OR07-4 E-CIGS (VAPORIZERS): A PUBLIC HEALTH OPPORTUNITY THAT WILL BE MISSED? Dr Robert Hämmig, MD...
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OR07-4 E-CIGS (VAPORIZERS): A PUBLIC HEALTH OPPORTUNITY THAT WILL BE MISSED? Dr Robert Hämmig, MD Psychiatry & Psychotherapy FMH President SSAM Medical
OR07-4 E-CIGS (VAPORIZERS): A PUBLIC HEALTH OPPORTUNITY THAT
WILL BE MISSED? Dr Robert Hmmig, MD Psychiatry & Psychotherapy
FMH President SSAM Medical Director Addiction Department University
Psychiatric Services Bern SSAM
Slide 2
Disclosure No conflict of interests
Slide 3
Tobacco Atlas (4th edition) Cigarettes account for 92% of the
value of all tobacco products sold globally
Slide 4
WW II
Slide 5
Well deserved pause of our heroes with a mild stimulant
/relaxant WW I WW II Dak To (Vietnam) 1967 Saipan 1944 Ryky Islands
1945 Falluhjah (Iraq) 2004
Slide 6
Smoking cessation Jorenby et al. JAMA 2006;296:56 63Gonzales et
al. JAMA 2006;296:4755 from: Nides, The American Journal of
Medicine (2008) Vol 121 (4A), S20S31
Slide 7
Cigarette smoke vs. E-cig vapour From Tobacco Atlas, 4th
edition Chemicals in E-cig Vapour NicotineCockroach poison Glycerol
Food Additive E422
Slide 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
Slide 9
Good and bad nicotine from an 1980ies anti-smoke game
Slide 10
Nicotine: the cockroach poison *Mayer. Arch Toxicol (2014)
88:57 Lethal nicotine Historic case: Hippolyte Visart de Bocarm 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
Slide 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.
Slide 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
Slide 13
Nutt et al. Eur Addict Res 2014;20:218-225 Marketing prohibited
in Switzerland ENDS electronic nicotine delivery system
products