May 23, 2018

Godshall Chronicles 12/15/17

Welcome Back, Bill! 🙂

2018 Federal Spending Bill

American E-Liquid Manufacturing Standards Association (AEMSA) sends letter urging Congressional leaders to exclude Cole-Bishop amendment from 2018 federal spending bill (because it requires FDA to issue a Final Rule for “a product standard for vapor products” “to include but not limited to” “characterizing flavors” and “batteries” by January 2021, which could ban virtually all vapor sales more than a year before the Deeming Rule would in August 2022).

29 Republicans in Congress urge White House OMB Director Mick Mulvaney to support exempting premium cigars from FDA’s Deeming Reg/Ban in 2018 federal spending bill

Evolution of Cole-Bishop language

Introduced in May 2015, the Cole bill (HR 2058) only changed TCA’s 2007 predicate date for Deemed tobacco products (including vapor products)

Introduced in 2016, the Cole-Bishop amendment to the House spending bill would have changed the 2007 predicate date, would have required FDA to propose a standard for vapor product batteries within 12 months and issue a Final Rule within 24 months after issuance of Deeming Rule, and would have restricted print advertising to publications primarily read by adults.

Introduced in 2017, the Cole-Bishop bill (HR 1136) and the Cole-Bishop amendment to the House spending bill would change the 2007 predicate date, but would also require FDA to issue a Final Rule for “a product standard for vapor products” “to include but not limited to” “characterizing flavors” and “batteries” by January 2021, as well as restrict print advertising to publications primarily read by adults.

FDA Deeming Rule

HK Law’s Azim Chowdhury: FDA’s new tobacco strategy: What does it mean for your vape business? (from July)

AEMSA urges FDA to modify the Deeming Rule to once again allow vapor manufacturers to effectively and lawfully market lifesaving vapor products to adult smokers

AEMSA expands membership to include all segments of the electronic vapor industry (i.e. manufacturers, distributors and retailers), to develop sector-specific standards to ensure good manufacturing standards, ingredients quality control, and consumer safety

FDA announces new campaign to purportedly discourage youth from vaping that could encourage more youth to vape (as telling teens to not vape just encourages them to vape).

News media repeat FDA’s hype about program to purportedly reduce teen vaping

Bloomberg/DHHS funded Johns Hopkins invites Scott Gottlieb, Mitch Zeller, Josh Sharfstein (who unlawfully banned vapor products in 2009), Joanna Cohen, Dorothy Hatsukami and Ken Warner to promote/discuss FDA Deeming Rule and nicotine reduction plan for cigarettes, FDA’s  Gottlieb unveils new Real Cost ad that further demonizes nicotine and vapor products, and that could encourage more nonsmoking teens to vape. (begins at 17 minutes)

Carl Phillips: FDA releases new nonsensical anti vaping ad

FDA issues new infographic that deceives readers to inaccurately believe that:

– very low risk e-cigarettes and smokeless tobacco, and lower risk cigars, pipe tobacco and hookah are just as harmful as cigarettes,

– experimental and occasional use of any vapor or tobacco product is as harmful as daily cigarette smoking (by citing only “past 30 day” use data), and that

– all e-cigarettes and vapor products are tobacco products.

Brian Fojtik: Stop lying to smokers about safer alternatives

FDA issues report citing unsubstantiated criticisms it solicited and received about e-cigs and tobacco products (after Obama’s FDA and DHHS deceived the public about e-cigs).

Carl Phillips: FDA’s motive for releasing vapor product reports raises questions

FDA’s Scott Gottlieb, Mitch Zeller and Janet Woodcock announce another effort to promote and market even more ineffective NRT drugs to smokers; public hearing set for 1/26/2018.

FDA and DHHS promote yet another program to increase sales of Big Pharma’s ineffective and less than safe tobacco cessation drugs, and to deceive Americans to inaccurately believe FDA approved drugs are the only effective ways to quit smoking.

Jonathan Adler: Why FDA Regulations limiting e-cigarette marketing may cost lives and violate the constitution

US DOJ Lawsuit against Cigarette Companies

Cigarette companies air advertisements mandated by US Court (pursuant to DOJ lawsuit) that falsely claim nicotine is addictive. In fact, cigarette smoking is addictive, not nicotine.


New CDC webpage on e-cigarettes contains dozens of false and misleading fear mongering claims about vaping, cites biased US PHS report hawking Big Pharma’s nicotine and falsely claiming evidence is “insufficient” to recommend vaping for smoking cessation; but finally admits vaping is less harmful than smoking cigarettes and that vaping “may help non-pregnant adult smokers” but only “if used as a complete substitution for all cigarettes and other smoked tobacco products.”

Alex Berezow: On e-cigarettes, CDC should learn from UK’s NHS

CDC reports 2014-2016 NHIS data for tobacco use among working adults; deceptively insinuates that all types of tobacco products (including vapor) are as harmful as cigarettes, that using multiple tobacco products is more harmful than using one type (including cigarettes), and that “some day” use is as harmful as “every day” use (by combining them into the same group inaccurately called “current users”); calls for “tobacco-free” policies for all workplaces and public places, and other policies to prevent smokers from switching to smokefree alternatives.

Carl Phillips critiques CDC NHIS data on e-cigarette use by occupation, races, etc.

CDC issues chart/list of state laws that regulate sales, taxation and use of vapor products

US THR Surveillance

NIDA funded 2017 Monitoring the Future (MTF) survey finds:
–        New record low lifetime, past month and daily cigarette smoking rates among US teens,
–        Past 30 day cigarette use fell to 1.9% among 8th graders, 5.0% among 10th graders, 9.7% among 12th graders,
–        Daily cigarette use fell to .6% among 8th graders, 2.2% among 10th graders, and 4.2% among 12th graders,
–        3.5% of 8th graders, 8.2% of 10th graders, and 11.0% of 12th graders vaped nicotine in past 30 days,
–        Among the 27.8% of 12th graders who vaped in the past year and were asked what they inhaled the last time they vaped, 51.8% said “just flavoring”, 32.8% said “nicotine” and 11.1% said “marijuana” or “hash oil”.

CDC issues select 2016 NHIS vaping data, finds:
– 1.2% of US adults (2.97M) were “daily” vapers in 2016;
– 3.2% of US adults (7.93M) were “current” e-cigarette users (i.e. every day or some days), down from 3.4% in 2015, and down from 3.7% in 2014;
– E-cigarettes were used “every day or some days“ by 4.5% of 18-24 year olds (1.41M), 4.2% of 25-44 year olds (3.56M), 2.9% of 45-64 year olds (2.44M), 1.0% of 64+ year olds (.48M); and
– 15.4% of US adults (38.16M) had ever used an e-cigarette.


Brad Rodu: 2016 CDC data shows e-cigarette use declines again, finds
– 7.8 million currently used e-cigs,
– 3.9% (4.5 million) of men currently used e-cigs, and 2.6% (3.3 million) women did so,
– former smokers accounted for 34% of “current” e-cig users, up from 30% in 2015, and from 22% in 2014.

Clive Bates: Trends in tobacco and nicotine use in the United States (excellent charts showing data from NYTS, MTF and NHIS surveys).

Brad Rodu: New Vaping Insights Based on FDA’s PATH Survey 2013-14

Rodu/Plarphanswat analyze FDA 2013-14 PATH adult survey data, find:
– 5.6% (12.9M) of US adults were either current e-cigarette users or triers, including 2.4% (5.5M) e-cig users and 3.2% (7.4M) e-cig triers,
– 1.0% (2.3M) of US adults vaped daily, 1.4% (3.2M) vaped on some days, 3.2% (7.4M) were current e-cigarette triers,
– 0.3% (.7M) of US adults were both former cigarette smokers and former e-cig users, accounting for 26.9% of former e-cig users, and indicating that many smokers who quit smoking by switching to vaping also subsequently quit vaping,
– 45.7% (1.1M) of daily vapers were former smokers, 27.7% were daily smokers, 19.0% were some day smokers, 3.8% were current cigarette triers, 3.3% were former cigarette triers, 0.5% were never cigarette smokers,
– 61.5% (2.0M) of some day e-cigarette users were daily smokers, 13.0% were some day smokers, 9.5% were former smokers, 9.3% were current cigarette triers, 5.0% were former cigarette triers, 1.8% were never cigarette smokers,
– 62.3% of current e-cigarette triers were daily smokers, 13.2% were some day smokers, 6.4% were former smokers, 10.7% were current cigarette triers, 5.6% were former cigarette triers, 1.8% were never cigarette smokers.

Brad Rodu: More vaper insights from FDA PATH 2013-14;

Rodu/Plarphanswat analyze FDA 2013-14 PATH adult survey data, find top reasons for vaping:

  1. “less harmful to me” (94%),
  2. “less harmful to persons around me,” (88%)
  3. “help to quit smoking,” (86%)
  4. “don’t smell” (80%)

2013/14 FDA PATH adult survey data finds use of e-cigarettes among smokers and former smokers was significantly higher than use of FDA approved NRT products, use of e-cigarettes was only the smoking cessation method other than unassisted quit attempts with higher odds of being a former smoker.

Brad Rodu – Population Level Proof: E-cigarettes are popular and successful quit-smoking aids

Study of 15,532 recent cigarette smokers (since 2010, which included 75% current smokers and 25% former smokers) from 2014/15 NHIS data finds:
– 52% of daily adult vapers in the US have quit smoking since 2010, compared to 28% who never vaped, and to 12% of some day vapers;
– daily vapers were 3.18 times more likely to quit smoking since 2010 than never vapers;
– daily vapers accounted for 10.7% of former smokers, but just 3.3% of current smokers.

2014/15 CPS-TUS survey of US adults found regular vaping (i.e. 20 or more of past 30 days) was reported by 12.7% of former smokers (<1 year), by 7.4% of former smokers (1-3 years), by 3.6% of current smokers, and by just .1% of never smokers; found 7.7% of adults ever used an e-cig, 2.1% currently used e-cigs (i.e. at least once in past 30 days), and .9% regularly vaped.

Study of CDC NATS data finds the number of US adults who switched from cigarettes to vapor products increased 100% from 2012/2013 to 2013/2014

Study by former CDC OSH director Michael Eriksen et al finds nicotine was vaped by 81% of US adult smokers who vape, but just by 37% of adult non smokers who vape.

Although many surveys have found that many vapers do NOT vape nicotine, the US DHHS still falsely classifies all vapor products as “tobacco products” and everyone who vapes (including those who vape just flavors, CBD and/or THC) as “tobacco users”.

Canadian THR Surveillance

2016 Canada survey confirms vaping has NOT renormalized smoking, finds:
– cigarette smoking by youth (12-17) declined to 3.6% (from 4.1% in 2015),
– smoking by 12+ year olds declined to 16.9% (from 17.7% in 2015, and 20.9% in 2012),
– 3.7 million Canadians smoke daily (down from 3.8 million in 2015, and 4.5 million in 2012)

UK THR Surveillance

Young People’s Use of E-Cigarettes across the United Kingdom: Findings from Five Surveys 2015-2017 finds:
– Just 1%-3% of 11-16 year olds in the UK regularly use e-cigarettes at least weekly,
– Among regular cigarette smokers, 7%-38% regularly use e-cigarettes,
– Among never smokers, 0.1%-0.5% regularly use e-cigarettes,

French THR Surveillance

Survey of French university students finds:
– 12% of former smokers, 5% of current smokers, and 0.3% of never smokers were current e-cig users,
– 9% of former smokers and 2% of current smokers were daily vapers,
– just 3.3% of current and former smokers used an e-cig prior to smoking cigarettes,
– although 13.2% of never smokers ever used an e-cig, just 0.3% currently used e-cigs,

Vaping Education and Advocacy

Many excellent comments are submitted to the UK House of Commons Select Committee on Science and Technology in response to its inquiry into e-cigarettes here, including the following.
Clive Bates and a better formatted version here
Public Health England

University College London,Tobacco and Alcohol Research Group (West, Brown, Shabab) –


Royal College of Physicians

British Heart Foundation

Cancer Research UK

Royal Society for Public Health

British Medical Association

Cochrane group

UK Centre for Tobacco and Alcohol Studies

National Institute for Health and Care Excellence (NICE)

Smoking in Pregnancy Challenge Group

Mental Health and Smoking Partnership

New Nicotine Alliance

Department of Health (England)

Peter Hajek

Caitlin Notely, Lynne Dawkins, Emma Ward and Richard Holland

Riccardo Polosa

Leicester City Council (Louise Ross)

Oliver Kershaw (runs

Independent British Vape Trade Association

Institute for Economic Affairs

After years of demonizing and lobbying to ban vapor products, British Medical Association admits vaping is far less harmful than cigarette smoking, doesn’t harm bystanders, hasn’t led to cigarette smoking by teens, is almost exclusively done by smokers and ex-smokers, and has helped many smokers quit

The British Psychology Society endorses vaping for smoking cessation

Changing behavior: electronic cigarettes

UK National Centre for Smoking Cessation and Training releases The Switch videos on the health benefits of switching from cigarettes to vaping and urging smokers to switch

Oliver Kershaw: E-Cig Summit 5 – the return of the Summit (London)

James Dunworth: E-cig Summit Round Up November 2017

Sarah Jakes keynote speech at the E-Cig Summit 2017

Carl Phillips: Science Lesson: How we know vaping poses little or no risk

Carl Phillips – Science lesson: How vaping leads to smoking cessation

Joe Sylvester (12/1): The nine biggest myths about vaping

Fairchild/Niaura/Abrams: American needs a candid smoking control champion (Godshall comments)

Gerry Stimson: a conversation about e-cigarettes

Vaping Research

Konstantinos Farsalinos issues comprehensive review of recent research and evidence on vaping

3 ½ year prospective study by Polosa et al finds no differences in health outcomes between daily vapers who have never smoked and never vapers who never smoked;

Health outcomes included (blood pressure, heart rate, body weight, lung function, respiratory symptoms, exhaled breath nitric oxide [eNO], exhaled carbon monoxide [eCO], and high-resolution computed tomography [HRCT] of the lungs)

Study of 4,192 former smokers who quit by switching to vaping identifies recommendations for smokers (who want to switch to vaping) to improve their chances

Study of male psychiatric patient smokers who were given e-cigarettes finds 10% quit smoking within a month, significant reduction in mean daily cigarette consumption (from 16.6 to 5.7) and breath CO.

Case study finds chronic tonsillitis disappeared after never smoker began vaping, antimicrobial properties of propylene glycol thought to be reason

Megan Weier: Moving beyond vaping as a cessation-only practice [criticizes the many limitations of, and the misguided reliance upon, randomized clinical trials (RCTs) for studying the effects of vaping on smokers].

Carl Phillips – Science Lesson: Clinical trials are a terrible way to assess vaping

NCI funded study finds vast majority of vaping news in the US in 2015 was anti-vaping propaganda about youth (most of which was generated by Obama’s DHHS to lobby for FDA’s vapor sales ban to adults).

Study finds particles in vapor aerosol emissions pose excess lifetime cancer risk 5 orders of magnitude lower than those in cigarette smoke.

Coral Gartner: E-cigarettes and youth: be alert but not alarmed (highlights evidence finding vaping has helped many smokers quit, as teen smoking has plummeted)

JF Etter: Gateway effects and electronic cigarettes

Study of Canadian high school students finds vapers are more physically active and involved in sports than nonvapers, finds smokers are less active and less involved in sports than nonsmokers, but authors advocate more anti vaping propaganda

DHHS funded study by Zhu et al finds vapers had higher smoking cessation rate (8.2%) than non vapers (4.8%) in 2014/15, and vapers attempted significantly more smoking cessation attempts

After running many editorials urging FDA to ban vapor products and advocating Allegheny County’s workplace vaping ban, Pittsburgh Post-Gazette editorial cites Zhu et al study and endorses vaping to help people quit smoking.

NIH funded researchers Levy et al (including some who previously demonized vaping) conduct vaping substitution model, find that vaping could save lives of 6.6 million US smokers, and add 87 million years to smokers’ lives

NIDA/FDA funded study of smokers and recent quitters finds that banning sales of flavored e-cigarettes (that Obama’s FDA tried to impose) would discourage cigarette smokers from switching to vaping.

Modeling Study finds vapor products pose exponentially lower cancer risk than cigarettes

Altria study finds hazardous and potentially hazardous constituents in exhaled (i.e. secondhand) vapor aerosol are exponentially lower than those in secondhand cigarette smoke, and are exponentially lower than occupational regulatory and consensus limits.

PMI study finds no toxicological effects on rats from inhaling high levels propylene glycol, glycerine or nicotine (the main ingredients in vapor products)

Polosa/Crawley: Scientific and ethical obligations to publish tobacco industry-funded research on nicotine delivery systems of reduced risk

Smoking Research

Study finds people with HIV are 10 times more likely to die from cigarette smoking (than from HIV or AIDS), and that 40% of people with HIV also smoke cigarettes

Junk Science, Propaganda and Lies

Liza Gross grossly misrepresents risks and benefits of vapor and smokeless tobacco products (after being sent many objective studies and accurate reports), manufactures defamatory conspiracy theory about Big Tobacco, THR advocates and the vaping industry; Godshall cited.

PLoS Biology Senior Editor Liza Gross: an activist with no biology education

Brad Rodu: Tobacco harm reduction is science, not conspiracy (about Liza Gross hit piece)

FDA/NIH/RWJF/Legacy funded vapor prohibitionist Stan Glantz keeps protecting cigarettes, falsely claims key facts about vaping are myths, touts junk studies.

Junk Gateway Studies

DHHS funded Primack et al and Univ of Pittsburgh issue another junk e-cig study and press release falsely claiming their study found e-cigs are gateways to cigarettes; Godshall criticizes study’s inappropriate reliance on “ever use” as a “witch hunt to demonize vaping” in news)

Back in 2015, Primack et al issued a similar “ever use” study and press release that falsely claimed e-cigs are a gateway to cigarette smoking, with similar criticisms by Godshall and Rodu.

Carl Phillips: Pediatric journal straight up lies about e-cigarettes

Polosa/Russell/Nitzkin/Farsalinos analysis of US Surgeon General’s report on e-cigarette use among youth and young adults reveals it contained more fiction than facts

Yet another article and editorial in Pediatrics (issued by longtime vapor prohibitionists at AAP) claims e-cig use by teens leads to cigarette smoking, but study fails to account for (or even mention) dual users (i.e. those who used an e-cig and a cigarette in past month);

Lazy news media fails to acknowledge errors in the study, and instead repeat fear mongering claims of FDA/NIDA funded anti-vaping authors, while NPR blames JUUL.

DHHS funded Glantz keeps falsely claiming vaping is a gateway to cigarette smoking, denies all evidence that vaping has helped millions of smokers quit smoking.

Smokeless Tobacco Junk Science, Propaganda and Lies

Rodu: Government funded researchers continue to misrepresent smokeless tobacco cancer risks

Lynn Kozlowski (at FDLI conference) once again urges US DHHS to stop unethically deceiving Americans about the very low risks of smokeless tobacco.

THR opponents at FDA/NIH find (but fail to mention in abstract) that just 11% of American adults accurately know that smokeless tobacco is less harmful than cigarettes, comments by Rodu, Sweanor and Bates criticize FDA/NIH authors for refusing to acknowledge that smokeless tobacco products are far less harmful than cigarettes.

Brad Rodu: “Deception or Evasion” by FDA CTP and National Cancer Institute Regarding Smokeless Tobacco?


Bill Godshall
Executive Director
Smokefree Pennsylvania

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