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Multiple Submissions From: Robert B. Sklaroff, MD, FACP To Multiple Submissions From: Robert B. Sklaroff, M.D., F.A.C.P. To: Joan McClure (NCCN Senior Vice President, Clinical Information & Publications); NCCN Smoking Cessation Panel Received: July 2016- November 2016 Submission: July 11, 2016 From: Robert B. Sklaroff, M.D., F.A.C.P. To: NCCN Submissions Prior to releasing your July policy‐statement, please take into account these data; this "hot" information should simply be co‐adopted...and forwarded to the FDA. Also take note of both the articles and the COMMENTS herein http://well.blogs.nytimes.com/2016/07/11/e‐cigarettes‐expand‐teenage‐nicotine‐use‐rather‐than‐ replacing‐it/ ‐‐‐‐‐‐‐‐‐‐ Forwarded message ‐‐‐‐‐‐‐‐‐‐ From: Bill Godshall <[email protected]<mailto:[email protected]>> Date: Mon, Jul 11, 2016 at 2:42 PM Subject: Tobacco Harm Reduction Update To: [email protected]<mailto:[email protected]> Public Health England – E‐cigarettes: a developing public health consensus Joint statement on e‐ cigarettes by Public Health England and other UK public health organisations https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/534708/E‐ cigarettes_joint_consensus_statement_2016.pdf Public Health England Guidance urges employers and organizations to ALLOW vaping in workplaces and public places, to distinguish harmful smoke from smokefree vapor PHE press release – Vaping in public places: advice for employers and organizations https://www.gov.uk/government/news/vaping‐in‐public‐places‐advice‐for‐employers‐and‐organisations PHE: Use of e‐cigarettes in public places and workplaces Advice to inform evidence‐based policy making (15 pages) https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/534586/PHE‐advice‐ on‐use‐of‐e‐cigarettes‐in‐public‐places‐and‐workplaces.PDF PHE: Use of e‐cigarettes in public places and workplaces Advice to inform evidence‐based policy making (1 page) https://www.gov.uk/government/publications/use‐of‐e‐cigarettes‐in‐public‐places‐and‐ workplaces/e‐cigarettes‐in‐public‐places‐and‐workplaces‐a‐5‐point‐guide‐to‐policy‐making Report of PHE stakeholder ‘conversation’ on use of e‐cigarettes in enclosed public places and workplaces (20 pages) https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/534585/Report‐on‐ PHE‐conversation‐on‐use‐of‐e‐cigarettes‐in‐public‐places.pdf Public Health England Guidance: Use of e‐cigarettes in public places and workplaces https://www.gov.uk/government/publications/use‐of‐e‐cigarettes‐in‐public‐places‐and‐workplaces New guidance from Public Health England instructs employers to make a clear distinction between tobacco and vaping in their smoking policies http://www.theconstructionindex.co.uk/news/view/employers‐instructed‐to‐support‐vaping Public Health Research and Surveillance Brad Rodu analyzes CDC 2015 NHIS data on adult smoking and vaping (that CDC still hasn’t released to the public except in a recent meta data dump) http://rodutobaccotruth.blogspot.com/2016/07/how‐ many‐americans‐vape‐cdc‐data‐show_7.html Survey shows e‐cigarette flavors are crucial to helping smokers quit (US) http://dailycaller.com/2016/06/30/survey‐shows‐e‐cigarette‐flavors‐are‐crucial‐to‐helping‐smokers‐ quit/ Survey: Vapers are using electronic cigarettes to quit smoking (US) http://www.cspdailynews.com/category‐news/tobacco/articles/survey‐vapers‐are‐using‐electronic‐ cigarettes‐quit‐smoking How and why do smokers start using e‐cigarettes? Qualitative study of vapers in London http://www.mdpi.com/1660‐4601/13/7/661/htm What does recent biomarker literature say about the likely harm from e‐cigarettes? (NZ) https://blogs.otago.ac.nz/pubhealthexpert/#‐‐ENREF‐‐7 http://www.nzherald.co.nz/lifestyle/news/article.cfm?c_id=6&objectid=11668567 Konstantinos Farsalinos – E‐cigarette risk assessment based on biomarkers: good approach but important problems in the analysis http://www.ecigarette‐research.org/research/index.php/whats‐ new/whatsnew‐2016/242‐biom Zvi Herzog finds “All‐Cause Mortality Risk” consistently increases with “Daily Cigarette Consumption”, finds clear dose‐response relationship (based on data in 2005 study whose authors claimed smoking 1‐4 cigarettes per day increased morbidity and mortality risks) https://docs.google.com/spreadsheets/d/11KrgwSduT‐ 9_HA6nPUxHlrgrNCXGJ4EfHpJRzCRAdoE/edit?pref=2&pli=1#gid=0 http://tobaccocontrol.bmj.com/content/14/5/315.full.html (2005 study) 2016 Global Forum on Nicotine presentation transcripts and audio/video now available All 2016 Global Forum on Nicotine presentation transcripts are available at https://gfn.net.co/2016‐ presentations?utm Brian Carter: The power of non‐nicotine factors in the habitual use of nicotine products https://www.youtube.com/watch?v=bX5tWorT5o0 Lynne Dawkins – Compensatory puffing behaviours in e‐cigarette users https://www.youtube.com/watch?v=3n6GYFr7Ss0 Moira Gilchrist: Tobacco Heating System (THS) 2.2 cardiovascular disease risk assessment https://www.youtube.com/watch?v=tkMFK3H2srs Neil McKeganey – E‐cigarettes: Gateway or Roadblock to Cigarette Smoking? https://www.youtube.com/watch?v=XCFnjMDmZ14 Andrej Sobczak: Research on electronic cigarettes in Poland https://www.youtube.com/watch?v=9uqzpswfQrw Dainius Martuzevicius: Exhaled aerosol particles e‐cigs & cigarettes https://www.youtube.com/watch?v=4XpDYLIBEoE Christopher Russell: Perceptual and experimental factors in switching to e‐cigarettes https://www.youtube.com/watch?v=Gjj9MixXb3c Michal Stoklosa: Prices and e‐cigarette demand in the EU https://www.youtube.com/watch?v=28lSSK2htsg Marewa Glover: The Michael Russell Memorial Oration 2016 https://www.youtube.com/watch?v=FgYmLswznkg Konstantinos Farsalinos: Safety & toxicology of e‐cigarettes https://www.youtube.com/watch?v=ypy1YyOnccg Linda Bauld: Asking the right questions about smoking and alternative nicotine delivery systems https://www.youtube.com/watch?v=55TpzVrNkfM Ann McNeill – Population impact of e‐cigarettes: recent evidence from the UK https://www.youtube.com/watch?v=qt5QomHLHZg Karl Lund: Population impacts of snus – tobacco initiation & cessation https://www.youtube.com/watch?v=iFe6aY5DNQ8 Barnaby Page: Disharmony in the Implementation of the European TPD https://www.youtube.com/watch?v=VeJZHpizQQI Julian Morris – Unaccountable and non‐transparent: is the FTC a threat to public health? https://www.youtube.com/watch?v=oz2Q5hdzFU8 Stefan Dudik: “Not Blowing Smoke” – the fight against misleading messages https://www.youtube.com/watch?v=m_mnxXdq6xM Clive Bates: What would good regulation of e‐cigarettes look like? https://www.youtube.com/watch?v=‐_4sqWM0Nrk Scott Leischow, Jean‐Francois Etter, Neil McKeganey, Chris Proctor: Evidence, Accountability and Transparency – whose science counts? https://www.youtube.com/watch?v=bX5tWorT5o0 Peter Beckett, Gillian Golden, Judith Wolters, Amy Faith Ho: Evidence, Accountability and Transparency – any other business? https://www.youtube.com/watch?v=ai7OAFsi3lw Chris Ford: Lessons for vapers from drugs harm reduction and drug policy reform https://www.youtube.com/watch?v=PcamOXeFJE4 Riccardo Polosa – E‐cigarettes health potential: current evidence and future areas of exploration https://www.youtube.com/watch?v=WovLo1klM0U FDA Vapor Deeming Ban Lawsuits mount against FDA regs on e‐cigarettes (another lawsuit filed against FDA) http://thehill.com/regulation/court‐battles/287056‐lawsuits‐mount‐against‐fda‐regs‐on‐e‐cigarettes Sally Satel: Congress, save e‐cigarettes from the FDA http://newbostonpost.com/2016/07/07/congress‐ save‐e‐cigarettes‐from‐the‐fda/ Christian Berkey: The FDA’s war on vaping is misguided http://host.madison.com/wsj/opinion/column/christian‐berkey‐the‐fda‐s‐war‐on‐vaping‐is‐ misguided/article_6487b65b‐260f‐58cc‐8d72‐f1f7e58339ee.html Strict New Regulations are Forcing Vapers to DIY https://motherboard.vice.com/en_ca/read/strict‐new‐ regulations‐are‐forcing‐vapers‐to‐go‐diy FDA’s costly new rules may sink local vape shops http://www.buffalonews.com/city‐region/fdas‐costly‐new‐rules‐may‐sink‐local‐vape‐shops‐20160703 CASAA’s Elaine Keller: 5 Myths About FDA’s Regulation of Vapor Products http://dailysignal.com/2016/07/05/5‐myths‐about‐fdas‐regulation‐of‐vapor‐products/ E‐cigs debate grows amid FDA rules http://thetandd.com/e‐cigs‐debate‐grows‐amid‐fda‐rules/article_bde05ae8‐3acc‐5b2e‐ba1d‐ 0c7cedcf6963.html ACSH’s Hank Campbell – Methadone, Needle Exchanges and E‐cigarettes: Puritanism as Policy http://acsh.org/news/2016/07/10/methadone‐needle‐exchanges‐and‐e‐cigarettes‐puritanism‐as‐policy/ Lindsey Stroud: The war on e‐cigarettes moves forward http://www.detroitnews.com/story/opinion/2016/07/08/war‐cigarettes‐moves‐forward/86839528/ The McGlaughlin Group (7/1/16) cluelessly repeat Obama DHHS’ false and misleading anti‐vaping deeming ban propaganda, conflate lifesaving vaping with cigarette smoking https://www.youtube.com/watch?v=OYeNakW7K5A FDA falsely touts cigarette protecting Tobacco Control Act (that Philip Morris/Altria negotiated with Big Pharma shills in 2003/04, and lobbied Congress to enact through 2009) as a public health protection law http://www.fda.gov/TobaccoProducts/NewsEvents/ucm509597.htm FDA updated Tobacco webpage conflates all types of tobacco use with daily cigarette smoking (which causes 99% of tobacco attributable disease, disability, mortality and healthcare costs), falsely attributes cigarette diseases and deaths to OTP, uses cigarettes as bait‐and‐switch to deceive public about lifesaving vapor products, and low risk OTP. http://www.fda.gov/TobaccoProducts/PublicHealthEducation/HealthInformation/default.htm
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