July 19th, 2017

Vaping and tobacco harm reduction - highlights from England

England and Saint George: fighting combustion has always been a thing here

On this page I set out some of the good things on tobacco harm reduction that have come from England. Updated 7 February 2018.

  1. Realistic science
  2. Practical professional guidance and policy
  3. Reasonable public health consensus statements and policy positions
  4. Useful data
  5. Engaged consumers
  6. Groundbreaking conferences
  7. Forthright commentators

1. Realistic science

Significant scientific assessments

“Our new review reinforces the finding that vaping is a fraction of the risk of smoking, at least 95% less harmful, and of negligible risk to bystanders. Yet over half of smokers either falsely believe that vaping is as harmful as smoking or just don’t know”

Although it is not possible to precisely quantify the long-term health risks associated with e-cigarettes, the available data suggest that they are unlikely to exceed 5% of those associated with smoked tobacco products, and may well be substantially lower than this figure“. (Section 5.5 page 87)

For a discussion of key quotes from this document, see my submission to the Government of Ireland: Vaping and tobacco harm reduction in Ireland – consultation response in five quotes – February 2017.  For a PowerPoint that uses these quotes – see Slideshare.

Collaborative research approach

2. Practical professional guidance and policy

Pro-harm reduction national policy statement…

On quitting smoking…

On smoke-free policy…

These reflect the view that vaping policy should be a matter for the owner or manager of the premises, not subject to a blanket legal ban.

On e-cigarette advertising

These very sensible industry codes govern the advertising that is not banned by the wholly disproportionate EU Tobacco Products Directive Article 20(5)  as it applies in the UK

3. Reasonable public health consensus statements and positions

Consensus statement

2016 statement by Public Health England, Action on Smoking and Health, Association of Directors of Public Health, British Lung Foundation, Cancer Research UK, Faculty of Public Health, Fresh North East, Healthier Futures, Public Health Action (PHA), Royal College of Physicians, Royal Society for Public Health, UK Centre for Tobacco and Alcohol Studies, UK Health Forum

Individual organisations and people

Jim McManus, Director of Public Health, Hertfordshire: How and why I changed my mind on e-cigarettes, with Kevin Fenton (PHE): Hertfordshire e-cigarette policy aims to help smokers quit

Hertfordshire County Council: E-cigarette policy announcement, 2016 – Policy (PDF)

Professor Ann McNeill, lead author of 2018 Public Health England E-cigarette evidence review , discussing the review:

UK experts talking sense about vaping and harm reduction – on video (Ann McNeill, John Britton, Robert West, Deborah Arnott, Ian Gray) and see many of the same experts on The Switch (2017) below (new):

UK Parliamentary inquiry – December 2017

The House of Commons Select Committee on Science and Technology inquiry in to e-cigarettes took evidence in December 2017 – see all evidence submitted.  Some highlights:

My contribution and a better formatted version here

4. Useful data

5. Engaged consumers

6. Groundbreaking conferences

7. Forthright commentators

And the former Prime Minister had something to say about it:

Please add suggestions for additions (with links please) in the comments…

3 comments to Vaping and tobacco harm reduction – highlights from England

  • Brilliantly done overview as expected from you Clive. Highly useful for so many (even us foreigners) and not just as a reference. many thanks.

    You Brits have been the leading force on our globe on harm-reduction and alternative choices for people to quit smoking. As such you are influencing people in many countries in a positive way, especially wth your landmark reports from PHE & RCP.

    As often said without the leadership and guidance from you guys in UK we would sit up (or lie down) with defective and misinformed policies from powerhouses like WHO and the US Health (CDC & FDA). That would really be a shitty situation for us all.

    As I thank you Brits, as have often done before, for your fantastic contribution then at the same time would like to see more global perspective from UK. Know of course PHE, RCP, UKCTAS etc are British and never will be otherwise. But what affects UK will/does will in many similar ways also affect us all, and I think you are very well aware of that fact already.

    The globe is in great need for a broader perspective or a global one, which relates to everyone on this planet not just UK or the old commonwealth nations or just the English speaking ones. We really need an alternative instead of WHO as it acts now, though with high and beautyful ideals as the health leader, it’s policies (FCTC) today do not fullfill it’s promise.

  • Broony

    Wow, I bet there was a lot of work in putting all this together, I hope a lot of people get to read and use it.

  • Annette

    I have nothing to add except to say that a society that encourages reduced harm in such an honest and transparent way will surely benefit. And this atmosphere will surely deal best with any unforseen problems in the future.

Leave a Reply

You can use these HTML tags

<a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>

  

  

  

This site uses Akismet to reduce spam. Learn how your comment data is processed.