Stanton Glantz, PhD's blog

Even more evidence that ecigs increase risk of starting to smoke cigs, this time from Scotland and Canada

While the evidence that kids who initiate tobacco product use is already pretty bulletproof, all the studies so far have been from the US.  Now two new studies, one from Scotland and one from Canada, are taking the case global.
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Big tobacco is terrified of SF law ending sale of flavored and menthol tobacco products; the Empire Strikes Back

When I testified in support of Supervisor Malia Cohen’s ordinance ending the sale of flavored and menthol tobacco products in San Francisco, I talked about how it had the same feeling as in 1983 when I testified for San Francisco’s new smoking restriction law.  While laws restricting flavored tobacco product sales already existed, the San Francisco ordinance, now signed into law to take effect in April 2018, is the strongest to date and will serve as a model for other local governme Read more »

San Francisco passes landmark ban on sale of flavored tobacco products, including menthol

Earlier this week the San Francisco Board of Supervisors (the local legislative body) unanimously passed second reading of the strongest law in the country limiting sales of flavored tobacco products.  It prohibits sale of all flavored tobacco products, including menthol, anywhere in the City and County of San Francisco.  Mayor Ed Lee has already said that he will sign the law.  It will take effect April 1, 2018.
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Longitudinal studies show that kids who vape are 4 times more likely to start smoking cigs

Samir Soneji and colleagues just published a meta-analysis of 9 longitudinal studies that examined the effect of e-cigarette use on subsequent cigarette smoking behavior.  Each of these 9 studies started with kids who had never smoked a cigarette and compared the odds that they would go on to smoke cigarettes later (usually a year later) among kids who were and were not using e-cigarettes at baseline (the beginning of the study).  They found that the pooled odds ratio for subsequent cigarette initiati Read more »

Public comment we submitted the CA Bureau of Medical Cannabis Regulation: Rule too lax to protect public health

Comment on Proposed Regulation

April 18, 2017
Candice Bowling, JD, MPA[*]
Postdoctoral Fellow
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Over time young adults who use e-cigarettes smoke more not less; ecigs enhancing harm by making tobacco epidemic worse

In March 2014 Lauren Dutra and I published Electronic Cigarettes and Conventional Cigarette Use Among US Adolescents: A Cross-sectional Study in JAMA Pediatrics.  This paper showed that those youth who experimented with cigarettes (i.e., answered “yes” to the question “Have you ever smoked a cigarette, even a puff?”) were much more likely to be established smokers (smoked 100 cigarettes) than youth who did not use e-cigarettes.  We concluded “Use of e-cigarettes does not discourage, and may encourage, conventional Read more »

Public comment we submitted to the California Dept of Health on Proposed Marijuana Regulation: Too Lax to Protect Public Health

Comment on Proposed Regulation:
Medical Cannabis Manufacturing License
April 18, 2017
Daniel G. Orenstein, JD, MPH
Postdoctoral Fellow
Candice M. Bowling, JD, MPA
Postdoctoral Fellow
Stanton A. Glantz, PhD
Professor of Medicine Read more »

FDA’s Proposed Collection of Information on the Experimental Study on Warning Statements for Cigarette Graphic Health Warnings

On May 26, 2017, we submitted this public comment on FDA's proposal to do more research on text warning labels for cigarettes.  The tracking number is 1k1-8wlw-uulv.  It is available as a PDF here./sites/
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Factual text vs emotional pictures in cigarette warning labels is a false dichotomy

The FDA’s initial effort to implement graphic warning labels was blocked by the courts because warnings are supposed to be “factual” not “emotional.”  Lucy Popova and colleagues just published a nice paper showing that this is a false dichotomy.  The paper, “Factual text and emotional pictures: overcoming a false dichotomy of cigarette warning labels,” was published in Tobacco Control.
Here is the abstract:
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San Francisco Supervisor introduces comprehensive law to end sale of menthol and other favored tobacco products in San Francisco

On Monday April 17, 2017, Supervisor Malia Cohen introduced legislation to prohibit the sale of all flavored tobacco products, including menthol, in the City and County of San Francisco.  While several other cities have enacted restrictions on flavors (and some that included menthol), this is the first blanket prohibition.
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