sick and not able to breathe naturally.

    It is also a big deal to think about why they want to smoke in the first place.

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