Latest revision as of 16:31, 15 April 2024

"Tobacco Harm Reduction = SAFER than smoking"
The items list below may also be found on this Google Doc

Multinational / International

Cochrane systematic evidence review

Source / 78 scientific studies (including >34 randomized control trials) involving 22,052 participants in a dozen countries.

15 past presidents of the Society for Research on Nicotine and Tobacco (SRNT)

Source NOTE: This is not a statement by the SRNT.

World Heart Federation

Source

The Tobacco Atlas

Source / Vital Strategies was formed out of a merger between World Lung Foundation and The Union.

Bill and Melinda Gates Foundation

Source

European Respiratory Society

Source

Center For Black Equity

Source

Region: England, Ireland, Scotland, and Wales

UK Department of Health, Towards a Smokefree Generation - A Tobacco Control Plan for England

Source

Office for Health Improvement & Disparities

(Source)

Public Health England

Source

Royal College of Physicians

Source

British Medical Association

Source

Cancer Research UK

Source

British Lung Foundation

Source

Asthma + Lung UK

Source

Primary Care Respiratory Society

Source

Roy Castle Lung Cancer Foundation

Source

British Thoracic Society

Source

British Heart Foundation

Source

The British Psychological Society

Source

UK National Institute for Health and Care Excellence (NICE)

Source

Royal College of General Practitioners

Source

Royal Society for Public Health

Source

UK Parliament - Science, Innovation and Technology Committee

Source

Stroke Association

Source

Royal College of Occupational Therapists

Source

Action on Smoking and Health UK (ASH)

Source

National Centre for Smoking Cessation and Training (NCSCT)

Source

Royal college of Psychiatrists

Source

Faculty of Public Health

Source

Royal Pharmaceutical Society

Source

Royal College of Midwives

Source

Chartered Institute of Environmental Health

Source

LGBT Foundation

Source

UK Teratology Information Service

Source

Centre for Mental Health

Source

London Fire Brigade

Source

UK National Fire Chiefs Council

Source

Association of Directors of Public Health North East

Source

Rethink Mental Illness

Source

UK Centre for Tobacco and Alcohol Studies

Source

Royal College of Nursing

Source

Heart UK

Source

Association of Directors of Public Health

Source

College of Mental Health Pharmacy

Source

Fresh North East

Source

Healthier Futures

Source

Mental Health Foundation

Source

Mental Health Nurses Association

Source

London Tobacco Alliance

Source

Mental Health Providers Forum

Source

Stop Smoking London

Source

Public Health Action

Source

North East North Cumbria ICB Smokefree

Source

Smokefree Sheffield

Source

Smokefree Yorkshire & Humber

Source

Hertfordshire County Council

Source

Camden and Islington Public Health

Source

Sheffield Clinical Commissioning Group

Source

Unite in Health

Source

Public Health Nottinghamshire County

Source

Sheffield City Council

Source

Tobacco Control Collaborating Centre

Source

York Mental Health & Addictions Research Group

Source

Sheffield Children’s

Source

Oral Health Foundation

Source (Formerly known as the British Dental Health Foundation)

Drug Science UK

Source

Men's Health Forum UK

Source

Community Pharmacy Sheffield

Source

Sheffield Teaching Hospitals

Source

Zest Community Centre

Source

Sheffield Health and Social Care

Source

diva Sheffield

Source

Scottish Government

Source

Scottish Directors of Public Health

Source

Scottish Health Promotion Managers

Source

National Health Service Scotland

Source

Action on Smoking and Health Scotland

Source

NHS Lothian

Source

NHS Ayrshire and Arran - Scotland

Source

NHS Glasgow and Clyde - Scotland

Source

Scottish Collaboration for Public Health Research and Policy

Source

Chest Heart & Stroke Scotland

Source

NHS Tayside

Source

Royal College of Physicians and Surgeons of Glasgow

Source

Royal College of Physicians of Edinburgh

Source

Royal Environmental Health Institute of Scotland

Source

Scottish Consultants in Dental Health

Source

Scottish Thoracic Society

Source

University of Edinburgh

Source

University of Stirling

Source

Health Information and Quality Authority (Ireland)

Source

Irish Cancer Society

[1]

The Chartered Institute of Personnel and Development

Source

Irish Heart Foundation

[2]

Health and Safety Executive

Source

ASH Ireland

[3]

Health Service Executive

Source

Men’s Development Network

[4]

Dental Health Foundation - Ireland

[5]

Mental Health Ireland

[6]

Irish Medical Organisation

Source

Irish Pharmacy Union

[7]

Men's Health Forum - Ireland

[8]

South East Tobacco Control Network

Australia (See Also: "Australia and New Zealand")

Therapeutic Goods Administration (Australia)]

Source

The Royal Australian College of General Practitioners +14 Endorsements

Commonwealth Scientific and Industrial Research Organisation (Australia)

Cancer Council - Victoria

Source
E-cigarettes may be beneficial for individuals who smoke and use them to quit smoking completely.
E-cigarette aerosols contain considerably lower amounts of harmful and toxic chemicals compared to conventional cigarette aerosols. An extensive study from 2021 tested carbonyl compounds (including aldehydes such as acetaldehyde and formaldehyde, Section 12.4.3.2) and polycyclic aromatic hydrocarbons (PAHs, Section 12.4.3.6) levels in e-cigarette compared to conventional cigarette and heated tobacco products aerosols. Among the 19 carbonyl compounds tested, 17 were lowest in e-cigarette aerosols. Among the 22 PAHs that were detected, 21 were lowest in e-cigarette aerosols compared to conventional cigarette and heated tobacco products. When comparing average levels of all the compounds in each class, e-cigarettes had a 99% reduction per puff of carbonyl compounds compared to conventional cigarettes, and a 98% reduction per puff of PAHs, many of which are known causes of cancer.

Australia and New Zealand

Royal Australian & New Zealand College of Psychiatrists (RANZCP)

Source
NOTE: New Statement 2023 (current graphic from old statement) E-cigarettes and vaporisers

Royal Australasian College of Physicians

Drug and Alcohol Nurses of Australasia

Belgium

Belgian Superior Health Council

Source

“Yes, the e-cigarette has its risks, but is clearly less harmful than a traditional tobacco cigarette. According to the Council, the e-cigarette can therefore be a tool to give up tobacco completely.” [Google Translate]

Canada

Government of Canada

Health Canada

Source

“If you are an adult that currently smokes, switching completely to vaping is a less harmful option than continuing to smoke. …Vaping is not known to cause Popcorn lung.” (January 2023) “While vaping products are not harmless, vaping exposes people who smoke to lower levels of harmful chemicals than continuing to smoke.” Statement from Minister of Health (January 16 2023).

Canadian Heart & Stroke Foundation

Centre for Addiction and Mental Health +3 organizations - Canadian Lower-Risk Nicotine Use Guidelines (LRNUG)

Source

“Funded by Health Canada’s Substance Use and Addictions Program, the LRNUG has developed several resources to help guide people who use, or are thinking about using nicotine, on how to lower the risk associated with these products. ...E-cigarettes with nicotine may be an effective cessation aid for people who use combustible tobacco. People who switch from combustible tobacco to e-cigarettes will reduce their exposure to numerous toxicants and carcinogens.” Quick Tips: “Using tobacco in forms that don’t burn, like smokeless tobacco or heat-not-burn products, will reduce your exposure to harmful combusted chemicals including carbon monoxide. [You can] further reduce your risk by switching to products that don’t have tobacco like NRT [e.g., nicotine patches or nicotine gum] or e-cigarettes.” Statement by: CAMH - Centre for Addiction and Mental Health, Pharmacists for a Smoke-free Canada, The Ontario Tobacco Research Unit, Centre for Effective Practice

Canadian Cancer Society

Canadian Lung Health Foundation

England (See Region: England, Ireland, Scotland, and Wales)

France

French National Academy of Medicine

French National Cancer Institute

French High Council for Public Health

French National Academy of Pharmacy

Collège de la médecine générale (College of General Medicine)

Source

“Concerning the electronic cigarette, we consider it as a risk reduction tool and believe that we should not discourage the smoking patient who is learning to vape with a view to weaning [reducing smoking] by indicating to him that it is necessary to avoid the use concomitant cigarette/e-cigarette.”

Germany

German Federal Institute for Risk Assessment

German Society of Addiction (Deutsche Suchtgesellschaft – Dachverband der Suchtfachgesellschaften)

Source

“In general, one can assume that the vapor from an e-cigarette is much less harmful than conventional cigarette smoke and that the e-cigarette can be used for nicotine withdrawal if guideline-based psychotherapeutic and/or drug treatments for nicotine withdrawal are ineffective or unwanted.”

Ireland (See Region: England, Ireland, Scotland, and Wales)

Isle of Man

Public Health Isle of Man

Source

“E-cigarettes can be a particularly helpful way to stop smoking tobacco especially when combined with a specialist face to face support. Although experts say they are not entirely risk free, they are at least 95% less harmful than tobacco.”

Luxembourg

Fondation Cancer

Source

“The electronic cigarette … does not contain tobacco. The vapor produced does not contain carbon monoxide or carcinogenic substances in significant quantities. Despite a lack of long-term scientific studies, it probably presents a reduced risk compared to tobacco (if not combined with cigarettes). …In general, we recommend that you vape with the most concentrated liquid possible, in order to reduce your consumption of liquid and therefore your exposure to inhaled substances.” [emphasis in original] [Google Translate]

Malaysia

Federation of Private Medical Practitioners' Associations, Malaysia

New Zealand (See Also: "Australia and New Zealand")

New Zealand Ministry of Health

Official New Zealand Ministry of Health Position Statement

Source

“Vaping is not harmless but it is much less harmful than smoking. Vaping has the potential to help people quit smoking and contribute to New Zealand’s Smokefree 2025 goal.” Organizations that support this statement include: Health Promotion Agency/Te Hiringa Hauora (HPA), Hāpai te Hauora/Māori Public Health, New Zealand Medical Association (NZMA), Action for Smokefree 2025 (ASH), National Training Service (NTS), All District Health Boards, Pharmacy Guild of New Zealand, New Zealand Heart Foundation, New Zealand College of Midwives, Parents Care Centre

New Zealand Medical Association

New Zealand Pharmacy Council

Cancer Society of New Zealand

New Zealand Heart Foundation

Asthma & Respiratory Foundation NZ

Health Navigator NZ

Quitline NZ

Philippines

House of Representatives Philippines

2018

Poland

2023: Polish Psychiatric Association

Scotland (See Region: England, Ireland, Scotland, and Wales)

United Kingdom (See Region: England, Ireland, Scotland, and Wales)

United States

Center for Critical Public Health

American Association of Public Health Physicians

American College of Preventive Medicine

American Academy of Otolaryngology-Head and Neck Surgery

American Society of Addiction Medicine

Substance Abuse and Mental Health Services Administration

US National Academies of Sciences, Engineering and Medicine

US Food & Drug Administration #1 #2 #3

National Institute on Drug Abuse

US Centers for Disease Control

Truth Initiative

Campaign for Tobacco-Free Kids (CTFK)

American Association for Cancer Research and American Society of Clinical Oncology

American Cancer Society

American Heart Association

Eau Claire, WI Health Department

2022

Uruguay

Uruguayan Council of Ministries

2021

Wales (See Multinational pt. 2/United Kingdom)

Important! Instructions to page editors:

1 meme for each org, with a link saved on wayback machine of the source so anyone can verify it was said.

Updated information e.g. better quotes to use may be left in the suggestions section below:

Suggestions to add to this page

Tobacco Tactics - University of Bath

British Society of Periodontology and Implant Dentistry

2023: Association of Directors of Public Health North East Position Statement on Nicotine Vaping September 2023

2023: In Italy banning smoking has not worked. How crucial are new nicotine-delivery devices in reducing tobacco-related health risk?

Many European authorities, such as the German Federal Risk Assessment Institute and the

Federal Centre for Health Education in Germany, the National Institute for Public Health and the Environment (Netherlands), and the UK Committees of Toxicity, Mutagenicity, and Carcinogenicity of Chemicals in Food, Consumer Products, and the Environment, focused on the importance of e-cigarettes and heated tobacco as a safe alternative compared to burning cigarettes.

2023: Page 3 of this email from FDA screenshot included below, as well as PDF of the full mail (preserving blue links to the FDA website)

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-[[File:THR Statements html 116a867be54b8fb5.png|frame|center|THR statements]]
-All statements are hyperlinked to original documents. Thank-you Charles A. Gardner, PhD for the [https://twitter.com/ChaunceyGardner/status/1382413689060519945 original compilation of this list]. We hope as science learns more about THR, we'll be able to add to your original list. <br>
-='''Organizations and Governments that say nicotine e-cigs are "SAFER than smoking"'''=
 <br>
+<br>
+[[File:Header for comments by orgs2.jpg|frame|center]]
+<br>
+'''"Tobacco Harm Reduction = SAFER than smoking"'''
+<br>
+'''<big>The items list below may also be found on this [https://docs.google.com/document/d/1dDaKKxylS4wuwLmw8L_neBco1Z3KlkQEdU-tzwlAotI/edit?usp=sharing Google Doc]</big>'''
+<br>
+__TOC__
+<br>
+='''Multinational / International'''=
+===World Health Organization EURO Office===
+*[https://web.archive.org/web/20221120055000/https://www.euro.who.int/__data/assets/pdf_file/0009/443673/Electronic-nicotine-and-non-nicotine-delivery-systems-brief-eng.pdf Source]
+===International Agency for Research on Cancer===
+*[https://web.archive.org/web/20221120055221/https://cancer-code-europe.iarc.fr/index.php/en/ecac-12-ways/tobacco/247-are-e-cigarettes-less-harmful-than-conventional-cigarettes Source]
+[[file:INT WHO Euro.png|left]]    [[file:INT WHO Research Cancer.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+===European Parliament===
+*[https://web.archive.org/web/20221120055449/https://www.europarl.europa.eu/doceo/document/A-9-2022-0001_EN.html Source]
+===SCENIHR - European Commission Directorate-General, Health & Consumer Protection===
+*[https://web.archive.org/web/20080302215712/https://ec.europa.eu/health/ph_risk/committees/04_scenihr/docs/scenihr_o_013.pdf Source]
+[[file:INT Eu Parliament.png|left]]    [[file:INT European Commission Directorate.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+===Cochrane systematic evidence review===
+*[https://web.archive.org/web/20221120061056/https://www.cochrane.org/CD010216/TOBACCO_can-electronic-cigarettes-help-people-stop-smoking-and-do-they-have-any-unwanted-effects-when-used Source] / 78 scientific studies (including >34 randomized control trials) involving 22,052 participants in a dozen countries.
+===15 past presidents of the Society for Research on Nicotine and Tobacco (SRNT)===
+*[https://web.archive.org/web/20221120061557/https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2021.306416 Source] '''NOTE: This is not a statement by the SRNT.'''
+[[file:INT Cochrane.png|left]]     [[file:INT SRNT 15.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+===World Heart Federation===
+*[https://web.archive.org/web/20230608094306/https://world-heart-federation.org/e-cigarettes-policy-brief-qa/ Source]
+===The Tobacco Atlas===
+*[https://web.archive.org/web/20221120061948/https://tobaccoatlas.org/challenges/e-cigarettes-htps/ Source] / [https://www.vitalstrategies.org/about-us/ Vital Strategies] was formed out of a merger between World Lung Foundation and The Union.
+[[file:INT World Heart Federation.png|left]]     [[file:INT Tobacco Atlas.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+===Bill and Melinda Gates Foundation===
+*[https://web.archive.org/web/20230611144245/https://www.gatesfoundation.org/goalkeepers/report/2018-report/progress-indicators/smoking/ Source]
+===European Respiratory Society===
+*[https://web.archive.org/web/20230612003031/https://erj.ersjournals.com/content/53/2/1801151 Source]
+[[file:INT Gates Foundation.png|left]]     [[file:INT European Respiratory Society.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
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+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+===Center For Black Equity===
+*[https://web.archive.org/web/20231006094126/https://centerforblackequity.org/vaping Source]
+[[file:INT Center for Black Equity.png|left]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+='''Region: England, Ireland, Scotland, and Wales'''=
+<br>
+===UK Department of Health, Towards a Smokefree Generation - A Tobacco Control Plan for England===
+*[https://web.archive.org/web/20190330202635/https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/630217/Towards_a_Smoke_free_Generation_-_A_Tobacco_Control_Plan_for_England_2017-2022__2_.pdf Source]
+===Office for Health Improvement & Disparities===
+*[https://web.archive.org/web/20220929161425/https://www.gov.uk/government/publications/nicotine-vaping-in-england-2022-evidence-update/nicotine-vaping-in-england-2022-evidence-update-main-findings (Source)]
+[[File:UK Department of Health, Towards a Smokefree Generation.png|left]]     [[File:UK Office for Health Improvement & Disparities.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+===Public Health England===
+*[https://web.archive.org/web/20180206014350/https://www.gov.uk/government/news/phe-publishes-independent-expert-e-cigarettes-evidence-review Source]
+===Royal College of Physicians===
+*[https://web.archive.org/web/20220103083423/https://www.rcplondon.ac.uk/projects/outputs/nicotine-without-smoke-tobacco-harm-reduction Source]
+[[file:UK Public Health England.png|left]]     [[file:UK Royal College Physicians.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
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+<br>
+<br>
+<br>
+<br>
+<br>
+===British Medical Association===
+*[https://web.archive.org/web/20200715013307/https://www.bma.org.uk/media/2083/e-cigarettes-position-paper-v3.pdf Source]
+===Cancer Research UK===
+*[https://web.archive.org/web/20230427002957/https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/smoking-and-cancer/is-vaping-harmful Source]
+[[file:UK British Medical Association.png|left]]     [[file:UK Cancer Research UK.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+===British Lung Foundation===
+*[https://web.archive.org/web/20191218102844/https://www.blf.org.uk/your-stories/more-evidence-than-ever-e-cigs-safer-than-smoking Source]
+===Asthma + Lung UK===
+*[https://web.archive.org/web/20220331081438/https://www.blf.org.uk/sites/default/files/ALUK_clearing_the_smoke_report.pdf Source]
+[[file:UK British Lung Foundation2.png|left]]     [[file:UK Asthma & Lung UK.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+===Primary Care Respiratory Society===
+*[https://web.archive.org/web/20210125015605/https://www.pcrs-uk.org/resource/e-cigarettes-pcrs-position-statement Source]
+===Roy Castle Lung Cancer Foundation===
+*[https://web.archive.org/web/20230615030604/https://roycastle.org/important-research-into-the-role-of-e-cigarettes-for-lung-cancer-patients/ Source]
+[[file:UK Primary Care Resp Soc.png|left]]     [[file:UK Roy Castle Lung Cancer found.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
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+<br>
-__TOC__
+===British Thoracic Society===
+*[https://web.archive.org/web/20220313175811/https://www.brit-thoracic.org.uk/media/70160/bts-position-statement-on-tobacco-january-2017.pdf Source]
+===British Heart Foundation===
+*[https://web.archive.org/web/20220313175743/https://www.bhf.org.uk/what-we-do/policy-and-public-affairs/creating-healthier-environments/tobacco-control Source]
+[[file:UK British Thoracic Soc.png|left]]     [[file:UK British Heart Found.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
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+<br>
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+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+===The British Psychological Society===
+*[https://web.archive.org/web/20191211165144/https://www.bps.org.uk/news-and-policy/e-cigarettes-should-be-promoted-method-stopping-smoking Source]
+===UK National Institute for Health and Care Excellence (NICE)===
+*[https://web.archive.org/web/20230617111001/https://www.nice.org.uk/guidance/ng209/resources/tobacco-preventing-uptake-promoting-quitting-and-treating-dependence-pdf-66143723132869 Source]
+[[file:UK British Psych Soc.png|left]]      [[file:UK Nice.png|right]]
+<br>
+<br>
+<br>
+<br>
 <br>
-=='''[https://www.euro.who.int/__data/assets/pdf_file/0009/443673/Electronic-nicotine-and-non-nicotine-delivery-systems-brief-eng.pdf World Health Organization EURO Office]'''==
 <br>
-[[file:WHO_EU.jpg|center]]<br>
+<br>
+<br>
+<br>
+<br>
 <br>
-=='''[https://cancer-code-europe.iarc.fr/index.php/en/ecac-12-ways/tobacco/247-are-e-cigarettes-less-harmful-than-conventional-cigarettes International Agency for Research on Cancer]'''==
 <br>
-[[File:WHO_IARC.jpg|left]]<br>
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+===Royal College of General Practitioners===
+*[https://web.archive.org/web/20190830233051/https://www.cancerresearchuk.org/sites/default/files/rcgp_e-cig_position_statement_approved_060917_clean_copy.pdf Source]
+===Royal Society for Public Health===
+*[https://web.archive.org/web/20230622102131/https://www.rsph.org.uk/about-us/news/rsph-welcomes-new-e-cigarettes-report-as-mps-recognise-potential-to-help-smokers-quit.html Source]
+[[file:UK Royal College of GPs.png|left]]     [[file:UK Royal Society Public Health.png|right]]
 <br>
 <br>
 <br>
 <br>
+<br>
+<br>
-=='''Cochrane systematic review:'''==
-[[file:THR_Statements_html_1b5c55f049f30bf5.png|thumb|left]]
-'''<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.”]
-[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)].”
 <br>
+<br>
+<br>
+<br>
+<br>
-=='''Public Health England:'''==
-[[file:THR_Statements_html_a0548a0d52b03426.png|thumb|right]]<br>
+<br>
+<br>
+<br>
+<br>
 <br>
 <br>
-'''<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.]”
+===UK Parliament - Science, Innovation and Technology Committee===
+*[https://web.archive.org/web/20210513063220/https://publications.parliament.uk/pa/cm201719/cmselect/cmsctech/505/50508.htm Source]
+===Stroke Association===
+*[https://web.archive.org/web/20220419124821/https://www.stroke.org.uk/what-is-stroke/what-can-i-do-to-reduce-my-risk/stop-smoking Source]
+[[file:UK Parl Sci Inn Tech Committee.png|left]]     [[file:UK Stroke Assoc.png|right]]
+<br>
+<br>
+<br>
 <br>
 <br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
-=='''Royal College of Physicians:'''==
-[[file:THR_Statements_html_5bff3fffb7427490.png|thumb|left]]<br>
-'''<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.]”
+<br>
+<br>
+<br>
+<br>
 <br>
 <br>
@@ Line 59: / Line 553: @@
+===Royal College of Occupational Therapists===
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The_Stolen_Years_MH_Report.pdf Source]
+===Action on Smoking and Health UK (ASH)===
+*[https://web.archive.org/web/20221120200218/https://ash.org.uk/uploads/E-Cigarettes-Briefing_PDF_v1.pdf Source]
+[[file:UK Royal College of OT.png|left]]     [[file:UK Action on Smoking and Health.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
-=='''National Institute for Health and Care Excellence:'''==
-[[file:THR_Statements_html_598db578a2cee568.png|thumb|right]]
-'''<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.]”
+<br>
+<br>
+<br>
+<br>
 <br>
-=='''British Medical Association:'''==
-[[file:THR_Statements_html_dabccb8e3c1d331a.png|thumb|left]]<br>
-'''<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.]”
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
@@ Line 80: / Line 590: @@
+===National Centre for Smoking Cessation and Training (NCSCT)===
+*[https://web.archive.org/web/20170328231736/https://www.ncsct.co.uk/usr/pub/Electronic_cigarettes._A_briefing_for_stop_smoking_services.pdf Source]
+===Royal college of Psychiatrists===
+[https://web.archive.org/web/20210122130949/https://www.rcpsych.ac.uk/docs/default-source/improving-care/better-mh-policy/position-statements/ps05_18.pdf Source]
+[[file:UK National Centre for Smoking Cessation and Training NCSCT.png|left]]     [[file:UK Royal College of Psychiatrists.png|right]]
+<br>
+<br>
+<br>
 <br>
 <br>
 <br>
-=='''Cancer Research UK:'''==
-[[file:THR_Statements_html_49a5df33bae2db03.png|thumb|right]]<br>
-'''<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.]”
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
 <br>
-=='''British Lung Foundation:'''==
-[[file:THR_Statements_html_69a426a8224c4e50.png|thumb|left]]<br>
+===Faculty of Public Health===
+*[https://web.archive.org/web/20210611070244/https://slidelegend.com/faculty-of-public-health_59e10a581723dd143fce0685.html Source]
+===Royal Pharmaceutical Society===
+*[https://web.archive.org/web/20220120052424/https://www.rpharms.com/recognition/all-our-campaigns/policy-a-z/e-cigarettes Source]
+[[file:UK Faculty of Public Health.png|left]]     [[file:UK Royal Pharmaceutical Society.png|right]]
 <br>
 <br>
@@ Line 105: / Line 642: @@
-'''<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.]”
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
@@ Line 114: / Line 664: @@
+===Royal College of Midwives===
+*[https://web.archive.org/web/20220215140659/https://www.rcm.org.uk/media/3394/support-to-quit-smoking-in-pregnancy.pdf Source]
+===Chartered Institute of Environmental Health===
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The_Stolen_Years_MH_Report.pdf Source]
+[[file:UK Royal College of Midwives.png|left]]     [[file:UK Chartered Institute of Environmental Health.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
@@ Line 125: / Line 691: @@
 <br>
-=='''Royal College of General Practitioners:'''==
+<br>
-[[file:THR_Statements_html_29f909e9d24ba098.png|thumb|right]]<br>
+<br>
+<br>
+<br>
+<br>
-'''<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.]”
+===LGBT Foundation===
+*[https://web.archive.org/web/20221120203620/https://lgbt.foundation/stopsmoking/is-vaping-safe Source]
+===UK Teratology Information Service===
+*[https://web.archive.org/web/20221120204002/https://www.medicinesinpregnancy.org/Medicine--pregnancy/E-cigarettes/ Source]
+[[file:UK LGBT Foundation.png|left]]     [[file:UK Teratology Information Service UKTIS.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
 <br>
-=='''Royal Society for Public Health:'''==
-[[file:THR_Statements_html_7473f9a7ceaeeb5f.png|thumb|left]]<br>
-'''<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.]”
 <br>
 <br>
+<br>
+<br>
+<br>
+<br>
-=='''Stroke Association UK:'''==
+===Centre for Mental Health===
-[[file:THR_Statements_html_a290328394afb8a2.png|thumb|right]]<br>
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The%20Stolen%20Years%20MH%20Report.pdf Source]
+===London Fire Brigade===
+*[https://web.archive.org/web/20221120204136/https://www.london-fire.gov.uk/news/2018-news/stoptober-firefighters-urge-smokers-to-vape-to-prevent-fires/ Source]
+[[file:UK Centre for Mental Health.png|left]]     [[file:UK London Fire Brigade.png|right]]
+<br>
+<br>
+<br>
+<br>
 <br>
 <br>
-'''<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.]”
+<br>
+<br>
+<br>
+<br>
+<br>
@@ Line 161: / Line 765: @@
 <br>
-=='''Action on Smoking and Health UK:'''==
+<br>
-[[file:THR_Statements_html_3dc9120068dc83b.png|thumb|left]]<br>
+<br>
+<br>
+<br>
+<br>
-'''<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.]”
+===UK National Fire Chiefs Council===
+*[https://web.archive.org/web/20221120204412/https://www.nationalfirechiefs.org.uk/Vaping-tobacco-position-statement Source]
+===Association of Directors of Public Health North East===
+*[https://web.archive.org/web/20221120204919/https://express.adobe.com/page/QuOmX7ZebqdCf/ Source]
+[[file:UK National Fire Chiefs Council.png|left]]     [[file:UK ADPH North East.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
 <br>
 <br>
-=='''National Centre for Smoking Cessation and Training:'''==
-[[file:THR_Statements_html_3ef1301d4464ee23.png|thumb|right]]<br>
-'''<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].”
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+===Rethink Mental Illness===
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The_Stolen_Years_MH_Report.pdf Source]
+===UK Centre for Tobacco and Alcohol Studies===
+*[https://web.archive.org/web/20170623021545/http://ukctas.net/pdfs/UKCTAS-response-to-WHO-ENDS-report-26.10.2016.pdf Source]
+[[file:UK Rethink Mental Illness.png|left]]     [[file:UK CTAS.png|right]]
+<br>
+<br>
 <br>
 <br>
-=='''[https://www.bhf.org.uk/what-we-do/policy-and-public-affairs/creating-healthier-environments/tobacco-control British Heart Foundation]'''==
 <br>
-[[file:British_Heart_Foundation.jpg|left]]
 <br>
-=='''National Fire Chiefs Council'''==
-[[file:NFCC.jpg|thumb|left]]<br>
 <br>
 <br>
+<br>
+<br>
+<br>
-'''<span></span>'''"[http://www.cfoa.org.uk/22205 Vaping devices are the safer option from both a health and fire perspective].  FRSs agree that smoking cessation is the most effective method of reducing fires caused by smoking and smoking materials.  Some FRSs are now supporting vaping as a safer alternative to smoking where people are unable or unwilling to quit nicotine use, especially for those at highest risk from fire i.e. those who are immobile, who smoke in bed and risk dropping lit cigarettes onto their bedding/clothing."
 <br>
 <br>
+<br>
+<br>
+<br>
+<br>
+===Royal College of Nursing===
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The_Stolen_Years_MH_Report.pdf Source]
+===Heart UK===
+*[https://web.archive.org/web/20200620153353/https://www.heartuk.org.uk/healthy-living/quit-smoking Source]
+[[file:UK Royal College of Nursing.png|left]]     [[file:UK Heart.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
-=='''London Fire Brigade'''==
-[[file:LFB.jpg|thumb|right]]<br>
-'''<span></span>'''"[https://www.london-fire.gov.uk/news/2018-news/stoptober-firefighters-urge-smokers-to-vape-to-prevent-fires/ In London, smoking is the number one cause of fatal fires and one of the top three causes of all accidental fires in the home]. Such is the concern about smoking related fires that fire chiefs are now urging smokers to take up vaping to reduce the risk. Our message is simple: quit smoking or risk dying in a fire. Firstly, we would urge you to stop smoking completely but fully appreciate that this is your decision. If you still need that nicotine fix, vaping is a much safer alternative. Hundreds of people are injured in smoking related fires each year but we’ve not had any reports of injuries or deaths caused by e-cigarettes."
 <br>
 <br>
 <br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
 <br>
-=='''National Health Service Scotland:'''==
-[[file:THR_Statements_html_ffa345863d98e7b8.png|thumb|left]]<br>
-'''<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>
+===Association of Directors of Public Health===
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The_Stolen_Years_MH_Report.pdf Source]
+===College of Mental Health Pharmacy===
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The_Stolen_Years_MH_Report.pdf Source]
+[[file:UK ADPH.png|left]]     [[file:UK CMPH.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
 <br>
-=='''Health Service Executive Ireland'''==
-[[file:HealthServiceExecutive.jpg|thumb|right]]<br>
+<br>
+<br>
+<br>
 <br>
-“[https://www.medicalindependent.ie/to-vape-or-not-to-vape/ The HSE cannot recommend e-cigarettes as a smoking cessation aid], as they are not currently regulated or approved in Ireland for that purpose.  However, for those unable or unwilling to stop using nicotine, using e-cigarettes (also known as ‘vaping’) is generally regarded as less harmful than smoking tobacco. We recommend that smokers trying to quit smoking by using e-cigarettes do so in combination with approved supports." (Note: This is from a news article, not from an official policy statement)
+<br>
-"[http://www.2macs.com/wp-content/uploads/2017/08/E-cigarettes-in-the-workplace-Occupational-Health-and-Wellbeing-Guide.pdf The Health and Safety Executive (HSE) and the Chartered Institute of Personnel and Development (CIPD)] also caution against workplace bans on
-e-cigarettes. HSE’s advice is that “an employer needs to consider e-cigarettes in the wider context of risk in the workplace. We are aware that some organisations have banned their use, but this is not something HSE has advised on.”
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
-=='''New Zealand Ministry of Health:'''==
-[[file:THR_Statements_html_1afcfe7142c5ebc9.png|thumb|right]]<br>
-'''<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.]”
+===Fresh North East===
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The_Stolen_Years_MH_Report.pdf Source]
+===Healthier Futures===
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The_Stolen_Years_MH_Report.pdf Source]
+[[file:UK Fresh.png|left]]     [[file:UK Healthier Futures.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
 <br>
 <br>
+<br>
-=='''Cancer Society of New Zealand:'''==
+<br>
-[[file:THR_Statements_html_24f85310b5cb58d9.png|thumb|left]]<br>
+<br>
+<br>
+<br>
 <br>
 <br>
-'''<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.]”
+===Mental Health Foundation===
+*[https://web.archive.org/web/20230917220209/https://www.mentalhealth.org.uk/explore-mental-health/a-z-topics/smoking-and-mental-health Source]
+===Mental Health Nurses Association===
+*[https://web.archive.org/web/20230917233324/https://ash.org.uk/uploads/MHSP-ecig-briefing-2020-v2.pdf?v=1670240978 Source]
+[[file:UK Mental Health Foundation.png|left]]     [[file:UK MHNA Mental Health Nurses.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
 <br>
 <br>
-=='''Royal Australian & New Zealand College of Psychiatrists (RANZCP):'''==
-[[file:THR_Statements_html_7f5f1e90da0bd313.png|thumb|right]]
-'''<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>”
+<br>
+<br>
+<br>
 <br>
 <br>
+<br>
-=='''Drug and Alcohol Nurses of Australasia:<span></span>'''==
+===London Tobacco Alliance===
-[[file:THR_Statements_html_afc4fd7e248bd3e3.png|thumb|left]]
+*[https://web.archive.org/web/20230605145602/https://londontobaccoalliance.org.uk/wp-content/uploads/2023/05/Vaping-Position-Statement-for-London.pdf Source]
+[[file:UK London Tobacco Alliance.png|center]]
 <br>
-'''<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 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].”
+===Mental Health Providers Forum===
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The_Stolen_Years_MH_Report.pdf Source]
+===Stop Smoking London===
+*[https://web.archive.org/web/20230605130619/https://stopsmokinglondon.com/guides/vaping-myths-stop-smoking-london/ Source]
+[[file:UK MHPF Mental Health Providers Forum.png|left]]     [[file:UK Stop Smoking London.png|right]]
+<br>
+<br>
+<br>
+<br>
+<br>
+<br>
 <br>
+<br>
+<br>
+<br>
+<br>
-=='''Royal Australian College of Physicians:'''==
+<br>
-[[file:THR_Statements_html_9615a02df3f7fc8f.jpg|thumb|right]]<br>
+<br>
+<br>
+<br>
 <br>
 <br>
-'''<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.]”
+===Public Health Action===
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The_Stolen_Years_MH_Report.pdf Source]
+===North East North Cumbria ICB Smokefree===
+*[https://web.archive.org/web/20230605211055/https://express.adobe.com/page/sRYh0eO2bf0CT/ Source]
+[[file:UK Public Health Action.png|left]]     [[file:UK North East North Cumbria ICB.png|right]]
+<br>
+<br>
 <br>
 <br>
@@ Line 294: / Line 1,052: @@
 <br>
-=='''German Federal Institute for Risk Assessment:'''==
-[[file:THR_Statements_html_3fae28c626911bcf.png|thumb|left]]<br>
-'''<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 .]”
+<br>
+<br>
+<br>
 <br>
 <br>
-=='''French National Academy of Medicine:'''==
-[[file:THR_Statements_html_53a2a795647b3b8.png|thumb|right]]<br>
-'''<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)
 <br>
 <br>
+<br>
+<br>
+<br>
+<br>
-=='''French National Academy of Pharmacy:'''==
-[[file:THR_Statements_html_6ad6101eafe7576d.png|thumb|left]]<br>
+===Smokefree Sheffield===
+*[https://web.archive.org/web/20230611155926/https://smokefreesheffield.org/app/uploads/2021/02/The-Sheffield-TCB-e-cig-policy-statement-Final_2.4-1.pdf Source]
 <br>
+===Smokefree Yorkshire & Humber===
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The_Stolen_Years_MH_Report.pdf Source]
+<br>
-'''<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.)
+===Hertfordshire County Council===
+*[https://web.archive.org/web/20230602051701/https://democracy.hertfordshire.gov.uk/Data/Public%20Health,%20Localism%20and%20Libraries%20Cabinet%20Panel/201611241000/Agenda/Yh3VfB9XVUhwixTFQk0VMv1sZmO2Ay.pdf Source]
+[[file:UK Hertfordshire County Council.png|center]]
+<br>
+===Camden and Islington Public Health===
+*[https://web.archive.org/web/20230602060913/https://www.data.gov.uk/dataset/9d40e93c-d7a6-4931-a450-72f074e443a5/e-cigarettes-public-health-position-statement-sept19 Source]
+[[file:UK Camden and Islington Public Health.png|center]]
+<br>
+===Sheffield Clinical Commissioning Group===
+*[https://web.archive.org/web/20230611155926/https://smokefreesheffield.org/app/uploads/2021/02/The-Sheffield-TCB-e-cig-policy-statement-Final_2.4-1.pdf Source]
 <br>
+===Unite in Health===
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The_Stolen_Years_MH_Report.pdf Source]
 <br>
+===Public Health Nottinghamshire County===
+*[https://web.archive.org/web/20230602064836/https://www.nottinghamshire.gov.uk/media/112329/notts-postition-statement-on-e-cigarettes-updated.pdf Source]
+[[file:UK Public Health Nottinghamshire County.png|center]]
+<br>
-=='''French National Cancer Institute:'''==
+===Sheffield City Council===
-[[file:InstitutNationalDuCancer.jpg|thumb|right]]
+*[https://web.archive.org/web/20230611155926/https://smokefreesheffield.org/app/uploads/2021/02/The-Sheffield-TCB-e-cig-policy-statement-Final_2.4-1.pdf Source]
 <br>
-'''<span></span>'''"[https://www.e-cancer.fr/Comprendre-prevenir-depister/Reduire-les-risques-de-cancer/Tabac/La-cigarette-electronique?fbclid=IwAR1XP0pxDnlQgW9MDqSxJNpKsLsphNOLl_s4O3DfO5CUPKaS_tZzjqfn1lg Early studies show that the use of e-cigarettes can reasonably be given a place in the smoking cessation system by making a pragmatic risk-reduction argument by switching from cigarettes to e-cigarettes.]<br>
+===Tobacco Control Collaborating Centre===
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The_Stolen_Years_MH_Report.pdf Source]
+<br>
+===York Mental Health & Addictions Research Group===
+*[https://web.archive.org/web/20230604182132/https://safernicotine.wiki/mediawiki/images/8/85/The_Stolen_Years_MH_Report.pdf Source]
+[[file:UK UofYork Mental Health Addiction Group.png|Center]]
+<br>
+===Sheffield Children’s===
+*[https://web.archive.org/web/20230611155926/https://smokefreesheffield.org/app/uploads/2021/02/The-Sheffield-TCB-e-cig-policy-statement-Final_2.4-1.pdf Source]
 <br>
-=='''US National Academies of Sciences, Engineering and Medicine:'''==
+===Oral Health Foundation===
-[[file:THR_Statements_html_737217bec1502b9.gif|thumb|right]]<br>
+*[https://web.archive.org/web/20230607145405/https://www.dentalhealth.org/news/british-dental-health-foundation-responds-to-public-health-england-e-cigarette-review Source]  (Formerly known as the British Dental Health Foundation)
+<br>
-'''<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.]”
+===Drug Science UK===
+*[https://web.archive.org/web/20230606180017/https://www.drugscience.org.uk/harms-of-nicotine-containing-products-2/ Source]
+<br>
+===Men's Health Forum UK===
+*[https://web.archive.org/web/20230610203330/https://www.menshealthforum.org.uk/are-e-cigarettes-ok Source]
 <br>
+===Community Pharmacy Sheffield===
+*[https://web.archive.org/web/20230611155926/https://smokefreesheffield.org/app/uploads/2021/02/The-Sheffield-TCB-e-cig-policy-statement-Final_2.4-1.pdf Source]
 <br>
+===Sheffield Teaching Hospitals===
+*[https://web.archive.org/web/20230611155926/https://smokefreesheffield.org/app/uploads/2021/02/The-Sheffield-TCB-e-cig-policy-statement-Final_2.4-1.pdf Source]
+<br>
+===Zest Community Centre===
+*[https://web.archive.org/web/20230611155926/https://smokefreesheffield.org/app/uploads/2021/02/The-Sheffield-TCB-e-cig-policy-statement-Final_2.4-1.pdf Source]
+<br>
-=='''US Food & Drug Administration:'''==
+===Sheffield Health and Social Care===
-[[file:THR_Statements_html_4fa2762d2f9442aa.png|thumb|left]]
+*[https://web.archive.org/web/20230611155926/https://smokefreesheffield.org/app/uploads/2021/02/The-Sheffield-TCB-e-cig-policy-statement-Final_2.4-1.pdf Source]
+<br>
+===diva Sheffield===
+*[https://web.archive.org/web/20230611155926/https://smokefreesheffield.org/app/uploads/2021/02/The-Sheffield-TCB-e-cig-policy-statement-Final_2.4-1.pdf Source]
+<br>
-“<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>”
+===Scottish Government===
+*[https://web.archive.org/web/20230604102435/https://www.gov.scot/policies/smoking/electronic-cigarettes/ Source]
+[[file:UK Scottish Government.png||center]]
+<br>
+===Scottish Directors of Public Health===
+*[https://web.archive.org/web/20220308085005/https://www.scotphn.net/wp-content/uploads/2015/12/2015_12_07-Final-Confirmed-e-cig-Joint-Position-Statement-SDsPHSHPMs.docx Source]
+<br>
+===Scottish Health Promotion Managers===
+*[https://web.archive.org/web/20220308085005/https://www.scotphn.net/wp-content/uploads/2015/12/2015_12_07-Final-Confirmed-e-cig-Joint-Position-Statement-SDsPHSHPMs.docx Source]
 <br>
+===National Health Service Scotland===
+*[https://web.archive.org/web/20221120205048/https://www.healthscotland.scot/media/1576/e-cigarettes-consensus-statement_sep-2017.pdf Source]
 <br>
-=='''US Centers for Disease Control:<span></span>'''==
+===Action on Smoking and Health Scotland===
-[[file:THR_Statements_html_cb9a9f9852d48523.jpg|thumb|right]]<br>
+*[https://web.archive.org/web/20221120205048/https://www.healthscotland.scot/media/1576/e-cigarettes-consensus-statement_sep-2017.pdf Source]
 <br>
+===NHS Lothian===
+*[https://web.archive.org/web/20230611095231/https://twitter.com/QYWLothian/status/1661814749489758221 Source]
 <br>
+===NHS Ayrshire and Arran - Scotland===
+*[https://web.archive.org/web/20230603140612/https://www.nhsaaa.net/media/5856/e-cigarettes-the-facts.pdf Source]
+[[file:UK NHS Ayrshire and Arran - Scotland.png||center]]
+<br>
-'''<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.]”
+===NHS Glasgow and Clyde - Scotland===
+*[https://web.archive.org/web/20230603142522/https://www.nhsggc.org.uk/media/244863/nhsggc_ph_use_of_electronic_cigarettes_guide_for_health_professionals_2017-11.pdf Source]
+[[file:UK NHS Glasgow and Clyde - Scotland.png||center]]
+<br>
+===Scottish Collaboration for Public Health Research and Policy===
+*[https://web.archive.org/web/20221120205048/https://www.healthscotland.scot/media/1576/e-cigarettes-consensus-statement_sep-2017.pdf Source]
+<br>
+===Chest Heart & Stroke Scotland===
+*[https://web.archive.org/web/20221120205048/https://www.healthscotland.scot/media/1576/e-cigarettes-consensus-statement_sep-2017.pdf Source]
+<br>
+===NHS Tayside===
+*[https://web.archive.org/web/20230611103204/https://www.nhstaysidecdn.scot.nhs.uk/NHSTaysideWeb/idcplg?IdcService=GET_SECURE_FILE&dDocName=PROD_258173&Rendition=web&RevisionSelectionMethod=LatestReleased&noSaveAs=1 Source]
+<br>
+===Royal College of Physicians and Surgeons of Glasgow===
+*[https://web.archive.org/web/20230611113404/https://rcpsg.ac.uk/college/speaking-up-for-the-profession/news-and-statements/ecig/ Source]
+<br>
+===Royal College of Physicians of Edinburgh===
+*[https://web.archive.org/web/20230611115744/https://www.rcpe.ac.uk/journal/journal/electronic-cigarettes-brief-update Source]
+<br>
+===Royal Environmental Health Institute of Scotland===
+*[https://web.archive.org/web/20230611122045/https://rehis.com/news/e-cigs-definitely-less-harmful-than-smoking/ Source]
 <br>
+===Scottish Consultants in Dental Health===
+*[https://committees.parliament.uk/writtenevidence/82856/pdf/ Source]
 <br>
+===Scottish Thoracic Society===
+*[https://web.archive.org/web/20221120205048/https://www.healthscotland.scot/media/1576/e-cigarettes-consensus-statement_sep-2017.pdf Source]
+<br>
+===University of Edinburgh===
+*[https://web.archive.org/web/20221120205048/https://www.healthscotland.scot/media/1576/e-cigarettes-consensus-statement_sep-2017.pdf Source]
+<br>
+===University of Stirling===
+*[https://web.archive.org/web/20221120205048/https://www.healthscotland.scot/media/1576/e-cigarettes-consensus-statement_sep-2017.pdf Source]
+<br>
+===Health Information and Quality Authority (Ireland)===
+*[https://web.archive.org/web/20221120205227/https://www.hiqa.ie/sites/default/files/2017-04/Smoking%20Cessation%20HTA.pdf Source]
+[[file:HIQA.jpg|center]]
+<br>
-=='''American Cancer Society:'''==
+===Irish Cancer Society===
-[[file:THR_Statements_html_40771489b23953e1.png|thumb|left]]<br>
+*[https://web.archive.org/web/20210705151103/https://www.cancer.ie/sites/default/files/2020-01/Position%20paper%20on%20e-cigarettes%20and%20HTP%20ICS%20and%20IHF.pdf]
 <br>
+===The Chartered Institute of Personnel and Development===
+*[https://web.archive.org/web/20210620143926/http://www.2macs.com/wp-content/uploads/2017/08/E-cigarettes-in-the-workplace-Occupational-Health-and-Wellbeing-Guide.pdf Source]
+<br>
-'''<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.” Their new statement still says, “former smokers now using e-cigarettes should not revert to smoking.”)
+===Irish Heart Foundation===
+*[https://web.archive.org/web/20210705151103/https://www.cancer.ie/sites/default/files/2020-01/Position%20paper%20on%20e-cigarettes%20and%20HTP%20ICS%20and%20IHF.pdf]
+<br>
+===Health and Safety Executive===
+*[https://web.archive.org/web/20210124022250/https://www.medicalindependent.ie/to-vape-or-not-to-vape/ Source]
+<br>
+===ASH Ireland===
+*[https://web.archive.org/web/20210705151103/https://www.cancer.ie/sites/default/files/2020-01/Position%20paper%20on%20e-cigarettes%20and%20HTP%20ICS%20and%20IHF.pdf]
 <br>
+===Health Service Executive===
+*[https://web.archive.org/web/20210124022250/https://www.medicalindependent.ie/to-vape-or-not-to-vape/ Source]
 <br>
+===Men’s Development Network===
+*[https://web.archive.org/web/20210705151103/https://www.cancer.ie/sites/default/files/2020-01/Position%20paper%20on%20e-cigarettes%20and%20HTP%20ICS%20and%20IHF.pdf]
+<br>
-=='''American Heart Association:'''==
+===Dental Health Foundation - Ireland===
-[[file:THR_Statements_html_2812601031ef4a1e.png|thumb|right]]<br>
+*[https://web.archive.org/web/20210705151103/https://www.cancer.ie/sites/default/files/2020-01/Position%20paper%20on%20e-cigarettes%20and%20HTP%20ICS%20and%20IHF.pdf]
 <br>
+===Mental Health Ireland===
+*[https://web.archive.org/web/20210705151103/https://www.cancer.ie/sites/default/files/2020-01/Position%20paper%20on%20e-cigarettes%20and%20HTP%20ICS%20and%20IHF.pdf]
+<br>
-'''<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.]”
+===Irish Medical Organisation===
+*[https://web.archive.org/web/20230610232717/https://www.imo.ie/news-media/agm/agm-2017/motions/general-motions-2017/index.xml Source]
+<br>
+===Irish Pharmacy Union===
+*[https://web.archive.org/web/20210705151103/https://www.cancer.ie/sites/default/files/2020-01/Position%20paper%20on%20e-cigarettes%20and%20HTP%20ICS%20and%20IHF.pdf]
+<br>
+===Men's Health Forum - Ireland===
+*[https://web.archive.org/web/20210705151103/https://www.cancer.ie/sites/default/files/2020-01/Position%20paper%20on%20e-cigarettes%20and%20HTP%20ICS%20and%20IHF.pdf]
+<br>
+=='''[https://www.wales.nhs.uk/sitesplus/documents/888/FINAL%20APPROVED%20ENDS%20Position%20Statement%20V1%200.docx Public Health Wales]'''==
+[[file:PHW.jpg|center]]
+==[https://web.archive.org/web/20220121174622/https://www.stopforlifeoxon.org/media/1064/adph-south-east-position-statement-on-electronic-cigarettes-dps-v8-opt.pdf South East Tobacco Control Network]==
+*
 <br>
+='''Australia''' (See Also: "Australia and New Zealand")=
+===Therapeutic Goods Administration (Australia)]===
+*[https://web.archive.org/web/20210803064429/https://www.tga.gov.au/nicotine-e-cigarettes-information-prescribers Source]
+[[file:AU TGA.png|center]]
+=='''[https://www.racgp.org.au/download/documents/Guidelines/smoking-cessation.pdf The Royal Australian College of General Practitioners +14 Endorsements]'''==
+[[file:RACGP.jpg |center]]
+=='''[https://www.csiro.au/~/media/BF/Files/E-cigarettes/E-cigarettes-Consolidated-Final-Report240618-pdf.pdf?la=en&hash=F03466E531949D4A93E61B03FA730F45347A3919 Commonwealth Scientific and Industrial Research Organisation (Australia)]'''==
+[[file:CSIRO2.jpg|center]]
+=='''[https://www.cancervic.org.au/ Cancer Council - Victoria]'''==
+*[https://www.tobaccoinaustralia.org.au/chapter-18-e-cigarettes/18-5-chemicals-in-e-liquids-and-e-cigarette-aerosols Source]
+*E-cigarettes may be beneficial for individuals who smoke and use them to quit smoking completely.
+*E-cigarette aerosols contain considerably lower amounts of harmful and toxic chemicals compared to conventional cigarette aerosols. An extensive study from 2021 tested carbonyl compounds (including aldehydes such as acetaldehyde and formaldehyde, Section 12.4.3.2) and polycyclic aromatic hydrocarbons (PAHs, Section 12.4.3.6) levels in e-cigarette compared to conventional cigarette and heated tobacco products aerosols. Among the 19 carbonyl compounds tested, 17 were lowest in e-cigarette aerosols. Among the 22 PAHs that were detected, 21 were lowest in e-cigarette aerosols compared to conventional cigarette and heated tobacco products. When comparing average levels of all the compounds in each class, e-cigarettes had a 99% reduction per puff of carbonyl compounds compared to conventional cigarettes, and a 98% reduction per puff of PAHs, many of which are known causes of cancer.
+='''Australia and New Zealand'''=
+=='''Royal Australian & New Zealand College of Psychiatrists (RANZCP)'''==
+*[https://web.archive.org/web/20230606164134/https://www.ranzcp.org/clinical-guidelines-publications/clinical-guidelines-publications-library/e-cigarettes-and-vaporisers Source]
+*NOTE: New Statement 2023 (current graphic from old statement) [https://www.ranzcp.org/clinical-guidelines-publications/clinical-guidelines-publications-library/e-cigarettes-and-vaporisers E-cigarettes and vaporisers]
+[[file:AU NZ RANZCP.png|center]]
+=='''[https://www.racp.edu.au/docs/default-source/advocacy-library/policy-on-electronic-cigarettes.pdf Royal Australasian College of Physicians]'''==
+[[file:RACP2.jpg|center]]
+=='''[https://www.danaonline.org/wp-content/uploads/2017/09/DANA-Position-Statement-on-E-Cigarettes-2017.pdf?__cf_chl_jschl_tk__=a0f101f967beed062c763a969ccd499371931391-1621687185-0-AQtPwBacfBBBBJaoK9MWcYyYQrA7rBmAFnromLCRr_QeDOXsSTwdBCPnq1n386n3lex7nd2V6TmKTucMHW3yY3mrNGvzLZmDlFm5VMrLMUikHpniglc37-YCcGjtaDfFU_FR-7Vi_X_97mnmlQsGGQXvFeTnVvmcb_I1wywLcldpmvc0aoNsLMh6VpsjyHvXsmHjK1Rdyf7zNOlY87QIPmOFMBVZlEPkbAgeGjU-LL4sov751Ed4u4GpJMsEfBoIiNdWBnAq_KiwmDrvqSYb7CDNpaSJ3PHBhY3Zxk__2X9hAUAudbJErBbX1ZjIhmkbJM1Xxvr2lf5jlt1qQPsOJ7_joFoI3-MQtfryCAH9e-ETq9wZVwJv_GsQSrMekX6WoOMl5T-x7k8waAyS-i7dzcyM64wSu36sjsrQfePWbOJrgYY41ny_hEotjMVqkOY1TCmodi57ObcT-ZBEg4j1ifHte1LHUYtrH20IDYHi3VAt12GeglpZc2EFOy8ClBHsvJrJYhImdYBhyY9UyaRU4CeL107b43scne4DburtSBXm8_d4u36XHTrJ-ywPcmjtRw Drug and Alcohol Nurses of Australasia]'''==
+[[file:DANA.jpg|center]]
+='''Belgium'''=
+==Belgian Superior Health Council==
+*[https://web.archive.org/web/20220628164435/https://www.health.belgium.be/nl/beter-vapen-dan-roken-maar-niet-zonder-risico Source]
+“Yes, the e-cigarette has its risks, but is clearly less harmful than a traditional tobacco cigarette.  According to the Council, the e-cigarette can therefore be a tool to give up tobacco completely.” [Google Translate]
+='''Canada'''=
+=='''[https://www.canada.ca/en/health-canada/services/smoking-tobacco/vaping.html Government of Canada]'''==
+[[file:GoC.jpg|center]]
+==Health Canada==
+*[https://www.canada.ca/en/health-canada/services/smoking-tobacco/vaping/risks.html Source]
+“If you are an adult that currently smokes, switching completely to vaping is a less harmful option than continuing to smoke. …Vaping is not known to cause Popcorn lung.”  (January 2023)  “While vaping products are not harmless, vaping exposes people who smoke to lower levels of harmful chemicals than continuing to smoke.”  Statement from Minister of Health (January 16 2023).
+=='''[https://web.archive.org/web/20190331055435/https://www.heartandstroke.ca/-/media/pdf-files/position-statements/ecigarettesincanada.ashx?la=en&hash=8939FF52C37A5E11C551176982F2E4AC5D38D605 Canadian Heart & Stroke Foundation]'''==
+[[file:CHSF.jpg |center]]
+==Centre for Addiction and Mental Health +3 organizations - Canadian Lower-Risk Nicotine Use Guidelines (LRNUG)==
+*[https://web.archive.org/web/20210601154805/https://www.nicotinedependenceclinic.com/en/Documents/Recommendations.pdf Source]
+“Funded by Health Canada’s Substance Use and Addictions Program, the LRNUG has developed several resources to help guide people who use, or are thinking about using nicotine, on how to lower the risk associated with these products.  ...E-cigarettes with nicotine may be an effective cessation aid for people who use combustible tobacco.  People who switch from combustible tobacco to e-cigarettes will reduce their exposure to numerous toxicants and carcinogens.”
+[https://www.nicotinedependenceclinic.com/en/Documents/Quick%20Tips.pdf Quick Tips]:  “Using tobacco in forms that don’t burn, like smokeless tobacco or heat-not-burn products, will reduce your exposure to harmful combusted chemicals including carbon monoxide.  [You can] further reduce your risk by switching to products that don’t have tobacco like NRT [e.g., nicotine patches or nicotine gum] or e-cigarettes.”
+Statement by: CAMH - Centre for Addiction and Mental Health, Pharmacists for a Smoke-free Canada, The Ontario Tobacco Research Unit, Centre for Effective Practice
+[[file:Camh.jpg|center]]
+=='''[https://www.cancer.ca/en/prevention-and-screening/reduce-cancer-risk/make-healthy-choices/live-smoke-free/what-you-need-to-know-about-e-cigarettes/?region=on Canadian Cancer Society]'''==
+[[file:CCS.jpg|center]]
+=='''[https://lunghealth.ca/vaping/ Canadian Lung Health Foundation]'''==
+[[file:LHF.jpg|center]]
 <br>
+='''England''' (See Region: England, Ireland, Scotland, and Wales)=
+='''France'''=
+=='''[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 French National Academy of Medicine]'''==
+[[file:FNAM.jpg|center]]
-=='''American Association of Public Health Physicians:'''==
+=='''[https://www.e-cancer.fr/Comprendre-prevenir-depister/Reduire-les-risques-de-cancer/Tabac/La-cigarette-electronique?fbclid=IwAR1XP0pxDnlQgW9MDqSxJNpKsLsphNOLl_s4O3DfO5CUPKaS_tZzjqfn1lg French National Cancer Institute]'''==
-[[file:THR_Statements_html_72598139af7b6d79.png|thumb|left]]
+[[file:INCF.jpg|center]]
-'''<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.]”
+=='''[https://www.hcsp.fr/Explore.cgi/AvisRapportsDomaine?clefr=591 French High Council for Public Health]'''==
+[[file:FHCPH.jpg|center]]
+=='''[https://twitter.com/AcadPharm/status/1156249181390036992 French National Academy of Pharmacy]'''==
+[[file:FNAP.jpg |center]]
+==Collège de la médecine générale (College of General Medicine)==
+*[https://web.archive.org/web/20220314183356/https://www.jim.fr/medecin/debats/interview/e-docs/cmg_un_congres_feu_dartifice_interview_du_pr_paul_frappe_191557/document_interview.phtml Source]
+“Concerning the electronic cigarette, we consider it as a risk reduction tool and believe that we should not discourage the smoking patient who is learning to vape with a view to weaning [reducing smoking] by indicating to him that it is necessary to avoid the use concomitant cigarette/e-cigarette.”
 <br>
+='''Germany'''=
+=='''[https://www.bfr.bund.de/en/press_information/2019/39/_vaping___the_bfr_advises_against_self_mixing_e_liquids-242872.html German Federal Institute for Risk Assessment]'''==
+[[file:BfR.jpg|center]]
+==German Society of Addiction (Deutsche Suchtgesellschaft – Dachverband der Suchtfachgesellschaften)==
+*[https://web.archive.org/web/20201106142639/https://dgsps.de/images/files/Positionspapier_E-Zigarette.pdf Source]
+“In general, one can assume that the vapor from an e-cigarette is much less harmful than conventional cigarette smoke and that the e-cigarette can be used for nicotine withdrawal if guideline-based psychotherapeutic and/or drug treatments for nicotine withdrawal are ineffective or unwanted.”
+='''Ireland''' (See Region: England, Ireland, Scotland, and Wales)=
 <br>
+='''Isle of Man'''=
 <br>
-=='''Campaign for Tobacco-Free Kids <span style="background-color: rgb(255, 255, 0);" data-mce-style="background-color: #ffff00;">(CTFK / TFKAF)</span> :'''==
+==Public Health Isle of Man==
-[[file:THR_Statements_html_6eef46d956bfbd59.png|thumb|right]]<br>
+*[https://web.archive.org/web/20220705114220/https://www.gov.im/quit4you Source]
+“E-cigarettes can be a particularly helpful way to stop smoking tobacco especially when combined with a specialist face to face support.  Although experts say they are not entirely risk free, they are at least 95% less harmful than tobacco.”
 <br>
+='''Luxembourg'''=
 <br>
+=='''Fondation Cancer'''==
+*[https://web.archive.org/web/20210916152159/https://www.maviesanstabac.lu/je-trouve-ma-methode/la-cigarette-electronique/ Source]
+“The electronic cigarette … does '''not''' contain '''tobacco'''.  The vapor produced does not contain carbon monoxide or carcinogenic substances in significant quantities. Despite a lack of long-term scientific studies, it probably presents a '''reduced risk''' compared to tobacco (if not combined with cigarettes). …In general, we recommend that you vape with '''the most concentrated liquid possible, in order to reduce your consumption of liquid and therefore your exposure to inhaled substances'''.” [emphasis in original] [Google Translate]
+='''Malaysia'''=
 <br>
+=='''[https://fpmpam.org/n_061.html Federation of Private Medical Practitioners' Associations, Malaysia]'''==
+[[file:FPMPAM.jpg|center]]
+<br>
-'''<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.]”
+='''New Zealand''' (See Also: "Australia and New Zealand")=
+=='''[https://www.health.govt.nz/our-work/preventative-health-wellness/tobacco-control/vaping-smokefree-environments-and-regulated-products/position-statement-vaping New Zealand Ministry of Health]'''==
+[[file:NZMoH.jpg|center]]
+==Official New Zealand Ministry of Health Position Statement==
+*[https://web.archive.org/web/20210616174912/https://vapingfacts.health.nz/our-position-on-vaping.html Source]
+“Vaping is not harmless but it is much less harmful than smoking.  Vaping has the potential to help people quit smoking and contribute to New Zealand’s Smokefree 2025 goal.”
+Organizations that support this statement include: Health Promotion Agency/Te Hiringa Hauora (HPA), Hāpai te Hauora/Māori Public Health, New Zealand Medical Association (NZMA), Action for Smokefree 2025 (ASH), National Training Service (NTS), All District Health Boards, Pharmacy Guild of New Zealand, New Zealand Heart Foundation, New Zealand College of Midwives, Parents Care Centre
+=='''[https://global-uploads.webflow.com/5e332a62c703f653182faf47/5e332a62c703f60bd72fc64e_Smokefree-New-Zealand-Position-Statement_July-2017_FINAL.-docx.pdf New Zealand Medical Association]'''==
+[[file:NZMA.jpg|center]]
+=='''[https://www.pharmacycouncil.org.nz/dnn_uploads/Documents/standardsguidelines/Vaping%20-%20Council%20Expectations%20of%20Pharmacists%20on%20Electronic%20Cigarettes%20FINAL%20approved.pdf?ver=2019-07-14-232244-800 New Zealand Pharmacy Council]'''==
+[[file:NZPC.jpg |center]]
+=='''[https://www.cancer.org.nz/cancer/our-advocacy-work/position-statements/e-cigarettes/ Cancer Society of New Zealand]'''==
+[[file:CS_of_NZ.jpg|center]]
+=='''[https://www.heartfoundation.org.nz/about-us/news/blogs/is-vaping-safer-than-smoking New Zealand Heart Foundation]'''==
+[[file:NZHF.jpg|center]]
+=='''[https://www.asthmafoundation.org.nz/your-health/e-cigarettes-and-vaping Asthma & Respiratory Foundation NZ]'''==
+[[file:ARFNZ.jpg|center]]
+=='''[https://www.healthnavigator.org.nz/healthy-living/e/e-cigarettes-and-vaping/ Health Navigator NZ]'''==
+[[file:HNNZ.jpg|center]]
+=='''[https://quit.org.nz/help-to-quit-smoking#vaping Quitline NZ]'''==
+[[file:QLNZ.jpg|center]]
+<br>
+='''Philippines'''=
+<br>
+=='''[https://www.congress.gov.ph/legisdocs/first_17/CR00735.pdf House of Representatives Philippines]'''==
+[[file:HRP.jpg|center]]
 <br>
+='''Poland'''=
+===2023: [https://web.archive.org/web/20230705053854/https://www.psychiatriapolska.pl/pdf-161774-91801?filename=Management%20of%20nicotine.pdf Polish Psychiatric Association]===
 <br>
+='''Scotland''' (See Region: England, Ireland, Scotland, and Wales)=
 <br>
+='''United Kingdom''' (See Region: England, Ireland, Scotland, and Wales)=
 <br>
-=='''Government of Canada:'''==
+='''United States'''=
-[[file:THR_Statements_html_754b89f8653ea1ae.png|thumb|left]]
+=='''[https://www.mdpi.com/1660-4601/18/11/5560/htm Center for Critical Public Health]'''==
+[[file:CCPH.jpg|center]]
+=='''[https://www.aaphp.org/Tobacco American Association of Public Health Physicians]'''==
+[[file:AAPHP1.jpg|center]]
+=='''[https://pubmed.ncbi.nlm.nih.gov/30573147/ American College of Preventive Medicine]'''==
+[[file:ACPM.jpg|center]]
+=='''[https://web.archive.org/web/20201026044211/https://www.entnet.org/content/position-statements-e-cigarettes American Academy of Otolaryngology-Head and Neck Surgery]'''==
+[[file:AAOHNS.jpg|center]]
+=='''[https://www.asam.org/docs/default-source/public-policy-statements/2020-pps-on-e-cigarettes.pdf?sfvrsn=63ce53c2_0 American Society of Addiction Medicine]'''==
+[[file:ASAM.jpg|center]]
+=='''[https://store.samhsa.gov/sites/default/files/d7/images/tipsforteens_e-cig_508.jpg Substance Abuse and Mental Health Services Administration]'''==
+[[file:SAMHSA.jpg|center]]
+=='''[https://www.nap.edu/catalog/24952/public-health-consequences-of-e-cigarettes US National Academies of Sciences, Engineering and Medicine]'''==
+[[file:NASEM.jpg|center]]
+=='''US Food & Drug Administration [https://www.fda.gov/news-events/press-announcements/statement-fda-commissioner-scott-gottlieb-md-new-enforcement-actions-and-youth-tobacco-prevention #1] [https://www.fda.gov/tobacco-products/advertising-and-promotion/fda-authorizes-modified-risk-tobacco-products #2] [https://www.fda.gov/news-events/press-announcements/fda-authorizes-marketing-iqos-tobacco-heating-system-reduced-exposure-information #3]'''==
+[[file:FDA2.jpg|center]]
+=='''[https://www.drugabuse.gov/publications/drugfacts/vaping-devices-electronic-cigarettes National Institute on Drug Abuse]'''==
+[[file:NIDA.jpg|center]]
+=='''[https://www.cdc.gov/tobacco/basic_information/e-cigarettes/about-e-cigarettes.html US Centers for Disease Control]'''==
+[[file:CDC.jpg|center]]
+=='''[https://truthinitiative.org/research-resources/emerging-tobacco-products/researchers-reviewed-nearly-700-e-cigarette-studies Truth Initiative]'''==
+[[file:Truth.jpg|center]]
+=='''[https://www.tobaccofreekids.org/assets/factsheets/0379.pdf Campaign for Tobacco-Free Kids] (CTFK) '''==
+[[file:CTFK2.jpg |center]]
+=='''[https://clincancerres.aacrjournals.org/content/21/3/514 American Association for Cancer Research and American Society of Clinical Oncology]'''==
+[[file:AACR_ASCO.jpg|center]]
+=='''[https://www.healio.com/news/hematology-oncology/20180511/american-cancer-society-ecigarettes-better-than-combustible-tobacco-but-not-harmless American Cancer Society]'''==
+[[file:ACS.jpg|center]]
-'''<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.]”
+=='''[https://newsroom.heart.org/news/vaping-combined-with-smoking-is-likely-as-harmful-as-smoking-cigarettes-alone American Heart Association]'''==
+[[file:AHA.jpg|center]]
-'''<span></span>''' While evidence is still emerging, some evidence suggests that using e-cigarettes is linked to improved rates of success. [https://www.canada.ca/en/health-canada/services/smoking-tobacco/vaping/smokers.html While quitting cigarettes, you may go through a time when you use both cigarettes and vaping products. Switching from tobacco cigarettes to vaping will reduce your exposure to many toxic and cancer causing chemicals.]
+=='''[https://www.weau.com/2022/10/16/we-vape-we-vote-tour-stops-eau-claire/ Eau Claire, WI Health Department]'''==
+[[file:USA Eau Claire WI Health Dept.png|center]]
+<br>
+='''Uruguay'''=
 <br>
-=='''Canadian Heart & Stroke Foundation:'''==
+=='''[https://www.impo.com.uy/diariooficial/2021/03/23/3 Uruguayan Council of Ministries]'''==
-[[file:THR_Statements_html_3e642e160ed3c4d5.png|thumb|right]]
+[[file:UCM.jpg |center]]
+<br>
-'''<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].”
+='''Wales''' (See Multinational pt. 2/United Kingdom)=
+== '''Important! Instructions to page editors:''' ==
+meme for each org, with a link saved on wayback machine of the source so anyone can verify it was said.
-=Suggestions to add to this page=
+Updated information e.g. better quotes to use may be left in the suggestions section below:
-===[https://twitter.com/ChaunceyGardner/status/1392606296893968387 Twitter Thread]===
+=Suggestions to add to this page=
-===[https://twitter.com/ChaunceyGardner/status/1392220275245260802 Twitter thread #2]===
+===[https://tobaccotactics.org/article/harm-reduction/ Tobacco Tactics - University of Bath]===
-===[https://www.congress.gov.ph/legisdocs/first_17/CR00735.pdf Philippines House of Representatives Resolution]===
+===[https://www.bsperio.org.uk/news/is-vaping-harmful-to-oral-health British Society of Periodontology and Implant Dentistry]===
+===2023: [https://www.fresh-balance.co.uk/wp-content/uploads/2023/09/ADPH-NE-position-statement-on-nicotine-vaping-update-September-2023.pdf Association of Directors of Public Health North East Position Statement on Nicotine Vaping September 2023]===
-===[https://www.heartuk.org.uk/healthy-living/quit-smoking Heart UK]===
+===2023: [https://academic.oup.com/ntr/advance-article/doi/10.1093/ntr/ntad128/7227891 In Italy banning smoking has not worked. How crucial are new nicotine-delivery devices in reducing tobacco-related health risk? ]===
+*Many European authorities, such as the German Federal Risk Assessment Institute and the
+Federal Centre for Health Education in Germany, the National Institute for Public Health and
+the Environment (Netherlands), and the UK Committees of Toxicity, Mutagenicity, and
+Carcinogenicity of Chemicals in Food, Consumer Products, and the Environment, focused on
+the importance of e-cigarettes and heated tobacco as a safe alternative compared to burning
+cigarettes.
+=== 2023: Page 3 of this email from FDA screenshot included below, as well as PDF of the full mail (preserving blue links to the FDA website) ===
+[[File:Screenshot from 2023-09-21 12-27-27.png|alt=FDA email screenshot|center|thumb|500x500px|FDA email screenshot]]
+[[File:FDA facts about e-cigs email.pdf|alt=The FDA regulates the manufacture, distribution, and marketing of tobacco products, such as cigarettes, cigars, and e-cigarettes (sometimes called “vapes”). The FDA has the legal authority to regulate tobacco products containing nicotine from any source, including synthetic nicotine. Here are some facts to help dispel common myths about ecigarette use, which is commonly referred to as “vaping.” Fact: In general, different types of tobacco products pose  different levels of risk to people’s health. More Information: Tobacco products that are smoked – such as cigarettes – generally pose the greatest risk to your health. Cigarette smoke contains more than 7,000 chemicals, about 70 of which are linked to cancer. Tobacco products that are not smoked generally contain lower levels of harmful chemicals linked to cancer. Bottom Line: While e-cigarette aerosol generally contains lower levels of harmful chemicals than cigarette smoke, no tobacco products are safe. Fact: E-cigarettes contain nicotine, which is highly addictive and can disrupt adolescent brain development. More Information: The younger a person is when they start using tobacco products, the more likely they are to become addicted. Because their brains are still developing, young people have a higher risk of becoming addicted to the nicotine in tobacco products than adults. Bottom Line: Youth should not use any tobacco product, including e-cigarettes. Fact: The FDA does not “approve” tobacco products for sale in the U.S. More Information: To legally sell or distribute a new tobacco product in the U.S., manufacturers must receive authorization from the FDA. A marketing authorization does not indicate that the tobacco product is either safe or “approved.” It means that the manufacturer has complied  with the requirements under the law to bring its product to market. Bottom Line: There is no such thing as a safe tobacco product, so the FDA’s safe and effective standard for evaluating medical products does not apply to tobacco products. Fact: In general, transitioning completely from using cigarettes to an e-cigarette would reduce the risk of exposure to harmful chemicals. More Information: Switching completely to e-cigarettes can reduce health risks among adults who smoke. But continued use of both products (“dual use”) does not meaningfully reduce one’s risk. Bottom Line: For an adult who smokes to benefit from ecigarette use, they have to transition completely from cigarettes to e-cigarettes. |thumb|FDA facts about e-cigs email sent 19 sept 2023 particularly page 3 ]]
-[[Category: Associated with TC/PH and THR]]
+[[Category:Scientist]]
-[[Category: Regulations]]
+[[Category:Associated with TC/PH and THR]]
-[[Category: Tobacco control groups]]
+[[Category:Regulations]]
+[[Category:Tobacco control groups]]

Nicotine / THR - Statements from Organizations: Difference between revisions