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Vaping Has Been My Gateway out of Smoking Tobacco

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Vaping Has Been My Gateway out of Smoking Tobacco Vaping has been my Gateway out of smoking tobacco. Part 1 The Smoker I started smoking at 12 and by 14 I was smoking a pack a day. I became seriously addicted to tobacco very rapidly and smoked continuously for 38 years. I first attempted to quit in 1991 with cold turkey. I never lasted more than two hours, unless you count sleeping. I regularly woke up to smoke in the middle of the night. Smoking was the first thing I did when I woke and the last thing I did before sleeping. 0ver the past 29 years I made increasingly desperate attempts to quit. I used ALL of the recommended approaches including Quitline, the Alan Carr method, three separate hypnotherapists of no less than 3 sessions per practitioner, NRT products such as patches, gums, sprays, lozenges and inhalers. Herbal products and herbal cigarettes. I went further, I trialled a drug with potential for smoking cessation, and heart attacks. It failed. I later tried Zyban. I tried it twice. I took Champix knowing that some people (with no history of mental illness) suicide within a week of taking it. I told my family so they could watch me closely. I had no side effects, no suicidal thoughts and no success in stopping smoking. It seems for Champix to be a success you have to also be susceptible to very severe side effects. After reading some research on heavy smokers and the possibility that fast metabolism of nicotine was the key issue I tried the recommendation to wear numerous patches. I increased the patches expecting at some point I wouldn’t crave a cigarette. The reality: I eventually increased to 5 patches, vomited from nicotine poisoning and still smoked a cigarette. I remained a heavy smoker of 45-60 cigarettes a day. My life revolved around access to smoking. I avoided visiting people’s homes, didn’t share car rides so I could smoke in my car, didn’t go to movies or anywhere where my chain smoking would be disrupted. I have never been addicted to any other substance and rarely drink. I do not gamble. I was spending more than $300 per week. Even with significant further increases in excise I would have continued to smoke because I had the income to do so. I’m struggling to find the right words to illuminate to the committee the psychological impact of so many attempts to quit that resulted in failure. Reading these submissions, it is clear many people have had a similar experience and have tried everything the experts said would, or should, work. Eventually I came to a point where I completely believed I would NEVER be able to stop smoking. Part 2 The Vaper. In 2016 I heard about vaping. I bought a vape pen online from the US and some juice containing nicotine. The device was far too underpowered for a heavy smoker, the nicotine level was too weak. I vaped for a few days but still smoked. I now realise that successfully stopping smoking using vaping does require expert help. The kind of help no one is going to get from a medical professional or a pharmacist. In 2017 I returned to NZ for a visit and was shocked that all my friends who used to be heavily addicted smokers had stopped smoking and were vaping. One friend took me to a vape shop, and they helped me find the right device and let me try a range of nicotine levels and flavours. Over that fortnight I went to the shop several times to fine tune my set up and this time I was successful. From that point onwards I haven’t had a single cigarette. Not one. I have to vape in the smokers area at work. I had to quit smoking while standing next to people smoking cigarettes and I’m still a non-smoker. The one advantage of this is that I turned all those smokers into vapers. It’s now rare to see a smoker at my work place. Finally I found something that actually works. I’m so grateful and happy not to smoke anymore. Now the TGA wants to take this away and make it impossible and difficult to obtain but will continue to let children buy NRT products in the supermarket and adults buy tobacco without restriction. It’s so illogical it’s incredulous, if the real point it to reduce the harm of combustible tobacco why would anyone want to stamp out something that has been so successful in helping the heavy smokers quit in the US, UK, NZ and Australia. To date, smoking cessation policies have successfully reduced smoking rates in casual and social smokers but has failed in reducing the residual highly addicted cohort. I would also like to note that I started on 32 mg of nicotine and now I’m down to 8-12mg. My plan is to continue halving the nicotine every 6 mths till I am vaping 0mg of nicotine and when ready, to also stop vaping. For me, smoking was more than nicotine, it was habit, it was self soothing rituals, it’s falsely self medicating for anxiety, it was hand to mouth ritual and it was breathing regulation, just not healthy breathing. Vaping will allow me to slowly titrate down to to Omg nicotine, leaving me to wean from the habit separately. I feel this is a lot of the reason for the success of vaping over NRT. When I started vaping I used tobacco flavours because I thought I needed tobacco flavour not to smoke. It took a year before I mentally became a non-smoker and saw myself as such. At that point I was able to switch to non- tobacco flavours. I feel that switch was another monumental step away from combustible tobacco and very important to me. Flavours need to remain available otherwise people will add flavours at home that are dangerous. At the moment we are protected by buying safe liquids through vape shops. I do agree that the best thing to put into your lungs is air and nothing else. However I have had significant health benefits already from using a far less damaging alternative. I was under investigation for COPD immediately prior to taking up vaping. I had annual bouts of bronchitis, used an asthma inhaler and was prescribed prednisone (steroids) three years in a row for chest infections. Since taking up vaping, I no longer have any COPD symptoms, no longer use an inhaler and have not had bronchitis or chest infections and have not been prescribed prednisone. I have started exercising and I’m no longer short of breath. Much community conversation on the proposed policies to restrict access to vaping have created a community belief that this is a deliberate act to get the hundreds of thousands of vapers back to cigarettes to increase or to protect the tax revenue. I do not subscribe to that view. I believe the people in those agencies sincerely wish to reduce smoking in the community. However, I wish point out to the committee that no attempt has been made to use a user centred design approach to smoking cessation policy. To put it plainly, every effort has been made to studiously avoid asking heavy smokers (who quit by vaping) why it has been so successful. This is extraordinary. Why would you not want to understand from our point of view if it is “us” you are trying to save? Is smoking cessation policy being designed by people who have never ever smoked? I want smoking cessation policy to be successful, I want them to engage with heavy smokers who have quit to understand why this is working, so they can design better policy and help the remaining smokers quit. Response to senate committee questions A: the treatment of nicotine vaping products (electronic cigarettes and smokeless tobacco) in developed countries similar to Australia (such as the United Kingdom, New Zealand, the European Union and United States), including but not limited to legislative and regulatory frameworks; I have experienced the NZ approach. I encourage the committee to look at the regulatory framework adopted by NZ. It’s pragmatic, it’s sensible and it’s smashing smoking rates. In particular I would recommend that specialised vape shops remain. My experience has been that vape shops in Australasia are small businesses owned by ex-smokers who are passionate about assisting smokers quit combustible tobacco. I would like to see tobacco companies restricted from selling vaping liquid direct to consumers or establishing vape shops. I understand an industry is required to manufacture safe commercial nicotine for use in vape liquid, it would be great to see tobacco companies restricted to this space. Pharmacies will not be able to help smokers find the right device or help them get the device/juice combination right. They are not the right industry to administer vaping. I don’t need to go to a pharmacy to buy NRT products, cigarettes or alcohol and unless these products are also to be restricted to pharmacies, I oppose this proposal. I object to needing a regular script from my Doctor. I am not required to get a script to buy cigarettes, NRT or alcohol. The cost to the health system of this proposal is offensive. My Doctor has a three week wait for appointments, they do not have the capacity to medicalise vaping. Nicotine is not a product to be encouraged to non-smokers. I would support a one-off certification by my Doctor to provide evidence that I was a smoker using vaping for smoking cessation.
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