Report: Nicotine without smoke: Tobacco harm reduction
Produced by: Royal College of Physicians
"This report provides an update on the use of harm reduction in tobacco smoking, in relation to all non-tobacco nicotine products but particularly e-cigarettes. It shows that, for all the potential risks involved, harm reduction has huge potential to prevent death and disability from tobacco use, and to hasten our progress to a tobacco-free society."
Read the full report at:
- Smoking is the biggest avoidable cause of death and disability, and social inequality in health, in the UK.
- Provision of the nicotine that smokers are addicted to without the harmful components of tobacco smoke can prevent most of the harm from smoking.
- Nicotine replacement therapy (NRT) is most effective in helping people to stop smoking when used together with health professional input and support, but much less so when used on its own.
- E-cigarettes are marketed as consumer products and are proving much more popular than NRT as a substitute and competitor for tobacco cigarettes.
- E-cigarettes appear to be effective when used by smokers as an aid to quitting smoking.
- The hazard to health arising from long-term vapour inhalation from the e-cigarettes available today is unlikely to exceed 5% of the harm from smoking tobacco.
- The available evidence to date indicates that e-cigarettes are being used almost exclusively as safer alternatives to smoked tobacco, by confirmed smokers who are trying to reduce harm to themselves or others from smoking, or to quit smoking completely.
- There is a need for regulation to reduce direct and indirect adverse effects of e-cigarette use, but this regulation should not be allowed significantly to inhibit the development and use of harm-reduction products by smokers.
- In the interests of public health it is important to promote the use of e-cigarettes, NRT and other non-tobacco nicotine products as widely as possible as a substitute for smoking in the UK.
August 10th 2018 - New FDA Labeling Requirements:
"A “covered tobacco product” is any tobacco product deemed under the deeming final rule to be subject to chapter IX of the Federal Food, Drug, and Cosmetic Act, but excludes any component or part that is not made or derived from tobacco. For example, cigars, liquid nicotine, hookah/waterpipe tobacco, and pipe tobacco would be considered “covered tobacco products,” while vaporizers or pipes that are not pre-loaded with tobacco or a tobacco-derived substance would not.
By the compliance date of August 10, 2018, roll-your-own tobacco, cigarette tobacco, or covered tobacco products (except cigars and pipe tobacco) manufactured, packaged, sold, offered for sale, distributed, or imported for sale or distribution within the United States must bear the required warning statement on the tobacco product package label, per 21 CFR § 1143.3(a)(1).1 (Cigar required warnings are described under 21 CFR § 1143.5.)
"WARNING: This product contains nicotine. Nicotine is an addictive chemical."
This required warning statement must also meet certain requirements, with respect to font, text, size, placement and formatting of the warning statement on the package labels. That is, the required warning statement on package labels must also appear directly on the package, and be clearly visible underneath any cellophane or other clear wrapping, per 21 CFR § 1143.3(a)(2), as follows:
Be located in a conspicuous and prominent place on the two "principal display panels" of the package;
Comprise at least 30 percent of each of the principal display panels;
Be printed in at least 12-point font size and must occupy the greatest possible proportion of the warning label area set aside for the required text;
Be printed in conspicuous and legible Helvetica bold or Arial bold type or other similar sans serif fonts and in black text on a white background or white text on a black background in a manner that contrasts by typography, layout, or color, with all other printed material on the package;
Be capitalized and punctuated as indicated in 21 CFR § 1143.3(a)(1); andBe centered in the warning area in which the text is required to be printed and positioned such that the text of the required warning statement and the other information on the principal display panels have the same orientation."
Other Labeling Requirements:
There are other labeling requirements. For example, tobacco products deemed under the deeming final rule to be subject to FDA’s authority, if in package form, must bear a label containing —
the name and place of business of the tobacco product manufacturer, packer, or distributor;
an accurate statement of the quantity of the contents in terms of weight, measure, or numerical count;
an accurate statement of the percentage of the tobacco used in the product that is domestically grown tobacco and the percentage that is foreign grown tobacco; and
the statement required under section 920(a)…(section 903(a)(2) of the Federal Food, Drug, and Cosmetic Act (FD&C Act)).
Section 920(a) of the FD&C Act provides that the label, packaging, and shipping containers of tobacco products shall bear the statement “Sale only allowed in the United States”.
In the draft guidance, entitled, “Interpretation of and Compliance Policy for Certain Label Requirement; Applicability of Certain Federal Food, Drug, and Cosmetic Act Requirements to Vape Shops”, FDA indicated that it does not intend to enforce section 903(a)(2)(C) of the FD&C Act for those products that are made or derived from tobacco. When the draft guidance is finalized it will represent FDA’s current thinking on the issues contained therein."
Feb 3rd 2018: "This State Vapor Bill Tracking Report contains current bills, by state, that are active as of the date above. Please be aware that if your state does carry over bills from last year, we are still tracking those in case those bills again become active.
Also, note that the bill title is an active link that will provide you with additional information about the bill and bill text. As you will see, several bills below contain tax increases, flavor bans, labeling requirements, as well as both indoor and outdoor use bans.
Finally, the report also notes upcoming hearings so that we can have an active voice in state capitols. The report also contains notes on bills that have advanced out of committee in your state." Check State Vapor Bill Tracking Report - Find Out About Vape Legislation In Your State Here - & If You Vape Advocate
FDA Regulations take effect August 8, 2016. We will be required to
check ID for age verification purposes at that time.
August 8th 2016 is the start of the 24-month grace period for manufacturers to file their premarket tobacco applications (PMTA). For any new vapor product to be introduced to the market after August 8th, manufacturers will be required to file a PMTA with no grace period to allow for marketing before the application is granted. What this means is that as a practical matter, there will be no new products on the market after August 8th.
Although a lot of focus has shifted to the FDA deeming regulations, it is critical that consumers and vapor businesses are aware of other federal and state laws that will be taking effect soon.CASAA’s Testimonials Project, has collected over 10,000 stories and continues to grow. We are working toward collecting testimonials with more detail so that we can provide state specific numbers to state and regional advocacy organizations that will assist them in their advocacy efforts.
Although not a CASAA project, The Vape a Vet (VAV) Project has been providing vapor products for free to veterans and active duty service members for three years now. Sadly, the FDA deeming regulation is having a negative impact on VAV and making it more difficult to provide this lifesaving resource to our nation’s bravest. When considering where to send your donations, please keep VAV in mind. You can learn more about the project and how to donate here.
Register to Vote before your state’s deadline! . . . and then, make sure you vote! Exercising your right to vote is vital to any advocacy effort. Engagement from voters carries weight with lawmakers as they consider input on legislation that comes before them. Lawmakers are not be able to see how you vote, but they will certainly check to see if you are voting.
Probably the most important law for consumers and retailers alike to be aware of is the Child Nicotine Poisoning Prevention Act of 2015 (CNPPA) which takes effect on July 26th, 2016. Consumers and retailers need to understand that there are specific testing protocols which are described in Title 16 CFR, §1700.20. Although child-resistant packaging exists in other parts of the world, it may not meet US Federal guidelines. In order to sell bottled e-liquid after July 26th, 2016, it must be sold in child-resistant packaging that is compliant with the US Code of Federal Regulations (CFR).