OR07-4 E-CIGS (VAPORIZERS): A PUBLIC HEALTH OPPORTUNITY THAT WILL BE MISSED?
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Transcript of OR07-4 E-CIGS (VAPORIZERS): A PUBLIC HEALTH OPPORTUNITY THAT WILL BE MISSED?
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OR07-4E-CIGS (VAPORIZERS): A PUBLIC HEALTHOPPORTUNITY THAT WILL BE MISSED?
Dr Robert Hämmig, MDPsychiatry & Psychotherapy FMH
President SSAMMedical Director Addiction Department
University Psychiatric Services Bern
•S•S•A•M•
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Disclosure
• No conflict of interests
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Tobacco Atlas (4th edition)
Cigarettes account for 92% of thevalue of all tobacco products sold globally
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WW II
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Well deserved pause of our heroes with a mild stimulant /relaxant
WW I
WW
II
Dak
To
(Vie
tnam
) 196
7
Saipan 1944
Ryūkyū Islands 1945
Falluhjah (Iraq) 2004
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Smoking cessation
Jorenby et al. JAMA 2006;296:56 – 63 Gonzales et al. JAMA 2006;296:47–55
from: Nides, The American Journal of Medicine (2008) Vol 121 (4A), S20–S31
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Cigarette smoke vs. E-cig vapourFr
om T
obac
co A
tlas,
4th
edi
tion
Chemicals in E-cig Vapour
Nicotine ”Cockroach poison”Glycerol Food Additive E422
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E-cigs: the public debate
• E-cigs: do they fall under tobacco laws or pharmaceutical law?
• Arguments against e-cigs:–Nicotine is lethal already in small amounts– E-cigs are a gateway to tobacco smoke
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Good and bad nicotine
from an 1980ies anti-smoke game
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Nicotine: the “cockroach poison”
*Mayer. Arch Toxicol (2014) 88:5–7
Lethal nicotine• Historic case:
Hippolyte Visart de Bocarmé was sentenced to death for murdering his brother in law with nicotine in 1851.
• 60mg of nicotine as a lethal dose stems from an error in the 19th century scientific literature. This error was copied ever since.*
• Lethal dose of nicotine is between 0.5g -1.0g or even more. from glossary of Tobacco
Atlas, 4th edition
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Gateway theory
• There is no observation that would confirm a gateway theory from e-cigs to tobacco cigarettes.
• There are observations for the other way round.
• Gateway theories are normally wrong. A temporal sequence is not a causality.
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SwissVap Study
• Delphi study with tobacco expertsResults:• Yes to nicotine containing fluids for vaping• But:–No advertising– Limitation of content– Youth protection measures
QR code for download of report
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Nutt et al. Eur Addict Res 2014;20:218-225
Marketing prohibited in Switzerland
ENDS electronic nicotine delivery system products
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