I submitted the following testimony at
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Please approve Part II of SB 2819 since it would wisely ban the sale of electronic cigarettes (e-cigarettes) to minors, but please remove Part I from the bill because a 70% tax on the products would harm public health (by discouraging smokers from switching to far less hazardous e-cigarettes), would decimate existing e-cigarette companies in Hawaii and would generate very little state revenue (by encouraging e-cigarette consumers in Hawaii to instead purchase the products via the Internet and mail order from other states to avoid the excise tax).
Further, the definition of an e-cigarette in SB 2819 is overly broad and could result in multiple 70% taxes on e-cigarette components, and a 70% tax on components that are also used for non e-cigarette products (e.g. mechanical heating element, battery, electronic circuit, component, or related product, whether manufactured, distributed, marketed, or sold).
Please note that since I founded Smokefree Pennsylvania in 1990, we’ve advocated policies to reduce
tobacco smoke pollution indoors, increase cigarette taxes, reduce
tobacco marketing to youth, preserve civil justice remedies for those injured by cigarettes, and expand smoking cessation services. For disclosure, neither Smokefree Pennsylvania nor I have ever received any funding from a tobacco, drug, e-cigarette or any other company that markets tobacco or nicotine products.
In 2006, I coauthored a comprehensive scientific report "Tobacco harm reduction: an alternative cessation strategy for inveterate smokers" at
HRJ | Full text | Tobacco harm reduction: an alternative cessation strategy for inveterate smokers and in 2007 the Royal College of Physicians
issued a similar report "Harm reduction in nicotine addiction; Helping people who can't quit" at
http://www.tobaccoprogram.org/pdf/4fc74817-64c5-4105-951e-38239b09c5db.pdf.
Epidemiology studies have consistently found that cigarette smoking poses 100 times greater morbidity and mortality risks than use of smokeless tobacco products in the US and Sweden, and indicate that all other noncombustible tobacco/nicotine products (including e-cigarettes, nicotine gums, lozenges, patches) also are 99% less hazardous alternatives to cigarettes.
Smokers who switch to smokefree tobacco/nicotine products reduce their health risks nearly as much as smokers who quit all tobacco/nicotine usage, and several million smokers in the US have already switched to smokeless tobacco products, e-cigarettes and/or NRT products.
More than one million smokers in the US have quit smoking or sharply reduced their cigarette consumption by switching to or substituting smokefree e-cigarettes. To date, there is no evidence that e-cigarette usage has harmed anyone, which is logical since the products emit a tiny amount of vaporized nicotine (similar to nicotine inhalers that are marketed as smoking cessation aids) and water vapor. All of the dozen plus laboratory tests conducted on e-cigarettes found that e-cigarettes emit no hazardous levels of any constitutents, and that levels of nitrosamines in e-cigarettes are nearly identical (i.e. very little if any) to those in nicotine gums and patches.
http://www.healthnz.co.nz/RuyanCartridgeReport30-Oct-08.pdf
http://www.starscientific.com/404/stepanov tsna in.pdf
http://www.healthnz.co.nz/DublinEcigBenchtopHandout.pdf
http://www.casaa.org/files/Study_TSNAs_in_NJOY_Vapor.pdf
Lab Reports / E Liquid Facts / Totally Wicked
http://cdn.johnsoncreeksmokejuice.com/downloads/JCE_GCMS_Report.pdf
http://www.libertystix.com/LibertyStixLabAnalysis072309.pdf
http://truthaboutecigs.com/science/8.pdf
http://www.casaa.org/files/Exponent Response-to-the-FDA-Summary.pdf
http://www.hsph.harvard.edu/centers-institutes/population-development/files/article.jphp.pdf
Taylor & Francis Online :: ANALYSIS OF ELECTRONIC CIGARETTE CARTRIDGES, REFILL SOLUTIONS, AND SMOKE FOR NICOTINE AND NICOTINE RELATED IMPURITIES - Journal of Liquid Chromatography & Related Technologies - Volume 34, Issue 14
A Literature Review for Glycerol and Glycols for Entertainment Services & Technology Association also found no health risks to humans
http://tsp.plasa.org/tsp/working_groups/FS/docs/HSE.pdf, while new pharmacology, pharmacokinetic and toxicology studies at
http://www.sciencedirect.com/science/article/pii/S0300483X11002095 found that laboratory animals were not harmed by very high levels of propylene glycol aerosol.
E-cigarettes also have been found to contain/emit similar or lower levels of nicotine than nicotine gums and lozenges
http://www.healthnz.co.nz/2010 Bullen ECig.pdf and
http://www.casaa.org/files/Virgiania Commonwealth University Study.pdf. This indicates that e-cigarettes emit enough to satisfy the cravings of smokers, but may not emit enough nicotine to addict nonsmokers. There is no evidence that any youth or non-tobacco users have become addicted to e-cigarettes.
Many published surveys have confirmed that e-cigarettes satisfy the cravings of smokers, help many smokers quit and/or sharply reduce cigarette consumption, and provide perceived health benefits to users who switched from cigarettes.
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http://www.biomedcentral.com/content/pdf/1471-2458-10-231.pdf
THR2010. (tobaccoharmreduction.org) (see chapter 9)
http://ectoh.org/documents/3B.5 Ett...ation satisfaction and perceived efficacy.pdf
http://www.ajpmonline.org/webfiles/images/journals/AMEPRE/AMEPRE3013.pdf
Electronic cigarettes (e-cigs): views of af... [Int J Clin Pract. 2011] - PubMed - NCBI
Electronic Cigarettes
A recently published e-cigarette study at
CASAA.org found that 22.5% of participating smokers remained smokefree after 24 weeks and another 32.5% of participants reduced daily cigarette consumption by 50%, including 12.5% who reduced daily cigarette consumption by 80%.
A Japanese study similarly found e-cigarettes to be effective for decreasing cigarette consumption
SEIKATSUEISEI : Vol. 55 (2011) , No. 1 p.59-64, while a recent case study found e-cigarettes effective for smoking cessation among depressed patients
http://www.scirp.org/journal/PaperInformation.aspx?paperID=6134&publishStatus=2.
Former FDA Commissioner David Kessler has also acknowledged the benefits of smokeless tobacco, dissolvables and e-cigarettes as less hazardous alternatives for cigarette smokers at
http://www.westport-news.com/busine...-Commissioner-talks-about-tobacco-1735433.php by stating "there's no doubt that in terms of risk of death there are some advantages to that substitution."
Other public health organizations that have extensively studied e-cigarettes have also endorsed their use by smokers, including The American Association of Public Health Physicians
Regulations.gov and the American Council on Science and Health
NEJM editorial: e-cigarette users should resume smoking for their own good > Facts & Fears > ACSH.
Once again, please remove the 70% tax from SB 2819, and then approve the bill to ban e-cigarette sales to minors.
Sincerely,
William T. Godshall, MPH
Executive Director
Smokefree Pennsylvania
1926 Monongahela Avenue
Pittsburgh PA 15218
412-351-5880
smokefree@compuserve.com