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All statements are hyperlinked to original documents. >35 organizations say “SAFER than smoking.”[file:///THR%2520Statements_html_7a481905bdabd2c2.png bottom]


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All statements are hyperlinked to original documents. >35 organizations say “SAFER than smoking.”[file:///lu1208017vn1qoq_tmp_7a481905bdabd2c2.png bottom]'''World Health Organization EURO Office: ''' “[http://www.euro.who.int/__data/assets/pdf_file/0009/443673/Electronic-nicotine-and-non-nicotine-delivery-systems-brief-eng.pdf Thereis conclusive evidence that:  Completely substituting electronicnicotine and non-nicotine delivery systems for combustible tobaccocigarettes reduces users’ exposure to numerous toxicants andcarcinogens present in combustible tobacco cigarettes.]”


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'''World Health Organization EURO Office:<span></span>'''“[http://www.euro.who.int/__data/assets/pdf_file/0009/443673/Electronic-nicotine-and-non-nicotine-delivery-systems-brief-eng.pdf There is conclusive evidence that: Completely substituting electronic nicotine and non-nicotine delivery systems for combustible tobacco cigarettes reduces users’ exposure to numerous toxicants and carcinogens present in combustible tobacco cigarettes.]”
'''International Agency for Research on Cancer: ''' “[https://cancer-code-europe.iarc.fr/index.php/en/ecac-12-ways/tobacco/247-are-e-cigarettes-less-harmful-than-conventional-cigarettes Theuse of e-cigarettes is expected to have a lower risk of disease anddeath than tobacco smoking… E-cigarettes have the potential toreduce the enormous burden of disease and death caused by tobaccosmoking if most smokers switch to e-cigarettes.]”


[file:///lu1208017vn1qoq_tmp_1b5c55f049f30bf5.png bottom]'''Cochrane systematic review: '''“[https://www.cochrane.org/CD010216/TOBACCO_can-electronic-cigarettes-help-people-stop-smoking-and-are-they-safe-use-purpose Wefound 50 studies in 12,430 adults who smoked… The studies tookplace in the USA (21 studies), UK (9), Italy (7), Australia (2), NewZealand (2), Greece (2) and one study each in Belgium, Canada,Poland, South Korea, South Africa, Switzerland and Turkey.”][https://www.cochrane.org/CD010216/TOBACCO_can-electronic-cigarettes-help-people-stop-smoking-and-are-they-safe-use-purpose FINDINGS:][https://www.cochrane.org/CD010216/TOBACCO_can-electronic-cigarettes-help-people-stop-smoking-and-are-they-safe-use-purpose “Moderate certainty” that “e-cigarettes with nicotine increasequit rates compared to e-cigarettes without nicotine, and compared tonicotine replacement therapy [nicotine patches & gum]…  We didnot detect any clear evidence of harm from nicotine e-cigarettes”[up to 2 years]].”


[file:///lu1208017vn1qoq_tmp_a0548a0d52b03426.png bottom]'''Public Health England: ''' “[https://www.gov.uk/government/news/phe-publishes-independent-expert-e-cigarettes-evidence-review Ournew review reinforces the finding that vaping is a fraction of therisk of smoking, at least 95% less harmful, and of negligible risk tobystanders.  Yet over half of smokers either falsely believe thatvaping is as harmful as smoking or just don’t know.]”


[file:///lu1208017vn1qoq_tmp_5bff3fffb7427490.png bottom]'''Royal College of Physicians: ''' “[https://www.rcplondon.ac.uk/file/3563/download Althoughit is not possible to precisely quantify the long-term health risksassociated with e-cigarettes, the available data suggest that theyare unlikely to exceed 5% of those associated with smoked tobaccoproducts, and may well be substantially lower than this figure…E-cigarettes are effective in helping people to stop smoking.]”


[file:///lu1208017vn1qoq_tmp_598db578a2cee568.png bottom]'''National Institute for Health and Care Excellence: ''' “[https://www.nice.org.uk/guidance/ng92/chapter/Recommendations#advice-on-ecigarettes Theevidence suggests that e-cigarettes are substantially less harmful tohealth than smoking but are not risk free.  Many people have foundthem helpful to quit smoking cigarettes.]”


[file:///lu1208017vn1qoq_tmp_dabccb8e3c1d331a.png bottom]'''British Medical Association: '''“[https://www.bma.org.uk/media/2083/e-cigarettes-position-paper-v3.pdf Significantnumbers of smokers are using e-cigarettes (electronic cigarettes),with many reporting that they are helpful in quitting or cutting downcigarette use.  There are clear potential benefits to their use inreducing the substantial harms associated with smoking, and a growingconsensus that they are significantly less harmful than tobacco use.]”
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[file:///lu1208017vn1qoq_tmp_49a5df33bae2db03.png bottom]'''Cancer Research UK: '''“[https://www.cancerresearchuk.org/sites/default/files/e-cigarette_briefing_july_2018_final.pdf?utm_source=t.co&utm_medium=referral Whilethe long-term health consequences of e-cigarette use are uncertain,the evidence so far suggests that e-cigarettes are far less harmfulthan smoking.  ...There is also growing evidence to suggest thate-cigarettes can work successfully as an aid to cessation.  …Thereis insufficient evidence to support a blanket indoor ban one-cigarette use, either on the basis of renormalisation of smoking orharm to bystanders from second-hand vapour.]”[file:///lu1208017vn1qoq_tmp_69a426a8224c4e50.png bottom]'''British Lung Foundation: '''“[https://www.blf.org.uk/your-stories/more-evidence-than-ever-e-cigs-safer-than-smoking Expertshave reviewed all the research done on e-cigarettes over the past fewyears, and found no significant risks for people using e-cigarettes. ...Swapping cigarettes for an e-cig can improve your symptoms of lungconditions like asthma and COPD.]”


[file:///lu1208017vn1qoq_tmp_29f909e9d24ba098.png bottom]'''Royal College of General Practitioners: '''“[https://www.cancerresearchuk.org/sites/default/files/rcgp_e-cig_position_statement_approved_060917_clean_copy.pdf Theevidence so far shows that e-cigarettes have significantly reducedlevels of key toxicants compared to cigarettes, with average levelsof exposure falling well below the thresholds for concern.]”
'''International Agency for Research on Cancer:<span></span>'''“[https://cancer-code-europe.iarc.fr/index.php/en/ecac-12-ways/tobacco/247-are-e-cigarettes-less-harmful-than-conventional-cigarettes The use of e-cigarettes is expected to have a lower risk of disease and death than tobacco smoking… E-cigarettes have the potential to reduce the enormous burden of disease and death caused by tobacco smoking if most smokers switch to e-cigarettes.]”


[file:///lu1208017vn1qoq_tmp_7473f9a7ceaeeb5f.png bottom]'''Royal Society for Public Health: '''“[https://www.rsph.org.uk/about-us/news/new-phe-review-strengthens-consensus-on-harm-reduction-role-of-e-cigarettes.html RSPHhas welcomed a new comprehensive evidence review on e-cigarettespublished by Public Health England (PHE).  The report reflects anup-to-date evidence base that is increasingly pointing in the samedirection:  not only that vaping is at least 95% less harmful thansmoking, but also that it is helping increasing numbers of smokers toquit.]”


[file:///lu1208017vn1qoq_tmp_a290328394afb8a2.png bottom]'''Stroke Association UK:''' “[https://www.stroke.org.uk/about-us/our-policy-positions Currentevidence shows that the risk to health posed by e-cigarettes in theshort term is likely to be considerably less compared to smoking.]”


[file:///lu1208017vn1qoq_tmp_3dc9120068dc83b.png bottom]'''Action on Smoking and Health UK: ''' “[https://ash.org.uk/wp-content/uploads/2019/04/E-Cigarettes-Briefing_PDF_v1.pdf Ithas been estimated that e-cigarettes are 95% less harmful thanordinary cigarettes.  There is negligible risk to others fromsecond-hand e-cigarette vapour.  ...The lifetime cancer risk ofvaping has been assessed to be under 0.5% of the risk of smoking. [But] Public understanding of the relative harms of e-cigarettes [vssmoking cigarettes] have worsened over time and are less accuratetoday than they were in 2014.]”


[file:///lu1208017vn1qoq_tmp_3ef1301d4464ee23.png bottom]'''National Centre for Smoking Cessation and Training: ''' “[https://www.ncsct.co.uk/usr/pub/Electronic_cigarettes._A_briefing_for_stop_smoking_services.pdf Expertsestimate that e-cigarettes are, based on what we know so far, around95% safer than cigarettes.  Smoking is associated with a number ofvery serious health risks to both the smoker and to others aroundthem.  Therefore, smokers who switch from smoking tobacco toe-cigarettes substantially reduce a major risk to their health....Nicotine does not cause smoking related diseases, such as cancersand heart disease].”


[file:///lu1208017vn1qoq_tmp_ffa345863d98e7b8.png bottom]'''National Health Service Scotland consensus statement on e-cigarettes: '''“[http://www.healthscotland.scot/media/1576/e-cigarettes-consensus-statement_sep-2017.pdf Smokingkills.  Helping people to stop smoking completely is our priority. …There is now agreement based on the current evidence that vapinge-cigarettes is definitely less harmful than smoking tobacco.]”<span size="2" data-mce-style="font-size: small;" style="font-size: small;">This statement was created and endorsed by: Action on Smoking & Health Scotland • Cancer Research UK • Chest Heart & Stroke Scotland • Chief Medical Officer for Scotland • NHS Ayrshire and Arran • NHS Greater Glasgow and Clyde • NHS Lothian • NHS Tayside • Roy Castle Lung Cancer Foundation • Royal College of General Practitioners • Royal College of Physicians of Edinburgh • Royal College of Physicians and Surgeons of Glasgow • Royal Environmental Health Institute of Scotland • Scottish Collaboration for Public Health Research and Policy • Scottish Consultants in Dental Health • Scottish Thoracic Society • UK Centre for Tobacco & Alcohol Studies • University of Edinburgh • University of Stirling</span>
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[file:///lu1208017vn1qoq_tmp_1afcfe7142c5ebc9.png bottom]'''New Zealand Ministry of Health: '''“[https://www.health.govt.nz/our-work/preventative-health-wellness/tobacco-control/vaping-smokefree-environments-and-regulated-products/position-statement-vaping TheMinistry considers vaping products could disrupt inequities andcontribute to Smokefree 2025.  The evidence on vaping productsindicates they carry much less risk than smoking cigarettes but arenot risk free.  Evidence is growing that vaping can help people toquit smoking.  There is no international evidence that vapingproducts are undermining the long-term decline in cigarette smokingamong adults and youth, and may in fact be contributing to it.]”


[file:///lu1208017vn1qoq_tmp_24f85310b5cb58d9.png bottom]'''Cancer Society of New Zealand:''' “[https://auckland-northland.cancernz.org.nz/assets/Uploads/CSAN-VapingSummaryReport-Web3.pdf E-cigarettesand smokeless tobacco products are less harmful than tobaccosmoking.]
'''Cochrane systematic review:<span></span>'''“[https://www.cochrane.org/CD010216/TOBACCO_can-electronic-cigarettes-help-people-stop-smoking-and-are-they-safe-use-purpose We found 50 studies in 12,430 adults who smoked… The studies took place in the USA (21 studies), UK (9), Italy (7), Australia (2), New Zealand (2), Greece (2) and one study each in Belgium, Canada, Poland, South Korea, South Africa, Switzerland and Turkey.]


[file:///lu1208017vn1qoq_tmp_7f5f1e90da0bd313.png bottom]'''Royal Australian & New Zealand College of Psychiatrists (RANZCP): '''“[https://www.ranzcp.org/news-policy/policy-and-advocacy/position-statements/e-cigarettes-and-vaporisers Researchin Australia shows that 70% of people with schizophrenia and 61% ofpeople with bipolar disorder smoke compared to 16% of those withoutmental illness.  …RANZCP recognises the potential harm reductionbenefits presented by e-cigarettes and vaporisers for people livingwith mental illness, and the need for legislative reform for these tobe realised. The RANZCP therefore recommends:  Exemption ofnicotine-containing e-cigarettes and vaporisers from the restrictionsimposed under the Poisons Standard so that they may be subject tostringent and suitable regulations as consumer products [and] lowerrates of taxation for e-cigarettes and vaporisers compared tosmokable tobacco products to ensure affordability for low-incomesmokers, and to provide a financial incentive to switch]<span color="#0563c1" data-mce-style="color: #0563c1;" style="color: #0563c1;">.</span>”


[file:///lu1208017vn1qoq_tmp_afc4fd7e248bd3e3.png bottom]'''Drug and Alcohol Nurses of Australasia:''' “[https://www.danaonline.org/wp-content/uploads/2017/09/DANA-Position-Statement-on-E-Cigarettes-2017.pdf?__cf_chl_jschl_tk__=b7a9f49fe742b3d67960a66c112c6906a1d2e6b0-1604255527-0-AdQ_UUv20-LgROWDFUQWbvAmftq7qb8ETFcVBHEwII69uzJ7DoRPs4uqY4cHukJNqiJFqVXyQM-P-LgrP9MpOOWZiHAfSo_Tq0eJfq6v7Lo21i1dAyFYxNsoPF7qhjMaVvP38Q3_wnZwZqxNdgYeplqEsc_gfo5IDqB-W0hpVvTXrNMyBEguwSMM_-IeYiua4MRJ0uKlB43doJ3iESO0bNG27ffJ1F95ZcarDVY38MrJZ0Kucpte4Nq7Yi5nVFXm9Y2He5yxqUQheAzbnXxcdXyLZDQ8pYp6dMFzmI9yr7lkzYMjAeEtJiFQq-8FEjnMgGWhW_L5z6LAi53up1kHzeeUcMD79BL8_xtlXf5kZBW27ayYaq5-xvczQvJ_gRyrAVbvqogxrmwteq-nxOmWm6ez-8-3MDuKxob8142nFUHo5QTzcOJLMwi4nrtC9IvwBA Peoplewith drug and alcohol dependence have high][https://www.danaonline.org/wp-content/uploads/2017/09/DANA-Position-Statement-on-E-Cigarettes-2017.pdf?__cf_chl_jschl_tk__=b7a9f49fe742b3d67960a66c112c6906a1d2e6b0-1604255527-0-AdQ_UUv20-LgROWDFUQWbvAmftq7qb8ETFcVBHEwII69uzJ7DoRPs4uqY4cHukJNqiJFqVXyQM-P-LgrP9MpOOWZiHAfSo_Tq0eJfq6v7Lo21i1dAyFYxNsoPF7qhjMaVvP38Q3_wnZwZqxNdgYeplqEsc_gfo5IDqB-W0hpVvTXrNMyBEguwSMM_-IeYiua4MRJ0uKlB43doJ3iESO0bNG27ffJ1F95ZcarDVY38MrJZ0Kucpte4Nq7Yi5nVFXm9Y2He5yxqUQheAzbnXxcdXyLZDQ8pYp6dMFzmI9yr7lkzYMjAeEtJiFQq-8FEjnMgGWhW_L5z6LAi53up1kHzeeUcMD79BL8_xtlXf5kZBW27ayYaq5-xvczQvJ_gRyrAVbvqogxrmwteq-nxOmWm6ez-8-3MDuKxob8142nFUHo5QTzcOJLMwi4nrtC9IvwBA smokingrates [and] are more likely to die from a tobacco-related diseasethan from their primary drug problem.  E-cigarettes arebattery-operated devices that heat a liquid solution, which may ormay not contain nicotine into a vapour for inhalation, simulating thebehavioural and sensory aspects of smoking, and they are currentlyseen as a legitimate form of tobacco harm reduction].”
[https://www.cochrane.org/CD010216/TOBACCO_can-electronic-cigarettes-help-people-stop-smoking-and-are-they-safe-use-purpose FINDINGS:][https://www.cochrane.org/CD010216/TOBACCO_can-electronic-cigarettes-help-people-stop-smoking-and-are-they-safe-use-purpose “Moderate certainty” that “e-cigarettes with nicotine increase quit rates compared to e-cigarettes without nicotine, and compared to nicotine replacement therapy [nicotine patches & gum]… We did not detect any clear evidence of harm from nicotine e-cigarettes” [up to 2 years]].”


[file:///lu1208017vn1qoq_tmp_9615a02df3f7fc8f.jpg bottom]'''Royal Australian College of Physicians:''' “[https://www.racp.edu.au/docs/default-source/advocacy-library/policy-on-electronic-cigarettes.pdf TheRACP acknowledges that e-cigarettes may have a potential role intobacco harm reduction and smoking cessation for smokers unable orunwilling to quit.]”


[file:///lu1208017vn1qoq_tmp_3fae28c626911bcf.png bottom]'''German Federal Institute for Risk Assessment:''' “[https://www.bfr.bund.de/en/press_information/2019/39/_vaping___the_bfr_advises_against_self_mixing_e_liquids-242872.html Accordingto current knowledge, e-cigarettes are less harmful than conventionaltobacco products when used as intended][https://www.bfr.bund.de/en/press_information/2019/39/_vaping___the_bfr_advises_against_self_mixing_e_liquids-242872.html .]”


[file:///lu1208017vn1qoq_tmp_53a2a795647b3b8.png bottom]'''French National Academy of Medicine:''' “[http://www.academie-medecine.fr/lacademie-nationale-de-medecine-rappelle-les-avantages-prouves-et-les-inconvenients-indument-allegues-de-la-cigarette-electronique-vaporette/?lang=en Itis established that the vaporette is less dangerous than thecigarette… It is therefore preferable for a smoker to vape.  Since2016, the High Authority for Health (HAS) considers it ‘as an aidto stop or reduce the consumption of tobacco by smokers.’  SantéPublique France indicates that at least 700,000 [French] smokers havequit using electronic cigarettes. ...Smokers who were about to switchto vaporizing instead of tobacco should not hesitate…]<span color="#333333" data-mce-style="color: #333333;" style="color: #333333;">” </span>[Google Translate from original French]


[file:///lu1208017vn1qoq_tmp_6ad6101eafe7576d.png bottom]'''French National Academy of Pharmacy: '''“[https://twitter.com/AcadPharm/status/1156249181390036992 TheWorld Health Organization’s [anti-e-cigarette] position isincomprehensible.  Tobacco is responsible for 73,000 deaths inFrance.  The e-cigarette helps people quit smoking.  Its componentsare obviously less harmful than tobacco.]” [NOTE: This is a Tweet from the Académie Nationale de Pharmacie. Not an official position statement.]


[file:///lu1208017vn1qoq_tmp_737217bec1502b9.gif bottom]'''US National Academies of Sciences, Engineering and Medicine: '''“[https://www.nap.edu/catalog/24952/public-health-consequences-of-e-cigarettes Whilee-cigarettes are not without health risks, they are likely to be farless harmful than combustible tobacco cigarettes.  There issubstantial evidence that... exposure to potentially toxic substancesfrom e-cigarettes is significantly lower compared with combustibletobacco cigarettes.]”
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[file:///lu1208017vn1qoq_tmp_4fa2762d2f9442aa.png bottom]'''US Food & Drug Administration: '''“<span color="#0563c1" data-mce-style="color: #0563c1;" style="color: #0563c1;">[https://www.fda.gov/newsevents/newsroom/pressannouncements/ucm605432.htm Makeno mistake. We see the possibility for ENDS products likee-cigarettes to provide a potentially less harmful alternative forcurrently addicted individual adult smokers who still want to getaccess to satisfying levels of nicotine without many of the harmfuleffects that come with the combustion of tobacco].</span>”


[file:///lu1208017vn1qoq_tmp_cb9a9f9852d48523.jpg bottom]'''US Centers for Disease Control: '''“[https://www.cdc.gov/tobacco/basic_information/e-cigarettes/about-e-cigarettes.html E-cigaretteshave the potential to benefit adult smokers who are not pregnant ifused as a complete substitute for regular cigarettes and other smokedtobacco products.]”
'''Public Health England:<span></span>'''“[https://www.gov.uk/government/news/phe-publishes-independent-expert-e-cigarettes-evidence-review Our new review reinforces the finding that vaping is a fraction of the risk of smoking, at least 95% less harmful, and of negligible risk to bystanders. Yet over half of smokers either falsely believe that vaping is as harmful as smoking or just don’t know.]”


[file:///lu1208017vn1qoq_tmp_40771489b23953e1.png bottom]'''American Cancer Society: '''“[https://www.healio.com/hematology-oncology/lung-cancer/news/online/%7B3a367506-0f8b-494e-a0cb-61cd733e6f5c%7D/american-cancer-society-e-cigarettes-better-than-combustible-tobacco-but-not-harmless Basedon currently available evidence, using current generatione-cigarettes is less harmful than smoking cigarettes.]” [NOTE: This was the official statement from 2018-2019. As of [https://www.cancer.org/healthy/stay-away-from-tobacco/e-cigarette-position-statement.html November2019], ACS no longer recommends e-cigarettes as a smoking cessation tool. Their stated reason for this change was “e-cigarette use by young people.” Yet their new statement still says, “former smokers now using e-cigarettes should not revert to smoking.” So, obviously, ecigs are LESS HARMFUL.]


[file:///lu1208017vn1qoq_tmp_2812601031ef4a1e.png bottom]'''American Heart Association:''' “[https://newsroom.heart.org/news/vaping-combined-with-smoking-is-likely-as-harmful-as-smoking-cigarettes-alone Participantswho vaped exclusively showed a similar inflammatory and oxidativestress profile as people who did not smoke cigarettes or usee-cigarettes.  ...Compared to participants who smoked exclusively,those who vaped exclusively had significantly lower levels of almostall inflammatory and oxidative stress biomarkers.]”


[file:///lu1208017vn1qoq_tmp_72598139af7b6d79.png bottom]'''American Association of Public Health Physicians:''' “[https://www.aaphp.org/Tobacco Smoke-freetobacco/nicotine products, as available on the American market, whilenot risk-free, carry substantially less risk of death and may beeasier to quit than cigarettes.  ...Smokers who have tried, butfailed to quit using medical guidance and pharmaceutical products,and smokers unable or uninterested in quitting, should considerswitching to a less hazardous smoke-free tobacco/nicotine product foras long as they feel the need.  Such products include pharmaceuticalNicotine Replacement Therapy (NRT) products used, off-label, on along term basis, electronic “e” cigarettes, dissolvables (sticks,strips and orbs), snus, other forms of moist snuff, and chewingtobacco.]”


[file:///lu1208017vn1qoq_tmp_6eef46d956bfbd59.png bottom]'''Campaign for Tobacco-Free Kids:''' “[https://www.tobaccofreekids.org/assets/factsheets/0379.pdf E-cigarettescould benefit public health if they help significantly reduce thenumber of people who use combustible cigarettes and die oftobacco-related disease.]”


[file:///lu1208017vn1qoq_tmp_754b89f8653ea1ae.png bottom]'''Government of Canada: '''“[https://www.canada.ca/en/health-canada/services/smoking-tobacco/vaping.html Vapingis less harmful than smoking. Completely replacing cigarettesmoking with vaping will reduce your exposure to harmful chemicals. There are short-term general health improvements if you completelyswitch from smoking cigarettes to vaping products.]”
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[file:///lu1208017vn1qoq_tmp_3e642e160ed3c4d5.png bottom]'''Canadian Heart & Stroke Foundation: ''' “[https://www.heartandstroke.ca/-/media/pdf-files/position-statements/ecigarettesincanada.ashx?la=en&hash=8939FF52C37A5E11C551176982F2E4AC5D38D605 Emergingevidence demonstrates that e-cigarettes are less harmful thanconventional cigarettes. Through the legalization of e-cigarettescontaining nicotine, there is improved access to e-cigarettes forcurrent smokers, therefore allowing adults more choice aroundalternative methods of nicotine intake and/or tobacco cessation. ...Those unable to quit smoking would be better off usinge-cigarettes over the long-term, rather than continuing to smokeregular cigarettes].”
 
'''Royal College of Physicians:<span></span>'''“[https://www.rcplondon.ac.uk/file/3563/download Although it is not possible to precisely quantify the long-term health risks associated with e-cigarettes, the available data suggest that they are unlikely to exceed 5% of those associated with smoked tobacco products, and may well be substantially lower than this figure… E-cigarettes are effective in helping people to stop smoking.]”
 
 
 
 
 
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'''National Institute for Health and Care Excellence:<span></span>'''“[https://www.nice.org.uk/guidance/ng92/chapter/Recommendations#advice-on-ecigarettes The evidence suggests that e-cigarettes are substantially less harmful to health than smoking but are not risk free. Many people have found them helpful to quit smoking cigarettes.]”
 
 
 
 
 
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'''British Medical Association:<span></span>'''“[https://www.bma.org.uk/media/2083/e-cigarettes-position-paper-v3.pdf Significant numbers of smokers are using e-cigarettes (electronic cigarettes), with many reporting that they are helpful in quitting or cutting down cigarette use. There are clear potential benefits to their use in reducing the substantial harms associated with smoking, and a growing consensus that they are significantly less harmful than tobacco use.]”
 
 
 
 
 
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'''Cancer Research UK:<span></span>'''“[https://www.cancerresearchuk.org/sites/default/files/e-cigarette_briefing_july_2018_final.pdf?utm_source=t.co&utm_medium=referral While the long-term health consequences of e-cigarette use are uncertain, the evidence so far suggests that e-cigarettes are far less harmful than smoking. ...There is also growing evidence to suggest that e-cigarettes can work successfully as an aid to cessation. …There is insufficient evidence to support a blanket indoor ban on e-cigarette use, either on the basis of renormalisation of smoking or harm to bystanders from second-hand vapour.]”
 
 
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'''British Lung Foundation:<span></span>'''“[https://www.blf.org.uk/your-stories/more-evidence-than-ever-e-cigs-safer-than-smoking Experts have reviewed all the research done on e-cigarettes over the past few years, and found no significant risks for people using e-cigarettes. ...Swapping cigarettes for an e-cig can improve your symptoms of lung conditions like asthma and COPD.]”
 
 
 
 
 
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'''Royal College of General Practitioners:<span></span>'''“[https://www.cancerresearchuk.org/sites/default/files/rcgp_e-cig_position_statement_approved_060917_clean_copy.pdf The evidence so far shows that e-cigarettes have significantly reduced levels of key toxicants compared to cigarettes, with average levels of exposure falling well below the thresholds for concern.]”
 
 
 
 
 
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'''Royal Society for Public Health:<span></span>'''“[https://www.rsph.org.uk/about-us/news/new-phe-review-strengthens-consensus-on-harm-reduction-role-of-e-cigarettes.html RSPH has welcomed a new comprehensive evidence review on e-cigarettes published by Public Health England (PHE). The report reflects an up-to-date evidence base that is increasingly pointing in the same direction: not only that vaping is at least 95% less harmful than smoking, but also that it is helping increasing numbers of smokers to quit.]”
 
 
 
 
 
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'''Stroke Association UK:'''<span></span>“[https://www.stroke.org.uk/about-us/our-policy-positions Current evidence shows that the risk to health posed by e-cigarettes in the short term is likely to be considerably less compared to smoking.]”
 
 
 
 
 
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'''Action on Smoking and Health UK:<span></span>'''“[https://ash.org.uk/wp-content/uploads/2019/04/E-Cigarettes-Briefing_PDF_v1.pdf It has been estimated that e-cigarettes are 95% less harmful than ordinary cigarettes. There is negligible risk to others from second-hand e-cigarette vapour. ...The lifetime cancer risk of vaping has been assessed to be under 0.5% of the risk of smoking. [But] Public understanding of the relative harms of e-cigarettes [vs smoking cigarettes] have worsened over time and are less accurate today than they were in 2014.]”
 
 
 
 
 
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'''National Centre for Smoking Cessation and Training:<span></span>'''“[https://www.ncsct.co.uk/usr/pub/Electronic_cigarettes._A_briefing_for_stop_smoking_services.pdf Experts estimate that e-cigarettes are, based on what we know so far, around 95% safer than cigarettes. Smoking is associated with a number of very serious health risks to both the smoker and to others around them. Therefore, smokers who switch from smoking tobacco to e-cigarettes substantially reduce a major risk to their health. ...Nicotine does not cause smoking related diseases, such as cancers and heart disease].”
 
 
 
 
 
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'''National Health Service Scotland consensus statement on e-cigarettes:<span></span>'''“[http://www.healthscotland.scot/media/1576/e-cigarettes-consensus-statement_sep-2017.pdf Smoking kills. Helping people to stop smoking completely is our priority. …There is now agreement based on the current evidence that vaping e-cigarettes is definitely less harmful than smoking tobacco.]”
 
 
<span size="2" data-mce-style="font-size: small;" style="font-size: small;">This statement was created and endorsed by: Action on Smoking & Health Scotland • Cancer Research UK • Chest Heart & Stroke Scotland • Chief Medical Officer for Scotland • NHS Ayrshire and Arran • NHS Greater Glasgow and Clyde • NHS Lothian • NHS Tayside • Roy Castle Lung Cancer Foundation • Royal College of General Practitioners • Royal College of Physicians of Edinburgh • Royal College of Physicians and Surgeons of Glasgow • Royal Environmental Health Institute of Scotland • Scottish Collaboration for Public Health Research and Policy • Scottish Consultants in Dental Health • Scottish Thoracic Society • UK Centre for Tobacco & Alcohol Studies • University of Edinburgh • University of Stirling</span>
 
 
 
 
 
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'''New Zealand Ministry of Health:<span></span>'''“[https://www.health.govt.nz/our-work/preventative-health-wellness/tobacco-control/vaping-smokefree-environments-and-regulated-products/position-statement-vaping The Ministry considers vaping products could disrupt inequities and contribute to Smokefree 2025. The evidence on vaping products indicates they carry much less risk than smoking cigarettes but are not risk free. Evidence is growing that vaping can help people to quit smoking. There is no international evidence that vaping products are undermining the long-term decline in cigarette smoking among adults and youth, and may in fact be contributing to it.]”
 
 
 
 
 
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'''Cancer Society of New Zealand:'''<span></span>“[https://auckland-northland.cancernz.org.nz/assets/Uploads/CSAN-VapingSummaryReport-Web3.pdf E-cigarettes and smokeless tobacco products are less harmful than tobacco smoking.]”
 
 
 
 
 
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'''Royal Australian & New Zealand College of Psychiatrists (RANZCP):<span></span>'''“[https://www.ranzcp.org/news-policy/policy-and-advocacy/position-statements/e-cigarettes-and-vaporisers Research in Australia shows that 70% of people with schizophrenia and 61% of people with bipolar disorder smoke compared to 16% of those without mental illness. …RANZCP recognises the potential harm reduction benefits presented by e-cigarettes and vaporisers for people living with mental illness, and the need for legislative reform for these to be realised. The RANZCP therefore recommends: Exemption of nicotine-containing e-cigarettes and vaporisers from the restrictions imposed under the Poisons Standard so that they may be subject to stringent and suitable regulations as consumer products [and] lower rates of taxation for e-cigarettes and vaporisers compared to smokable tobacco products to ensure affordability for low-income smokers, and to provide a financial incentive to switch]<span color="#0563c1" data-mce-style="color: #0563c1;" style="color: #0563c1;">.</span>”
 
 
 
 
 
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'''Drug and Alcohol Nurses of Australasia:'''<span></span>“[https://www.danaonline.org/wp-content/uploads/2017/09/DANA-Position-Statement-on-E-Cigarettes-2017.pdf?__cf_chl_jschl_tk__=b7a9f49fe742b3d67960a66c112c6906a1d2e6b0-1604255527-0-AdQ_UUv20-LgROWDFUQWbvAmftq7qb8ETFcVBHEwII69uzJ7DoRPs4uqY4cHukJNqiJFqVXyQM-P-LgrP9MpOOWZiHAfSo_Tq0eJfq6v7Lo21i1dAyFYxNsoPF7qhjMaVvP38Q3_wnZwZqxNdgYeplqEsc_gfo5IDqB-W0hpVvTXrNMyBEguwSMM_-IeYiua4MRJ0uKlB43doJ3iESO0bNG27ffJ1F95ZcarDVY38MrJZ0Kucpte4Nq7Yi5nVFXm9Y2He5yxqUQheAzbnXxcdXyLZDQ8pYp6dMFzmI9yr7lkzYMjAeEtJiFQq-8FEjnMgGWhW_L5z6LAi53up1kHzeeUcMD79BL8_xtlXf5kZBW27ayYaq5-xvczQvJ_gRyrAVbvqogxrmwteq-nxOmWm6ez-8-3MDuKxob8142nFUHo5QTzcOJLMwi4nrtC9IvwBA People with drug and alcohol dependence have high]
 
 
[https://www.danaonline.org/wp-content/uploads/2017/09/DANA-Position-Statement-on-E-Cigarettes-2017.pdf?__cf_chl_jschl_tk__=b7a9f49fe742b3d67960a66c112c6906a1d2e6b0-1604255527-0-AdQ_UUv20-LgROWDFUQWbvAmftq7qb8ETFcVBHEwII69uzJ7DoRPs4uqY4cHukJNqiJFqVXyQM-P-LgrP9MpOOWZiHAfSo_Tq0eJfq6v7Lo21i1dAyFYxNsoPF7qhjMaVvP38Q3_wnZwZqxNdgYeplqEsc_gfo5IDqB-W0hpVvTXrNMyBEguwSMM_-IeYiua4MRJ0uKlB43doJ3iESO0bNG27ffJ1F95ZcarDVY38MrJZ0Kucpte4Nq7Yi5nVFXm9Y2He5yxqUQheAzbnXxcdXyLZDQ8pYp6dMFzmI9yr7lkzYMjAeEtJiFQq-8FEjnMgGWhW_L5z6LAi53up1kHzeeUcMD79BL8_xtlXf5kZBW27ayYaq5-xvczQvJ_gRyrAVbvqogxrmwteq-nxOmWm6ez-8-3MDuKxob8142nFUHo5QTzcOJLMwi4nrtC9IvwBA smoking rates [and] are more likely to die from a tobacco-related disease than from their primary drug problem. E-cigarettes are battery-operated devices that heat a liquid solution, which may or may not contain nicotine into a vapour for inhalation, simulating the behavioural and sensory aspects of smoking, and they are currently seen as a legitimate form of tobacco harm reduction].”
 
 
 
 
 
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'''Royal Australian College of Physicians:'''<span></span>“[https://www.racp.edu.au/docs/default-source/advocacy-library/policy-on-electronic-cigarettes.pdf The RACP acknowledges that e-cigarettes may have a potential role in tobacco harm reduction and smoking cessation for smokers unable or unwilling to quit.]”
 
 
 
 
 
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'''German Federal Institute for Risk Assessment:'''<span></span>“[https://www.bfr.bund.de/en/press_information/2019/39/_vaping___the_bfr_advises_against_self_mixing_e_liquids-242872.html According to current knowledge, e-cigarettes are less harmful than conventional tobacco products when used as intended][https://www.bfr.bund.de/en/press_information/2019/39/_vaping___the_bfr_advises_against_self_mixing_e_liquids-242872.html .]”
 
 
 
 
 
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'''French National Academy of Medicine:'''<span></span>“[http://www.academie-medecine.fr/lacademie-nationale-de-medecine-rappelle-les-avantages-prouves-et-les-inconvenients-indument-allegues-de-la-cigarette-electronique-vaporette/?lang=en It is established that the vaporette is less dangerous than the cigarette… It is therefore preferable for a smoker to vape. Since 2016, the High Authority for Health (HAS) considers it ‘as an aid to stop or reduce the consumption of tobacco by smokers.’ Santé Publique France indicates that at least 700,000 [French] smokers have quit using electronic cigarettes. ...Smokers who were about to switch to vaporizing instead of tobacco should not hesitate…]<span color="#333333" data-mce-style="color: #333333;" style="color: #333333;">”<span></span></span>[Google Translate from original French]
 
 
 
 
 
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'''French National Academy of Pharmacy:<span></span>'''“[https://twitter.com/AcadPharm/status/1156249181390036992 The World Health Organization’s [anti-e-cigarette] position is incomprehensible. Tobacco is responsible for 73,000 deaths in France. The e-cigarette helps people quit smoking. Its components are obviously less harmful than tobacco.]” [NOTE: This is a Tweet from the Académie Nationale de Pharmacie. Not an official position statement.]
 
 
 
 
 
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'''US National Academies of Sciences, Engineering and Medicine:<span></span>'''“[https://www.nap.edu/catalog/24952/public-health-consequences-of-e-cigarettes While e-cigarettes are not without health risks, they are likely to be far less harmful than combustible tobacco cigarettes. There is substantial evidence that... exposure to potentially toxic substances from e-cigarettes is significantly lower compared with combustible tobacco cigarettes.]”
 
 
 
 
 
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'''US Food & Drug Administration:<span></span>'''“<span color="#0563c1" data-mce-style="color: #0563c1;" style="color: #0563c1;">[https://www.fda.gov/newsevents/newsroom/pressannouncements/ucm605432.htm Make no mistake. We see the possibility for ENDS products like e-cigarettes to provide a potentially less harmful alternative for currently addicted individual adult smokers who still want to get access to satisfying levels of nicotine without many of the harmful effects that come with the combustion of tobacco].</span>”
 
 
 
 
 
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'''US Centers for Disease Control:<span></span>'''“[https://www.cdc.gov/tobacco/basic_information/e-cigarettes/about-e-cigarettes.html E-cigarettes have the potential to benefit adult smokers who are not pregnant if used as a complete substitute for regular cigarettes and other smoked tobacco products.]”
 
 
 
 
 
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'''American Cancer Society:<span></span>'''“[https://www.healio.com/hematology-oncology/lung-cancer/news/online/%7B3a367506-0f8b-494e-a0cb-61cd733e6f5c%7D/american-cancer-society-e-cigarettes-better-than-combustible-tobacco-but-not-harmless Based on currently available evidence, using current generation e-cigarettes is less harmful than smoking cigarettes.]” [NOTE: This was the official statement from 2018-2019. As of<span></span>[https://www.cancer.org/healthy/stay-away-from-tobacco/e-cigarette-position-statement.html November 2019], ACS no longer recommends e-cigarettes as a smoking cessation tool. Their stated reason for this change was “e-cigarette use by young people.” Yet their new statement still says, “former smokers now using e-cigarettes should not revert to smoking.” So, obviously, ecigs are LESS HARMFUL.]
 
 
 
 
 
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'''American Heart Association:'''<span></span>“[https://newsroom.heart.org/news/vaping-combined-with-smoking-is-likely-as-harmful-as-smoking-cigarettes-alone Participants who vaped exclusively showed a similar inflammatory and oxidative stress profile as people who did not smoke cigarettes or use e-cigarettes. ...Compared to participants who smoked exclusively, those who vaped exclusively had significantly lower levels of almost all inflammatory and oxidative stress biomarkers.]”
 
 
 
 
 
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'''American Association of Public Health Physicians:'''<span></span>“[https://www.aaphp.org/Tobacco Smoke-free tobacco/nicotine products, as available on the American market, while not risk-free, carry substantially less risk of death and may be easier to quit than cigarettes. ...Smokers who have tried, but failed to quit using medical guidance and pharmaceutical products, and smokers unable or uninterested in quitting, should consider switching to a less hazardous smoke-free tobacco/nicotine product for as long as they feel the need. Such products include pharmaceutical Nicotine Replacement Therapy (NRT) products used, off-label, on a long term basis, electronic “e” cigarettes, dissolvables (sticks, strips and orbs), snus, other forms of moist snuff, and chewing tobacco.]”
 
 
 
 
 
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'''Campaign for Tobacco-Free Kids:'''<span></span>“[https://www.tobaccofreekids.org/assets/factsheets/0379.pdf E-cigarettes could benefit public health if they help significantly reduce the number of people who use combustible cigarettes and die of tobacco-related disease.]”
 
 
 
 
 
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'''Government of Canada:<span></span>'''“[https://www.canada.ca/en/health-canada/services/smoking-tobacco/vaping.html Vaping is less harmful than smoking. Completely replacing cigarette smoking with vaping will reduce your exposure to harmful chemicals. There are short-term general health improvements if you completely switch from smoking cigarettes to vaping products.]”
 
 
 
 
 
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'''Canadian Heart & Stroke Foundation:<span></span>'''“[https://www.heartandstroke.ca/-/media/pdf-files/position-statements/ecigarettesincanada.ashx?la=en&hash=8939FF52C37A5E11C551176982F2E4AC5D38D605 Emerging evidence demonstrates that e-cigarettes are less harmful than conventional cigarettes. Through the legalization of e-cigarettes containing nicotine, there is improved access to e-cigarettes for current smokers, therefore allowing adults more choice around alternative methods of nicotine intake and/or tobacco cessation. ...Those unable to quit smoking would be better off using e-cigarettes over the long-term, rather than continuing to smoke regular cigarettes].”