Consult on public health & regulatory policy, including to JuuL Labs on tobacco harm minimization. Views own. He/him. AKA π₯β‘. Paying $8/mo - π€ͺ.
"We should remember that Trump is susceptible to blackmail if it affects his money and power, but also Trump's team blackmails and threatens people -- and they've been doing it for 40 years."
#AMJoy
*Only* 357 out of 360 scenarios showed net population benefits from promoting
#vaping
.
So, um, for what are we waiting?
1/2
Magic bullet? The potential impact of
#ecigarettes
on the toll of cigarette
#smoking
I didn't note who created this cool piece of
#SciComm
#HealthComm
back in 2015 when I had saved it--but whoever it was, I tip my hat to you, sir or madam.
#HarmReduction
𧡠on
#vaping
and
#COVID19
I got to collaborate with colleagues on a critique of the Gaiha et al paper in
@JAdolesHealth
that found a link between vaping and COVID19 in young people.
As the co-author most capable with
@qeios
, I got to post it.
1/5
Was just watching
#TheRightStuff
and noticed that I had missed the 70th anniversary of
@GenChuckYeager
breaking Mach 1 on 14 Oct 1947. Wish our current news had room for this sort of good news.
#AimHigh
Itβs funny people think itβs discrediting to call me a drug pusher or say I βwant everyone to be able to use drugsβ bc that thinking (logical fallacy) highlights their ignorance & wrongness. First, people already can & do use drugs. Second, I want anyone who uses drugs to be safe
This commentary on the
#nicotine
#vaping
situation in Australia from
@AlexWodak
is noteworthy on several fronts.
𧡠1/4
Why
#Australia
should make it as easy as possible for smokers to switch to vaping via
@smh
Folks curious about the relative risks between smoking cigarettes and vaping e-cigarettes will find this paper*, analyzing biomarker data from Wave 5 of PATH, of interest.
#StayCurious
*supported by my client and colleagues are co-authors
#Grateful
for the chance to catch up with a
#PublicHealth
champion,
@MarewaGlover
.
She also happens to be kind and generous AF. Why she's willing to be pictured with me, I'll never know!
"The need for rigor: Retractions can damage public trust" via
@healthydebate
Me: "βPeer review isnβt perfect...β
@ivanoransky
: Retractions βare a sign someone is paying attention. Itβs when you deny that problems happen that you lose trust.β
#TiredOfWinning
- analysis from
@YaleSPH
's Prof Friedman.
What's your goal for nicotine policy?
A Difference-in-Differences Analysis of Youth Smoking and a Ban on Sales of Flavored Tobacco Products in San... via
@JAMAPediatrics
part of
@JAMANetwork
I hope that someone presents good-faith counters to
@Clive_Bates
's arguments where he tries to explain the current posture of much of the mainstream tobacco control community.
That would really be worth the read.
#BatedBreath
I'd never heard this aphorism before, but it is good:
"When someone tries to kill a messenger, pay attention to the message"
Read on from
@MarcGunther
.
@GrimmGreen
@nycHealthy
If I could cheekily suggest hardening your response by also citing the detailed review commissioned by
@ohid
and conducted by the experts at
@KingsNRG
from Sept 2022.
Not just an absence of evidence but some evidence of absence.
I bigly recommend subscribing to The Studies Show 'cast from
@TomChivers
&
@StuartJRitchie
if you want to become a more discerning consumer of science and health news.
Latest proof point is their episode on meta-analyses (MA).
1/20
Perhaps not the most flattering image of
@JonathanFoulds
.... But it is true to life as he was talking!
#Shocker
And
@Sharon_ACox
showing that even a plausibly haunted hotel and jet lag won't keep a grin off her face!
#SRNT2023
Read on for
@CrisDelnevo
bringing the steak and the sizzle with this brief commentary on underage tobacco use.
e-Cigarette and Cigarette Use Among Youth: Gateway or Common Liability? via
@JAMANetworkOpen
part of
@JAMANetwork
To those who doubt whether misperceptions about relative risks across nicotine products matter, I offer into evidence a brand new Kim et al in
@BioMedCentral
Public Health.
1/2
@Clive_Bates
... On the profound misunderstanding of reality that leads people to think that an e-cigarette 'flavor' ban will be good for public health. 'Flavor' bans lead to more smoking, which is more harmful.
#Duh
@brentstafford
Wisdom (that sadly I was reminded of last night) from my dearly departed old man, repeated frequently as he was dying:
"You can't change yesterday, and no matter who you are or what you have, you can't count on tomorrow.
"So what will you do today?"
I do know what the definition of insanity is, but that knowledge doesn't prevent me from hoping that the right folks will read this
@Clive_Bates
classic and decide to get serious about prioritizing goals for nicotine policy and confronting trade-offs.
Quite an array of nonprofits want the FDA to ban menthol cigarettes and cigars and flavored e-cigarettes. What would a ban mean for public health and social justice? Email me w/ thoughts pls.
#tobacco
#vaping
#philanthropy
It's unlikely that this is the only time someone has intervened with a loved one to keep them from vaping by encouraging smoking.
How many times must this happen before relative risk misperceptions are judged a public health problem demanding action?
I just had an appointment and the girl looks at me and says βdoesnβt vaping cause crystals in your lungs?β β¦β¦..
21 years old and she said that her mom went out and bought her cigarettes when she saw her vaping βbecause they are saferβ.
From an
#econ
standpoint,
#ecigs
are either complements or substitutes for
#cigarettes
.
My biased POV sees them as substitutes which means that we can displace smoking by promoting
#vaping
.
[How'd I do,
@mikepesko
?]
Please correct me if I'm wrong.
Thanks,
@Alan_Beard1
!
π
'This work, funded by the East Midlands Cancer Alliance' < such a contrast with US and Australian counterparts who are in complete denial of any benefits of
#ecigs
in Smoking Cessation. Only one avenue can be correct, which one is offering a pragmatic,empathetic approach?
This is a big deal as the original paper in
@bmj_latest
was unsettling (youth vaping AND youth smoking were reported to have increased year over year).
I fear the correction is not being afforded the visibility it deserves, and not updating the original abstract?
#PeakLame
1/2 MASSIVE ERRATUM: a study about youth vaping in Canada that reported elevated smoking rates now reports that the calculated smoking rates were wrong. Their re-analysis found no increase in smoking rates!
@Vapornaught
@drstanbrook
@picardonhealth
@carlyweeks
@CMAJ
@globeandmail
I'll tolerate Matthew's arrogant slights. I won't tolerate a guy with a platform & a bug up his ass about ecigs, distorting the nature of a novel, genuine threat from illicit THC carts to stir up public fear about legal nicotine vapes he's always wanted to ban. People are dying.
Hello,
#vapefam
- you may have already seen this paper from
@aaronecarroll
& colleagues, but if not, straightforward analysis that is consistent with contaminated-THC lung injuries being due to that and not
#ecigs
or
#nicotine
#vaping
.
Not proof, tho, but consistent with.
It appears "plausible" that
@Clive_Bates
has just earned his "double-oh" with this destruction of the Ayers et al 'response'.
Please read both and decide for yourself who makes the stronger argument.
#WhiteHatBias
A vape shop owner posted this to Facebook.
Congrats to the anti-vaping loons and gullible and/or apatethic journalists out there -- you have doctors telling cancer patients who smoke that they shouldn't switch to vaping. Absolutely sickening.
I don't have too much hope, and it did take a chunk of time, but I reported the SummaHealth tweet (image below) as health misinformation to
@Twitter
.
Maybe others could, too?
1/2
Read on as
@LionShahab
brings the steak and the sizzle!!
Nicotine β friend or foe? The complex interplay between its role in dependence, harm reduction and risk communication
Imagine, if you will, that most of the messaging about vaping was akin to what
@bjy_NZ
was expressing in this 5-minute interview.
ππβ₯οΈπ
What might be different if more people knew what he knows?
Prompted by the fact that I've not sent this around in a bit AND I got to see and talk to the inestimable
@CarrieLWade
yesterday as she was passing us hiking in Rock Creek Park, please read this
#nicotine
explainer from
@Filtermag_org
.
π
So why do public health authorities violate their own rules and guidance to show youth vaping?
I do not assume malice nor incompetence.
I fear this is a symptom of
#affect
over
#evidence
and I don't think it is good. At all.
#StayCurious
#RethinkNicotine
8/8
Reminder that 18 yrs ago, pre
#ecigs
, Dr Sumner predicted that "clean nicotine inhalers" could displace cigarettes and yield bigly health benefits.
1/2
Estimating the health consequences of replacing cigarettes with
#nicotine
inhalers
π¨π¨π¨WARNINGπ¨π¨π¨
Depending on your priors and identity, there's much in this thread that is going to feel awful. Like, miserable.
Does your commitment to public health compel you to understand
@Clive_Bates
's arguments & use them to pressure-test your own?
If not, why not?
Tobacco control livelihoods, careers, grants, conferences, personal prestige: none of it exists without harm. If nicotine in its smokefree forms is a nearly-benign recreational stimulant, then there is no point to them. It would be like βcoffee controlβ - not a thing. /1 of 10
Good news!
I jlust determined empirically that Maeve *will* return after bounding off chasing a deer when I dropped her leash (d'oh) to pick up some trash.
Definitely was scared for a bit, tho!
I had forgotten that
@asymmetricinfo
had written this back in Sept '19.
Sadly it is looking pretty timeless!
1/2
Opinion | A
#vaping
ban would be hysteria masquerading as prudence
Skip's speech is tremendous. Looking forward to the video.
She talks about customers who went back to smoking because of popcorn lung, EVALI, etc., and how finally the misinformation drove her store out of business when new adult smoker customers stopped coming in.
#GTNF
Waiting to pick up daughter from swim practice behind a car with vanity plate VAPORMD.
Yes, I got out and talked to her!
She's an anesthesiologist and it isn't gas but an actual
#vapor
.
And her mom still uses
#Nicorette
to stay off
#cigarettes
.
#RethinkNicotine
This is pretty cool.
And I appreciate that "3. Conflicts of Interest" recommends awareness and extra scrutiny towards research with a commercial interest involved.
Quite a bit different from rejecting/ignoring out of hand which seems to be increasingly popular.
βΉοΈ
Tired of hearing "we just don't know enough" when it comes to nicotine and vaping?
We always want to learn more but that doesn't mean that we don't know enough to reach important conclusions.
@Jasmine_Khouja
and colleagues have added to what we know--see great π§΅below.
βPeople smoke for nicotine but they die from the tarβ. Mike Russell (1976)
But how do we know that nicotine isnβt deadly? Let me explain while I tell you about our latest study. 1/
(1/2) Leading experts, including
@umichsph
's Ken Warner & Cliff Douglas (
@cdoug
), have a new commentary in the journal Addiction calling on
@CDCgov
&
@Surgeon_General
to correct misinformation on
#ecigs
consistent with more recent scientific evidence.
@JonHaidt
And what is your best response to the cherry-picking accusation?
I would lead with "we have a mechanistic basis to see this subgroup as particularly sensitive to these effects", but what about you?
π
Sound pretty smart by reading this story from
@Jamie_Ducharme
!
Includes mention of
#TheSRNTFifteen
!!!
The vaping industry as we know it may soon disappear