Snuffing out the lit cig industry

Imagine dying frightened and in pain and having that as the only part of you which survives.  - Annihilation

All technology is disruptive, Ped Xing loves to say here.

At least anything that supplants the old order is, actually.

But technology is about moving forward – better, faster.

But the tech meter must show a dramatic improvement of prevailing conditions enroute to a desired, ideal  outcomes.

So what is he reading so far regarding conventional smoking substitution/transitioning devices/processes already in the market and enjoying general public acceptance?

The consistent and serial validation of the effectiveness of electronic nicotine delivery systems aka heated tobacco products is just too overwhelming to ignore.

It is, quite simply, silly to casually brush aside, dust off, sweep them  away just like that.   

So perish the proposal at the people’s peril and outrage, health authorities and other policymakers are thus forewarned.

A new study showed that the entry of HTPs triggered the remarkable reduction in combustible cigarettes sales in Japan. 

“The decline in smoking rates among adults in Japan is astoundingly impressive when you realize that this has only come about rapidly with the introduction of HTPs,” said Nancy Loucas, executive director of the Coalition of Asia-Pacific Tobacco Harm Reduction Advocates. 

HTPs are smoke-free devices that heat, instead of burn, specially-designed tobacco units to release a flavorful nicotine-containing tobacco vapor. As tobacco is not burned, the levels of harmful chemicals produced by HNB products are significantly lower compared to combustible cigarette smoke.

CAPHRA is an alliance of consumer organizations from Australia, Hong Kong, India, Indonesia, Malaysia, New Zealand, the Philippines, South Korea, Taiwan and Thailand that aims to educate, advocate and represent the right of adult alternative nicotine consumers to access and use of products that reduce harm from tobacco use.

American and Canadian researchers looked at how trends in the sale of cigarettes in Japan between 2011 and 2019 correspond to the sales of HTPs that were introduced into the Japanese market in late 2015.

Using data from the Tobacco Institute of Japan and Philip Morris International, the researchers concluded that the accelerated five-fold decline in cigarette only sales in Japan since 2016 corresponds to the introduction and growth in the sales of HTPs.

The most popular HTP brand is IQOS, a product of PMI. 

Cigarette sales in Japan were declining slowly and steadily before HTPs were introduced in 2015. 

Entitled “What Is Accounting for the Rapid Decline in Cigarette Sales in Japan?”, the study was published on May 20, 2020 in the peer-reviewed open access scientific journal International Journal of Environmental Research and Public Health.

Consumers’ interest and the regulatory environment shape markets, according to Prof. David T. Sweanor of the Faculty of Law of University of Ottawa, one of the study’s authors.

Sweanor explained that Japanese regulations precluded alternatives to combustible cigarettes, such as nicotine-containing vaping products. However, HTPs generated huge interest among smokers in Japan.

“As more [smokers] adopted the alternative, they helped speed switching by others. I think this gives us an indication of just how much more rapidly countries could reduce cigarette use if there were many different low-risk alternatives available and policies and public education campaigns facilitated a widespread move away from [combustible] cigarettes.”

Sweanor believes Japan is a success story in tobacco-harm reduction.

“We have seen the most rapid decline in cigarette sales ever witnessed in a major market. A third of the cigarette market was gone in a remarkably short period of time, and this was accomplished with a non-coercive measure. People who smoke cigarettes were simply provided with a viable alternative.”

Governments in the Asia-Pacific region that seek to ban or limit the access of smokers to HTPs and other safer nicotine alternatives should look to Sweden which for decades has promoted the shift to low-risk non-combustible alternatives to cigarettes, said Sweanor.

“Now, we have evidence that a range of low-risk products can help us rapidly achieve the smoking rate targets of the World Health Organization’s Sustainable Development Goals. To seek to ban or limit access to such products protects the cigarette industry rather than public health.”

Commenting on the future of smokers in Asia Pacific where HTPs would soon be available, Sweanor stressed that policies should empower people to take control of their health.

“Ensuring that a range of low-risk alternatives are not only on the market but have regulatory and tax advantages over cigarettes has the potential to transform public health. We have long known that people smoke for nicotine but die from the smoke. Cigarette smoking is a public health catastrophe that can be massively reduced through science and technology if policies can be oriented toward replacing rather than protecting the cigarette business.”

The publication of the new study is timely as it comes on the heels of the celebration of World Vape Day on May 30, 2020. Observed a day before World No Tobacco Day, World Vaping Day aims to raise awareness on e-cigs or vapes and encourage smokers who are unable to quit on their own or with currently available smoking cessation tools to switch to safer nicotine products.

“Safer nicotine products, such as e-cigarettes and heated tobacco products, are the most disruptive influence on smoking in decades. These are the innovations that have the potential to save millions of lives in the Asia Pacific region as well as globally, ” added Loucas. 

She noted that the most popular form of safer nicotine products in northern Asia are HTPs. Like Japan, Korea has shown similar sales and uptake of HTPs, with corresponding declines in combustible tobacco use.

These data show that the substitution of combustible tobacco with reduced-risk products has the potential to be a highly effective tobacco harm-reduction strategy, she explained.

“So, it is very disheartening that countries in Asia-Pacific, like Korea and the Philippines, are looking to either ban and/or reduce access and choice of all forms of tobacco harm reduced products for their smoking citizens.”

“Japan’s success in reducing smoking prevalence through HTPs should be a wake-up call to local policymakers. Quit or die aren’t the only choices for smokers,” said Peter Paul Dator, president of The Vapers Philippines.

TVPH is a consumer advocacy group based in Metro Manila. It believes in responsible vaping and aims to educate the public about the distinction of e-cigs from combustible tobacco cigarettes and the former’s potential as a reduced-risk product. 

“This new study lends further credence to adopting tobacco control policies based on a harm reduction model,” said Stephanie Thuesen, director of Stakeholder Engagement at The Progressive Public Health Alliance in Australia.

TPPHA is a collaboration that started in 2018, growing out of the struggle to achieve universal publicly funded access to health services and treatment for all Australians, and in particular, pioneering drug harm reduction programs.

“Policymakers in Thailand, which has been ranked the worst country in the world to be in if you are a vaper, should listen to Prof. Sweanor. Banning or limiting access to safer nicotine products only serve to protect the cigarette industry rather than public health,” said Asa Ace Saligupta who runs the End cigarette Smoking in Thailand. 

ECST is a consumer advocacy organization that strives to promote tobacco harm reduction in the face of blanket bans, fines and jail time for consumers who wish to use alternative nicotine consumption products, specifically electronic liquid vaporizers. 

Behold God’s glory and seek His mercy.

Pause and pray, people.