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OR07-4 E-CIGS (VAPORIZERS): A PUBLIC HEALTH OPPORTUNITY THAT WILL BE MISSED?

OR07-4 E-CIGS (VAPORIZERS): A PUBLIC HEALTH OPPORTUNITY THAT WILL BE MISSED?. Dr Robert Hämmig, MD Psychiatry & Psychotherapy FMH President SSAM Medical Director Addiction Department University Psychiatric Services Bern. • S • S • A • M •. Disclosure. No conflict of interests.

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OR07-4 E-CIGS (VAPORIZERS): A PUBLIC HEALTH OPPORTUNITY THAT WILL BE MISSED?

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  1. OR07-4E-CIGS (VAPORIZERS): A PUBLIC HEALTHOPPORTUNITY THAT WILL BE MISSED? Dr Robert Hämmig, MD Psychiatry & Psychotherapy FMH President SSAM Medical Director Addiction Department University Psychiatric Services Bern •S•S•A•M•

  2. Disclosure • No conflict of interests

  3. Tobacco Atlas (4th edition) Cigarettes account for 92% of the value of all tobacco products sold globally

  4. WW II

  5. DakTo (Vietnam) 1967 WW II WW I Well deserved pause of our heroes with a mild stimulant /relaxant Ryūkyū Islands 1945 Falluhjah (Iraq) 2004 Saipan 1944

  6. Smoking cessation Jorenbyet 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

  7. Cigarette smoke vs. E-cig vapour Chemicals in E-cig Vapour Nicotine ”Cockroach poison” Glycerol Food Additive E422 From Tobacco Atlas, 4th edition

  8. 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

  9. Good and bad nicotine from an 1980ies anti-smoke game

  10. Nicotine: the “cockroach poison” • Lethal nicotine • Historic case:HippolyteVisart 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 *Mayer. ArchToxicol (2014) 88:5–7

  11. 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.

  12. SwissVap Study • Delphi study with tobacco experts Results: • Yes to nicotine containing fluids for vaping • But: • No advertising • Limitation of content • Youth protection measures QR code for download of report

  13. Marketing prohibited in Switzerland ENDS electronic nicotine delivery system products Nutt et al. EurAddict Res 2014;20:218-225

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