Showing posts with label Swedish experience. Show all posts
Showing posts with label Swedish experience. Show all posts

Thursday, March 14, 2024

The Japanese Tobacco Miracle the World is Overlooking


Smokers in Japan consumed 92.4 billion cigarettes in 2023 -- less than half as many as they did in 2014.  Since vapor products are illegal there, the impressive decline is likely due to the introduction of heat-not-burn tobacco products, which didn’t exist in 2014, but accounted for 38% of the Japanese tobacco market in 2023.  Notably, this progress occurred in an overall declining tobacco market. 

UK tobacco harm reduction advocate Clive Bates previously opined: “The only mystery is why the skies over Tokyo are not dark with chartered planes bringing officials from WHO, FDA, Truth Initiative, the Campaign for Tobacco-Free Kids, the European Commission and others on an emergency mission to learn about this most extraordinary shift.  What is the secret they would find? ‘Do nothing, stay out of the way....’  There was very little involvement from tobacco control – the demise of cigarettes in Japan has been driven by the market and consumer preference.”

Those officials should also be landing in Stockholm, the capital of the only country that has had comparatively minuscule smoking rates among men and is close to being officially smoke-free.

Instead, the WHO and its nicotine/tobacco prohibitionist allies persist in meddling with the natural demise of smoking that will result from the proliferation of vastly safer and satisfying cigarette substitutes.

One positive development to note: The U.S. FDA authorized the IQOS heat-not-burn system as a reduced exposure alternative to cigarettes on July 7, 2020, greenlighting these claims:

“AVAILABLE EVIDENCE TO DATE:

  • The IQOS system heats tobacco but does not burn it.
  • This significantly reduces the production of harmful and potentially harmful chemicals.
  • Scientific studies have shown that switching completely from conventional cigarettes to the IQOS system significantly reduces your body’s exposure to harmful or potentially harmful chemicals.

The FDA advised that its approval “is expected to benefit the health of the population as a whole.

Unfortunately, a patent dispute in 2021 blocked U.S. IQOS sales, but there is still hope for American smokers for re-introduction of the brand in 2024.

Back in 1995, I wrote (here), “It is not surprising to find that Swedish lung cancer mortality rates have been the lowest in Europe over the past 40 years.  These large scale vital statistics from Sweden…strongly support the suggestion that if tobacco is to be used, it should be in the form of [smokeless tobacco, ST] and not cigarettes. The population that uses ST in lieu of smoking is, in effect, protected from lung cancer and other major smoking-related diseases and suffers little or no increased risk of oral cancer.”  Seven years later I spent six months conducting research in Sweden and publishing a series of real-world tobacco harm reduction articles (here). 

The Japanese and Swedish miracles weren’t the result of government programs or anti-tobacco campaigns.  They arose organically, as tobacco users in those countries made rational choices to use smoke-free substitutes instead of cigarettes.

 

 

Monday, May 10, 2021

THR Discussion With Christopher Balkaran on a Strong and Free Podcast

 

I recently had an interview with Christopher Balkaran, the talented Canadian producer of the Strong and Free Podcast.  Christopher is currently exploring tobacco harm reduction, and he gave me ample time to discuss many aspects of safer tobacco products.  My interview is available here.  If you are especially interested in any of the following topics, I’ve listed the times for quick access.  

1.  Why I jumped from a conventional academic career into tobacco harm reduction research and policy…without a parachute.  At 0:45 to 1:40 minutes

2.  One of my main goals: to correct purposeful misinformation about tobacco products, serving the dream of a “tobacco-free society,” that has misled even medical professionals, including me. At 2:20 to 3:55 minutes

3.  I affirmed my opposition to any drug use by adolescents.  At 5:10 to 6:05 minutes

4.  How harm reduction can help smokers, regardless whether they are unable or unwilling to abstain completely from nicotine and tobacco.  Harm reduction… including this advocate…does not judge smokers.  At 7:10 to  and 24:50 to 25:45

5.  How nicotine is no more dangerous than caffeine.  At 8:15 to 9:10 minutes. 

6. How millions of people enjoy using nicotine and tobacco and derive significant benefits; the danger is in the delivery system, smoke versus smoke-free.  At 9:50 to 11:50.

7.  The history of tobacco use dates back long before Columbus “discovered” America.  At 13:25 to 14:25.8.  The campaign to prohibit all nicotine and tobacco didn’t start with e-cigarettes and vape products.  It started in the 1980s when the reputation of smokeless tobacco use was irrevocably ruined by specious claims.  At 15:35 to 17:15

9.  For prohibitionists, all tobacco products aren’t just dangerous, they are evil.  Those claims are now institutionalized by U.S. FDA regulation, which requires tobacco companies to be absolutely silent about their products unless they can prove that they are safer than cigarettes.  At 17:15 to 18:40

10.  “Most men lead lives of quiet desperation.”  Why offering smokers safer substitutes has mattered to me since childhood.  At 21:20 to 23:40

11.  My work to bring to a worldwide audience the “Swedish Experience” with snus use, which has resulted in the lowest smoking-related mortality among men in the developed world. At 27:15 to 36:10

12.  The emerging IQOS heat-not-burn tobacco success story in Japan shows us how a world-class case of corporate self-cannibalization in the free-market setting could save millions of lives. At 36:35 to 43:00

13.  Why inhaling 7,000 chemicals along with nicotine for decades is worse than vaping. And the incredible reduction in these chemicals in IQOS.  At 45:15 to 47:55

14.  Prohibition (of alcohol) failed miserably 100 years ago…so we are going to repeat our mistakes by Prohibition of tobacco?  At 50:00 to 53:50

15.  Tobacco prohibitionists control the media, so they refuse to defend or debate their mission.  This makes them the opposite of strong and free.  At 55:10 to 56:25

Please watch this interview…and post your comments on YouTube.  Let’s keep the discussion going.