ENDS Flavors: Difference between revisions

Jump to navigation Jump to search
adding content
(Marked this version for translation)
(adding content)
(25 intermediate revisions by the same user not shown)
Line 1: Line 1:
[[File:ENDS Flavors.jpg|center]]
<br>
<languages/>
<languages/>
<translate>
<translate>
<!--T:1-->
<!--T:1-->
It's usually necessary to view the PDF version to access the full study. If you'd like to contribute to this page, please see the instructions at the bottom of the page.
It's often necessary to view the PDF version to access the full study. If you'd like to contribute to this page, please see the instructions at the bottom of the page.


<!--T:2-->
<!--T:2-->
*''' This page will attempt to address the following questions:'''
Suggestions welcome!
: '''FAQ: Why are flavored ENDS products important to people who smoke?'''
: '''FAQ: Why are flavored ENDS products important to people trying to prevent relapse to smoking?'''
: '''FAQ: Do flavors entice youth to illegally use ENDS products?'''
: '''FAQ: When comparing continuum of risk, how do flavored ENDS products compare to smoking?'''
: '''FAQ: Are the flavors a threat to public health?'''
: '''FAQ: Are there any unintended consequences to banning flavored ENDS products?'''
: '''FAQ: Does diacetyl, a flavoring agent compound in ENDS products cause Popcorn Lung?'''




=Personal Testimonies from people who used to smoke= <!--T:3-->
=Personal Testimonies from people who used to smoke & Blogs= <!--T:3-->




Line 31: Line 27:
*Online submissions of personal testimonies by people who switched from smoking to harm reduction products.
*Online submissions of personal testimonies by people who switched from smoking to harm reduction products.


===2021: Letter: [https://clivebates.com/documents/CanadaFlavourBanSept2021.pdf Proposed vaping products’ flavour regulations – a response]===
*This submission responds to Health Canada’s Consultation on Proposed vaping products’ flavour regulations and order and related regulatory impact analysis.
===2021: Letter: [https://clivebates.com/documents/NLFlavoursResponseJan2021.pdf Regulation of e-cigarette flavours – a response]===
*This document responds to the proposed Decree of the State Secretary for Health, Welfare and Sport on the regulation of e-cigarette flavours in the Netherlands. We provide a summary followed by a detailed discussion of each of the twelve sections in the summary.
===2021 Blog: [http://mommavape.blogspot.com/2021/06/gummy-bears-and-cotton-candy.html Gummy Bears and Cotton Candy]===
*The voice of consumers who are trying to quit smoking continues to be ignored. The use of flavored e-cigarettes was associated with more than twice the odds of smoking cessation among adult users compared to those using tobacco flavors. History demonstrates the adult love of all things candy. If something candy flavored is what helps someone stop smoking, who are we to tell them they can't quit that way?




===2915 Blog: [http://mommavape.blogspot.com/2017/05/cotton-candy-is-not-marketing-to-kids.html Cotton Candy is NOT Marketing To Kids]=== <!--T:8-->
===2019 Blog: [https://clivebates.com/the-us-vaping-flavour-ban-twenty-things-you-should-know/ The US vaping flavour ban: twenty things you should know]===
*What is the chance that this level of adult panic is, in fact, driving the very behaviour it is worrying about?
 
 
===2017 Blog: [http://mommavape.blogspot.com/2017/05/cotton-candy-is-not-marketing-to-kids.html Cotton Candy is NOT Marketing To Kids]=== <!--T:8-->


<!--T:9-->
<!--T:9-->
*She says "honey, you need to get with the program, we were too poor when I was a kid to afford cotton candy, so now I'm having it whenever I want and any way I want it. Now give me the sweetest thing you got and I want cotton candy the next time I come here."  
*She says "honey, you need to get with the program, we were too poor when I was a kid to afford cotton candy, so now I'm having it whenever I want and any way I want it. Now give me the sweetest thing you got and I want cotton candy the next time I come here."  
*"Ma'am, if you don't mind me asking, how old are you?". She looks at me and says "82, I quit smoking 6 months ago and now I'm going to live to be 102."
*"Ma'am, if you don't mind me asking, how old are you?". She looks at me and says "82, I quit smoking 6 months ago and now I'm going to live to be 102."
===2017 Blog: [https://clivebates.com/flavors Are e-liquid flavours really “hooking another generation of kids”?]===
*To evaluate the demand to regulate these flavours (by which they mean ban them) you first need a framework for thinking about the issue – and that is not simple and may yield surprises.




=Abuse Liability - All THR Products= <!--T:10-->
=Abuse Liability - All THR Products= <!--T:10-->




Line 51: Line 65:
*Citation: Nicholas I. Goldenson, August R. Buchhalter, Erik M. Augustson, Mark L. Rubinstein, Jack E. Henningfield, Abuse liability assessment of the JUUL system in four flavors relative to combustible cigarette, nicotine gum and a comparator electronic nicotine delivery system among adult smokers, Drug and Alcohol Dependence, Volume 217, 2020, 108395, ISSN 0376-8716, doi:10.1016/j.drugalcdep.2020.108395.
*Citation: Nicholas I. Goldenson, August R. Buchhalter, Erik M. Augustson, Mark L. Rubinstein, Jack E. Henningfield, Abuse liability assessment of the JUUL system in four flavors relative to combustible cigarette, nicotine gum and a comparator electronic nicotine delivery system among adult smokers, Drug and Alcohol Dependence, Volume 217, 2020, 108395, ISSN 0376-8716, doi:10.1016/j.drugalcdep.2020.108395.
*Acknowledgement: The study was funded by Juul Labs, Inc.
*Acknowledgement: The study was funded by Juul Labs, Inc.




Line 61: Line 74:
*Citation: Houtsmuller, E. J., Henningfield, J. E., & Stitzer, M. L. (2003). Subjective effects of the nicotine lozenge: assessment of abuse liability. Psychopharmacology, 167(1), 20–27. doi:10.1007/s00213-002-1361-2  
*Citation: Houtsmuller, E. J., Henningfield, J. E., & Stitzer, M. L. (2003). Subjective effects of the nicotine lozenge: assessment of abuse liability. Psychopharmacology, 167(1), 20–27. doi:10.1007/s00213-002-1361-2  
*Acknowledgement: This research was supported by SmithKline Beecham Consumer Healthcare.
*Acknowledgement: This research was supported by SmithKline Beecham Consumer Healthcare.




Line 72: Line 84:
*Citation: Houtsmuller, E. J., Fant, R. V., Eissenberg, T. E., Henningfield, J. E., & Stitzer, M. L. (2002). Flavor improvement does not increase abuse liability of nicotine chewing gum. Pharmacology Biochemistry and Behavior, 72(3), 559–568. doi:10.1016/s0091-3057(02)00723-2  
*Citation: Houtsmuller, E. J., Fant, R. V., Eissenberg, T. E., Henningfield, J. E., & Stitzer, M. L. (2002). Flavor improvement does not increase abuse liability of nicotine chewing gum. Pharmacology Biochemistry and Behavior, 72(3), 559–568. doi:10.1016/s0091-3057(02)00723-2  
*Acknowledgement: This study was supported by SmithKline Beecham Consumer Healthcare.
*Acknowledgement: This study was supported by SmithKline Beecham Consumer Healthcare.
<br>


=Public Health Advantages / Concerns of Public Health Harms= <!--T:17-->
=Public Health Advantages / Concerns of Public Health Harms= <!--T:17-->
Line 205: Line 218:
=Regulations or Unintended Consequences= <!--T:42-->
=Regulations or Unintended Consequences= <!--T:42-->


===2021: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8145156/ A Difference-in-Differences Analysis of Youth Smoking and a Ban on Sales of Flavored Tobacco Products in San Francisco, California]===
*San Francisco’s ban on flavored tobacco product sales was associated with increased smoking among minor high school students relative to other school districts. While the policy applied to all tobacco products, its outcome was likely greater for youths who vaped than those who smoked due to higher rates of flavored tobacco use among those who vaped. This raises concerns that reducing access to flavored electronic nicotine delivery systems may motivate youths who would otherwise vape to substitute smoking. Indeed, analyses of how minimum legal sales ages for electronic nicotine delivery systems are associated with youth smoking also suggest such substitution.
*Citation: Friedman AS. A Difference-in-Differences Analysis of Youth Smoking and a Ban on Sales of Flavored Tobacco Products in San Francisco, California. JAMA Pediatr. 2021;175(8):863-865. doi:10.1001/jamapediatrics.2021.0922




Line 210: Line 227:


<!--T:44-->
<!--T:44-->
*
*Young adult e-cigarette users indicate low support for e-cigarette sales restrictions (both for flavored products and complete restrictions). Moreover, if vape product sales were restricted to tobacco flavors, 39.1% of users reported being likely to continue using e-cigarettes but 33.2% were likely to switch to cigarettes. If vape product sales were entirely restricted, e-cigarette users were equally likely to switch to cigarettes versus not (~40%).
*Free version of full study or PDF not available
*Citation: Heather Posner, MPH, Katelyn F Romm, PhD, Lisa Henriksen, PhD, Debra Bernat, PhD, Carla J Berg, PhD, MBA, Reactions to Sales Restrictions on Flavored Vape Products or All Vape Products Among Young Adults in the United States, Nicotine & Tobacco Research, 2021;, ntab154, doi: 10.1093/ntr/ntab154




===2021: [https://f1000research.com/articles/10-619/v1 Vaping liquid flavour preferences, oral nicotine pouch and cannabis use: A survey of participants in the 2019 Oceania Vape Expo (version 1; peer review: awaiting peer review)]===
*In the event of a ban on other flavours, 20% of the NZ residents said they would probably go back to smoking (see Table 3). A majority (57%) indicated they intended to circumvent the ban, by mixing their own liquids and/or buying from overseas or the black market. Only 29% indicated they would change their vaping consumption to comply with the ban, as is typically implicitly assumed will happen. Nine percent would try to stop vaping and 35% would buy only the legal products (which includes the 18% who were already buying only products that would not be banned).
*[https://f1000research.com/articles/10-619/v1/pdf?article_uuid=853423ae-6086-4c13-a7bc-87b28d81a4a6 PDF Version]
*Citation: Glover M, Phillips CV, Selket K and Jeffares Y. Vaping liquid flavour preferences, oral nicotine pouch and cannabis use: A survey of participants in the 2019 Oceania Vape Expo [version 1; peer review: awaiting peer review]. F1000Research 2021, 10:619 doi:10.12688/f1000research.54582.1
*Acknowledgement: This study was conducted by the Centre of Research Excellence: Indigenous Sovereignty & Smoking as part a wider programme of research aimed at building scientific knowledge on how to reduce tobacco-related harms among Indigenous peoples. The funding for that programme of work was obtained following submission of a researcher-initiated application for funding from the Foundation for a Smoke-Free World. The Foundation had no involvement in the conception, design, analysis or writing of the study results, nor did they have any input into the decision to publish. That is, this study was not commissioned by the Foundation.
<br>


===2021: Testimony in Netherlands pertaining to a potential flavour / flavor ban: [https://www.clivebates.com/documents/NLFlavoursResponseJan2021.pdf Regulation of e-cigarette flavours – a response]=== <!--T:45-->
===2021: Testimony in Netherlands pertaining to a potential flavour / flavor ban: [https://www.clivebates.com/documents/NLFlavoursResponseJan2021.pdf Regulation of e-cigarette flavours – a response]=== <!--T:45-->
Line 219: Line 244:
*Signed by 24 experts from around the world
*Signed by 24 experts from around the world
*Covers 12 key points
*Covers 12 key points




Line 229: Line 253:
*Citation: Friedman, A. S. (2020). Association of Vaping‐related Lung Injuries with Rates of E‐cigarette and Cannabis Use across US States. Addiction. doi:10.1111/add.15235  
*Citation: Friedman, A. S. (2020). Association of Vaping‐related Lung Injuries with Rates of E‐cigarette and Cannabis Use across US States. Addiction. doi:10.1111/add.15235  
*Acknowledgement: Research reported in this publication was supported by grant number 3U54DA036151‐08S2 from the National Institute On Drug Abuse of the National Institutes of Health and FDA Center for Tobacco Products (CTP).  
*Acknowledgement: Research reported in this publication was supported by grant number 3U54DA036151‐08S2 from the National Institute On Drug Abuse of the National Institutes of Health and FDA Center for Tobacco Products (CTP).  




Line 242: Line 265:
*Citation: Yang, Y., Lindblom, E. N., Salloum, R. G., & Ward, K. D. (2020). The impact of a comprehensive tobacco product flavor ban in San Francisco among young adults. Addictive Behaviors Reports, 11, 100273. doi:10.1016/j.abrep.2020.100273  
*Citation: Yang, Y., Lindblom, E. N., Salloum, R. G., & Ward, K. D. (2020). The impact of a comprehensive tobacco product flavor ban in San Francisco among young adults. Addictive Behaviors Reports, 11, 100273. doi:10.1016/j.abrep.2020.100273  
*Acknowledgement: This research was supported by the National Institute of Drug Abuse of the National Institutes of Health (R03DA048460).
*Acknowledgement: This research was supported by the National Institute of Drug Abuse of the National Institutes of Health (R03DA048460).




Line 251: Line 273:
*By pushing people into the black market for flavored products, they are increasing the risk that we will see another wave of consumers sickened by unregulated, illegal goods.  
*By pushing people into the black market for flavored products, they are increasing the risk that we will see another wave of consumers sickened by unregulated, illegal goods.  
*Citation: Elizabeth Sheld, Real Clear Policy, October 01, 2020.
*Citation: Elizabeth Sheld, Real Clear Policy, October 01, 2020.




Line 264: Line 285:
*Citation: Ann Am Thorac Soc Vol 17, No 5, pp 573–581, May 2020, Copyright © 2020 by the American Thoracic Society, DOI: 10.1513/AnnalsATS.201906-472OC
*Citation: Ann Am Thorac Soc Vol 17, No 5, pp 573–581, May 2020, Copyright © 2020 by the American Thoracic Society, DOI: 10.1513/AnnalsATS.201906-472OC
*Acknowledgement: Supported by the National Institute on Drug Abuse of the National Institutes of Health (NIH) and the Center for Tobacco Products of the U.S. Food and Drug Administration (FDA) (P50-DA-036107) for the Penn State Tobacco Center of Regulatory Science.
*Acknowledgement: Supported by the National Institute on Drug Abuse of the National Institutes of Health (NIH) and the Center for Tobacco Products of the U.S. Food and Drug Administration (FDA) (P50-DA-036107) for the Penn State Tobacco Center of Regulatory Science.




Line 275: Line 295:
*The ban creates a greater opportunity for people — including adolescents — to interact with law enforcement, putting them at increased risk of becoming involved with the criminal justice system.
*The ban creates a greater opportunity for people — including adolescents — to interact with law enforcement, putting them at increased risk of becoming involved with the criminal justice system.
*Citation: Jesse Kelly & Carrie Wade, September 15, 2019, The Detroit News
*Citation: Jesse Kelly & Carrie Wade, September 15, 2019, The Detroit News




Line 284: Line 303:
*“If this bill passes and we bring in prohibition, we’re going to bring crime into the city,” Marianos, who is now an adjunct faculty member at Georgetown University, said. “We’re going to replace store owners and manufacturers with people selling out of backpacks, people selling out of cars, and worst of all, people selling directly to the children we’re trying to protect.”
*“If this bill passes and we bring in prohibition, we’re going to bring crime into the city,” Marianos, who is now an adjunct faculty member at Georgetown University, said. “We’re going to replace store owners and manufacturers with people selling out of backpacks, people selling out of cars, and worst of all, people selling directly to the children we’re trying to protect.”
*Citation: Colin Young, November 04, 2019, 22 News WWLP
*Citation: Colin Young, November 04, 2019, 22 News WWLP




Line 294: Line 312:
*As a society, we have found satisfactory ways to address youth access to many adult products, like alcohol and marijuana. Given that e-cigarettes have the potential to save lives, regulators have a responsibility to find a similarly sophisticated solution to the youth vaping problem. Or, they can follow Michigan’s lead and learn the same lesson repeated throughout history: prohibition always causes more problems than it solves.
*As a society, we have found satisfactory ways to address youth access to many adult products, like alcohol and marijuana. Given that e-cigarettes have the potential to save lives, regulators have a responsibility to find a similarly sophisticated solution to the youth vaping problem. Or, they can follow Michigan’s lead and learn the same lesson repeated throughout history: prohibition always causes more problems than it solves.
*Citation: Michelle Minton, September 23, 2019, South Florida Sun Sentinel
*Citation: Michelle Minton, September 23, 2019, South Florida Sun Sentinel




Line 306: Line 323:
*Alex Clark, CEO of the Consumer Advocates for Smoke-Free Alternatives Association (CASAA), said he plans to warn the nonprofit’s more than 200,000 members about the dangers of making e-liquid at home. Clark notes that people should not use flavors found in the baking aisle of a grocery store.
*Alex Clark, CEO of the Consumer Advocates for Smoke-Free Alternatives Association (CASAA), said he plans to warn the nonprofit’s more than 200,000 members about the dangers of making e-liquid at home. Clark notes that people should not use flavors found in the baking aisle of a grocery store.
*Citation: Jenny Gold, November 12, 2019, Kaiser Health News KQED
*Citation: Jenny Gold, November 12, 2019, Kaiser Health News KQED




Line 316: Line 332:
*Claims that nicotine alone leads to brain damage in youth have limited empirical support; most of the relevant literature involves studies of teens exposed to the substance via smoking. I mention this not to dismiss the problem of teen vaping—the FDA and other agencies are rightly trying to curb teen access—but merely to warn against rash, misdirected responses that will prevent today’s smokers from quitting.
*Claims that nicotine alone leads to brain damage in youth have limited empirical support; most of the relevant literature involves studies of teens exposed to the substance via smoking. I mention this not to dismiss the problem of teen vaping—the FDA and other agencies are rightly trying to curb teen access—but merely to warn against rash, misdirected responses that will prevent today’s smokers from quitting.
*Unfortunately, the misconceptions surrounding vaping may be too well entrenched. A Kaiser poll conducted this month revealed that 49 percent of respondents support banning all e-cigarettes, not just flavored ones. That would be a deadly mistake. “If we lose this opportunity,” David S. Abrams, a professor at the New York University College of Global Public Health, told CBS Morning News last month, “we will have blown the single biggest public-health opportunity ever to get rid of cigarettes and replace them with a much safer form of nicotine for everybody.” With 35 million Americans still smoking, the stakes are high.
*Unfortunately, the misconceptions surrounding vaping may be too well entrenched. A Kaiser poll conducted this month revealed that 49 percent of respondents support banning all e-cigarettes, not just flavored ones. That would be a deadly mistake. “If we lose this opportunity,” David S. Abrams, a professor at the New York University College of Global Public Health, told CBS Morning News last month, “we will have blown the single biggest public-health opportunity ever to get rid of cigarettes and replace them with a much safer form of nicotine for everybody.” With 35 million Americans still smoking, the stakes are high.




Line 327: Line 342:
*Citation:: Lauren R. Pacek, Olga Rass, Maggie M. Sweitzer, Jason A. Oliver & F. Joseph McClernon (2019): Young adult dual combusted cigarette and e-cigarette users’ anticipated responses to hypothetical e-cigarette market restrictions, Substance Use & Misuse, DOI:10.1080/10826084.2019.1626435
*Citation:: Lauren R. Pacek, Olga Rass, Maggie M. Sweitzer, Jason A. Oliver & F. Joseph McClernon (2019): Young adult dual combusted cigarette and e-cigarette users’ anticipated responses to hypothetical e-cigarette market restrictions, Substance Use & Misuse, DOI:10.1080/10826084.2019.1626435
*Acklnowledgement: This work was supported by the National Institutes of Health (K01DA043413, K23DA039294, and K23DA042898). The funding source had no other role other than financial support.
*Acklnowledgement: This work was supported by the National Institutes of Health (K01DA043413, K23DA039294, and K23DA042898). The funding source had no other role other than financial support.




Line 338: Line 352:
*[https://www.regulations.gov/contentStreamer?documentId=FDA-2017-N-6565-22941&attachmentNumber=1&contentType=pdf PDF Version]
*[https://www.regulations.gov/contentStreamer?documentId=FDA-2017-N-6565-22941&attachmentNumber=1&contentType=pdf PDF Version]
*Citation: Konstantinos Farsalinos, MD, MPH, Christopher Russell, PhD, George Lagoumintzis, PhD, Konstantinos Poulas, Submitted to: Docket No. FDA-2017 N-6565 for “Regulation of Flavors in Tobacco Products.”
*Citation: Konstantinos Farsalinos, MD, MPH, Christopher Russell, PhD, George Lagoumintzis, PhD, Konstantinos Poulas, Submitted to: Docket No. FDA-2017 N-6565 for “Regulation of Flavors in Tobacco Products.”




Line 348: Line 361:
*Citation:Buckell J, Marti J, Sindelar JLShould flavours be banned in cigarettes and e-cigarettes? Evidence on adult smokers and recent quitters from a discrete choice experimentTobacco Control 2019;28:168-175.
*Citation:Buckell J, Marti J, Sindelar JLShould flavours be banned in cigarettes and e-cigarettes? Evidence on adult smokers and recent quitters from a discrete choice experimentTobacco Control 2019;28:168-175.
*Acknowledgement: Research reported in this publication was supported by grant number P50DA036151 from the National Institute on Drug Abuse (NIDA) and FDA Center for Tobacco Products (CTP).
*Acknowledgement: Research reported in this publication was supported by grant number P50DA036151 from the National Institute on Drug Abuse (NIDA) and FDA Center for Tobacco Products (CTP).
<br>


=Relapse Prevention or Long Term Abstinence= <!--T:71-->
=Relapse Prevention or Long Term Abstinence= <!--T:71-->
Line 376: Line 391:




 
<br>
=Smoking Cessation= <!--T:76-->
=Smoking Cessation= <!--T:76-->


Line 441: Line 456:




===2019: Article: [https://www.chieftain.com/opinion/20191128/banning-flavored-e-cigarettes-has-consequences Banning flavored e-cigarettes has consequences]=== <!--T:89-->
===2019: Article: [https://web.archive.org/web/20191129093506/https://www.chieftain.com/opinion/20191128/banning-flavored-e-cigarettes-has-consequences Banning flavored e-cigarettes has consequences]=== <!--T:89-->


<!--T:90-->
<!--T:90-->
Line 450: Line 465:
*Citation: Guy Bentley, November 28, 2019, The Pueblo Chieftain
*Citation: Guy Bentley, November 28, 2019, The Pueblo Chieftain


 
<br>


===2018: [https://academic.oup.com/ntr/article-abstract/20/8/977/4061315?redirectedFrom=fulltext Advice From Former-Smoking E-Cigarette Users to Current Smokers on How to Use E-Cigarettes as Part of an Attempt to Quit Smoking]=== <!--T:91-->
===2018: [https://academic.oup.com/ntr/article-abstract/20/8/977/4061315?redirectedFrom=fulltext Advice From Former-Smoking E-Cigarette Users to Current Smokers on How to Use E-Cigarettes as Part of an Attempt to Quit Smoking]=== <!--T:91-->
Line 460: Line 475:
*Acknowledgement: Funding for this study was provided by Nicoventures.
*Acknowledgement: Funding for this study was provided by Nicoventures.


===2018: [https://bmjopen.bmj.com/content/8/3/e018329.full Motivation and main flavour of use, use with nicotine and dual use of electronic cigarettes in Barcelona, Spain: a cross-sectional study ]===
*The most prevalent motivation for using e-cigarettes was to reduce tobacco smoking 48%, followed by quitting smoking 39.2%, and to use e-cigarettes in places where tobacco smoking was prohibited 10.2%.
*Citation: Bunch K, Fu M, Ballbè M, et alMotivation and main flavour of use, use with nicotine and dual use of electronic cigarettes in Barcelona, Spain: a cross-sectional studyBMJ Open 2018;8:e018329. doi: 10.1136/bmjopen-2017-018329
*Acknowledgement: The project was cofunded by the Instituto de Salud Carlos III, Subdirección General de Evaluación, Government of Spain (PI15/00291). The project was also cofunded by ISCIII-Subdirección General de Evaluación and by FEDER funds/European Regional Development Fund (ERDF)—a way to build Europe—in 2015 and Ministry of Universities and Research, Government of Catalonia (grant 2017SGR608).




Line 513: Line 533:
=Use of Flavors (Youth to Sr. Citizens)= <!--T:101-->
=Use of Flavors (Youth to Sr. Citizens)= <!--T:101-->


===2021: [https://thr.ams3.cdn.digitaloceanspaces.com/strapi/0cbd3b34cef86dad0032528c324d2f7b.pdf THE CASE FOR FLAVOURS IN TOBACCO HARM REDUCTION, TO SAVE LIVES]===
*Unfortunately, several governments are contemplating banning flavours in ENDS, apparently to prevent youth initiation. This review argues for the responsible and regulated use of flavours, to maximise the harm reduction effect of ENDS and its role in smoking cessation.
*Report by: Konstantinos Farsalinos, MD, MPH
*[https://www.youtube.com/watch?v=BwlJVEBk1o8&t=121s Webinar]
**This webinar discussed the above flavors report and took place on 15 December 2021, and featured Dr Konstantinos Farsalinos, Dr Delon Human, Dr Kgosi Letlape, Prof Heino Stöver, and Charles A. Gardner, PhD.




===2020: [https://watermark.silverchair.com/ntaa248.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAArMwggKvBgkqhkiG9w0BBwagggKgMIICnAIBADCCApUGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMsUiST8f8L3FvTG8YAgEQgIICZovK-OLqdbWKZq6cNuR5I_O_F6n4jTn_zmdWXkUjuET2EhmXwOWOGA7cwe83Fv5fmid7AedenbSLbSVtclpW8RrIR4V7ryYBS24TsSwe81TvK8SfXkmfbkfOMIDjxP5PrWg0Jkg6TfKU4YIINWJXoztK7QQY1KQVrdL8-D0e2mZpmmhPZl7Al66TDYMEY4xHUH2YQFzA1dh_Ik5kGaeOAtFV4UCduk8XDkkkMM1ZnRBCh_osDkIQRdp8fG6zfo78xe-lsXPNXhblbQw5XpvVAofzq7KE51_5AOdtl3r32zfN4kzqiqpbXYezBO25ZzIKp-i_AMgiftBgMFXUKMhq5d_JkKt9chy346mGFWUdbNDhp0ZT8i3k1QUY8he8TNV9bW6JPhncLSYVwRjMo_qua9XafPJrK7W-hMhOv5HqLwhUHI5ygs8osaJ2ALOtDNxuwLwp4kdGBe47WnJnZ1Q3e-D3Q0D0NWOp8ZK2VkyNk-vfr3y-SvsMEkvP4TlR9_tZmRPOONSLD_3T0YzCUvPsb_NwA_nle2JG2DXz_9OfUpGJh6R_OgFPnWVfGFHHS6KepCRRFvepW0QuH_Co7MMa8kOjNh3xUqOY4Nh7Q7DksrtwNPBumBI-fymemyOpyVH3RHh96mOnLm4IETRej_Ipj9u65ybFA7PeibYj4vBHRxIWvK6qUv7pva7aWJm9krekq_Vnhh2WtNdyIt6TGjkjRH6Bkoy7_-zGdi7Nbh_wggvmjT4lRiEDVYUE0C5fLcjFlH4gLnwj6Ng-LSF-KSejsjfPQyRq2D73oZknV3nCRMw0K06X0IZC Choice and variety-seeking of e-liquids and flavour (flavor) categories by New Zealand smokers using an electronic cigarette: a longitudinal study]=== <!--T:102-->
===2020: [https://pubmed.ncbi.nlm.nih.gov/33748862/ Choice and variety-seeking of e-liquids and flavour (flavor) categories by New Zealand smokers using an electronic cigarette: a longitudinal study]=== <!--T:102-->


<!--T:103-->
<!--T:103-->
*'''Variety-seeking behaviour (behavior) was common and typically reported within the first 12 weeks of participants’ e-cigarette-assisted attempt to transition away from smoking.'''  
*'''Variety-seeking behaviour (behavior) was common and typically reported within the first 12 weeks of participants’ e-cigarette-assisted attempt to transition away from smoking.'''  
*Policies allowing diverse e-liquid flavours at specialist stores could support users’ variety-seeking and potentially create opportunities to couple e-liquid purchasing occasions with cessation advice during the first months of a transition attempt.
*Policies allowing diverse e-liquid flavours at specialist stores could support users’ variety-seeking and potentially create opportunities to couple e-liquid purchasing occasions with cessation advice during the first months of a transition attempt.
*(Link above is to the PDF version)
*Citation: Mei-Ling Blank, MPH, Janet Hoek, PhD, Choice and variety-seeking of e-liquids and flavour categories by New Zealand smokers using an electronic cigarette: a longitudinal study, Nicotine & Tobacco Research, , ntaa248, doi:10.1093/ntr/ntaa248
*Citation: Mei-Ling Blank, MPH, Janet Hoek, PhD, Choice and variety-seeking of e-liquids and flavour categories by New Zealand smokers using an electronic cigarette: a longitudinal study, Nicotine & Tobacco Research, , ntaa248, doi:10.1093/ntr/ntaa248
*Acknowledgement: Royal Society of New Zealand Marsden Fund Grant (17-UOO-129) to Janet Hoek (PI), Mei-Ling Blank (AI), Tamlin Conner (AI), Shelagh Ferguson (AI), and Lee Thompson (AI). Both authors are members of ASPIRE 2025, a research collaboration working to achieve the New Zealand Government's Smokefree 2025 goal.
*Acknowledgement: Royal Society of New Zealand Marsden Fund Grant (17-UOO-129) to Janet Hoek (PI), Mei-Ling Blank (AI), Tamlin Conner (AI), Shelagh Ferguson (AI), and Lee Thompson (AI). Both authors are members of ASPIRE 2025, a research collaboration working to achieve the New Zealand Government's Smokefree 2025 goal.


 
<br>


===2018: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022703/ Changing patterns of first e-cigarette flavor used and current flavors used by 20,836 adult frequent e-cigarette users in the USA]=== <!--T:104-->
===2018: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022703/ Changing patterns of first e-cigarette flavor used and current flavors used by 20,836 adult frequent e-cigarette users in the USA]=== <!--T:104-->
Line 562: Line 587:
*Citation: Pepper, J. K., Reiter, P. L., McRee, A.-L., Cameron, L. D., Gilkey, M. B., & Brewer, N. T. (2013). Adolescent Males’ Awareness of and Willingness to Try Electronic Cigarettes. Journal of Adolescent Health, 52(2), 144–150. doi:10.1016/j.jadohealth.2012.09.014  
*Citation: Pepper, J. K., Reiter, P. L., McRee, A.-L., Cameron, L. D., Gilkey, M. B., & Brewer, N. T. (2013). Adolescent Males’ Awareness of and Willingness to Try Electronic Cigarettes. Journal of Adolescent Health, 52(2), 144–150. doi:10.1016/j.jadohealth.2012.09.014  
*Acknowledgement: : Support for this study was provided by the American Cancer Society (MSRG-06-259-01-CPPB), the Cancer Control Education Program at UNC Lineberger Comprehensive Cancer Center (R25 CA57726), the National Institutes of Health (P50CA105632 and P30CA016058), and a NRSA in Primary Medical Care at the University of Minnesota (T32HP22239).
*Acknowledgement: : Support for this study was provided by the American Cancer Society (MSRG-06-259-01-CPPB), the Cancer Control Education Program at UNC Lineberger Comprehensive Cancer Center (R25 CA57726), the National Institutes of Health (P50CA105632 and P30CA016058), and a NRSA in Primary Medical Care at the University of Minnesota (T32HP22239).


=Youth= <!--T:110-->
=Youth= <!--T:110-->
Line 676: Line 699:


===Scott Gottlieb, MD - Former USA FDA Commissioner=== <!--T:137-->
===Scott Gottlieb, MD - Former USA FDA Commissioner=== <!--T:137-->
[https://www.fda.gov/news-events/press-announcements/statement-fda-commissioner-scott-gottlieb-md-efforts-reduce-tobacco-use-especially-among-youth Source]


   
   
<!--T:138-->
<!--T:138-->
[[File:GottliebFlavors.jpg|Scott Gottlieb on Flavors]]
[[File:GottliebFlavors.jpg|Scott Gottlieb on Flavors]]
 
<br>
 
 
 


===American Association of Public Health Physicians=== <!--T:139-->
===American Association of Public Health Physicians=== <!--T:139-->
Line 745: Line 766:
[[File:Senator_Durbin_Candy.png|Senator Durbin Candy]]
[[File:Senator_Durbin_Candy.png|Senator Durbin Candy]]


=Suggested Studies, Papers, Surveys, and Articles to Add to This Page= <!--T:153-->
*If you prefer to not add information to this page yourself, drop the links here and one of our editors will do it for you


 
<br>
 
=Further Reading=
===2021: Survey: [https://f1000research.com/articles/10-619/v1 Vaping liquid flavour preferences, oral nicotine pouch and cannabis use: A survey of participants in the 2019 Oceania Vape Expo]=== <!--T:154-->
===2021: Policy Analyst Testimony: [https://www.cga.ct.gov/2021/PHdata/Tmy/2021SB-00326-R000208-Stroud,%20Lindsey,%20Policy%20Analyst-Taxpayers%20Protection%20Alliance-TMY.PDF Testimony before the Connecticut Public Health Committee Regarding Prohibiting the Sale of Flavored Tobacco and Vapor Products]===
 
===2021: Commentary: [https://www.myjournalcourier.com/opinion/article/Commentary-Lindsey-Stroud-Want-fewer-teen-16184278.php Want fewer teen smokers? Stop all the bans]===
 
===2020: Policy Paper: [https://241yjo5ffc43s84vz4462arn-wpengine.netdna-ssl.com/wp-content/uploads/2020/09/WHY-VAPE-FLAVORS-MATTER-POLICY-PAPER.pdf Why Vape Flavors Matter]===  
===2021: Blog: [https://www.theamericanconsumer.org/2021/01/banning-flavored-tobacco-products-is-just-blowing-smoke/ Banning Flavored Tobacco Products is Just Blowing Smoke]=== <!--T:155-->
===2020: Policy Blog: [https://vaping.org/yale-study-finds-that-vaping-flavors-help-adults-quit/ YALE STUDY FINDS THAT VAPING FLAVORS HELP ADULTS QUIT]===
 
===2020: Policy Blog: [https://reason.org/commentary/montana-should-reject-proposed-ban-on-flavored-vaping-products/ Montana Should Reject Proposed Ban on Flavored Vaping Products]===
 
===2020: Opinion: [https://insidesources.com/flavors-arent-main-driver-of-youth-e-cigarette-use/ Flavors Aren’t Main Driver of Youth E-Cigarette Use]===
===2020: Policy Paper: [https://241yjo5ffc43s84vz4462arn-wpengine.netdna-ssl.com/wp-content/uploads/2020/09/WHY-VAPE-FLAVORS-MATTER-POLICY-PAPER.pdf Why Vape Flavors Matter]=== <!--T:156-->
===2020: Policy Blog: [https://reason.org/commentary/how-californias-flavored-tobacco-ban-will-hurt-communities-and-budgets/ How California’s Flavored Tobacco Ban Will Hurt Communities and Budgets]===
 
===2020: Policy analyst Testimony: [https://www.house.leg.state.mn.us/comm/docs/3437294b-d481-4a34-b22c-887092b85054.pdf Testimony before the Minnesota House Committee on Commerce]===
 
===2020: Flavor Ban Letter: [https://vaping.org/ava-urges-florida-governor-to-veto-backdoor-flavor-ban-bill/ AVA URGES FLORIDA GOVERNOR TO VETO BACKDOOR FLAVOR BAN BILL]===
===2020: Policy Blog: [https://reason.org/commentary/montana-should-reject-proposed-ban-on-flavored-vaping-products/ Montana Should Reject Proposed Ban on Flavored Vaping Products]=== <!--T:157-->
===2020: Policy Blog: [https://reason.org/events/the-costs-and-unintended-consequences-of-tobacco-and-vaping-flavor-bans/ The Costs and Unintended Consequences of Tobacco and Vaping Flavor Bans]===  
 
===2020: Policy Blog: [https://reason.org/commentary/in-2020-congress-replaced-war-on-marijuana-with-a-war-on-flavored-tobacco-products/ In 2020, Congress Replaced the War on Marijuana With a War on Flavored Tobacco Products]===  
 
===2020: Policy Blog: [https://reason.org/commentary/cdc-survey-shows-flavors-arent-driving-youth-vaping/ CDC Survey Shows Flavors Aren’t Driving Youth Vaping]===
===2020: Policy Blog: [https://reason.org/commentary/how-californias-flavored-tobacco-ban-will-hurt-communities-and-budgets/ How California’s Flavored Tobacco Ban Will Hurt Communities and Budgets]=== <!--T:158-->
===2020: Policy Blog: [https://reason.org/commentary/the-negative-impacts-of-massachusetts-flavored-tobacco-ban/ The Negative Impacts of Massachusetts’ Flavored Tobacco Ban]===
 
===2019: Policy Paper: [https://www.heartland.org/_template-assets/documents/Tobacco%20Harm%20Reduction%20pdf.pdf TOBACCO HARM REDUCTION 101: A GUIDEBOOK FOR POLICYMAKERS]===
 
===2019: Article: [https://dailygazette.com/2019/07/08/editorial-vote-no-on-flavored-vaping-ban/?fbclid=IwAR1zS8EeRnRi8ItYlqDa68emLywJpHUcccRRT1SOPdZoGROzk7Taea8XkqA EDITORIAL: Vote no on flavored vaping ban]===
===2020: Policy Blog: [https://reason.org/events/the-costs-and-unintended-consequences-of-tobacco-and-vaping-flavor-bans/ The Costs and Unintended Consequences of Tobacco and Vaping Flavor Bans]=== <!--T:159-->
===2019: [https://vaportechnology.org/wp-content/uploads/2019/11/Dunham-Economic-Impact-of-Flavor-Ban-11-21-19.pdf The Economic Impact of a Ban on Flavored Vapor Products ]===  
 
 
===2020: Policy Blog: [https://reason.org/commentary/in-2020-congress-replaced-war-on-marijuana-with-a-war-on-flavored-tobacco-products/ In 2020, Congress Replaced the War on Marijuana With a War on Flavored Tobacco Products]=== <!--T:160-->
 
 
===2020: Policy Blog: [https://reason.org/commentary/cdc-survey-shows-flavors-arent-driving-youth-vaping/ CDC Survey Shows Flavors Aren’t Driving Youth Vaping]=== <!--T:161-->
 
 
===2020: Policy Blog: [https://reason.org/commentary/the-negative-impacts-of-massachusetts-flavored-tobacco-ban/ The Negative Impacts of Massachusetts’ Flavored Tobacco Ban]=== <!--T:162-->
 
 
===2019: Policy Paper: [https://www.heartland.org/_template-assets/documents/Tobacco%20Harm%20Reduction%20pdf.pdf TOBACCO HARM REDUCTION 101: A GUIDEBOOK FOR POLICYMAKERS]=== <!--T:163-->
 
 
===2019: Article: [https://dailygazette.com/2019/07/08/editorial-vote-no-on-flavored-vaping-ban/?fbclid=IwAR1zS8EeRnRi8ItYlqDa68emLywJpHUcccRRT1SOPdZoGROzk7Taea8XkqA EDITORIAL: Vote no on flavored vaping ban]=== <!--T:164-->
 
 
===2019: [https://vaportechnology.org/wp-content/uploads/2019/11/Dunham-Economic-Impact-of-Flavor-Ban-11-21-19.pdf The Economic Impact of a Ban on Flavored Vapor Products ]=== <!--T:165-->
 
<!--T:166-->
*[https://vaportechnology.org/wp-content/uploads/2019/11/New-Economic-Analysis-Demonstrates-Significant-Negative-Impact-of-a-National-Flavor-Ban50808.pdf NEW ECONOMIC ANALYSIS DEMONSTRATES SIGNIFICANT NEGATIVE IMPACT OF A NATIONAL FLAVOR BAN ]
*[https://vaportechnology.org/wp-content/uploads/2019/11/New-Economic-Analysis-Demonstrates-Significant-Negative-Impact-of-a-National-Flavor-Ban50808.pdf NEW ECONOMIC ANALYSIS DEMONSTRATES SIGNIFICANT NEGATIVE IMPACT OF A NATIONAL FLAVOR BAN ]
===2019: Policy Blog: [https://reason.org/commentary/albanys-proposed-flavored-tobacco-ban-misses-the-mark/ Albany’s Proposed Flavored Tobacco Ban Misses the Mark]===
===2019: Policy Blog: [https://reason.org/commentary/the-public-health-case-for-e-cigarette-flavors/ The Public Health Case for E-Cigarette Flavors]===
===2019: Policy Blog: [https://reason.org/wp-content/uploads/michigan-e-cigarette-flavors-explainer.pdf E-Cigarette Flavor Ban Creates Public Health Problems]===
===2018: Testimony to FDA: [https://reason.org/commentary/comments-on-fdas-advance-notice-of-proposed-rulemaking-on-flavored-tobacco-products/ Comments on FDA's Advance Notice of Proposed Rulemaking on Flavored Tobacco Products]===
===2018: Policy Blog: [https://reason.org/commentary/san-francisco-flavored-vapes-and-the-next-prohibition-disaster/ San Francisco, Flavored Vapes, and the Next Prohibition Disaster]===
===2018: Policy Blog: [https://reason.org/commentary/californias-plan-to-ban-vaping-flavors-would-hurt-public-health/ California’s Plan to Ban Vaping Flavors would Hurt Public Health]===
===2017: Blog: [http://tobaccoanalysis.blogspot.com/2017/05/vape-shop-air-sampling-by-california.html Vape Shop Air Sampling by California State Health Department Suggests that Secondhand Vape Exposure is Minimal]===
===2017: Blog: [https://www.clivebates.com/flavors Are e-liquid flavours really 'hooking another generation of kids'?]===


=Other Resources=




===2019: Policy Blog: [https://reason.org/commentary/albanys-proposed-flavored-tobacco-ban-misses-the-mark/ Albany’s Proposed Flavored Tobacco Ban Misses the Mark]=== <!--T:167-->
===[https://docs.google.com/document/d/1CWfu0QLj347Ud07tb9NdNWESXZRqAzW9MX_VbU_NAss/edit?usp=sharing Document of pre-written tweets about flavors]===




===2019: Policy Blog: [https://reason.org/commentary/the-public-health-case-for-e-cigarette-flavors/ The Public Health Case for E-Cigarette Flavors]=== <!--T:168-->
=Suggested Studies, Papers, Surveys, and Articles to Add to This Page= <!--T:153-->
 
*If you prefer to not add information to this page yourself, drop the links here and one of our editors will do it for you
 
===2019: Policy Blog: [https://reason.org/wp-content/uploads/michigan-e-cigarette-flavors-explainer.pdf E-Cigarette Flavor Ban Creates Public Health Problems]=== <!--T:169-->
 
 
===2018: Testimony to FDA: [https://reason.org/commentary/comments-on-fdas-advance-notice-of-proposed-rulemaking-on-flavored-tobacco-products/ Comments on FDA's Advance Notice of Proposed Rulemaking on Flavored Tobacco Products]=== <!--T:170-->
 
<!--T:171-->
*Reason Foundation / Guy Bentley
 
 
 
===2018: Policy Blog: [https://reason.org/commentary/san-francisco-flavored-vapes-and-the-next-prohibition-disaster/ San Francisco, Flavored Vapes, and the Next Prohibition Disaster]=== <!--T:172-->
 
 
===2018: Policy Blog: [https://reason.org/commentary/californias-plan-to-ban-vaping-flavors-would-hurt-public-health/ California’s Plan to Ban Vaping Flavors would Hurt Public Health]=== <!--T:173-->
 
 
===2017: Blog: [http://tobaccoanalysis.blogspot.com/2017/05/vape-shop-air-sampling-by-california.html Vape Shop Air Sampling by California State Health Department Suggests that Secondhand Vape Exposure is Minimal]=== <!--T:174-->




===2017: Blog: [https://www.clivebates.com/flavors Are e-liquid flavours really 'hooking another generation of kids'?]=== <!--T:175-->
===2022: [https://www.sciencedirect.com/science/article/abs/pii/S0091743522001116 Effect of flavored E-cigarette bans in the United States: What does the evidence show?]===
<br>


=Page Editor Instructions= <!--T:176-->
=Page Editor Instructions= <!--T:176-->
Cookies help us deliver our services. By using our services, you agree to our use of cookies.

Navigation menu