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Vaping Stroke Study Pulled and More! – Tobacco Harm Reduction News

Badly designed study of vaping and strokes pulled from AHA meeting explained. Calls to Action updated. NIH-funded researcher writes Congress opposing nicotine taxes and more!

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

CALL TO ACTION UPDATE // National Nicotine Tax

No longer raising taxes on combustible tobacco products, the NEW VERSION of the Build Back Better funding bill only targets ANY TYPE of nicotine used in harm-reducing products at $50.33 per 1,810 mg!

If you don’t speak up, who will? Even if you don’t smoke or vape, it’s likely that someone you know does and they need your support. Take action TODAY (it only takes a few minutes!) Please TAKE ACTION NOW even if you already did it before!


TAKE ACTION: Stop an Excessive Federal Tax on Safer Nicotine Products

CALL TO ACTION UPDATE // Portland, Maine Flavor Ban

Portland City council’s Health & Human Services and Public Safety Committee voted 3-0 Tuesday, November 9th to forward the proposed flavor ban to the full council. The Call to Action will be updated to address the full Council soon!

casaa cta flavor ban

TAKE ACTION: Portland, Maine – Stop a Flavor Ban!


CASAA president Danielle Jones and CEO Alex Clark took part in sCOPe, THR advocates’ and consumers’ response to being left out of the tobacco control debate and decision-making at the Ninth Session of the Conference of the Parties (otherwise known as “COP9”) of the WHO Framework Convention on Tobacco Control (WHO FCTC).

LEGISLATION // Massachusetts

New bills target the 2019 statewide flavor ban, but the bills either remove the ban on everything but vaping products–or only allow flavored vapor products with FDA authorization–effectively leaving all flavored vapor products banned.

READ MORE: Tobacco law supporters on defense at hearing

RESEARCH // Exposing Bad Science

A new (not yet peer reviewed or published, according to a UPI report) study claims vapers are more likely to suffer a stroke at a younger age than people who smoke. Let’s break down all of the problems with this claim:

1) It’s a cross-sectional study. Meaning it’s looking at the stroke patients at specific points in their lives rather than following them over a period of time.

Why does this matter? Well, imagine if researchers were looking into car safety and studied people who had ever had a car accident in their past. They check DMV records to establish what car they were driving between 2015 to 2018. Can they determine from only that info what car was involved when the person actually received the injuries? 

Dr. Leonie Brose, smoking expert at King’s College London points out, they used is a cross-sectional survey. “This means respondents had a stroke in the past (maybe years before they completed the survey) and were using e-cigarettes or smoking at the time of the survey….””…At least some of the strokes would therefore have occurred before e-cigarette use. The strokes then could not have been caused or made more likely by e-cigarettes.” 


2) Former smokers still have a higher risk of stroke for years after quitting. There was no information as to whether or not those who were vaping between 2015-2018 were previously smoking, how long they smoked before they switched to vaping or how long they’d been vaping. 


3) There was no control group in the study, meaning the researchers were unable to establish whether vapers were more or less likely to suffer strokes than the general population. 


4) There was no data on the type and severity of strokes suffered, or on whether participants had other conditions such as high blood pressure, diabetes or alcoholism, which can also significantly (and are more likely to) increase the risk of stroke. 


5) Nearly 7% of people smoking had a stroke (at some time in their life) compared with 1% of e-cigarette users and 4% of people who were dual users. How likely is it that the vapers who were so much less likely to have a stroke would have increased risk at a younger age? 

When researchers found that vapers were 15% more likely to suffer a stroke in middle-age than people who were smoking, that should have thrown up a red flag to take a closer look at the data and other possible factors. Yet, they didn’t. 10/11

In summary, contrary to the headlines, the study didn’t show that vaping had anything to do with causing strokes, let alone causing more strokes in younger people than smoking.

Note: On November 12, 2021, it was discovered that the study had been pulled from presentation at the AHA Scientific Sessions 2021.

READ MORE: E-cigarette users are 15% more likely to suffer a stroke in middle-age than regular smokers, study claims

READ MORE: Vaping And Stroke Risk: New Study Hypes The Wrong Conclusion

RESEARCH // Consequences of Nicotine Taxes

In an explosive letter circulated on November 8th to members of Congress, Associate Professor Michael Pesko (considered the US’s leading authority on e-cigarette policy evaluation research) detailed what extensive research (funded by NIH) shows would be the effects of the Democrats plan to tax e-cigarettes – and the results are truly scary. 


Overall, my scientific opinion is that raising taxes on e-cigarettes and smokeless tobacco products to levels equivalent to cigarettes will increase cigarette use across all populations and cause significant public health harm.”
~Michael F. Pesko, Ph.D.

Tell your representatives in Congress to FOLLOW THE SCIENCE established by Dr. Pesko and his colleagues, and remove the nicotine tax from the Build Back Better Act!

READ MORE: NIH Study: Democrats Vape Tax Would Be A Disaster For Public Health

READ MORE: Dr. Michael F. Pesko’s Letter to Congress

COMMENTARY // FDAs “Confusing Communications

I don’t doubt that much of the FDA’s opposition to smoke-free products is driven by the federal government’s obsession with a “tobacco-free society”, however, the vaping community should find some solace in the fact that confusing communications, “criminal” treatment, shifting guidance, and decision paralysis are cultural and behavioral norms at this federal regulatory agency.”
~ Dr. Brad Rodu

READ MORE: Confusing Communications, Shifting Guidance and Decision Paralysis are Behavioral Norms at the FDA

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 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.