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‘High Certainty’ Vaping Better Than NRT and More! Tobacco Harm Reduction News

Cochrane Library says HIGH certainty evidence vaping helps more people than NRT. Research finds vaping much lower in carcinogens than smoking. California flavor ban. Media botches reporting CDC youth tobacco data so CASAA releases helpful charts and more!

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


“A public hearing is scheduled for Nov. 9, and more conversations with small businesses like Wednesday’s meeting are set for Nov. 16 and Nov. 30.”

Remind lawmakers that it’s ALREADY ILLEGAL to sell vapor products to anyone under 21, flavored or otherwise. Enforce existing laws before taking away life saving harm reduction products from adults!

READ MORE: COLUMBUS Meeting tackles both sides of proposed Columbus flavored tobacco ban

TAKE ACTION: Columbus Ohio: Stop a Flavor Ban!


A survey has been set up to gather community input on the FLAVOR BAN proposal. You can participate by following the link to the flavor ban survey in the Call to Action below. Take Action!

TAKE ACTION: Tempe, AZ: Stop a Flavor Ban!

CALL TO ACTION UPDATE // California Prop 31

Unfortunately, on November 8, 2022, California voters upheld SB 793 (a “tobacco” flavor ban that was mainly targeting vape products.)


For more information about what this means for THR product consumers in California, please see the Call to Action below. 

READ MORE: Vote NO on Prop 31!


The first reading for a flavor ban is scheduled to take place in early December, with the goal of activating a ban in April 2023.

READ MORE: South Portland flavored tobacco ban likely to come next spring

RESEARCH // Latest Cochrane Report

Updated w/ 17 new studies, the Cochrane Library now says there is HIGH certainty evidence that nicotine vaping helps more people quit for 6 months or longer than NRT!


Unfortunately, they found little data for long-term health effects. Let’s show researchers that we’re here and want to share our experiences!


If you’ve been vaping nicotine AND haven’t smoked tobacco for 10 YEARS OR MORE, please head over to Twitter and REPLY to the the questions on this tweet:

READ MORE: Cochrane Library: Electronic cigarettes for smoking cessation

Finally, if you haven’t done it yet, please be sure to share your story with CASAA’s Testimonials Project, where over 13,400 people have already submitted their tales of success!

TAKE ACTION: CASAA Testimonial Project

RESEARCH // Burying the Lead

Study finds average level of a metabolite of a tobacco-related carcinogen was 218.3 pg/mg of creatinine for smoking subjects but just 5.1 pg/mg for vaping subjects. Strong evidence for significantly reduced health risks!


They also found that nicotine was better metabolized with more modern vapor products, which should be considered a good thing if they want people who smoke to want to make the switch to lower risk products.

Their takeaway?

“Nicotine Exposure Surges”!!

We’re at a loss for words…

READ MORE: Vapers’ Nicotine Exposure Surges, Biomarkers Show

RESEARCH // Vape Study Misinformation

“Referred to as vaping, the use of e-cigarettes has increased sharply over the last several years, in large part due to the affordability and misconceptions that vaping is safer than regular cigarettes — either for young people experimenting with nicotine or adults trying to quit the habit of smoking real cigarettes.”


It is NOT a misconception. Most experts agree–including at the CDC and FDA–that vaping nicotine IS considerably safer than combustible smoking.


“The EVALI presentation was a progress report to NIH on the supplement grant studying injuries to the heart and lungs from e-cigarettes. ”


Clearly, this is yet another attempt at conflating EVALI–which has been conclusively linked to illicit THR vapor products contaminated with vitamin E acetate–with nicotine vapor products. Since vitamin E acetate was pinpointed, cases of EVALI have dropped off to almost zero. No vitamin E acetate has been found in nicotine vapor products. Additionally, e-cigarettes have not been even remotely proven to cause lung or heart injuries.

READ MORE: UW School of Pharmacy Associate Professor Studies Dangers of E-Cigarettes

MEDIA WATCH // New York Times

The New York Times leaves out significant FACTS. For one, the main target of the CA flavor ban is low risk VAPOR products, not “tobacco” products. Plus, anti-harm reduction groups pushing Prop 31 spent FAR MORE ($47 million, mostly Bloomberg funding) than Big Tobacco.


Additionally, the article doesn’t mention the fact that cigarettes are largely grandfathered in under the Tobacco Act, while low risk vapor products have faced a hostile FDA and CDC, the two agencies that have done more fighting against a healthier world than big tobacco!


Add anti-harm reduction groups lying about nicotine & vaping to “save” 2.5 million teens from low risk vaping at the expense of 42 million adults who SMOKE or vape to NOT smoke, and it seems BT is doing a better job at providing the public with safer/healthier alternatives than “Public Health!”

READ MORE: Big Tobacco Heralds a Healthier World While Fighting Its Arrival

MEDIA WATCH // CDC Data Contradicting Headlines

Headline: Vaping is Reversing the Decline in Youth Tobacco Use!

CDC Data: Nope.

Headline: Teen Vaping a Gateway to Smoking!

CDC Data: Nope.

Headline: Teen Vaping On the Rise! It’s an Epidemic!

CDC Data: Nope.

Headline: Multiple Product Use Is “Particularly Concerning”

CDC: Nope.

Regulation should be based on data, not sensationalist headlines.

MEDIA WATCH // Reuters Data Mistake

Reuters reports that “Nearly 31% of the students surveyed reported using multiple products…” 


This is incorrect! It’s 31% of the 11.3% of students who said they used any tobacco product in the past 30 days (even one puff,) which is actually just 3.5% of the students surveyed.


This mistake is unfortunate considering many major news outlets rely on Reuters as a reputable news source. Even more frustrating is the fact that several tobacco harm reduction advocates and even CASAA brought this error to the attention of Reuters and the reporter on Twitter, but the article still has not been corrected.

READ MORE: U.S. teen tobacco use down to 3 mln in 2022, ‘more work to be done,’ health officials say

If you see misinformation such as this, be sure to share this article by CASAA president Danielle Jones on how to correctly read the CDC youth tobacco survey data with the reporter!

TAKE ACTION: How to read the CDC’s Confusingly Presented Youth Vaping Data

TOBACCO CONTROL // WHO’s Misinformation Videos

This World Health Organization headline should read: “Health literacy videos to MISLEAD PUBLIC about e-cigarettes and heated tobacco products.”


Right in the first paragraph there’s a textbook example of a STRAWMAN FALLACY: “The tobacco industry is attempting to market heated tobacco products (HTPs) and electronic nicotine delivery systems (ENDS) as less toxic and safer alternatives to conventional cigarettes. In reality, these products are not harmless.” (The tobacco industry isn’t marketing them as “harmless.”  The tobacco industry is claiming X and WHO is arguing Y.)


The rest of the article gets no better, with such anti-harm reduction classics as “most vapers are dual users,” “flavors hook kids,” “no proof it helps people quit smoking” and “teen gateway to smoking.”

READ MORE: Health literacy videos to evaporate confusion around e-cigarettes and heated tobacco products

TOBACCO CONTROL // ‘Experts’ In Need of Vape Education

This article not only includes misinformation (ie. “vaping specifically can increase your risk of heart disease” and “nicotine can inhibit and alter brain development,”) it also illustrates the huge gap between experts’ knowledge of smoking cessation and what they could actually learn from just talking to experienced vapers and vape shops.

There is not one mention of the fact that nicotine levels can be stepped down in open vapor systems.

READ MORE: How to Quit Vaping: 8 Tips From Experts to Help With Nicotine Withdrawal

CASAA IN ACTION // Filter Article by CASAA’s Danielle Jones

So cool to see an article by CASAA’s president getting published in Filter Magazine!

“Over the years, I’ve noticed a fundamental misunderstanding of the NYTS data—largely due to how they’re presented—by politicians, medical professionals, media and the general public alike. This year’s release of NYTS data brought some of the worst and most inaccurate reporting I’ve ever seen…”

READ MORE: How to Read the CDC’s Confusingly Presented Youth Vaping Data


TOBACCO HARM REDUCTION  // Flavor Bans Create Missed Opportunities

Lawmakers in Massachusetts, New Jersey, New York, Rhode Island and now California (plus many municipalities) have made opportunities to help people quit smoking like this happening in their states nearly impossible. Banning low risk alternatives to smoking that are very appealing to ADULTS is BAD for public health!

FDA // Company Gets Temporary Stay

The Third Circuit Court of Appeals temporarily stayed the marketing denial orders (MDOs) issued to Logic LLC for its menthol-flavored refills for Logic Pro and Logic Power devices. The court order allows Logic to continue selling its menthol refills until the court decides on a motion for a full stay pending review of the MDO.”

CASAA Director Jim McDonald reporting for Vaping360.

READ MORE: Appeals Court Grants Logic Temporary Stay of Menthol MDOs

CASAA MEDIA // Spotify

CASAA’s podcast is on Spotify! Please give us a follow here:

CASAA IN ACTION // Twitter Spaces

The week we recap the Reagan-Udall sessions with Amanda Wheeler, Tim Andrews and CASAA CEO Alex Clark, who all presented to the panel about FDA’s issues regulating reduced-harm products. What grade would you give FDA? Also available on CASAA’s Spotify channel (above.)


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

If you missed the last CASAA Live episode you can catch up NOW before the next show! Learn all about the vast amount of information, tools and resources on that the CDC and FDA doesn’t want YOU or the public to know about!

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!


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.



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