Showing posts with label ecigs. Show all posts
Showing posts with label ecigs. Show all posts

Saturday, 27 February 2016

Much public health campaigning is about snobbery not concern for people's wellbeing

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Whenever you read a piece - most typically in The Guardian or Independent although sometimes these days in any media going - that talks about some or other 'public health crisis', the focus is always on things that people other than the writer is consuming. The problem with lager, fags and junk food isn't merely their supposed unhealthiness but that the sort of person who reads a broadsheet newspaper and goes to dinner parties with doctors doesn't consume these things. Indeed many of these writers only see these bad and unhealthy things being used - I'm guessing 'used' is the right word here since the stigma is akin to the taking of drugs - in the parts of society they only frequent vicariously via TV and magazines.

I'm reminded that this casual distaste for other people's choices makes little sense with food - there's no real calorific difference between a Big Mac and the sort of hand-formed, artisan burgers our Guardian reader enjoys on his night out. And let's not poke too closely into the sugar question - suffice it to note that uber-hypocrite Jamie Oliver peddles sugar-laden cakes and puddings in his books, newspaper columns and TV shows while ranting and raving about how much sugar there is in a can of coke.

All of which brings me to the matter of vaping, a practice that is, compared to the other snobbishly rejected bad habits, pretty benign and harmless - at least if we are to take the advice of Public Health England and the National Centre for Smoking Cessation and Training (NCSCT):

We begin by acknowledging that e-cigarettes are considerably safer than smoking cigarettes, are popular with smokers and that they have a role to play in reducing smoking rates

By considerably safer we mean at least 95% less harmful than smoking cigarettes - at least according to PHE. So what's the problem with vaping? Why are those public health officials in every town not rushing to support people switching from fags to vaping? And why aren't places becoming vape friendly, welcoming former smokers back into the warmth of indoors?

Partly the answer lies in a long puritanical campaign conducted - without any evidence - by a handful of well-connected academics and lobbyists. Partly, it's a classic case of 'not invented here syndrome' as public health campaigners and their friends in the pharmaceuticals business fail in believing that a consumer market can resolve the smoking'problem' that they've tried and failed to deal with over decades. But mostly it's just rank snobbery - vaping is something that fat, ugly working class people do. Even when the user is anything but:

It jarred against his crisp tux and stylish stubble, but there was no mistaking the object in Leonardo DiCaprio’s hand at the SAG Awards in January. That was a vape pen, which turns liquid nicotine into vapour.

When photos of the incongruous image began to emerge, the mockery was swift and slightly delirious. “That photo of Leonardo DiCaprio vaping at the awards dinner makes it easier to watch him die at the end of Titanic. #DoucheFlute,” one Twitter user wrote.

The scorn seemed baffling. Why would something designed to help smokers quit incur the snarky wrath of the Internet hordes? But while public-health experts continue to debate the risks and benefits of such smoking-cessation aids – e-cigarettes, as most people know them – cultural critics have reached a decisive verdict: Vaping is incredibly uncool.

The article in question goes on to describe the vaping community as "united in its tackiness" throwing out negative descriptions like this:

It is “vaped” with a gesture that looks disarmingly like a baby drinking its bottle: clutched with the full hand and suckled with pursed lips from a kind of nib.

The journalist in question then runs a quick canter round the usual lies and misinformation about vaping - noting the PHE research but then gleefully celebrating the fact that politicians are ignoring all this, buying the myth of a gateway effect and banning vaping indoors. What's driving this isn't that any of these politicians know whether vaping is dangerous but rather that it's simpler to whack on a ban knowing that those vaping - Leonardo Di Caprio aside - are a bunch of low life losers who are better kept outside.

Vaping is lumped in the same box as cheap kebabs, cans of premium strength lager, fizzy pop and salty corn snacks plus the evilest of evils itself, smoking. Instead of celebrating that Di Caprio has joined millions of others in taking up vaping to reduce harm and quit smoking our health reporters, so-called public health experts put on their finest sneer, peer down their upturned noses and wave away the vape as another distasteful lower class habit to be despised.

Public health campaigns remain unrelentingly snobbish - from forcing children to eat undernourishing salads rather than pies and puddings to clipboard wielding officials lecturing fried chicken shops on reducing salt and sugar, the whole sorry mess is about promoting an approved set of behaviours onto everybody. With the result being a passionless diet of tasteless low salt and sugar free food, an almost total abstinence from booze, the complete rejection of smoking and a preference for giving people dangerous mood altering drugs rather than supporting vaping.

If public health campaigners really cared about people's wellbeing they'd ask why it is that poor people die younger. They'd wonder why the single mum overeats, the unemployed twenty-something smokes and the old soldier drinks rather than simply trying to nudge them out of these habits with the policy equivalent of a baseball bat. But these public health fanatics don't ask these questions, they just ban stuff, control stuff, lecture, nanny and fuss. Public health campaigning isn't about health, it's about the snobbish promotion of a lifestyle set by passionless middle-class puritans.

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Thursday, 25 June 2015

Quote of the day - from ASH on vaping and renormalising smoking

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This just about sums up the evidence on vaping and renormalising smoking - the biggest stick used to beat up on vapers:

"There are people in the public health community who are obsessed by e-cigarettes. This idea that it renormalizes smoking is absolute bullshit. There is no evidence so far that it is a gateway into smoking for young people."

And this quote isn't from a pro-vaping lobby group but from Deborah Arnott, Chief Executive of Action on Smoking and Health - ASH - the granddaddy of anti-smoking groups.

This fact hasn't stopped councils, hospitals, universities, pub chains and a host of other places from banning the use of e-cigs:

While the university recognizes that these may be useful aids to those wishing to give up smoking, it has taken the view that e-cigarettes could undermine the policy of banning smoking in the work place as it gives the impression of normalising smoking in the work place. (Head of health and safety in the human resources division at Manchester Metropolitan University, Chris Bolam)

The Trust has taken the decision to not include e-cigarettes as part of our approach to support abstaining. The decision has been taken as there is currently insufficient evidence about their impact on health or risks associated with their usage. (Guys & St Thomas Hospital)

We do not allow the use of electronic cigarettes either. They are difficult for you the Managers to police and it would be the Managers as well as the Brewery who would be fined if persons were caught smoking the real thing (Humprey Smith, Director, Sam Smiths Brewery)

I could continue with hundreds of other pathetic, mealy-mouthed excuses for banning e-cigs - organisations from Alton Towers and Weatherspoons through to the Association of Conservative Clubs and Starbucks have all taken the decision to stop you vaping on their premises. Mostly the excuses given are one (or more than one of the following):

1. The WHO (or BMA or some other bunch of fussbuckets) has said we 'don't know enough about the health risks'

2. It looks like smoking and someone might light up a real cigarette meaning we get fined for breaking the smoking ban

3. It looks like smoking which makes smoking look normal and we have children as customers

The comment from ASH's boss should give the lie to all of these excuses. What would be good would be for some of these public health sorts to start telling premises that they should allow vaping inside rather than hiding behind the supposedly blazing row in their profession.

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Tuesday, 16 September 2014

On our relationship with public health...

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In an excellent piece on vaping and e-cigs, Clive Bates describes our relationship with public health - or rather public health's relationship with us the public:

They are the ‘public’ in public health. They should be a matter of professional interest to you.  In your profession,  you need to understand them and why they do what they do, in order to make professional public health judgements. You need to do this with high standards of professional conduct and to approach them with humility and empathy. You probably have something to learn and you might even get to understand what inspires them. But they have no similar obligation to you. They have other jobs, other lives and no professional need to understand you or engage with you. If you think “there is a lot of mistrust & misunderstanding on both sides” that is your problem, not their problem.   Their interest in you, if any, is that you might spoil what they are doing, that you are making provocative or unfounded remarks about them or what they do, or you are dismissing their experience as mere anecdote.

I do feel that this fact about relationships is a lesson for public servants everywhere and especially those in public health who seem to believe they have some sort of duty to remove our rights to choose.

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Sunday, 9 February 2014

Why e-cigs matter. And the public health nannies are wrong...

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Currently the tobacco cessation lobby are spending between eight and ten million quid a year to perhaps get two per cent of Britain's ten million smokers to quit. Here's the effect of electronic cigarettes - without a single penny of public funding:

...an increase in e-cigarette use from two per cent to 16 per cent in 28 months.  That is a 14 per cent increase in just over two years.  Basing that figure we see that there is a 14 per cent increase over 28 months which works out as an average monthly increase of 0.5 per cent.  This means that at present 40,625 smokers are switching to e-cigarettes each month[5].

It's probable that, before the EU's egregious Tobacco Products Directive comes into force, over a third of current smokers will have wholly or partly switched to vaping. And this will be, if you accept that smoking is the biggest preventable cause of death, the greatest public health breakthrough since the clean air acts of the 1950s.

And these idiots want to ban e-cigs? Seriously!

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Monday, 25 November 2013

Here we go again...EU e-cig regulation

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You thought it was over. You thought the rush of common sense through the usually nonsensical MEPs meant that the job was done. Electronic cigarettes wouldn't be regulated as medicines. You'd be able to buy them form the local shop rather than require a prescription.

You were wrong. The regulatory zombie has crawled from out its tomb:

Late last week the European Commission circulated a confidential new proposal for regulating e-cigarettes.   The document was sent only to those negotiating the future of e-cigarettes behind closed doors in Brussels – representatives of the European Parliament and European Council.  This isn’t a final proposal, but it provides the negotiators with something to discuss.

And the something to discuss - as Clive Bates explains - will have this effect:

...if implemented this proposal bans every product on the market today and would severely limit options for future products - and may make it commercially unviable to develop in future.

It's almost as if EU officials actually want smokers to die.

So what do we do? It's back to the letter writing and campaigning again. Clive Bates provides a helpful guide to who you should contact - he suggests writing to your MP and MEP (providing useful links). I might add that there are European elections coming up next year so:

1. Write to your local paper saying you'll not support candidates who argue for excessive regulation
2. Contact local candidates (if you can find out who they are which might be tricky) to get their support

We only get one go at this - once the EU has regulated the direction is always one of more control, more rules. So sharpen your quills and go into battle!

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Tuesday, 19 November 2013

More evidence that e-cigs don't need medical regulation

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From researchers who have connections to "manufacturers of smoking cessation medications".

There is very little risk of nicotine toxicity from major electronic cigarette (EC) brands in the United Kingdom. Variation in nicotine concentration in the vapour from a given brand is low. Nicotine concentration in e-liquid is not well related to nicotine in vapour. Other EC brands may be of lower quality and consumer protection regulation needs to be implemented, but in terms of accuracy of labelling of nicotine content and risks of nicotine overdose, a regulation over and above such safeguards seems unnecessary.

These are good things - people really are stopping harmful smoking with them. So let's encourage rather than carp and condemn, eh?


H/T Dick Puddlecote
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