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cigarettes:
What we know so far.
What are e.cigarettes?
www.smokinginengland.info/latest-statistics
Types of e.cigarettes
There are three main types of electronic cigarettes or vapourisers:
www.smokinginengland.info/latest-statistics
Usage of E.cigarettes amongst smokers in GB
Aids used in most recent quit attempt
50
Percent
45of smokers trying to stop
40
35
30 E-cigs
25 NRT OTC
20 NRT Rx
15 Champix
10 Beh'l supp
5
0
N=10411 adults who smoke and tried to stop or who stopped in the past year; method is
coded as any (not exclusive) use
www.smokinginengland.info/latest-statistics
Tobacco Harm Reduction:
& electronic cigarettes
The best thing a smoker can do is quit completely, immediately and forever
*PHE Review e.cigarettes are 95% less harmful to health than normal
cigarettes
www.smokinginengland.info/latest-statistics
Proportion of smokers believing e-
cigarettes less harmful than cigarettes
50
42.7
40 37.9
Percent 30
20
10
0
E-cigarette user Non user Total
N=2596 current smokers from Nov 2014
8
www.smokinginengland.info/latest-statistics
What regulation is needed?
2016
E.C containing up to 20mg/ml come under the EU Tobacco
Products Directive
Products will carry health warning
Above 20mg/ml manufactures would have to apply for them to
be a licensed medicine
Proposes a ban on all print and broadcast advertising
EU Tobacco Products
Directive
It will not regulate domestic only advertising (e.g. billboards and PoS)
Sponsorship
Marketing of flavours
www.smokinginengland.info/latest-statistics
14
www.smokinginengland.info/latest-statistics
www.smokinginengland.info/latest-statistics
Sponsorship
16
www.smokinginengland.info/latest-statistics
e-cigarettes and Children
*The e-cigarette market is evolving rapidly
*Current use among adults is confined to current
and ex-smokers
*Current use among children is rare and found
mostly among older children and the most
frequent smokers
*1% of children expect to try e-cigarettes soon
*It is vital to continue to monitor changing patterns
of e-cigarette use to inform policy
www.smokinginengland.info/latest-statistics
Marketing
* Currently regulated by the Committee on Advertising
Practice (CAP) and Broadcasting Committee on
Advertising Practice (BCAP) rules.
* Are not covered by the same regulations that bans
advertising of tobacco products
* Cannot be co branded with tobacco (brand sharing ban)
www.smokinginengland.info/latest-statistics
Marketing by E-cigarette companies
USPs
Safer (healthier)
Cessation
Smoking anywhere / beat smoke-free
Lifestyle (sociable, social status)
Cheaper
Smokers like inhaling nicotine: Smokers say e-cigarettes are helpful because
they still have the sensation of inhaling and lifting a cigarette to their mouth to
take a drag.
They dont give you lung cancer: Experts have estimated e-cigarettes could
save the lives of millions of smokers.
They could replace tobacco cigarettes one day: Some experts predict many
smokers may switch to e-cigs, with huge benefits for public health.
They are safer than tobacco: Whatever the concerns about e-cigarette
safety, no cases have been reported of anyone being killed by an e-cigarette
unlike tobacco, says Professor Peter Hajek, director of the Tobacco
Dependence Research Unit at Queen Mary University, London
Concerns of e.cigs
Potential to glamorise the image of smoking (again) A study published in
the journal Nicotine and Tobacco Research shows that some children who
have never smoked may be drawn to smoking through e-cigarettes and
therefore it could be a gateway device.
Quality control is a concern: For others the main objection is that quality and
contents of e-cigarettes can vary widely.
They still contain nicotine: Although nicotine doesnt cause cancer it can raise
blood pressure, cause palpitations and is highly addictive, and little is known
about the long-term effects of inhaling the vapour.
They circumvent smoking bans in public places: Some people get annoyed
by people smoking e-cigarettes in restaurants seeing them as flouting the
law even though it is not illegal to smoke them.
*Issues to consider
*Risks of e-cigarettes What if
*Marketing and use Renormalise smoking?
*A gateway to smoking?
*Defers quit attempts?
*Undermines quit attempts (less effective than NRT)?
*Accidental poisonings?
*Big Tobaccos Trojan Horse?
www.smokinginengland.info/latest-statistics