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Doctors and Vaping Survey and More! Tobacco Harm Reduction News

Survey finds doctors more likely to recommend vaping if patients speak up. CASAA talks with Dr. Brad Rodu on CASAA Live and has a Twitter Space discussion with AVM’s Amanda Wheeler. Mouse study misleads about vaping. Very low nicotine cigarettes hit the market. Nicotine and AHDA study. Calls to Action and more!

Scroll to the bottom of this post for a link to the audio/video versions of this post!


An amended version of SB 45 has moved to the House and is awaiting the next committee assignment.

Here are the changes:

  • 75% wholesale tax changed to 45% on all liquids and devices.
  • Flavor ban is removed

SB 45 is scheduled for two committee meetings:

  • Wednesday, April 27, 2022 House Commerce and Labor, 3:15PM
  • Friday, April 29, 2022 House Finance, 1:30 PM

TAKE ACTION NOW: Alaska – Stop a Vapor Tax

CALL TO ACTION UPDATE // Washington County, Oregon

The Washington County, OR Board of Commissioners has passed and ordinance that prohibits sales of flavored nicotine products (synthetic or tobacco derived) in any retail environment. What started as a proposal to limit sales of flavored products to adult-only establishments is now a full-blown flavor ban and a prohibition on discounts and coupons.

A referendum to overturn the flavor ban in Washington County has been approved for the ballot in the May 17, 2022 election!

TAKE ACTION: Washington County, Oregon – Stop a Flavor Ban!

RESEARCH // Physician Vaping Survey

“Patient prompting—that is, the patient asking their physician about e-cigarettes—was associated with an increased likelihood to recommend e-cigarettes,” said Dr. Cristine Delnevo, the lead author of the JAMA paper. Physicians who had smoked cigarettes were more likely to recommend vaping.

Unfortunately, researchers also found that more than 60% of doctors incorrectly believed that all tobacco products are equally harmful and only 22% indicated they recommend e-cigarettes to patients.

READ MORE: More Doctors Recommending Vapes—Due in Part to Patients’ Prompting

RESEARCH // Vaping Mouse Study

This is yet another junk vaping study because:
1) It’s mice, not people.
2) The strong focus on non-tobacco flavors, while showing no concern for artificial tobacco flavor suggests there is a belief that “tobacco” flavor is natural, base e-liquid flavor.
3) Unsurprisingly, there is no comparison to how smoking “alters the inflammatory state across multiple organ systems.” Vapor products are not sold as “safe,” they are sold as harm reduction, so should be compared to the most harmful products.
4) It’s mice, not people.

READ MORE: E-cigarettes Alter Inflammatory State of Brain, Heart, Lungs and Colon

But don’t miss the peer review section, especially the assessment made by Reviewer #3:

“Overall, it is a descriptive study and the conclusions was not clearly supported by the data.”

“The author seemed to assume the difference between JUUL Mango and JUUL Mint is flavor and then came up with the conclusion regarding flavor-dependent changes in several inflammatory responses. Evidence is needed to approve the assumption.”

“To fully evaluate the health impact of evolving cigarette, it would be informative to included other tobacco or vaping device as control.”

READ MORE: Effects of mango and mint pod-based e-cigarette aerosol inhalation on inflammatory states of the brain, lung, heart, and colon in mice

RESEARCH // Nicotine Doesn’t Cause ADHD

Pregnant women who cannot or will not quit smoking have been scared away from switching to far safer vaping due to claims that nicotine is still a risk for ADHD. But a new review has found that smoking–and therefore, presumably vaping–during pregnancy does NOT cause ADHD.

READ MORE: Prenatal smoking, alcohol and caffeine exposure and offspring externalizing disorders: a systematic review and meta-analysis



TESTIMONIAL // Anecdote # 13,450

“Dual use” is NOT a vaping failure. Many folks who smoked for DECADES just need time to transition. It took Chris 3 months, but he’s now been smoke-free nearly 6 years!

What’s YOUR real story? Submit your testimonial today!

ADD YOUR STORY: CASAA Testimonial Project

FDA // New Cigarettes Hit the Market

The Very Low Nicotine (VLN) cigarette company, 22nd Century, is authorized by the FDA to state each of its products contains “95% less nicotine,” “helps reduce your nicotine consumption” and “greatly reduces your nicotine.” These claims not only mislead the public to believe nicotine is what causes smoking-related diseases and death, but also imply the reduced nicotine cigarettes are safer than regular cigarettes.

READ MORE: Very Low Nicotine Cigarettes Make US Debut in Chicago

FDA // Arbitrary Decisions

Another “must-read” by Jacob Sullum at Reason Magazine

The FDA’s Rejection of a Major Vaping Brand Shows It Is Arbitrarily Applying a Nebulous Legal Standard

READ MORE: The FDA’s Rejection of a Major Vaping Brand Shows It Is Arbitrarily Applying a Nebulous Legal Standard

ADVOCACY // Industry Rep Speaks Out

Watch this great interview with Amanda Wheeler, president of American Vapor Manufacturers (AVM), laying down the facts and truth about vaping!

In Defense Of Vaping: Why You Shouldn’t Freak Out

CASAA IN ACTION // Twitter Space

Check out our recent Twitter Spaces as we chat with Amanda Wheeler from Vapor Manufacturers Association (AVM) about synthetic nicotine deadlines, FDA, lawsuits & the state of the vape industry.


If you missed the most recent CASAA Live show, check out the replay now! CASAA Live is on Saturdays at 4:30 PM ET/3:30 PM CT/2:30 PM MT/1:30 PM PT on Facebook, YouTube and Twitter!

This week we chatted about Vaping & Tobacco Truths with our guest, the legendary tobacco harm reduction pioneer Dr. Brad Rodu! Be sure to stick around after for the Legislative Rundown!

TAKE ACTION // CASAA State Facebook Groups

Have you joined your CASAA State Facebook group yet? Check it out now! Click the link below, click on your state on the map, then click the “Join Now” button to go to your state’s group page. It’s as easy as that to stay updated on local happenings, meet local advocates and never miss a Call to Action in your state!

Don’t forget to also follow our official Facebook page at


CASAA STORE // Apparel and More

Show your support by shopping our store! Our president (and brilliant website/swag designer) Danielle has added some awesome new designs to CASAA’s apparel shop, plus there are still Black Friday deals on all items!

VISIT: CASAA Apparel and Swag Store

CASAA MEDIA // Podcast

Catch up on past tobacco harm reduction news with Alex and Logan on the CASAA podcasts on SoundCloud every Monday and now live on YouTube and Facebook every Saturday at 3:30 PM.