{"id":191,"date":"2011-04-28T06:14:11","date_gmt":"2011-04-28T06:14:11","guid":{"rendered":"https:\/\/blogs.bmj.com\/tc\/?p=191"},"modified":"2011-04-28T06:21:54","modified_gmt":"2011-04-28T06:21:54","slug":"e-cigarettes-aren%e2%80%99t-a-solution-%e2%80%94-they%e2%80%99re-part-of-the-problem","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/tc\/2011\/04\/28\/e-cigarettes-aren%e2%80%99t-a-solution-%e2%80%94-they%e2%80%99re-part-of-the-problem\/","title":{"rendered":"E-cigarettes aren\u2019t a solution \u2014 they\u2019re part of the problem"},"content":{"rendered":"<p>I hesitated to share this commentary on the TC blog as I know anyone who questions the efficacy and safety of e-cigarettes is tarred and feathered as a &#8220;quit-or-die&#8221; prohibitionist before the &#8220;ink&#8221; even settles on the page. But, as many online commentators have discussed the perceived positive effects of recent e-cig promotion by celebrities, I think it is important to provide some balance to this discussion.<\/p>\n<p>I implore all readers to remember that I speak strictly\u00a0 from the Australian context and perhaps the political and social context are different in your neck of the woods. Myself,\u00a0 Tobacco Control and the BMJ wholeheartedly welcome all civil debate.<\/p>\n<p>This commentary was originally published on 11 April 2011 by the not-for-profit news and information service, <a href=\"http:\/\/theconversation.edu.au\/articles\/e-cigarettes-arent-a-solution-theyre-part-of-the-problem-840\"><em>The Conversation.<\/em><\/a> I am the sole author and these opinions are strictly my own and not that of <strong><em>Tobacco Control.<\/em><\/strong><\/p>\n<p>___________________________________________________________<\/p>\n<div>\n<p>On a recent long-haul flight, with very limited  movie options, I watched the Angelina Jolie and Johnny Depp movie The  Tourist (two thumbs firmly down).<\/p>\n<p>A particular scene on a train to Venice did catch my eye. Jolie\u2019s character boards the  train and sits across from what appears to be a cigarette smoking Depp.  It immediately jumped out at me as quite strange \u2013 smoking openly on  public transport has long been banned and this movie is set in present  day.<\/p>\n<p>Depp\u2019s character then clarifies that he is in fact smoking an  electronic cigarette, \u201cIt\u2019s ok, it\u2019s not a real cigarette. It\u2019s  electronic. It delivers the same amount of nicotine but the smoke is  water vapour.\u201d<\/p>\n<p><iframe loading=\"lazy\" title=\"TOURIST MOVIE FEAT JOHNNY DEPP SMOKING SMOKERHAVEN E-CIGARETTE\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/iMlf5KSp5X4?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p>Which again, I found rather strange \u2013 was this a case of product  placement or a scriptwriter who wanted to offer a detailed description  of what Depp was smoking?<\/p>\n<p>This is not the first time a celebrity has spruiked the virtues of  electronic cigarettes. In 2010, American actress Katherine Heigl appeared on The Late Show with David Letterman and demonstrated how to use and explained the inner workings of her electronic cigarette.<\/p>\n<p>She then went on to say that smoking an electronic cigarette was as  harmless as drinking coffee and that \u201cit\u2019s not bad for you, so it\u2019s a  fun addiction.\u201d<\/p>\n<p>http:\/\/www.youtube.com\/watch?v=QxZjGUiaIS0<\/p>\n<p>Using glamorous and famous actors to promote cigarettes dates back to  golden years of Hollywood when the likes of Clark Gable, Joan Crawford,  Gary Cooper, Spencer Tracy and John Wayne were all paid to smoke  cigarettes.<\/p>\n<p>Could the same be happening with e-cigarettes? Even if no money is  formally changing hands, celebrities can have a profound influence on  consumer buying habits.<\/p>\n<p>For the unfamiliar, electronic cigarettes, or e-cigarettes more  commonly, are battery operated devices that vaporise cartridges of  liquid nicotine.<\/p>\n<p>They look very similar to traditional cigarettes except they are  plastic and have a small LED light on the end \u2013 assumedly to look even  more authentic.<\/p>\n<p>Even the advertising campaigns for these products are reminiscent of <a href=\"http:\/\/www.prezzybox.com\/products\/index.aspx?pid=4590\">old school cigarette ads<\/a> \u2013 featuring young men and women suggestively posing with the device.<\/p>\n<p>Because nicotine is a scheduled poison in Australia, e-cigarettes are  banned for sale within Australian retail outlets. Scheduled poisons are  tightly controlled and can\u2019t simply be sold in any retail outlet to  anyone who wants them.<\/p>\n<p>Determined e-cigarettes buyers can easily go online and make a  purchase from hundreds of websites and eBay sellers. But they don\u2019t come  cheap and can cost upwards of $120, plus the nicotine cartridges must  be continually reordered.<\/p>\n<p>In a paradoxical twist, the most harmful form of nicotine delivery,  tobacco prepared and packed for smoking, is excluded from the poison  schedule.<\/p>\n<p>Nicotine replacement products, such as the patch, gum and inhaler,  which have undergone extensive medical testing and proven to be both  safe and effective in helping people quit smoking, are also allowed to  be marketed and sold in Australia.<\/p>\n<p>Proponents of e-cigarettes argue that they are \u201csafer\u201d than real  cigarettes and therefore should be permitted for sale. Smokers are  encouraged to swap their cigarettes for these products.<\/p>\n<p>It\u2019s true, there are few legal consumer products as harmful to health  as cigarettes. But the potential risks or benefits of e-cigarettes are  unknown.<\/p>\n<p>E-cigarettes have not been submitted to the same rigorous safety  testing as medical nicotine products and their efficacy in helping  smokers quit is almost entirely anecdotal.<\/p>\n<p>A search of blogs discussing e-cigarettes will nonetheless reveal  zealous and enthusiastic e-cigarette users who argue that \u201cvaping\u201d (the  slang term for the act of \u201csmoking an e-cigarette) is the only answer to  ending tobacco use.<\/p>\n<p>The marketing and promotion of e-cigarettes belies the supposed  intention that these products are only for addicted smokers who are  unable to quit on their own. They promote nicotine addiction as a  harmless and fun activity.<\/p>\n<p>These products may also encourage smokers who would have otherwise have completely quit, to keep smoking.<\/p>\n<p>It\u2019s not hard to imagine a smoker substituting an e-cigarette for a  few of their preferred, regular cigarettes and to keep on smoking,  rationalising that they have cut down their tobacco use.<\/p>\n<p>One of the most important effects of Australia\u2019s highly effective  campaign to reduce tobacco is that smoking is no longer considered a  normal or socially acceptable activity.<\/p>\n<p>E-cigarettes have the very real potential to derail this success and  have not been proven to be a necessary or effective part of reducing  tobacco use.<\/p>\n<p>Substantial tax increases on tobacco products, strong legislation,  like the newly announced plain packaging of tobacco products, and  hard-hitting media campaigns have all been proven to bring smoking rates  down in Australia.<\/p>\n<p>Selling smokers unfounded promises of a miracle cure cannot be a foundation for public health policy.<\/p>\n<\/div>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>I hesitated to share this commentary on the TC blog as I know anyone who questions the efficacy and safety of e-cigarettes is tarred and feathered as a &#8220;quit-or-die&#8221; prohibitionist before the &#8220;ink&#8221; even settles on the page. But, as many online commentators have discussed the perceived positive effects of recent e-cig promotion by celebrities, [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/tc\/2011\/04\/28\/e-cigarettes-aren%e2%80%99t-a-solution-%e2%80%94-they%e2%80%99re-part-of-the-problem\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-191","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>E-cigarettes aren\u2019t a solution \u2014 they\u2019re part of the problem - Blog - Tobacco Control<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/tc\/2011\/04\/28\/e-cigarettes-aren\u2019t-a-solution-\u2014-they\u2019re-part-of-the-problem\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"E-cigarettes aren\u2019t a solution \u2014 they\u2019re part of the problem - Blog - Tobacco Control\" \/>\n<meta property=\"og:description\" content=\"I hesitated to share this commentary on the TC blog as I know anyone who questions the efficacy and safety of e-cigarettes is tarred and feathered as a &#8220;quit-or-die&#8221; prohibitionist before the &#8220;ink&#8221; even settles on the page. 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