England and Saint George: fighting combustionhas 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 16th January 2019.
- Realistic science
- Practical professional guidance and public communications
- Reasonable public health consensus statements and policy positions
- Useful data
- Engaged consumers
- Groundbreaking conferences
- Forthright commentators
- Engaged trade associations
1. Realistic science
Significant scientific assessments
- Public Health England (2018): Evidence review of e-cigarettes and heated tobacco products 2018 Press release /Report page/ Executive summary(20 pages) / Report PDF(243 pages) / Q&A blog/ Ann McNeill video/ Training resources /Lancet editorial/ BMJ
“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”
- Public Health England (2015):E-cigarettes: and evidence update, August 2015 – and press releaseE-cigarettes around 95% less harmful than tobacco estimates landmark review. See also: authors’ noteon the claim that vaping is 95% lower risk than smoking, and my discussion: PHE says truthful, realistic things about e-cigarettesand critique of its critics, Smears or science .
- Public Health England (2014): Electronic cigarettes: reports commissioned by PHE, May 2014.
- Royal College of Physicians (2016) – Nicotine without smoke: tobacco harm reduction, April 2016 – and press release. Landmark quote:
“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.
- UK Centre for Alcohol and Tobacco Studies: Commentary on WHO report on ENDS, October 2016. A blistering critique of WHO’s vaping science.
- British Psychological Society: Changing behaviour – electronic cigarettes, October 2017
- Dr. Lynne Dawkins, South Bank University – E-cigarettes : an evidence update. Myth busting lecture on the science of vaping (slides). November 2018.
Collaborative research approach
- Cancer Research UK, UKCTAS, Public Health England, UK research councils: UK Electronic Cigarette Research Forum
2. Practical professional guidance and public communications
Pro-harm reduction national policy statement…
- Tobacco Control Plan for England:Towards a smoke-free generation: tobacco control plan for England(PDF) – 18 July 2017
- Blog focussed on harm reduction aspects of the plan:English tobacco control plan embraces tobacco harm reduction – world first– 18 July 2017
On quitting smoking for professionals…
- National Centre for Smoking Cessation and Training;
- E-cigarettes: a guide for healthcare professional, February 2018
- Electronic cigarettes: A briefing for stop smoking services, February 2016
- National Health Service (NHS) advice: Smokefree NHS – Advice on E-cigarettes
- Leicester (Louise Ross) Leicester Stop-smoking Service – an e-cig friendly service
- Smokefree Action: Smoking in Pregnancy Challenge Group– includes:Use of electronic cigarettes in pregnancy: A guide for midwives and other healthcare professionalswith Infographic
Public-facing communications
- New Dec 2018: National Health Service Smokefree campaign – information on e-cigarettes– linked to…
- New Dec 2018: PHE public information video (below) with basics on why vaping is so much safer than smoking – and related BBC coverage.
- NHS “Live Well” advice: Using e-cigarettes to stop smoking
- NHS “One You” campaign: Using e-cigarettes / vapes to quite smoking
- Stoptober: The annual government-backed stop-smoking campaign Stoptoberembraced e-cigarettes in October 2017 – see BBCQuit smoking campaign Stoptober backs e-cigs for first time
- The Switch – inspiring video accounts of real vapers talking about quitting smoking
- Say why to drugs podcaste-cigarette edition – Professor Linda Bauld and Dr. Suzi Gage discuss e-cigarettes, why UK and US are different, Juul and much else (January 2019)
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.
- Public Health England.Use of e-cigarettes in public places and workplacesincluding Advice on evidence-based policy-making (PDF) and a5-point guide to policy makingon this issue.
- Chartered Institute of Environmental Health. Electronic cigarettes – Will you permit or prohibit electronic cigarette use on your premises? Five questions to ask before you decide
- Action on Smoking and Health. Will you permit or prohibit e-cigarette use on your premises? October 2015
On e-cigarette advertising
These very sensible industry codes govern the advertising that is not banned by the wholly disproportionateEU Tobacco Products DirectiveArticle 20(5) as it applies in the UK.
- Committee on Advertising Practice: E-cigarettes: Non-broadcast CodeSection 22 / BroadcastCode Section 33
- Committee on Advertising Practice: Claims about health in e-cigarette advertising– this allows for truthful health statements to be made in e-cigarette ads.
3. Reasonable public health consensus statements and positions
Cabinet Secretary (Head of UK civil service)
Blog by Sir Jeremy Heywood:How the Nudge unit threw light on lighting up2015
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
- E-cigarettes: a developing public health consensus, July 2016
- E-cigarettes: an emerging consensus, September2015
Individual organisations and people
- Public Health England – blogs giving e-cigarette positions
- Cancer Research UK: Our policy on e-cigarettes, 2016. Full position: Briefing,Q&A,
- Action on Smoking and Health: ASH Briefing on E-cigarettes, 2016
- Royal College of General Practitioners with Cancer Research UK:Position Statement on the use of electronic nicotine vapour products (Sept 2017)with apodcastandvideo(see below).
- British Medical Association: E-cigarettes: balancing risks and opportunities (substantially updated in Nov 2017)
- Royal Society for Public Health: Smoking cessation and e-cigarettes
- British Heart Foundation: E-cigarette policy
- British Lung Foundation: E-cigarette policy
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 expertstalking 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:
Professor Linda Bauld of Cancer Research UK and Dr Richard Roope of Royal College of General Practitioners and CRUK Cancer Clinical Champion, addressing key concerns that GPs have voiced about e-cigarettes.
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:
Some highlights from the submitted evidence.
- Oral testimony
- Public Health England
- University College London,Tobacco and Alcohol Research Group (West, Brown, Shabab)
- ASH UK
- 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
- Leicester City Council (Louise Ross)
- Independent British Vape Trade Association
- Institute for Economic Affairs
My contribution and a better formatted version here
4. Useful data
- Office for National Statistics & Public Health England.Adult smoking habits in the UK Statistical bulletins(reports and analysis)
- Office for National Statistics. Smoking habits in the UK and its constituent countries(data – annual)
- Office for National Statistics. E-cigarette use in Great Britain(data – annual)
- Smoking in England: Smoking Toolkit Survey: latest statistics/ all documents (monthly tracking, contains e-cigarette data)
- data.gov.uk. Statistics on smoking in England
- Public Health England: Local tobacco control profiles for England– link to data
- ASH Fact sheets (current menu) – check for current data
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- ASH / YouGov survey:Use of electronic cigarettes (vapourisers) among adults in Great Britain(2018)
- ASH / YouGov survey:Use of electronic cigarettes (vapourisers) among children in Great Britain(2018)
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5. Engaged consumers
- New Nicotine Alliance– consumer advocacy group
- Vapers.org.uk– with excellent daily news digest
- Vapers in Power(blog) – political movement
- The Switch– vapers talking about their experience of vaping
6. Groundbreaking conferences
- The E-cigarette Summit(annual in London) and now in the United States
- Global Forum on Nicotine(annual in Warsaw)
- PHE National Symposium on e-cigarettes, 2014,[others to follow].
7. Forthright commentators
- Nicotine Science and Policy
- Velvet Glove, Iron Fist– Chris Snowdon
- Dick Puddlecote
- New Nicotine Alliance blog
- Planet of the Vapes (UK)
- Vapers in Power blog
- Facts do matter – vaping– Paul Barnes
- The Counterfactualby me.
8. Engaged trade associations
And finally… even the former Prime Minister had something to say about it:
Please add suggestions for additions (withlinks please) in the comments…
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.
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.
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.