With less than a month before the FDA makes a decision to approve e-cigarette products, a group of respected leaders who have been engaged in tobacco control for a long time published a new paper that may fundamentally change the discussion surrounding e-cigarettes.

The paper argues that the public’s understanding of e-cigarettes has been poisoned by powerful interest groups that have exaggerated the risks of e-cigarettes to young people and largely ignored the potential benefits of e-cigarettes to smoking adults. The author said: The one-sided tobacco control rhetoric of interest groups and the media have neglected adult smokers as a group.

This paper was published today in the American Journal of Public Health and is jointly led by 15 former presidents of the Nicotine and Tobacco Research Society (SRNT) led by Professor Emeritus and Dean of the School of Public Health at the University of Michigan, Kenneth Warner Compose. Warner submitted a summary of its findings at the U.S. e-cigarette summit earlier this year.

The author is one of the most respected people in the field of tobacco control. In addition to Warner, they also include Neil Benowitz, Junior Dorothy, Nancy Rigotti and Robert West-these are household names in the tobacco control industry. None of them can be accused of being a tobacco or e-cigarette liar, nor can they be dismissed as a non-expert.

Although the main value of this paper lies in the reputation of the person who wrote it, it can also serve as a very concise literature review, presenting both sides of evidence for most of today's major e-cigarette problems in an easy-to-read format.

The authors cited increasing evidence from clinical and demographic studies that e-cigarettes help smokers quit smoking; they describe that the recent decline in cigarette sales corresponds to the increase in e-cigarette adoption; they point out that e-cigarettes are less attractive Policies (such as taxes) will increase smoking, making these two practices economically alternatives.

They disputed the evidence that e-cigarettes are causing an "epidemic" of nicotine addiction among young people. The cited studies show that there has been no increase in nicotine dependence at the population level, and e-cigarettes are rarely used frequently among young people who have not been exposed to tobacco. The research they cited showed that “e-cigarettes may enable more young people to quit smoking instead of encouraging them to smoke.

The public health agencies and anti-tobacco organizations that control the discussion of e-cigarettes do not consider the lives of smoking adults as part of the discussion.

The authors are cautious about flavor debates, but they acknowledge that flavor is important for former smokers who quit smoking. “Although bans may reduce young people’s interest in e-cigarettes,” they wrote, “but they can also reduce the likelihood of adult smokers quitting.” They recommend limiting flavored e-cigarette products to adult-only retail stores. Such as e-cigarette stores.

Although no one was named, Warner and his colleagues were genuinely troubled by Bloomberg-funded Smoke-Free Children's Campaign and its allies' strategies that do not consider the lives of adults who smoke from political campaigns. Public health agencies such as the FDA and CDC are not much better.

They wrote: “Although there is evidence that e-cigarettes are currently increasing smoking cessation rates,” they wrote, “if the public health community pays close attention to the potential of e-cigarettes to help adult smokers, the impact may be even greater, and smokers will receive Accurate information about the relative risks of e-cigarettes, smoking, and the design of the policy takes into account the potential impact on smokers. This will not happen.

“To the more privileged members of society, today’s smokers may be almost invisible.” Of the 34 million adults who smoke, many come from low-income or low-educated people, as well as LGBTQ citizens and people with mental health problems. People and other high-risk groups. The author said that e-cigarettes can help these groups achieve life expectancy equality with other adult populations. This makes e-cigarettes a social justice issue-as many e-cigarette advocates have pointed out before.

The public health agencies and anti-tobacco organizations that control the discussion of e-cigarettes do not consider the lives of smoking adults as part of the discussion. It's as if they don't exist.

"For the more privileged members of society, today's smokers may be almost invisible," Warner and his colleagues wrote. "In fact, many wealthy and educated Americans may think that the smoking problem has been'solved' to a large extent. They don't smoke." Their friends and colleagues don't smoke. Smoking is prohibited in their workplaces, restaurants and bars they frequent. However, today, 1 in 7 American adults still smokes. "

Warner’s paper is unlikely to impart any new knowledge about these issues to politically active e-cigarette users, but it doesn’t matter. This is a paper that needs to be shared with local and state politicians, cited in a letter to the editor, linked to responses to anti-e-cigarette social media posts, and (figuratively) scribbled on the walls of public health agencies.

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