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One Voice Makes A Difference In West Allis

February 25, 2016
By Kristin Noll-Marsh


Jim Cottrill 3

Jim Cottrill

West Allis, WI — Last week, news came through social media that West Allis was considering two ordinances regarding vape shops and vaping. At first, both proposed ordinances seemed relatively benign. One required vape shops to carry a license at the cost of $100 per annum. The other appeared to only prohibit the use of vapor products on West Allis school grounds. However, after the language was reviewed by WSAC, it was determined that the latter actually banned vaping in all places smoking is currently prohibited by state law, including school grounds and vape shops. This was accomplished by adding language to the existing ordinance that redefined “smoking” to include the use of all vapor products. WSAC also discovered that the February 23rd West Allis Licensing & Health Committee meeting was receiving a presentation by Sue Marten, the Coalition Coordinator for Tobacco-Free Suburban Milwaukee & Ozaukee Counties and the Wisconsin Tobacco Prevention and Control Program.

Jim Cottrill, owner of Vape 108 in West Allis, was preparing for a 10-day trip to warmer weather when he heard the news. “I dropped everything,” said Mr. Cottrill. Instead, he got online and on the phone to discover when the meeting was and whether or not the Committee would be allowing public comments. Then he took the information he had gathered to vape groups on Facebook, encouraging other shop owners to attend the meeting and customers to call or write their Aldermen.

After speaking to the Committee Chair, he (and only he) was given permission to address the Committee for just five minutes at the meeting, following Ms. Marten’s presentation. “He clearly stated to me that there would not be any opportunity for us to be involved in any type of debate and that it would be opened at a later meeting,” Cottrill told WSAC.  However, he was disappointed when he found himself completely alone at the meeting Tuesday night. “I was severely saddened to see that no other owners felt this important enough to take time out of their busy lives,” he said.

The meeting itself turned out to be more than he expected. “After [Marten] did a Power Point presentation that spoke of all the dangers of vaping, she handed out e-cigarettes that appeared to be cheap devices from gas stations and a Vuse [the electronic cigarette made by RJ Reynolds.] As she handed them out, she warned the Committee to be sure to wash their hands after touching them, because ‘they are extremely toxic’,” said an incredulous Cottrill. At that point, Cottrill reported that everyone at the Committee table was wide-eyed and seemed to be in agreement that something had to be done.

Then came Cottrill’s five minutes.

He spoke from the heart and from his viewpoint as a shop owner. “I told them that I hadn’t experienced anything like [Marten] had said. I’ve had so many customers who have quit smoking because of vaping and thank me.”

Cottrill also pointed out that prohibiting vaping in vape shops, which is what he sells, would be like prohibiting drinking in a tavern. He told them that vape shops need to allow vaping and the shops in West Allis would be forced to move outside of the city, taking their business and customers with them.

At that point, Cottrill’s five minutes were up, but to his surprise, the Committee members started asking him questions. “After that, only one Committee member still supported the ordinances, but only if vape shops were exempted from the indoor ban. The others stated that they were not convinced by the studies that she had given them and said that businesses should be able to decide whether or not to allow vaping in their establishment, not the government. One even said he didn’t want to make it harder for smokers to quit. Then they put both ordinances on hold until the other six Aldermen can see the data.”

While this may only be a temporary stay, Cottrill is convinced that it would have moved forward that night, had he not been there to speak up. “The way they were acting after her presentation, they looked convinced [that the measures were reasonable] until I talked to them,” he said.

As far as we’re concerned. by stepping up and showing that one voice can make a difference, Mr. Cottrill deserves the gratitude of the vaping community in West Allis. Hopefully, other vape shop owners and their customers will follow his example in the future.

WSAC will continue to monitor the situation in West Allis and issue a Call to Action alert should these ordinances be placed on a future agenda.


Vape Industry: Don’t Forget Older Smokers

Finally doesn't have to go outside!

Finally doesn’t have to go outside!Written by Kristin Nol-Marsh

Written by Kristin Noll-Marsh
Gimpses Through the Mist

My 66 year old, smoker aunt has watched nearly my entire family switch from smoking to vaping over the past 6 years. She never showed any interest – “too much fuss” she said, so we never pushed it. We even set up a smoking area, on our screen porch, for her when she moved in with us a few weeks ago.

A couple of weeks ago, we were at Walmart and I casually mentioned that a disposable cigalike being sold was the most realistic I’d ever tried and, to my surprise, she bought one! A week or so (and 3 disposable ecigs) later, she mentioned she’d like it if it could be recharged and refilled. So I picked up a rechargeable cigalike, with extra cartos, for her when I was in Walgreens.
Yesterday, my husband and I stopped in a vape shop for supplies and she came in with us. She is now the proud owner of a new, shiny, red mod (100% her idea.)
At the store, she told me, “I’m finding that I’m using it (the cigalike) more often then smoking and I’m really enjoying it. I’m only smoking in the morning. So, I may as well get something better.”

Getting her first mod

Getting her first mod

This story, folks, is a perfect example of why we need to keep fighting for diversity in the marketplace. Without that first cigalike and unbiased guidance, in a safe, comfortable and reassuring environment, she was unlikely to walk into a vape shop. This can be extremely important for a smoker’s journey from smoking to vaping. (On a side note, this shop only had 2 straight tobacco flavors. Shop owners would be smart to have more than that for smokers.)
It also shows a classic case of a typical “dual user” that the ANTZ are wringing their hands over. Most dual users just haven’t finished their journey. To do so, they need truthful information and gentle guidance, not pressure to jump in over their head with advanced devices and low nicotine levels or to quit smoking right away.

And it makes an important point that many “dual users” are smokers who had ZERO interest in quitting, yet they are now cutting down their smoking and likely on a path to quit that they wouldn’t have been on with only NRT as an option.
This is what THR advocacy is all about – getting out truthful information about ALL low-risk alternatives!

For more information, go to http://casaa.org
Wisconsin residents, please also join the Wisconsin Smoke-free Alternatives Coalition at http://wsac4wi.org

Northcentral Technical College bans tobacco use (and vaping) on all campuses

NTC Tobacco Free CampusNORTHERN WISCONSIN – Many colleges across Wisconsin ban tobacco on campus. Now, Northcentral Technical College can join that group.

As of August 1st, all NTC campuses banned tobacco on campus, including chewing tobacco and E-cigarettes. NTC staff sees this as a way to protect student health.

“As we looked at the overall wellness of our students, staff, and our visitors, we felt like that shift was a positive shift to make,” said NTC Director of Student Development Shawn Sullivan. “But we made that shift with the intention of also offering resources and services to those students and staff who are interested in quitting the use of tobacco.”
The change got rid of designated smoking zones. NTC staff says student feedback has been positive so far.
“Students appreciate the fact that they don’t have to walk through smoke or see the tobacco use on campus,” said Sullivan. “Obviously there are some students who have questions and we’ve been dealing with those students individually, offering to have conversations with them to get their feedback, because we think everybody’s feedback is important.”
There will be penalties [$25 for the third offense, possible expulsion and being banned from campus] for those who don’t follow the rules.
“I think initially we’re going to go with a strong educational slant with our enforcement, educating people on the new policy, issuing warning,” said Sullivan. “If we see people are repeatedly violating the new policy then there are consequences, there are fines, and then there’s also possible disciplinary action for students.”
NTC campuses serve about 4,000 students. NTC is offering resources for students who want to quit tobacco use.

Call to Action! Madison Wisconsin Vapor Ban

This Call to Action will be updated as we receive more information about upcoming meetings and public hearings.

UPDATE 12/31/2014

The vapor ban is CONFIRMED on the January 6 Common Council agenda (Agenda #32). The Madison-Dane County Board of Health will be recommending to the Concil that they adopt the prposed amendments (shown starting on page 400 of the PDF link) to define “smoking” to include using any vapor device (regardless of nicotine content) and to prohibit such use anywhere smoking is banned.Call_to_Action_Icon

Vapor shops (defined as 75% or more income from vapor products sales and no liquor license) are exempted from this ordinence HOWEVER, ONLY IF THE STORE EXISTED BEFORE FEB. 2015. That means no new stores will be able to allow customers to try products in the store.

Additionally, the ordinance language LIES about “proven dangers” linked to e-cigarettes. This lie wil be made into law and then used to promote further restrictions and possibly taxes:

“have been proven to emit nicotine, ultra-fine particles, volatile organic compounds and other toxins. Inhalation of nicotine is proven to be dangerous to everyone, especially children and pregnant women.

Exposure to ultrafine particles may exacerbate respiratory illnesses, such as asthma and may constrict arteries which could trigger a heart attack. The volatile organic compounds, such as formaldehyde and benzene, found in electronic smoking device aerosols, as well as conventional cigarette smoke, are proven carcinogens.”

There is NO EVIDENCE that the vast majority of vapor products contain anything that pose a second-hand danger to children or pregnant women, exacerbate respiratory illness, constrict arteries or cause cancer.

Please see the WSAC CALL TO ACTION for contact information of the Common Council and PLAN TO ATTEND TO SPEAK!

(NOTE: Based on the tone of the agenda, they clearly expect to see a crowd on January 6th, so lets give it to them!! PLEASE DO NOT VAPE IN THE BUILDING!)

Please download, print and hand out the flyer below to fellow vapers and vape shops!
Madison Flyer Thumbnail

UPDATE 12/11/2014

The Board of Health is recomending the ordinance to the city council. The Board of Park Commissioners declined the changes.

The ordinance now goes back to the city council for a final vote, most likely at the next meeting on January 6, 2015 at 6:30 PM at 210 Martin Luther King Jr Blvd, Madison, WI, United States Rm 201.

Please check back frequently for updates and join the Wisconsin Smoke-free Alternatives Coalition on Facebook!

The public is welcome (and strongly encouragd) to attend these meetings and address the lawmakers with their concerns and comments. Arrive early to sign up on the registration form to speak.

The City of Madison is poised to deceptively define smoke-free e-cigarette use as “smoking.”  The justification written into the proposed law makes misleading, false and/or unproven scientific claims about “ultra-fine particles” and “volitile organic compounds.”

This ordinance will prohibit the use of e-cigarettes in all places where conventional smoking is prohibited. This includes businesses that wish to cater to e-cigarette consumers and retailers that need to allow customers to try samples. The same proposed ordinance also extends the prohibited areas to include Madison parks and beaches, which would also apply to vaping.

Because 10 alders have sponsored this ordinance (see sponsor list below), they only need just one more vote for this ordinance to pass. We strongly recommend members first focus efforts contacting the lawmakers who are not already on board with this proposal, to convince them not to vote in favor. However, be sure to also contact the sponsors to let them know how you disapprove of their decision to support this ordinance. (more…)

Call to Action Wauwatosa Vapor Ban!

UPDATE 12/11/2014

Thanks to the efforts of Wisconsin and Minnesota advocates and CASAA, the Wauwatosa City Council has decided not to include vapor products in the City’s smoking ordinance at this time. We will continue to monitor the situation and alert Wisconsin residents if there is any further action taken. 

Call_to_Action_IconWauwatosa Health Officer Nancy Kreuser is urging the city to pass an ordinance that would prohibit smoking with electronic devices in public places, and also prohibit the sale of such devices to minors. The State of Wisconsin already prohibits the sale of nicotine products to minors, however, WSAC does not oppose also prohibiting the sale of devices to minors.

The Community Development Committee considered Kreuser’s proposed ordinance Nov. 25, and voted 3-3 on a recommendation to approve it. That meant it got introduced to the Common Council Dec. 2, but it will go back to the committee, likely December 9, 2014.

Location:   City of Wauwatosa
7725 W. North Avenue
Wauwatosa, WI  53213
Where:   Committee Room #1
When: Second and last Tuesday of each month
Time: 7:00 pm

The public is welcome (and strongly encouragd) to attend these meetings and address the lawmakers with their concerns and comments. Arrive early to sign up on the registration form to speak. (more…)

Myths About E-cigarette Use In Public

Man VapingElectronic cigarette use is easy to distinguish from actual smoking. Although some e-cigarettes resemble real cigarettes, many do not. It is easy to tell when someone lights a cigarette from the smell of smoke. E-cigarette vapor is practically odorless, and generally any detectable odor is not unpleasant and smells nothing like smoke. Additionally, e-cigarette users can decide whether to release any vapor (“discreet vaping”). With so little evidence of use, enforcing use bans on electronic cigarettes would be nearly impossible. Cities with smoking bans have had little to no issue with e-cigarette use in public space. E-cigarette consumers are overwhelmingly considerate to the feelings of bystanders. Businesses that do not wish to allow e-cigarettes in their establishments simply ask patrons not to use them.

E-cigarette use does not promote the smoking of traditional cigarettes, nor does it threaten the gains of tobacco control over the past few decades. In fact, by normalizing e-cigarette use over traditional smoking, the efforts of tobacco control are being supported. If anything, e-cigarette use de-normalizes conventional smoking by setting the example of smokers choosing a far less harmful alternative to traditional smoking. The CDC surveys clearly show that there has been no “gateway effect” causing non-smokers to start smoking. As e-cigarettes have become more popular, all available evidence is showing that more and more smokers are quitting traditional cigarettes, including youth smokers.

Studies show that the children of smokers have a significantly higher risk of smoking initiation and the longer their parents smoke, the higher that risk. On the other hand, children of parents who had quit smoking were no more likely to smoke than children of parents who had never smoked. Children of non-smokers are more than 3X less likely to smoke, regardless of their exposure to smoking behaviors seen in public, on television or in advertising. Therefore, indoor e-cigarette use bans that purport to protect the low-risk children of non-smoking parents from seeing smoking behaviors completely overlook the unintended consequences of the extremely high risks from continued exposure to smoking behaviors by the children of smokers (who may have otherwise quit if e-cigarettes had not been prohibited in public spaces.)

To err on the side of caution, one must also look for unintended consequences. Are you being cautious of the right thing? Do the benefits of a law outweigh the risks?
Smoking bans protect bystanders from second-hand smoke, which has been established as being a health risk, but one far lower than actually smoking. E-cigarettes reduce the risk of smoking to far lower than even second-hand smoke, so the health risks of second-hand vapor would logically be hundreds of times lower than even second-hand smoke. The only benefit of including e-cigarettes in smoking bans is protecting bystanders from infinitesimal levels of just a tiny fraction of the chemicals found in second-hand smoke.

On the other hand, there is a unique phenomenon observed and documented with e-cigarette consumers called “accidental quitting.” Smokers purchase an e-cigarette to use where they cannot smoke or because they are less expensive and find, over time, that they prefer the e-cigarette to their conventional cigarettes. They move from dual use (using both the e-cigarette and conventional cigarettes) to using just the e-cigarette alone. This can happen over several months or in just a few days.
Put simply, laws that result in just one smoker still smoking because an important incentive has been compromised causes far greater harm than hundreds of bystanders exposed to vapor in public spaces.

Often, when confronted with opposition by e-cigarette advocates, lawmakers assert that the intent is not to ban e-cigarettes altogether. They try to assure their constituents that they are not banning the sale of e-cigarettes to adult smokers and the devices can still be used in where smoking is allowed.
However, this misses the point completely. E-cigarette advocates aren’t there to ensure they can still use their products in a store, office building, restaurant or bar. Experienced e-cigarette consumers know that enforcement of the ban is nearly impossible. As explained earlier, the vapor leaves no tell-tale signs. Additionally, if the vapor is held in the lungs for just a short time, it’s completely invisible when exhaled.

The reason advocates are standing before you and telling their stories about how e-cigarettes have changed their lives is not because they are fighting for themselves. They are fighting for all of the smokers who haven’t yet quit. They want you to know how banning e-cigarette use will deny other smokers of their success story. They are fighting to keep every incentive possible available to encourage smokers to switch. They want you to understand how treating e-cigarettes like conventional cigarettes will just keep smokers smoking and even possibly push those dual users completely back to smoking by removing their only incentive to quit.

Smoking bans were not intended for public “comfort.” Smoking bans were intended to protect the public from second-hand smoke, the dangers of which were ostensibly science-based. The science on e-cigarettes overwhelmingly shows e-cigarettes have miniscule risks, if any. The comfort of patrons and employees of privately-owned businesses is the responsibility of the owners of that business. If an employer or owner finds that the vapor from e-cigarette consumers is a distraction or discomfort, the decision to prohibit use on their property should be theirs alone. Contrarily, if the owner of a bar, tobacco store or e-cigarette store decides he wishes to cater to e-cigarette consumers that should be his prerogative.

It should be noted that adult e-cigarette consumers expect to be able to try flavors before purchasing. Prohibiting indoor use would force customers outside to sample vapor products.
An additional consideration should be made for businesses that cater to adult smokers. One unintended consequence of smoking bans has been the increase in litter and late-night noise outside of such establishments. Smokers who have switched to e-cigarettes currently remain inside, reducing the noise.

Elderly wheelchair smoking outsideOne final unintended consequence to consider. Many smoking bans may now or in the future include residences, such as nursing homes, assisted living apartments, multi-unit dwellings and government housing. Such bans are based on complaints that smoke residue not only ruins the units, but that smoke travels through walls and vents into other units, which may pose a health risk. Vapor would be included in such bans although it does not behave in the same manner. Again, this creates a disincentive for elderly and handicapped smokers to switch. Instead, they will continue to go out into the cold, often at night and in high-risk neighborhoods. Some may be forced to walk far from the building, because they are required to leave the property. Additionally, some municipalities are starting to prohibit smoking in outdoor spaces, such as beaches and parks, where e-cigarette vapor wouldn’t be noticeable in any way. It makes no sense to apply these same rules to low-risk vapor products.

The Science Behind E-cigarettes

• Nicotine is not a carcinogen.

• It is the carcinogens and toxins in smoke that increase the risk of smoking-related diseases, not the nicotine.

• The FDA reported in 2014 that long-term nicotine use, outside of smoking, is not a significant health risk.

• Nicotine levels in e-cigarette vapor are too low to be toxic.

• Recent studies of ulcerative colitis patients treated with 15 mg nicotine patches show that nicotine alone is not particularly addictive, even after 6 months of treatment.

• Vapor is actually a liquid converted into a fine mist. Smoke is the result of burning solid matter.

• Vapor does not create harmful carbon monoxide as smoke does.

• Unlike smoke, vapor does not leave a lingering odor in the air.

• Vapor does not travel as far from the consumer as smoke and it dissipates quickly.

• The smell of vapor doesn’t settle on people and objects. Unlike smoke, it is nearly impossible to tell if someone has been exhaling vapor in a room without being there to see it happen.

Ecigarettes and Formaldehyde ChartThe levels of carcinogens found in one sample of e-liquid by the FDA in 2009 was identical to the level that can also be found in FDA-approved nicotine patches. It is clearly not a health concern.

• A Marlboro cigarette has over 11,000 ng/g of tobacco-specific carcinogens. E-cigarettes and pharmaceutical nicotine patches both have around 8 ng/g.

• Reports of finding formaldehyde and other chemicals in e-cigarette vapor fail to disclose that the levels found (0.013 ppm), on average, are lower than can be detected in average city indoor/outdoor air (0.03 ppm).

• A 2009 FDA press statement claimed to find “toxins” after testing e-cigarettes, including diethylene glycol (DEG), a chemical found in antifreeze. Reviews of the FDA testing found that only the DEG was found (no other “toxins” were reported) in just one sample, at non-toxic levels. The company that made the sample no longer sells e-cigarettes and in the 5 years since the report, no e-cigarette consumer has reported DEG poisoning.

• While nicotine can be highly toxic, the levels found in the vapor are too low to be toxic. A recent spate of news reports about calls to poison control centers regarding e-cigarettes do not specify whether the call was an actual poisoning situation or simply informational inquiries. There have been no reports from emergency rooms or pediatricians of actual child poisonings causing injury or death due to e-cigarettes. A typical bottle of e-liquid contains only 2.4% or less nicotine and while it may smell appealing, the actual taste in un-vaporized form is extremely bitter.

• There have been nearly 100 separate studies done on e-cigarettes, many testing for carcinogens and toxins. While some have found trace evidence of chemicals and metals, the levels found were extremely low, unless researchers “misused” the devices in a way a consumer never would. A comprehensive study done in 2003 by Dr. Igor Burstyn (Drexel University School of Public Health) reviewed all available e-cigarette chemical tests and found that chemicals in e-cigarettes pose no health concern for users or bystanders based on generally accepted exposure limits.

• Reports of “ultra-fine particulates” found in vapor are misleading. Particulates in cigarette smoke are “solid” particulates, while particulates in vapor are water particulates (otherwise known as “droplets.”) The effect on the lungs is not comparable in any way. For example, fine solid particulates inhaled while in a sandstorm are not comparable to the fine liquid particulates inhaled while standing in a rain storm.

• The CDC started tracking youth use in 2011, however, e-cigarettes have been available since 2007.

• While youth use is on the rise, youth smoking continues to decline significantly year after year.
High School Smoking vs Ecigs NO LOGO
• The vast majority of youth who said they tried e-cigarettes stated they smoke conventional cigarettes.

• There is no evidence youth smokers who said they use e-cigarettes were non-smokers before using e-cigarettes.

The CDC youth survey did not ask the students which product they used first. Therefore, there is no evidence that non-smoking youth are trying e-cigarettes and “graduating” to smoking.

• Because the smoking rate is far higher than the reported e-cigarette use but has been declining since e-cigarettes became available, it is logical to conclude e-cigarettes are not leading non-smoking youth to smoke.

• Non-smoking youth who try e-cigarettes may have otherwise been trying smoking if e-cigarettes had not been available.

• Children of smokers benefit when their parents switch to low risk alternatives. It not only reduces their exposure to second-hand smoke at home and in cars, but significantly reduces the high risk that they will become smokers themselves.

• The claim that adult smokers do not want “candy” flavors is patently false and based on conjecture and personal bias. Numerous surveys of adult e-cigarette users shows that non-tobacco flavors are an important part of moving away from smoking.

• Once smokers quit smoking, their sense of taste returns. Many report that tobacco no longer appeals to them and even tastes especially foul after using pleasant-flavored e-cigarettes.

• FDA-approved pharmaceutical nicotine products, clearly intended to appeal adult smokers, come in flavors such as Cherry, Mint, Orange, Cinnamon Surge and Fruit Chill. Liquor companies market vodka flavors such as Cotton Candy, Bubble Gum and Peanut Butter & Jelly to appeal to the nostalgia of adult consumers. The idea that flavors can only exist to target youth and not adult smokers is clearly disingenuous.

Is it true that sweet-flavored nicotine products are targeting youth?
       Is it true that sweet-flavored nicotine products are targeting youth?


What Is Tobacco Harm Reduction?

Harm reduction is the principle that it is often inappropriate to just demand that people forgo an activity because it entails risks, and therefore it is wise to reduce the risks instead. Typically it is used to refer to activities that some people consider “immoral” and thus are inclined to demand that they just cease – such as sexual activity (where condoms serve as harm reduction) or injection drug use (where providing clean needles serves as harm reduction). But this principle applies to activities without such stigma as well. For example, motorized transport is quite dangerous, but society does not tell people to avoid it (not even for “unnecessary” travel); rather, we provide seatbelts and other safety features and try to make the roads safe. For stigmatized behaviors, the justification for harm reduction often includes the observation that even if one wants to end the activity, it is not going to happen, so better to make it less harmful (e.g., teenagers are going to have sex, so better that they use condoms).PSA_Bicycle

Tobacco harm reduction applies these principles to tobacco use. In particular, it encourages people who are going to use tobacco to not smoke (which is extremely hazardous) but to use low-risk alternatives instead. Most smoke-free tobacco/nicotine products, including smokeless tobacco, e-cigarettes, and NRT (pharmaceutical nicotine) are roughly 99% less harmful than smoking, and many would-be smokers find one or more of them to be a good alternative to smoking. It must be stressed just how great the harm reduction is with THR. Other attempts to reduce harm by offering lower-risk forms of the behavior (ie. seat belts, bike helmets) reduce the risk by 10% or 50%, whereas THR comes very close to eliminating the risks entirely.

What Is An E-cigarette?

An e-cigarette is a smoke-free device used almost exclusively as an alternative to smoking. They generally consist of a tube-shaped battery, an “atomizer”P1100738 (heating coil) that heats the liquid to produce an aerosol (which is called “vapor”), and a cartridge or “tank” to hold the liquid. Basic models that are most commonly sold in convenience stores and gas stations have a similar size, shape and look of a conventional cigarette, while more advanced models sold online and in specialty e-cigarette stores are generally larger and do not resemble a conventional cigarette.

E-cigarettes are very low risk compared to smoking, estimated to pose in the neighborhood of 1/100th the risk. Many of those who use e-cigarettes felt like they would never be able to quit smoking until they discovered that e-cigarettes were a satisfying substitute. The devices provide an alternative source of nicotine, one of the most compelling aspects of smoking, but without the harmful smoke (nicotine absent smoke has risks that are so low as to be undetectable). E-cigarettes further simulate the smoking experience by delivering an aerosol that is similar to inhaling smoke, as well as offering similar hand-and-mouth experience. (Other low-risk smoke-free products also deliver nicotine but do not provide the rest of the experience).

Some opponents of e-cigarettes have made an analogy of the harm reduction potential of e-cigarettes compared to smoking as “jumping out of the 15th story instead of the 100th story of a building.” This is a gross misrepresentation of how much lower the risks of any smoke-free products are compared to smoking. Realistically, using the same analogy, it’s more like jumping from the 100th story or taking the stairs!