I've heard back from the woman from ASH and she said it's ok to publish her email, so here is what she said:
Dear Kate,
First let me say that I agree that "electronic cigarettes" could take
off in a big way and I am as pleased about that as you are. Nicotine is
one of the least harmful components in tobacco but it is the one that
gives most of the pleasure. Far from campaigning against this kind of
product, we have been campaigning for some time for products that give
smokers the rewards they seek from smoking without the harm they cause
themselves and those around them.
I don't know how you feel about the evidence on secondhand smoke but the
scientific and medical consensus is that it is harmful. At the very
least it causes asthma attacks in people with asthma (Asthma UK estimate
that there are around 4 million adults with asthma in the country) but
there is also good evidence that it has a role in cot deaths, in causing
asthma in childhood and most recently, in triggering heart attacks in
adults. One of the great things about these new nicotine products is
that they don't involve smoke.
We've been campaigning for the last couple of years on a simple design
change to cigarettes that will make them go out if they are left
unsmoked and so reduce fire risk somewhat. At the moment almost all
cigarettes in the UK are manufactured in such a way as to ensure that
they will burn their full length. That is good for the tobacco
manufacturers but I can't see how it helps smokers. At best it wastes
your cigarette and at worst it could cause a fire and smoking related
fires are the largest cause of domestic fire deaths in the UK. Smokers
and their families are of course, most at risk particularly those who
live in over-crowded housing. We've been campaigning for "reduced
ignition propensity" cigarettes as they are called, but I agree, the
E-cigarette is safer still as it has no burning end.
We have long been of the view that smokers who are required not to smoke
(mostly in the interest of others) should get society's support in
return. One way to do that is to make it easier for them to stick by
this new law by making safer nicotine products like the E-cigarette more
widely available. This has led some to suggest that we get financial
support from the pharmaceutical industry. That's not true. In fact,
current Nicotine Replacement Therapy is designed and marketed to help
smokers quit, that is fine for smokers who want to quit but smokers who
don't want to quit need something different. A patch can take an hour to
take effect and lasts all day, that might help a smoker who is on a long
haul flight (or one who wants to get through Christmas day with the kids
without going out into the cold for a cigarette) but it doesn't help
with the need for a quick fix in the pub or while taking the kids to
school in the morning. For these smokers, stronger, faster acting
products are needed. Some argue that these are more addictive than the
existing products but, let's face it, they are still less addictive (and
much less harmful) than cigarettes. Pubs and bingo halls could find a
lot of merit in selling these products in vending machines or behind the
bar.
The generally accepted rule is that we should be free to do what we like
as long as it doesn't harm others. The reason the "smokefree debate"
turned out the way it did was because increasingly people recognise that
smoking harms those around us. The same cannot be said of these products
but at the moment they are pretty expensive and not a choice that is
open to poorer smokers. ASH would like to see the price of safer
nicotine products fall so that they are within every smoker's reach.
Finally, as I said above, smokers who replace an occasional cigarette
with one of these products are reducing the harm they cause themselves
from smoking. Who knows, some might even decide that they can quit
completely after all - and that the nicotine products can help them.
Naturally, I would see that as a bonus.
As you rightly state in your email, as an independent charity we cannot
be seen to endorse these products but we are watching their growth of
use with interest.
Kind regards,
Rebecca
Rebecca Kingdom-Kruszewski
Web Manger
Action on Smoking and Health
First Floor
144-145 Shoreditch High Street
London E1 6JE
T: 0207 739 5902