Richmond Passes 45-Day Retail Moratorium on Tobacco to Deal With 'Excessive Smoke Shops'
Prop. 31: Should California Ban Flavored Tobacco Products?
FDA Moves to Ban Menthol Cigarettes and Flavored Cigars
Smokers 'Do Much Worse' With Coronavirus — and Many Are Now Trying to Quit
A New Way To Quit? Psychedelic Therapy Offers Promise For Smoking Cessation
Vaping Health Warnings Could Make Ex-Smokers Return to Cigarettes
San Jose Looks to Join Bay Area Cities in Banning E-Cigs, Flavored Tobacco
The California Democratic Vaping Party
Proposed Tobacco Ban Sparks Fiery Debate in Beverly Hills
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Martinez noted, however, that there are also smoke shops within the city currently operating without licenses or violating existing tobacco regulations.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Martinez said the moratorium on new tobacco licenses will allow the city to allocate more resources toward supporting code enforcement efforts on existing businesses.\u003c/p>\n\u003cp>“I think it highlights to the city that we need to hire more people for code enforcement, thereby being able to regulate code compliance,” Martinez said.\u003c/p>\n\u003cp>As for the moratorium itself, Martinez noted that the proposal is part of a larger effort to address additional issues with tobacco retail in Richmond. He added that future plans may include stricter regulations overseeing which tobacco products can be sold and which should be banned. The ordinance advises the city, for example, to consider greater restrictions on vaping products and vapor smoking devices.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11972039,news_11955931,futureofyou_442372\"]Jimenez said the moratorium represents the city’s desire to prioritize businesses that provide residents with healthier options for food and recreation.\u003c/p>\n\u003cp>“What are the options that we want for the community?” she said. “We don’t have many stores where people can have access to fresh fruits and vegetables in the city, and so I think what it will benefit is that the city is putting efforts to try and bring healthy options instead of just a smoke shop or liquor store.”\u003c/p>\n\u003cp>The ordinance is the most recent of several anti-tobacco and anti-drug paraphernalia laws that have made headlines in the Bay Area over the past year. In San Francisco, for example, the Board of Supervisors earlier this month passed \u003ca href=\"https://sfgov.legistar.com/LegislationDetail.aspx?ID=6437696&GUID=A6996F8C-3D78-43DD-AAA5-A7C2A3D9A7E7&Options=&Search=\">an ordinance\u003c/a> prohibiting new smoke shops from opening North of Market and in the Lower Polk Street commercial district.\u003c/p>\n\u003cp>Richmond’s City Council has the option of extending the moratorium for more than 10 months following a public hearing.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Richmond Mayor Eduardo Martinez said the measure was approved ‘at the request of Richmond residents’ to enforce codes and tackle unlicensed tobacco shops.\r\n","status":"publish","parent":0,"modified":1713382078,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":444},"headData":{"title":"Richmond Passes 45-Day Retail Moratorium on Tobacco to Deal With 'Excessive Smoke Shops' | KQED","description":"Richmond Mayor Eduardo Martinez said the measure was approved ‘at the request of Richmond residents’ to enforce codes and tackle unlicensed tobacco shops.\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Richmond Passes 45-Day Retail Moratorium on Tobacco to Deal With 'Excessive Smoke Shops'","datePublished":"2024-04-17T19:00:56.000Z","dateModified":"2024-04-17T19:27:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"Samantha Lim","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11983224/richmond-passes-45-day-retail-moratorium-on-tobacco-to-deal-with-excessive-smoke-shops","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Amid community concerns regarding an over-proliferation of tobacco and smoke shops in the city, the Richmond City Council voted on Tuesday to unanimously approve a \u003ca href=\"https://pub-richmond.escribemeetings.com/filestream.ashx?DocumentId=53437\">tobacco retail moratorium\u003c/a> that will place a 45-day hold on granting new licenses.\u003c/p>\n\u003cp>“[The moratorium is] at the request of many Richmond residents,” said Mayor Eduardo Martinez, one of the ordinance’s original proponents. “We’ve gotten a lot of complaints of excessive smoke shops, and they seem to take issue with the sort of traffic that comes through.”\u003c/p>\n\u003cp>Other co-sponsors of the ordinance include Vice Mayor Claudia Jimenez and City Councilmember Melvin Willis.\u003c/p>\n\u003cp>In Richmond, there are currently 78 licensed tobacco retailers, according to a press release from the Mayor’s Office. Martinez noted, however, that there are also smoke shops within the city currently operating without licenses or violating existing tobacco regulations.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Martinez said the moratorium on new tobacco licenses will allow the city to allocate more resources toward supporting code enforcement efforts on existing businesses.\u003c/p>\n\u003cp>“I think it highlights to the city that we need to hire more people for code enforcement, thereby being able to regulate code compliance,” Martinez said.\u003c/p>\n\u003cp>As for the moratorium itself, Martinez noted that the proposal is part of a larger effort to address additional issues with tobacco retail in Richmond. He added that future plans may include stricter regulations overseeing which tobacco products can be sold and which should be banned. The ordinance advises the city, for example, to consider greater restrictions on vaping products and vapor smoking devices.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11972039,news_11955931,futureofyou_442372"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Jimenez said the moratorium represents the city’s desire to prioritize businesses that provide residents with healthier options for food and recreation.\u003c/p>\n\u003cp>“What are the options that we want for the community?” she said. “We don’t have many stores where people can have access to fresh fruits and vegetables in the city, and so I think what it will benefit is that the city is putting efforts to try and bring healthy options instead of just a smoke shop or liquor store.”\u003c/p>\n\u003cp>The ordinance is the most recent of several anti-tobacco and anti-drug paraphernalia laws that have made headlines in the Bay Area over the past year. In San Francisco, for example, the Board of Supervisors earlier this month passed \u003ca href=\"https://sfgov.legistar.com/LegislationDetail.aspx?ID=6437696&GUID=A6996F8C-3D78-43DD-AAA5-A7C2A3D9A7E7&Options=&Search=\">an ordinance\u003c/a> prohibiting new smoke shops from opening North of Market and in the Lower Polk Street commercial district.\u003c/p>\n\u003cp>Richmond’s City Council has the option of extending the moratorium for more than 10 months following a public hearing.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11983224/richmond-passes-45-day-retail-moratorium-on-tobacco-to-deal-with-excessive-smoke-shops","authors":["byline_news_11983224"],"categories":["news_8"],"tags":["news_27626","news_579","news_458","news_2629","news_22857"],"featImg":"news_11983228","label":"news"},"news_11927825":{"type":"posts","id":"news_11927825","meta":{"index":"posts_1591205157","site":"news","id":"11927825","score":null,"sort":[1665136822000]},"guestAuthors":[],"slug":"prop-31-should-california-ban-flavored-tobacco-products","title":"Prop. 31: Should California Ban Flavored Tobacco Products?","publishDate":1665136822,"format":"audio","headTitle":"Prop. 31: Should California Ban Flavored Tobacco Products? | KQED","labelTerm":{},"content":"\u003cp>In 2020, California lawmakers passed SB 793, which banned the retail sale of flavored tobacco products that can be smoked, vaped, or eaten statewide.\u003c/p>\n\u003cp>But shortly after that, tobacco companies worked to put Prop. 31 on the ballot, taking the issue directly to the voters. It asks California voters whether to uphold that 2020 ban, or do away with it.\u003c/p>\n\u003cp>\u003cstrong>Guest: \u003c/strong>\u003ca href=\"https://twitter.com/lesleywmcclurg\" target=\"_blank\" rel=\"noopener noreferrer\">Lesley McClurg\u003c/a>, KQED health correspondent\u003c/p>\n\u003cdiv class=\"card card--enclosed grey\">\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm?e=KQINC2480616920&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1700690277,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":5,"wordCount":68},"headData":{"title":"Prop. 31: Should California Ban Flavored Tobacco Products? | KQED","description":"In 2020, California lawmakers passed SB 793, which banned the retail sale of flavored tobacco products that can be smoked, vaped, or eaten statewide. But shortly after that, tobacco companies worked to put Prop. 31 on the ballot, taking the issue directly to the voters. It asks California voters whether to uphold that 2020 ban,","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Prop. 31: Should California Ban Flavored Tobacco Products?","datePublished":"2022-10-07T10:00:22.000Z","dateModified":"2023-11-22T21:57:57.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"source":"The Bay","sourceUrl":"https://www.kqed.org/podcasts/thebay","audioUrl":"https://www.podtrac.com/pts/redirect.mp3/traffic.megaphone.fm/KQINC2480616920.mp3","excludeFromSiteSearch":"Include","path":"/news/11927825/prop-31-should-california-ban-flavored-tobacco-products","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In 2020, California lawmakers passed SB 793, which banned the retail sale of flavored tobacco products that can be smoked, vaped, or eaten statewide.\u003c/p>\n\u003cp>But shortly after that, tobacco companies worked to put Prop. 31 on the ballot, taking the issue directly to the voters. It asks California voters whether to uphold that 2020 ban, or do away with it.\u003c/p>\n\u003cp>\u003cstrong>Guest: \u003c/strong>\u003ca href=\"https://twitter.com/lesleywmcclurg\" target=\"_blank\" rel=\"noopener noreferrer\">Lesley McClurg\u003c/a>, KQED health correspondent\u003c/p>\n\u003cdiv class=\"card card--enclosed grey\">\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm?e=KQINC2480616920&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11927825/prop-31-should-california-ban-flavored-tobacco-products","authors":["8654","11229","11802","11649"],"programs":["news_28779"],"categories":["news_8","news_33520"],"tags":["news_31686","news_28645","news_458","news_22598","news_2629"],"featImg":"news_11927835","label":"source_news_11927825"},"news_11871714":{"type":"posts","id":"news_11871714","meta":{"index":"posts_1591205157","site":"news","id":"11871714","score":null,"sort":[1619733052000]},"guestAuthors":[],"slug":"fda-moves-to-ban-menthol-cigarettes-and-flavored-cigars","title":"FDA Moves to Ban Menthol Cigarettes and Flavored Cigars","publishDate":1619733052,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>\u003cstrong>Updated April 29, 2021 at 4:52 PM ET\u003c/strong>\u003c/p>\n\u003cp>The U.S. Food and Drug Administration says it is moving to ban menthol cigarettes and flavored cigars, based on the evidence of the addictiveness and harm of the products. Tobacco companies have long targeted African Americans with advertising for menthol cigarettes.\u003c/p>\n\u003cp>\"Banning menthol — the last allowable flavor — in cigarettes and banning all flavors in cigars will help save lives, particularly among those disproportionately affected by these deadly products,\" acting FDA Commissioner Dr. Janet Woodcock said in \u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-commits-evidence-based-actions-aimed-saving-lives-and-preventing-future-generations-smokers\">a statement\u003c/a> Thursday. \u003c/p>\n\u003cp>\"With these actions, the FDA will help significantly reduce youth initiation, increase the chances of smoking cessation among current smokers, and address health disparities experienced by communities of color, low-income populations and LGBTQ+ individuals, all of whom are far more likely to use these tobacco products,\" Woodcock added.\u003c/p>\n\u003cp>A potential ban by the FDA would only apply to manufacturers, distributors, wholesalers, importers and retailers. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The agency says it will focus on keeping the products off the market, as opposed to targeting individual use: \"The FDA cannot and will not enforce against individual consumer possession or use of menthol cigarettes or any tobacco product.\"\u003c/p>\n\u003cp>The move follows previous actions that banned other flavored cigarettes in 2009. While the FDA made\u003ca href=\"https://www.npr.org/sections/health-shots/2018/11/15/668192356/fda-seeks-ban-on-menthol-cigarettes-to-fight-teen-smoking\"> a similar announcement\u003c/a> to prohibit menthol cigarettes in 2018 during the Trump administration, a ban did not come to pass.\u003c/p>\n\u003cp>White House spokeswoman Karine Jean-Pierre said Thursday that the proposed ban \"is a public health decision that will help curb addiction and save lives.\"\u003c/p>\n\u003cp>\"If implemented, these rules affect only commercial activity,\" she emphasized, noting the FDA does not regulate tobacco possession.\u003c/p>\n\u003cp>The FDA said that \"menthol masks unpleasant flavors and harshness of tobacco products, making them easier to start using. Tobacco products with menthol can also be more addictive and harder to quit by enhancing the effects of nicotine.\" \u003c/p>\n\u003cp>African American adults have the highest percentage of menthol cigarette use compared with other racial and ethnic groups, \u003ca href=\"https://www.cdc.gov/tobacco/disparities/african-americans/index.htm\">according\u003c/a> to the Centers for Disease Control and Prevention. \u003c/p>\n\u003cp>The FDA said about 18.6 million people in the U.S. currently smoke menthol cigarettes, but their use is uneven: Almost 85% of Black smokers use menthol cigarettes, compared to 30% of white smokers.\u003c/p>\n\u003cp>The NAACP welcomed the FDA's announcement.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside tag=\"smoking\" label=\"Related Stories\"]\u003c/span>\u003c/p>\n\u003cp>\"For decades, data have shown that the tobacco industry has successfully and intentionally marketed mentholated cigarettes to African Americans and particularly African American women as 'replacement smokers;' that menthol smokers have a harder time quitting smoking; and that tobacco use is a major contributor to heart disease, cancer, and stroke – three leading causes of death among African Americans,\" NAACP President and CEO Derrick Johnson said in a statement.\u003c/p>\n\u003cp>\"The ban by the FDA is long overdue to protect the health of African Americans and to reduce the deleterious impact of menthol smoking and tobacco use overall on America's health,\" he said.\u003c/p>\n\u003cp>But tobacco giant Altria, parent company of Philip Morris USA, argued that a ban won't work.\u003c/p>\n\u003cp>\"We share the common goal of moving adult smokers from cigarettes to potentially less harmful alternatives, but prohibition does not work,\" Altria spokesman George Parman said in a statement to NPR. \"A far better approach is to support the establishment of a marketplace of FDA-authorized non-combustible alternatives that are attractive to adult smokers.\"\u003c/p>\n\u003cp>Altria said it will review the FDA's announcement and engage in the rule-making process \"with a focus on the science and evidence.\"\u003c/p>\n\u003cp>But the American Medical Association\u003ca href=\"https://www.ama-assn.org/press-center/press-releases/fda-agrees-ban-menthol-protect-african-americans\"> said the evidence\u003c/a> is clear on the harmful impacts of menthols and called the FDA's decision long overdue. It pointed to an FDA finding that if menthol cigarettes had been removed from the marketplace in 2010, \"by 2020, roughly 17,000 premature deaths would have been avoided and about 2.3 million people would not have started smoking.\" \u003c/p>\n\u003cp>The goal of the ban is to reduce tobacco addiction and curb deaths, the FDA said. It cited a study suggesting that banning menthol cigarettes in the U.S. \"would lead an additional 923,000 smokers to quit, including 230,000 African Americans in the first 13 to 17 months after a ban goes into effect.\"\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Phillip Gardiner, African American Tobacco Control Leadership Council co-chair\"]'This is a major step forward in Saving Black Lives; however, this is not the end of this fight, only the next stage. We know that this rule making process could take years and we know that the tobacco industry will continue to do everything in their power to derail any attempt to remove their deadly products from the market.'[/pullquote]\u003c/p>\n\u003cp>The African American Tobacco Control Leadership Council has long pushed to ban menthol cigarettes.\u003c/p>\n\u003cp>\"This is a major step forward in Saving Black Lives; however, this is not the end of this fight, only the next stage,\" Phillip Gardiner, the council's co-chair, said in a statement. \"We know that this rule making process could take years and we know that the tobacco industry will continue to do everything in their power to derail any attempt to remove their deadly products from the market.\"\u003c/p>\n\u003cp>In advance of the announcement, California Gov. Gavin Newsom urged the federal government in a news release Wednesday “to follow California’s leadership to protect public health and advance racial equity by moving to ban menthol-flavored cigarettes.”\u003c/p>\n\u003cp>“For decades, Big Tobacco has targeted and profited from Black communities with marketing for minty menthol cigarettes and as a result, smoking-related illnesses are the number one cause of death among Black Americans,” Newsom said.\u003c/p>\n\u003cp>Newsom cited Senate Bill 793, a law he signed last year that eliminated flavored e-cigarettes and menthol tobacco products “that lure our kids.”\u003c/p>\n\u003cp>The FDA will publish the proposed rule in the Federal Register, allow time for public comment and then make any revisions before publishing the final rule. \u003c/p>\n\u003cp>The FDA's announcement is the culmination of years of effort and wait by public health groups – and the work isn't over yet, said Joanna Cohen, a professor at the Johns Hopkins Bloomberg School of Public Health.\u003c/p>\n\u003cp>If the FDA publishes a final rule, Cohen said, \"the tobacco companies will most likely sue,\" as they have with other proposed regulations on tobacco products. \u003c/p>\n\u003cp>Cohen noted that the FDA's announcement does not include e-cigarette cartridges. The FDA banned most flavored cartridges last year (\u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-finalizes-enforcement-policy-unauthorized-flavored-cartridge-based-e-cigarettes-appeal-children\">except\u003c/a> tobacco and menthol flavors) – which Cohen says spurred vapers to instead simply buy devices that preload the flavors.\u003c/p>\n\u003cp>In that way, she said, tobacco control is like a balloon. \u003c/p>\n\u003cp>\"If you squeeze in one area, the balloon — the tobacco industry — is just going to expand into some other area,\" Cohen said. \"So you have to really be thoughtful and comprehensive whenever you do one of these things, because if you're not careful, it moves the problem.\" \u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Menthol has been the last allowable flavor in cigarettes, and the FDA says marginalized communities are far more likely to use these products.","status":"publish","parent":0,"modified":1619735064,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":36,"wordCount":1181},"headData":{"title":"FDA Moves to Ban Menthol Cigarettes and Flavored Cigars | KQED","description":"Menthol has been the last allowable flavor in cigarettes, and the FDA says marginalized communities are far more likely to use these products.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"FDA Moves to Ban Menthol Cigarettes and Flavored Cigars","datePublished":"2021-04-29T21:50:52.000Z","dateModified":"2021-04-29T22:24:24.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11871714 https://ww2.kqed.org/news/?p=11871714","disqusUrl":"https://ww2.kqed.org/news/2021/04/29/fda-moves-to-ban-menthol-cigarettes-and-flavored-cigars/","disqusTitle":"FDA Moves to Ban Menthol Cigarettes and Flavored Cigars","source":"NPR","sourceUrl":"https://www.npr.org/","nprImageCredit":"Jeff Chiu","nprByline":"Laurel Wamsley","nprImageAgency":"AP","nprStoryId":"991973192","nprApiLink":"http://api.npr.org/query?id=991973192&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/2021/04/29/991973192/fda-moves-to-ban-menthol-cigarettes-and-flavored-cigars?ft=nprml&f=991973192","nprRetrievedStory":"1","nprPubDate":"Thu, 29 Apr 2021 16:52:00 -0400","nprStoryDate":"Thu, 29 Apr 2021 10:54:19 -0400","nprLastModifiedDate":"Thu, 29 Apr 2021 16:52:50 -0400","path":"/news/11871714/fda-moves-to-ban-menthol-cigarettes-and-flavored-cigars","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Updated April 29, 2021 at 4:52 PM ET\u003c/strong>\u003c/p>\n\u003cp>The U.S. Food and Drug Administration says it is moving to ban menthol cigarettes and flavored cigars, based on the evidence of the addictiveness and harm of the products. Tobacco companies have long targeted African Americans with advertising for menthol cigarettes.\u003c/p>\n\u003cp>\"Banning menthol — the last allowable flavor — in cigarettes and banning all flavors in cigars will help save lives, particularly among those disproportionately affected by these deadly products,\" acting FDA Commissioner Dr. Janet Woodcock said in \u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-commits-evidence-based-actions-aimed-saving-lives-and-preventing-future-generations-smokers\">a statement\u003c/a> Thursday. \u003c/p>\n\u003cp>\"With these actions, the FDA will help significantly reduce youth initiation, increase the chances of smoking cessation among current smokers, and address health disparities experienced by communities of color, low-income populations and LGBTQ+ individuals, all of whom are far more likely to use these tobacco products,\" Woodcock added.\u003c/p>\n\u003cp>A potential ban by the FDA would only apply to manufacturers, distributors, wholesalers, importers and retailers. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The agency says it will focus on keeping the products off the market, as opposed to targeting individual use: \"The FDA cannot and will not enforce against individual consumer possession or use of menthol cigarettes or any tobacco product.\"\u003c/p>\n\u003cp>The move follows previous actions that banned other flavored cigarettes in 2009. While the FDA made\u003ca href=\"https://www.npr.org/sections/health-shots/2018/11/15/668192356/fda-seeks-ban-on-menthol-cigarettes-to-fight-teen-smoking\"> a similar announcement\u003c/a> to prohibit menthol cigarettes in 2018 during the Trump administration, a ban did not come to pass.\u003c/p>\n\u003cp>White House spokeswoman Karine Jean-Pierre said Thursday that the proposed ban \"is a public health decision that will help curb addiction and save lives.\"\u003c/p>\n\u003cp>\"If implemented, these rules affect only commercial activity,\" she emphasized, noting the FDA does not regulate tobacco possession.\u003c/p>\n\u003cp>The FDA said that \"menthol masks unpleasant flavors and harshness of tobacco products, making them easier to start using. Tobacco products with menthol can also be more addictive and harder to quit by enhancing the effects of nicotine.\" \u003c/p>\n\u003cp>African American adults have the highest percentage of menthol cigarette use compared with other racial and ethnic groups, \u003ca href=\"https://www.cdc.gov/tobacco/disparities/african-americans/index.htm\">according\u003c/a> to the Centers for Disease Control and Prevention. \u003c/p>\n\u003cp>The FDA said about 18.6 million people in the U.S. currently smoke menthol cigarettes, but their use is uneven: Almost 85% of Black smokers use menthol cigarettes, compared to 30% of white smokers.\u003c/p>\n\u003cp>The NAACP welcomed the FDA's announcement.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"smoking","label":"Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>\"For decades, data have shown that the tobacco industry has successfully and intentionally marketed mentholated cigarettes to African Americans and particularly African American women as 'replacement smokers;' that menthol smokers have a harder time quitting smoking; and that tobacco use is a major contributor to heart disease, cancer, and stroke – three leading causes of death among African Americans,\" NAACP President and CEO Derrick Johnson said in a statement.\u003c/p>\n\u003cp>\"The ban by the FDA is long overdue to protect the health of African Americans and to reduce the deleterious impact of menthol smoking and tobacco use overall on America's health,\" he said.\u003c/p>\n\u003cp>But tobacco giant Altria, parent company of Philip Morris USA, argued that a ban won't work.\u003c/p>\n\u003cp>\"We share the common goal of moving adult smokers from cigarettes to potentially less harmful alternatives, but prohibition does not work,\" Altria spokesman George Parman said in a statement to NPR. \"A far better approach is to support the establishment of a marketplace of FDA-authorized non-combustible alternatives that are attractive to adult smokers.\"\u003c/p>\n\u003cp>Altria said it will review the FDA's announcement and engage in the rule-making process \"with a focus on the science and evidence.\"\u003c/p>\n\u003cp>But the American Medical Association\u003ca href=\"https://www.ama-assn.org/press-center/press-releases/fda-agrees-ban-menthol-protect-african-americans\"> said the evidence\u003c/a> is clear on the harmful impacts of menthols and called the FDA's decision long overdue. It pointed to an FDA finding that if menthol cigarettes had been removed from the marketplace in 2010, \"by 2020, roughly 17,000 premature deaths would have been avoided and about 2.3 million people would not have started smoking.\" \u003c/p>\n\u003cp>The goal of the ban is to reduce tobacco addiction and curb deaths, the FDA said. It cited a study suggesting that banning menthol cigarettes in the U.S. \"would lead an additional 923,000 smokers to quit, including 230,000 African Americans in the first 13 to 17 months after a ban goes into effect.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'This is a major step forward in Saving Black Lives; however, this is not the end of this fight, only the next stage. We know that this rule making process could take years and we know that the tobacco industry will continue to do everything in their power to derail any attempt to remove their deadly products from the market.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Phillip Gardiner, African American Tobacco Control Leadership Council co-chair","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The African American Tobacco Control Leadership Council has long pushed to ban menthol cigarettes.\u003c/p>\n\u003cp>\"This is a major step forward in Saving Black Lives; however, this is not the end of this fight, only the next stage,\" Phillip Gardiner, the council's co-chair, said in a statement. \"We know that this rule making process could take years and we know that the tobacco industry will continue to do everything in their power to derail any attempt to remove their deadly products from the market.\"\u003c/p>\n\u003cp>In advance of the announcement, California Gov. Gavin Newsom urged the federal government in a news release Wednesday “to follow California’s leadership to protect public health and advance racial equity by moving to ban menthol-flavored cigarettes.”\u003c/p>\n\u003cp>“For decades, Big Tobacco has targeted and profited from Black communities with marketing for minty menthol cigarettes and as a result, smoking-related illnesses are the number one cause of death among Black Americans,” Newsom said.\u003c/p>\n\u003cp>Newsom cited Senate Bill 793, a law he signed last year that eliminated flavored e-cigarettes and menthol tobacco products “that lure our kids.”\u003c/p>\n\u003cp>The FDA will publish the proposed rule in the Federal Register, allow time for public comment and then make any revisions before publishing the final rule. \u003c/p>\n\u003cp>The FDA's announcement is the culmination of years of effort and wait by public health groups – and the work isn't over yet, said Joanna Cohen, a professor at the Johns Hopkins Bloomberg School of Public Health.\u003c/p>\n\u003cp>If the FDA publishes a final rule, Cohen said, \"the tobacco companies will most likely sue,\" as they have with other proposed regulations on tobacco products. \u003c/p>\n\u003cp>Cohen noted that the FDA's announcement does not include e-cigarette cartridges. The FDA banned most flavored cartridges last year (\u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-finalizes-enforcement-policy-unauthorized-flavored-cartridge-based-e-cigarettes-appeal-children\">except\u003c/a> tobacco and menthol flavors) – which Cohen says spurred vapers to instead simply buy devices that preload the flavors.\u003c/p>\n\u003cp>In that way, she said, tobacco control is like a balloon. \u003c/p>\n\u003cp>\"If you squeeze in one area, the balloon — the tobacco industry — is just going to expand into some other area,\" Cohen said. \"So you have to really be thoughtful and comprehensive whenever you do one of these things, because if you're not careful, it moves the problem.\" \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11871714/fda-moves-to-ban-menthol-cigarettes-and-flavored-cigars","authors":["byline_news_11871714"],"categories":["news_457","news_8"],"tags":["news_24056","news_20402","news_29408","news_458"],"featImg":"news_11871715","label":"source_news_11871714"},"news_11813998":{"type":"posts","id":"news_11813998","meta":{"index":"posts_1591205157","site":"news","id":"11813998","score":null,"sort":[1587823253000]},"guestAuthors":[],"slug":"smokers-do-much-worse-with-coronavirus-and-many-are-now-trying-to-quit","title":"Smokers 'Do Much Worse' With Coronavirus — and Many Are Now Trying to Quit","publishDate":1587823253,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>In her 40 years of smoking, Katie Kennedy has tried to quit four times, but always returned to cigarettes. This time, her fifth, she is turning to a new mental image when a craving comes on: rows of COVID-19 patients hooked up to ventilators.\u003c/p>\n\u003cp>Kennedy’s dad also smoked. He was on a ventilator before he died, and Kennedy was struck by how invasive the machine was, and how much discomfort and distress it inflicted on him. She vowed never to die like that.\u003c/p>\n\u003cp>“I just decided it's time to protect my lungs as much as I can,” said Kennedy, 59, who started a cessation class in Sacramento in March. “COVID-19 is quite a motivator.”\u003c/p>\n\u003cp>Early studies suggest that smokers who develop COVID-19 are \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/32118640\">14 times\u003c/a> more likely to need intensive treatment compared to nonsmokers, and twice as likely to die. Doctors in California are seizing this moment to highlight the connection between COVID-19 and smoking as another reason people should quit.\u003c/p>\n\u003cp>The California Smokers’ Helpline (1-800-NO-BUTTS), which provides free advice to help people stop smoking, is redirecting research money to give callers two weeks of nicotine patches at no cost, sent directly to their homes.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Katie Kennedy\"]'I just decided it's time to protect my lungs as much as I can. COVID-19 is quite a motivator'[/pullquote]Calls to the helpline were actually down 27.5% in March, as compared to the same month last year — a drop counselors attribute mainly to people feeling too stressed out to consider quitting. Nonetheless, they say some callers are referencing the coronavirus and the utter upheaval of the stay-at-home order as their inspiration to quit.\u003c/p>\n\u003cp>“I spoke with a gentleman last week who is seriously taking this time to reorganize his life,” said Nallely Espina, a counselor with the helpline. “He’s setting a new routine for himself at home and staying away from his smoker friends, which was one of his main triggers.”\u003c/p>\n\u003cp>Another smoker, in his mid-20s, was prompted to call after he read a news article about how young people who smoke could have more severe health complications if they contract the virus, she said.\u003c/p>\n\u003cp>About half of Espina's callers are using the time at home to revamp their habits, starting yoga, meditation and eating a healthier diet, she said. But the other half are supremely frazzled, being trapped inside with their families.\u003c/p>\n\u003cp>Espina helped one dad come up with some new coping strategies.\u003c/p>\n\u003cp>“Going outside and having that cigarette, it’s his time out from the kids,” she said. “So for him, we decided let's still go outside, but instead of having a cigarette, maybe you spend those minutes doing a few pushups and burpees. And he loved that idea, he went for it.”\u003c/p>\n\u003cp>California public health agencies are incorporating information about the link between smoking and the coronavirus into their social media and public outreach \u003ca href=\"https://www.nobutts.org/covid\">messages\u003c/a>, building on a 30-year legacy of aggressive anti-smoking campaigns and policies.\u003c/p>\n\u003cp>California was the first state to ban smoking on airplanes and in restaurants and bars, and over the years has added numerous other public spaces to that list, making smoking logistically difficult and culturally unpopular. As a result, it has the second-lowest smoking rate in the country — \u003ca href=\"https://www.cdc.gov/statesystem/cigaretteuseadult.html\">11.3% of the population\u003c/a> — after Utah, where Mormon values are attributed with keeping smoking to 8.9%.\u003c/p>\n\u003ch3>Pondering Smoking’s Role in Spread and Severity\u003c/h3>\n\u003cp>While health advocates are nudging smokers to quit, some researchers are also pondering whether California’s low-smoking rate will have any impact on how the state fares through the pandemic.\u003c/p>\n\u003cp>“It’s a really great question,” said Ruth Malone, a professor emerita of nursing at UCSF, who has studied tobacco control for 20 years. “Smokers do much worse if they contract the virus, which is not too surprising given that it attacks lung tissue. There is also some new research suggesting that it might even promote transmission because of the particular pathways that it hooks onto.”\u003c/p>\n\u003cp>Proving a correlation would require sophisticated modeling to isolate smoking as a risk factor from the many other factors that seem to contribute to the \u003ca href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6915e4.htm?s_cid=mm6915e4_x\">geographic differences\u003c/a> in the spread and severity of the virus. Some of those factors include population density, when the virus was introduced into a community and the timing of mitigation measures, like shelter-in-place orders, which California was the first state to institute.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"smoking\"]Researchers have long known that smoking makes it harder to fight off respiratory infections because it increases mucus production and paralyzes cilia, the hair-like fibers in the respiratory tract and lungs that normally flush invaders out.\u003c/p>\n\u003cp>“If any organism gets down there in the lower airways, whether it’s the coronavirus or another virus, you've got the mucus that it can get stuck in, and it can't get whisked away because the cilia are not working,” said John Swartzberg, professor emeritus of infectious diseases at UC Berkeley. “So those organisms have a perfect home.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/32244852\">Newer science\u003c/a> indicates smoking may also increase a person’s chance of contracting the coronavirus, because tobacco increases certain enzyme receptors in a cell — angiotensin-converting enzyme-2 — where scientists believe the virus attaches and infects it, said Marcos Garcia-Ojeda, an immunologist at UC-Merced.\u003c/p>\n\u003cp>Imagine a human cell as a house that has doors and windows where the virus can enter, he added. “If you smoke, now you have increased the amount of windows and doors for the virus to come in,” he said. [ad fullwidth]\u003c/p>\n\u003cp>Tobacco-control advocates are calling on the Centers for Disease Control and Prevention to collect more robust data on the connection between smoking and the coronavirus. The development of a reliable and widely available coronavirus antibody test could also help characterize the connection.\u003c/p>\n\u003cp>“Once we start doing very robust antibodies studies, we'll be able to take a population of people infected and see how many of them are smokers versus nonsmokers. Then you could see what the morbidity in each group is,” said Swartzberg. “That study would be very simple to do.”\u003c/p>\n\u003cp>Figuring out if low smoking rates contribute to a reduction of overall infections would be harder, requiring more complex models that can control for other potential factors. For example, the smoking rate in New York City — the epicenter of the coronavirus pandemic in the U.S. — is roughly the same as in California. That could either invalidate the idea that a low-smoking rate would be protective, experts say, or it indicates that smoking is just one of many variables that influence the impact the outbreak has at the population level.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Ruth Malone, UCSF professor emerita of nursing\"]'Smokers do much worse if they contract the virus, which is not too surprising given that it attacks lung tissue.'[/pullquote]\u003c/p>\n\u003cp>“We went to physical distancing policies and closing nonessential businesses a few days earlier than New York. I think those were a critical few days,” said John Balmes, a pulmonologist and professor of medicine at UCSF. “Also, we’re less densely populated than many of the eastern and Midwestern cities.”\u003c/p>\n\u003cp>On the other hand, California has a large homeless population, where close quarters and poor sanitation give the virus greater chance of spreading. And before the shutdown, pockets of the state had high levels of air pollution, another factor researchers would like to better understand.\u003c/p>\n\u003cp>In the meantime, doctors are relying on what they do know to persuade people to try to quit smoking now. “Once you stop smoking or vaping, your lungs, your immune system, they start getting better within minutes,” said Elisa Tong, a physician at UC Davis and project director for the University of California Tobacco Cessation Network.\u003c/p>\n\u003cp>Katie Kennedy has been learning these lessons at her smoking cessation class, which is now offered online. But being cooped up at home has presented some challenges for her.\u003c/p>\n\u003cp>“My husband smokes,” Kennedy said. “And that's probably the biggest trigger.”\u003c/p>\n\u003cp>It was their ritual to smoke together, she said. The times she has relapsed, it was always with him. Now that they’re stuck at home with each other nonstop, there’s constant temptation.\u003c/p>\n\u003cp>“There is the thought that passes through my brain, ‘Oh, he's going out for a cigarette, that sounds good,’” she said. “Well, when I get that urge, I know it's the nicotine talking. So I pop a nicotine lozenge and take a deep breath and try to busy myself with something else.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Early research suggests that smokers who contract the coronavirus are more likely to become severely ill and die, a finding that has spurred some smokers to try quitting.","status":"publish","parent":0,"modified":1587778789,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":1509},"headData":{"title":"Smokers 'Do Much Worse' With Coronavirus — and Many Are Now Trying to Quit | KQED","description":"Early research suggests that smokers who contract the coronavirus are more likely to become severely ill and die, a finding that has spurred some smokers to try quitting.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Smokers 'Do Much Worse' With Coronavirus — and Many Are Now Trying to Quit","datePublished":"2020-04-25T14:00:53.000Z","dateModified":"2020-04-25T01:39:49.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11813998 https://ww2.kqed.org/news/?p=11813998","disqusUrl":"https://ww2.kqed.org/news/2020/04/25/smokers-do-much-worse-with-coronavirus-and-many-are-now-trying-to-quit/","disqusTitle":"Smokers 'Do Much Worse' With Coronavirus — and Many Are Now Trying to Quit","source":"Coronavirus","sourceUrl":"https://www.kqed.org/coronavirus","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-41c5-bcaf-aaef00f5a073/2e30141d-0b3e-448a-9b56-aba401217aa1/audio.mp3","path":"/news/11813998/smokers-do-much-worse-with-coronavirus-and-many-are-now-trying-to-quit","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>In her 40 years of smoking, Katie Kennedy has tried to quit four times, but always returned to cigarettes. This time, her fifth, she is turning to a new mental image when a craving comes on: rows of COVID-19 patients hooked up to ventilators.\u003c/p>\n\u003cp>Kennedy’s dad also smoked. He was on a ventilator before he died, and Kennedy was struck by how invasive the machine was, and how much discomfort and distress it inflicted on him. She vowed never to die like that.\u003c/p>\n\u003cp>“I just decided it's time to protect my lungs as much as I can,” said Kennedy, 59, who started a cessation class in Sacramento in March. “COVID-19 is quite a motivator.”\u003c/p>\n\u003cp>Early studies suggest that smokers who develop COVID-19 are \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/32118640\">14 times\u003c/a> more likely to need intensive treatment compared to nonsmokers, and twice as likely to die. Doctors in California are seizing this moment to highlight the connection between COVID-19 and smoking as another reason people should quit.\u003c/p>\n\u003cp>The California Smokers’ Helpline (1-800-NO-BUTTS), which provides free advice to help people stop smoking, is redirecting research money to give callers two weeks of nicotine patches at no cost, sent directly to their homes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I just decided it's time to protect my lungs as much as I can. COVID-19 is quite a motivator'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Katie Kennedy","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Calls to the helpline were actually down 27.5% in March, as compared to the same month last year — a drop counselors attribute mainly to people feeling too stressed out to consider quitting. Nonetheless, they say some callers are referencing the coronavirus and the utter upheaval of the stay-at-home order as their inspiration to quit.\u003c/p>\n\u003cp>“I spoke with a gentleman last week who is seriously taking this time to reorganize his life,” said Nallely Espina, a counselor with the helpline. “He’s setting a new routine for himself at home and staying away from his smoker friends, which was one of his main triggers.”\u003c/p>\n\u003cp>Another smoker, in his mid-20s, was prompted to call after he read a news article about how young people who smoke could have more severe health complications if they contract the virus, she said.\u003c/p>\n\u003cp>About half of Espina's callers are using the time at home to revamp their habits, starting yoga, meditation and eating a healthier diet, she said. But the other half are supremely frazzled, being trapped inside with their families.\u003c/p>\n\u003cp>Espina helped one dad come up with some new coping strategies.\u003c/p>\n\u003cp>“Going outside and having that cigarette, it’s his time out from the kids,” she said. “So for him, we decided let's still go outside, but instead of having a cigarette, maybe you spend those minutes doing a few pushups and burpees. And he loved that idea, he went for it.”\u003c/p>\n\u003cp>California public health agencies are incorporating information about the link between smoking and the coronavirus into their social media and public outreach \u003ca href=\"https://www.nobutts.org/covid\">messages\u003c/a>, building on a 30-year legacy of aggressive anti-smoking campaigns and policies.\u003c/p>\n\u003cp>California was the first state to ban smoking on airplanes and in restaurants and bars, and over the years has added numerous other public spaces to that list, making smoking logistically difficult and culturally unpopular. As a result, it has the second-lowest smoking rate in the country — \u003ca href=\"https://www.cdc.gov/statesystem/cigaretteuseadult.html\">11.3% of the population\u003c/a> — after Utah, where Mormon values are attributed with keeping smoking to 8.9%.\u003c/p>\n\u003ch3>Pondering Smoking’s Role in Spread and Severity\u003c/h3>\n\u003cp>While health advocates are nudging smokers to quit, some researchers are also pondering whether California’s low-smoking rate will have any impact on how the state fares through the pandemic.\u003c/p>\n\u003cp>“It’s a really great question,” said Ruth Malone, a professor emerita of nursing at UCSF, who has studied tobacco control for 20 years. “Smokers do much worse if they contract the virus, which is not too surprising given that it attacks lung tissue. There is also some new research suggesting that it might even promote transmission because of the particular pathways that it hooks onto.”\u003c/p>\n\u003cp>Proving a correlation would require sophisticated modeling to isolate smoking as a risk factor from the many other factors that seem to contribute to the \u003ca href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6915e4.htm?s_cid=mm6915e4_x\">geographic differences\u003c/a> in the spread and severity of the virus. Some of those factors include population density, when the virus was introduced into a community and the timing of mitigation measures, like shelter-in-place orders, which California was the first state to institute.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"related coverage ","tag":"smoking"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Researchers have long known that smoking makes it harder to fight off respiratory infections because it increases mucus production and paralyzes cilia, the hair-like fibers in the respiratory tract and lungs that normally flush invaders out.\u003c/p>\n\u003cp>“If any organism gets down there in the lower airways, whether it’s the coronavirus or another virus, you've got the mucus that it can get stuck in, and it can't get whisked away because the cilia are not working,” said John Swartzberg, professor emeritus of infectious diseases at UC Berkeley. “So those organisms have a perfect home.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/32244852\">Newer science\u003c/a> indicates smoking may also increase a person’s chance of contracting the coronavirus, because tobacco increases certain enzyme receptors in a cell — angiotensin-converting enzyme-2 — where scientists believe the virus attaches and infects it, said Marcos Garcia-Ojeda, an immunologist at UC-Merced.\u003c/p>\n\u003cp>Imagine a human cell as a house that has doors and windows where the virus can enter, he added. “If you smoke, now you have increased the amount of windows and doors for the virus to come in,” he said. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Tobacco-control advocates are calling on the Centers for Disease Control and Prevention to collect more robust data on the connection between smoking and the coronavirus. The development of a reliable and widely available coronavirus antibody test could also help characterize the connection.\u003c/p>\n\u003cp>“Once we start doing very robust antibodies studies, we'll be able to take a population of people infected and see how many of them are smokers versus nonsmokers. Then you could see what the morbidity in each group is,” said Swartzberg. “That study would be very simple to do.”\u003c/p>\n\u003cp>Figuring out if low smoking rates contribute to a reduction of overall infections would be harder, requiring more complex models that can control for other potential factors. For example, the smoking rate in New York City — the epicenter of the coronavirus pandemic in the U.S. — is roughly the same as in California. That could either invalidate the idea that a low-smoking rate would be protective, experts say, or it indicates that smoking is just one of many variables that influence the impact the outbreak has at the population level.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Smokers do much worse if they contract the virus, which is not too surprising given that it attacks lung tissue.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Ruth Malone, UCSF professor emerita of nursing","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We went to physical distancing policies and closing nonessential businesses a few days earlier than New York. I think those were a critical few days,” said John Balmes, a pulmonologist and professor of medicine at UCSF. “Also, we’re less densely populated than many of the eastern and Midwestern cities.”\u003c/p>\n\u003cp>On the other hand, California has a large homeless population, where close quarters and poor sanitation give the virus greater chance of spreading. And before the shutdown, pockets of the state had high levels of air pollution, another factor researchers would like to better understand.\u003c/p>\n\u003cp>In the meantime, doctors are relying on what they do know to persuade people to try to quit smoking now. “Once you stop smoking or vaping, your lungs, your immune system, they start getting better within minutes,” said Elisa Tong, a physician at UC Davis and project director for the University of California Tobacco Cessation Network.\u003c/p>\n\u003cp>Katie Kennedy has been learning these lessons at her smoking cessation class, which is now offered online. But being cooped up at home has presented some challenges for her.\u003c/p>\n\u003cp>“My husband smokes,” Kennedy said. “And that's probably the biggest trigger.”\u003c/p>\n\u003cp>It was their ritual to smoke together, she said. The times she has relapsed, it was always with him. Now that they’re stuck at home with each other nonstop, there’s constant temptation.\u003c/p>\n\u003cp>“There is the thought that passes through my brain, ‘Oh, he's going out for a cigarette, that sounds good,’” she said. “Well, when I get that urge, I know it's the nicotine talking. So I pop a nicotine lozenge and take a deep breath and try to busy myself with something else.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11813998/smokers-do-much-worse-with-coronavirus-and-many-are-now-trying-to-quit","authors":["3205"],"categories":["news_457","news_8"],"tags":["news_18538","news_27350","news_27504","news_27626","news_18543","news_458"],"featImg":"news_11814212","label":"source_news_11813998"},"news_11792671":{"type":"posts","id":"news_11792671","meta":{"index":"posts_1591205157","site":"news","id":"11792671","score":null,"sort":[1577039829000]},"guestAuthors":[],"slug":"a-new-way-to-quit-psychedelic-therapy-offers-promise-for-smoking-cessation","title":"A New Way To Quit? Psychedelic Therapy Offers Promise For Smoking Cessation","publishDate":1577039829,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>For many Americans, hallucinogens still evoke the psychedelic '60s, bringing to mind the sex-and-drugs lifestyle of the hippie counterculture.\u003c/p>\n\u003cp>But that stereotype lags behind reality, by several decades. Today, psychedelic experimentation is more likely to refer to dozens of clinical trials taking place at universities and research facilities. The psychedelics under study range from psilocybin, the active ingredient in psychedelic mushrooms, to MDMA (also known as Ecstasy or Molly), to LSD, among others. Researchers are studying them for their therapeutic potential in treating hard-to-treat conditions such as PTSD, addiction, depression and anxiety.\u003c/p>\n\u003cp>[aside tag='smoking' label='More Coverage.']\u003c/p>\n\u003cp>The promise of freedom from cigarettes was what compelled Carine Chen-McLaughlin, 65, to enroll in an experimental study of psilocybin therapy for smokers. She was desperate to break free from her decades-long physical addiction to nicotine. Quitting smoking had felt impossible for so long.\u003c/p>\n\u003cp>\"It's basically saying good-bye to a very old friend, and worrying about: Am I going to be OK without this good friend?\" the Baltimore resident says.\u003c/p>\n\u003cp>Like many of the 49 million \u003ca href=\"https://www.cdc.gov/mmwr/volumes/68/wr/mm6845a2.htm?s_cid=mm6845a2_w\" target=\"_blank\" rel=\"noopener noreferrer\">tobacco users\u003c/a> in the U.S., Chen-McLaughlin wanted to quit and had tried various methods: nicotine gum, the nicotine patch and even stopping cold turkey. But nothing worked for more than a couple days.\u003c/p>\n\u003cp>The clinical trial she joined took place in her hometown of Baltimore, at Johns Hopkins School of Medicine. While she was a bit anxious about the experiment, Chen-McLaughlin says she was nevertheless hopeful about trying something totally different.\u003c/p>\n\u003cp>\"I think I was more excited that... maybe, \u003cem>maybe \u003c/em>this is it!\" she says with a laugh.\u003c/p>\n\u003ch3>A research revival\u003c/h3>\n\u003cp>Therapeutic research on psilocybin, LSD and other psychedelic drugs isn't new. Beginning in the 1950s, researchers investigated them as potential treatments for alcohol addiction, cancer-related anxiety, depression and other common psychological ills.\u003c/p>\n\u003cp>But then came the \"psychedelic '60s,\" a time when American counterculture embraced these then-legal drugs. The resulting widespread use — and abuse — of psychedelics ultimately triggered a backlash that led the federal government to criminalize these substances. By the early 1970s, many ongoing studies into the potential medical benefits of psychedelics had halted.\u003c/p>\n\u003cp>\"Unfortunately, all of that legitimate research was really sacrificed because of the association between psychedelics and the counterculture,\" says \u003ca href=\"https://www.hopkinsmedicine.org/profiles/results/directory/profile/0800020/matthew-johnson\" target=\"_blank\" rel=\"noopener noreferrer\">Matthew Johnson\u003c/a>, an associate professor of psychiatry at Johns Hopkins School of Medicine and the lead investigator in the psilocybin study for smoking cessation.\u003c/p>\n\u003cp>Today, however, a new wave of psychedelic research has taken hold, with dozens of clinical studies happening at U.S. academic institutions. In fact, some of the experimental therapies involving psilocbyin\u003ca href=\"https://www.medscape.com/viewarticle/921789\" target=\"_blank\" rel=\"noopener noreferrer\"> have recently received \u003c/a>\"breakthrough therapy\" designations \u003ca href=\"https://www.fda.gov/patients/fast-track-breakthrough-therapy-accelerated-approval-priority-review/breakthrough-therapy\" target=\"_blank\" rel=\"noopener noreferrer\">from the FDA\u003c/a>, which can help speed their progress towards eventual market approval.\u003c/p>\n\u003cp>Although the studies are legal, the federal government does not provide any financial support for psychedelic research, so the researchers must rely on private organizations for funding. The Johns Hopkins study, for instance, is supported by the non-profit \u003ca href=\"https://heffter.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Heffter Research Institute\u003c/a> in New Mexico.\u003c/p>\n\u003cp>\"We're ever hopeful and we're continuing to put in [funding] applications,\" Johnson says. \"But so far, the National Institutes of Health has not funded any therapeutic research with psilocybin.\"\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Dr. Charles Grob']'Slowly but surely, our colleagues throughout the health fields have started to recognize that these treatment models may have something very positive and very unique to offer.'[/pullquote]\u003c/p>\n\u003cp>Dr. Charles Grob, a psychiatrist at UCLA's David Geffen School of Medicine, has studied the therapeutic potential of psychedelics since the 1980s. His \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/20819978\" target=\"_blank\" rel=\"noopener noreferrer\">four-year-long pilot study\u003c/a> of psilocybin-assisted therapy on patients with anxiety and advanced-stage cancer was among the first studies to launch this modern-day era of psychedelic research. It was published in the Archives of General Psychiatry in 2011.\u003c/p>\n\u003cp>Grob attributes the resurgence of research interest in psychedelics to several factors: a dire need for new mental health treatments, a more sophisticated understanding of the underlying hallucinogenic compounds and a growing body of research literature showing promising results from around the world.\u003c/p>\n\u003cp>All those trends are helping to destigmatize the use of psychedelics for psychological healing, Grob says.\u003c/p>\n\u003cp>\"Slowly but surely, our colleagues throughout the health fields have started to recognize that these treatment models may have something very positive and very unique to offer,\" he says.\u003c/p>\n\u003ch3>Therapeutic advantages — and risks\u003c/h3>\n\u003cp>Studies show psychedelics aren't physically addictive. And research has shown them to be safe when administered properly to healthy patients. But Johnson cautions that psychedelics can be abused.\u003c/p>\n\u003cp>\"We are not encouraging people to [take psilocybin] on their own,\" Johnson says. \"There are definitely risks, we know what those are ... and we have a way to address them in these research studies.\"\u003c/p>\n\u003cp>In particular, a \u003ca href=\"https://www.sciencedirect.com/science/article/pii/S0028390818302296\" target=\"_blank\" rel=\"noopener noreferrer\">study by Johnson and his team\u003c/a>, published in 2018, shows psilocybin can cause harm to those with a predisposition to psychosis. So potential study participants undergo \"a couple of very long days\" of screening before they can be admitted into the clinical trial, he says.\u003c/p>\n\u003cp>For those deemed healthy and able to undergo this therapy, there are no long-term or ongoing prescriptions, as is the case with other therapies for quitting smoking, like Chantix.\u003c/p>\n\u003cp>In Johnson's current study, the patient ingests only one dose of psilocybin during a special session that takes place about halfway through a series of 10 cognitive behavioral therapy sessions.\u003c/p>\n\u003ch3>Promising results for quitting cigarettes\u003c/h3>\n\u003cp>So far, about 40 out of 80 participants have completed the 13-week protocol for the Johns Hopkins study. It begins with four hours of preparatory counseling before the patient takes the lab-produced psilocybin in pill form.\u003c/p>\n\u003cp>The psilocybin session lasts about six hours and is supervised by two therapeutic \"guides\" who provide comfort and assurance as needed. As the hallucinogen kicks in, patients are counseled to close their eyes, go inward and experience whatever shows up.\u003c/p>\n\u003cp>So far, half of the 40 participants who've completed the current Johns Hopkins smoking cessation program have quit smoking, as confirmed by urine and breath samples, Johnson says.\u003c/p>\n\u003cp>That compares to a 10% to 35% success rate for conventional therapies such as nicotine-replacement medications or cognitive behavioral therapy alone, says Johnson.\u003c/p>\n\u003cp>Johnson says the evidence collected so far suggests a couple more doses of psilocybin might prove even more successful.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4286320/\">his pilot study\u003c/a> published in 2014, 15 participants received a similar amount of counseling as those in Chen-McLaughlin's group. But instead of one dose of psilocybin, they got three. Six months later, 80% were smoke-free, Johnson says.\u003c/p>\n\u003cp>Still, Johnson cautions against too much enthusiasm just yet, because the studies at this point are small.\u003c/p>\n\u003cp>He says if his current study maintains a favorable success rate, the U.S. Food and Drug Administration would then require him to replicate that success in larger, Phase 3 clinical trials before the agency could consider approving psilocybin-assisted therapy as a treatment for addicted smokers.\u003c/p>\n\u003cp>\"The caveat to all this is that we have so much more to learn and to explore, to really understand what's going on,\" he says.\u003c/p>\n\u003ch3>A shift in perspective\u003c/h3>\n\u003cp>How psilocybin might help with addiction is not yet clear.\u003c/p>\n\u003cp>\"Our best guess at this point is that while the drug is active, the brain is operating in a dramatically, qualitatively different fashion,\" Johnson says.\u003c/p>\n\u003cp>Most notably, areas of the brain that normally don't communicate begin to do so, while well-worn neural pathways go quiet. What's more, because psychedelics don't numb the mind in the way alcohol and some other drugs do, patients report leaving the session with their newfound insights intact.\u003c/p>\n\u003cp>\"People often report a remarkable clarity,\" Johnson says.\"They know what's going on [during the experience and] they can observe their life and themselves from a much different vantage point – a much broader vantage point.\"\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Matthew Johnson']'Our best guess at this point is that while the drug is active, the brain is operating in a dramatically, qualitatively different fashion.'[/pullquote]\u003c/p>\n\u003cp>This perspective shift is part of the \"mystical experience\" that recreational psilocybin users report, and that spiritual users, such as shamans, have described for centuries. One theory of how these drugs may help is that experiencing feelings of unity, sacredness and transcendence can help change thought patterns that fuel addiction.\u003c/p>\n\u003cp>That doesn't mean the experience is necessarily easy, or even enjoyable. Chen-McLaughlin reported that as she lay for hours on the couch,the psilocybin unleashed a host of fears, which took the form of swirling dark clouds that she believed were trying to suffocate her.\u003c/p>\n\u003cp>\"And that was really super, super scary,\" she says. \"And I cried, I think at least four out of five, six hours.\"\u003c/p>\n\u003cp>Yet, she says, through the entire experience, she had a vision of her recently-deceased mother, who seemed to stand by as a sort of spiritual sentry, helping her to face those dark, cloud-like fears. At that very point, as she became determined to confront them, Chen-McLaughlin says, the dark clouds dissipated — and so did her desire to smoke.\u003c/p>\n\u003cp>\"I haven't smoked since March 23, 2018,\" she says, adding that she has no clear idea why it worked.\u003c/p>\n\u003cp>Since her psilocybin experience, Chen-McLaughlin has not only quit smoking, she reports feeling physically repulsed by cigarettes. One day when she was feeling stressed, she asked her cigarette-smoking husband for a puff of his. But when she reached for it, she says, she couldn't even make herself touch it.\u003c/p>\n\u003cp>\"You could pay me $5,000 and I couldn't do it,\" she says. \"I know it sounds really weird, but that's what happened: Something in my brain sort of got switched.\"\u003c/p>\n\u003cp>Still, she attributes her success in quitting smoking not just to psilocybin, but to a combination of the drug and all the hours of cognitive behavioral therapy she received along with it.\u003c/p>\n\u003cp>\"If I just walked in and took a psilocybin pill,\" she says, \" I don't think it would have worked.\"\u003c/p>\n\u003cp>\u003cem>Stephanie O'Neill is a health and science writer in California.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This story is part of NPR's reporting partnership with \u003c/em>\u003ca href=\"https://khn.org/\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=A+New+Way+To+Quit%3F+Psychedelic+Therapy+Offers+Promise+For+Smoking+Cessation&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cdiv>[ad fullwidth]\u003c/div>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Researchers are studying a new technique for quitting cigarettes. It involves cognitive behavioral therapy and guided hallucination sparked by psilocybin, the active ingredient in magic mushrooms.","status":"publish","parent":0,"modified":1577039829,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":50,"wordCount":1724},"headData":{"title":"A New Way To Quit? Psychedelic Therapy Offers Promise For Smoking Cessation | KQED","description":"Researchers are studying a new technique for quitting cigarettes. It involves cognitive behavioral therapy and guided hallucination sparked by psilocybin, the active ingredient in magic mushrooms.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"A New Way To Quit? Psychedelic Therapy Offers Promise For Smoking Cessation","datePublished":"2019-12-22T18:37:09.000Z","dateModified":"2019-12-22T18:37:09.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11792671 https://ww2.kqed.org/news/?p=11792671","disqusUrl":"https://ww2.kqed.org/news/2019/12/22/a-new-way-to-quit-psychedelic-therapy-offers-promise-for-smoking-cessation/","disqusTitle":"A New Way To Quit? Psychedelic Therapy Offers Promise For Smoking Cessation","source":"NPR","sourceUrl":"https://www.npr.org","nprImageCredit":"Xakhr Chay Tha Man / EyeEm","nprByline":"Stephanie O'Neill","nprImageAgency":"Getty Images/EyeEm","nprStoryId":"774385634","nprApiLink":"http://api.npr.org/query?id=774385634&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2019/12/22/774385634/a-new-way-to-quit-psychedelic-therapy-offers-promise-for-smoking-cessation?ft=nprml&f=774385634","nprRetrievedStory":"1","nprPubDate":"Sun, 22 Dec 2019 07:00:00 -0500","nprStoryDate":"Sun, 22 Dec 2019 07:00:52 -0500","nprLastModifiedDate":"Sun, 22 Dec 2019 07:00:52 -0500","path":"/news/11792671/a-new-way-to-quit-psychedelic-therapy-offers-promise-for-smoking-cessation","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>For many Americans, hallucinogens still evoke the psychedelic '60s, bringing to mind the sex-and-drugs lifestyle of the hippie counterculture.\u003c/p>\n\u003cp>But that stereotype lags behind reality, by several decades. Today, psychedelic experimentation is more likely to refer to dozens of clinical trials taking place at universities and research facilities. The psychedelics under study range from psilocybin, the active ingredient in psychedelic mushrooms, to MDMA (also known as Ecstasy or Molly), to LSD, among others. Researchers are studying them for their therapeutic potential in treating hard-to-treat conditions such as PTSD, addiction, depression and anxiety.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"smoking","label":"More Coverage. "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The promise of freedom from cigarettes was what compelled Carine Chen-McLaughlin, 65, to enroll in an experimental study of psilocybin therapy for smokers. She was desperate to break free from her decades-long physical addiction to nicotine. Quitting smoking had felt impossible for so long.\u003c/p>\n\u003cp>\"It's basically saying good-bye to a very old friend, and worrying about: Am I going to be OK without this good friend?\" the Baltimore resident says.\u003c/p>\n\u003cp>Like many of the 49 million \u003ca href=\"https://www.cdc.gov/mmwr/volumes/68/wr/mm6845a2.htm?s_cid=mm6845a2_w\" target=\"_blank\" rel=\"noopener noreferrer\">tobacco users\u003c/a> in the U.S., Chen-McLaughlin wanted to quit and had tried various methods: nicotine gum, the nicotine patch and even stopping cold turkey. But nothing worked for more than a couple days.\u003c/p>\n\u003cp>The clinical trial she joined took place in her hometown of Baltimore, at Johns Hopkins School of Medicine. While she was a bit anxious about the experiment, Chen-McLaughlin says she was nevertheless hopeful about trying something totally different.\u003c/p>\n\u003cp>\"I think I was more excited that... maybe, \u003cem>maybe \u003c/em>this is it!\" she says with a laugh.\u003c/p>\n\u003ch3>A research revival\u003c/h3>\n\u003cp>Therapeutic research on psilocybin, LSD and other psychedelic drugs isn't new. Beginning in the 1950s, researchers investigated them as potential treatments for alcohol addiction, cancer-related anxiety, depression and other common psychological ills.\u003c/p>\n\u003cp>But then came the \"psychedelic '60s,\" a time when American counterculture embraced these then-legal drugs. The resulting widespread use — and abuse — of psychedelics ultimately triggered a backlash that led the federal government to criminalize these substances. By the early 1970s, many ongoing studies into the potential medical benefits of psychedelics had halted.\u003c/p>\n\u003cp>\"Unfortunately, all of that legitimate research was really sacrificed because of the association between psychedelics and the counterculture,\" says \u003ca href=\"https://www.hopkinsmedicine.org/profiles/results/directory/profile/0800020/matthew-johnson\" target=\"_blank\" rel=\"noopener noreferrer\">Matthew Johnson\u003c/a>, an associate professor of psychiatry at Johns Hopkins School of Medicine and the lead investigator in the psilocybin study for smoking cessation.\u003c/p>\n\u003cp>Today, however, a new wave of psychedelic research has taken hold, with dozens of clinical studies happening at U.S. academic institutions. In fact, some of the experimental therapies involving psilocbyin\u003ca href=\"https://www.medscape.com/viewarticle/921789\" target=\"_blank\" rel=\"noopener noreferrer\"> have recently received \u003c/a>\"breakthrough therapy\" designations \u003ca href=\"https://www.fda.gov/patients/fast-track-breakthrough-therapy-accelerated-approval-priority-review/breakthrough-therapy\" target=\"_blank\" rel=\"noopener noreferrer\">from the FDA\u003c/a>, which can help speed their progress towards eventual market approval.\u003c/p>\n\u003cp>Although the studies are legal, the federal government does not provide any financial support for psychedelic research, so the researchers must rely on private organizations for funding. The Johns Hopkins study, for instance, is supported by the non-profit \u003ca href=\"https://heffter.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Heffter Research Institute\u003c/a> in New Mexico.\u003c/p>\n\u003cp>\"We're ever hopeful and we're continuing to put in [funding] applications,\" Johnson says. \"But so far, the National Institutes of Health has not funded any therapeutic research with psilocybin.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Slowly but surely, our colleagues throughout the health fields have started to recognize that these treatment models may have something very positive and very unique to offer.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Dr. Charles Grob","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dr. Charles Grob, a psychiatrist at UCLA's David Geffen School of Medicine, has studied the therapeutic potential of psychedelics since the 1980s. His \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/20819978\" target=\"_blank\" rel=\"noopener noreferrer\">four-year-long pilot study\u003c/a> of psilocybin-assisted therapy on patients with anxiety and advanced-stage cancer was among the first studies to launch this modern-day era of psychedelic research. It was published in the Archives of General Psychiatry in 2011.\u003c/p>\n\u003cp>Grob attributes the resurgence of research interest in psychedelics to several factors: a dire need for new mental health treatments, a more sophisticated understanding of the underlying hallucinogenic compounds and a growing body of research literature showing promising results from around the world.\u003c/p>\n\u003cp>All those trends are helping to destigmatize the use of psychedelics for psychological healing, Grob says.\u003c/p>\n\u003cp>\"Slowly but surely, our colleagues throughout the health fields have started to recognize that these treatment models may have something very positive and very unique to offer,\" he says.\u003c/p>\n\u003ch3>Therapeutic advantages — and risks\u003c/h3>\n\u003cp>Studies show psychedelics aren't physically addictive. And research has shown them to be safe when administered properly to healthy patients. But Johnson cautions that psychedelics can be abused.\u003c/p>\n\u003cp>\"We are not encouraging people to [take psilocybin] on their own,\" Johnson says. \"There are definitely risks, we know what those are ... and we have a way to address them in these research studies.\"\u003c/p>\n\u003cp>In particular, a \u003ca href=\"https://www.sciencedirect.com/science/article/pii/S0028390818302296\" target=\"_blank\" rel=\"noopener noreferrer\">study by Johnson and his team\u003c/a>, published in 2018, shows psilocybin can cause harm to those with a predisposition to psychosis. So potential study participants undergo \"a couple of very long days\" of screening before they can be admitted into the clinical trial, he says.\u003c/p>\n\u003cp>For those deemed healthy and able to undergo this therapy, there are no long-term or ongoing prescriptions, as is the case with other therapies for quitting smoking, like Chantix.\u003c/p>\n\u003cp>In Johnson's current study, the patient ingests only one dose of psilocybin during a special session that takes place about halfway through a series of 10 cognitive behavioral therapy sessions.\u003c/p>\n\u003ch3>Promising results for quitting cigarettes\u003c/h3>\n\u003cp>So far, about 40 out of 80 participants have completed the 13-week protocol for the Johns Hopkins study. It begins with four hours of preparatory counseling before the patient takes the lab-produced psilocybin in pill form.\u003c/p>\n\u003cp>The psilocybin session lasts about six hours and is supervised by two therapeutic \"guides\" who provide comfort and assurance as needed. As the hallucinogen kicks in, patients are counseled to close their eyes, go inward and experience whatever shows up.\u003c/p>\n\u003cp>So far, half of the 40 participants who've completed the current Johns Hopkins smoking cessation program have quit smoking, as confirmed by urine and breath samples, Johnson says.\u003c/p>\n\u003cp>That compares to a 10% to 35% success rate for conventional therapies such as nicotine-replacement medications or cognitive behavioral therapy alone, says Johnson.\u003c/p>\n\u003cp>Johnson says the evidence collected so far suggests a couple more doses of psilocybin might prove even more successful.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4286320/\">his pilot study\u003c/a> published in 2014, 15 participants received a similar amount of counseling as those in Chen-McLaughlin's group. But instead of one dose of psilocybin, they got three. Six months later, 80% were smoke-free, Johnson says.\u003c/p>\n\u003cp>Still, Johnson cautions against too much enthusiasm just yet, because the studies at this point are small.\u003c/p>\n\u003cp>He says if his current study maintains a favorable success rate, the U.S. Food and Drug Administration would then require him to replicate that success in larger, Phase 3 clinical trials before the agency could consider approving psilocybin-assisted therapy as a treatment for addicted smokers.\u003c/p>\n\u003cp>\"The caveat to all this is that we have so much more to learn and to explore, to really understand what's going on,\" he says.\u003c/p>\n\u003ch3>A shift in perspective\u003c/h3>\n\u003cp>How psilocybin might help with addiction is not yet clear.\u003c/p>\n\u003cp>\"Our best guess at this point is that while the drug is active, the brain is operating in a dramatically, qualitatively different fashion,\" Johnson says.\u003c/p>\n\u003cp>Most notably, areas of the brain that normally don't communicate begin to do so, while well-worn neural pathways go quiet. What's more, because psychedelics don't numb the mind in the way alcohol and some other drugs do, patients report leaving the session with their newfound insights intact.\u003c/p>\n\u003cp>\"People often report a remarkable clarity,\" Johnson says.\"They know what's going on [during the experience and] they can observe their life and themselves from a much different vantage point – a much broader vantage point.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Our best guess at this point is that while the drug is active, the brain is operating in a dramatically, qualitatively different fashion.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Matthew Johnson","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This perspective shift is part of the \"mystical experience\" that recreational psilocybin users report, and that spiritual users, such as shamans, have described for centuries. One theory of how these drugs may help is that experiencing feelings of unity, sacredness and transcendence can help change thought patterns that fuel addiction.\u003c/p>\n\u003cp>That doesn't mean the experience is necessarily easy, or even enjoyable. Chen-McLaughlin reported that as she lay for hours on the couch,the psilocybin unleashed a host of fears, which took the form of swirling dark clouds that she believed were trying to suffocate her.\u003c/p>\n\u003cp>\"And that was really super, super scary,\" she says. \"And I cried, I think at least four out of five, six hours.\"\u003c/p>\n\u003cp>Yet, she says, through the entire experience, she had a vision of her recently-deceased mother, who seemed to stand by as a sort of spiritual sentry, helping her to face those dark, cloud-like fears. At that very point, as she became determined to confront them, Chen-McLaughlin says, the dark clouds dissipated — and so did her desire to smoke.\u003c/p>\n\u003cp>\"I haven't smoked since March 23, 2018,\" she says, adding that she has no clear idea why it worked.\u003c/p>\n\u003cp>Since her psilocybin experience, Chen-McLaughlin has not only quit smoking, she reports feeling physically repulsed by cigarettes. One day when she was feeling stressed, she asked her cigarette-smoking husband for a puff of his. But when she reached for it, she says, she couldn't even make herself touch it.\u003c/p>\n\u003cp>\"You could pay me $5,000 and I couldn't do it,\" she says. \"I know it sounds really weird, but that's what happened: Something in my brain sort of got switched.\"\u003c/p>\n\u003cp>Still, she attributes her success in quitting smoking not just to psilocybin, but to a combination of the drug and all the hours of cognitive behavioral therapy she received along with it.\u003c/p>\n\u003cp>\"If I just walked in and took a psilocybin pill,\" she says, \" I don't think it would have worked.\"\u003c/p>\n\u003cp>\u003cem>Stephanie O'Neill is a health and science writer in California.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This story is part of NPR's reporting partnership with \u003c/em>\u003ca href=\"https://khn.org/\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=A+New+Way+To+Quit%3F+Psychedelic+Therapy+Offers+Promise+For+Smoking+Cessation&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cdiv>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/div>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11792671/a-new-way-to-quit-psychedelic-therapy-offers-promise-for-smoking-cessation","authors":["byline_news_11792671"],"categories":["news_457","news_8"],"tags":["news_21434","news_24056","news_25844","news_458"],"featImg":"news_11792672","label":"source_news_11792671"},"news_11778402":{"type":"posts","id":"news_11778402","meta":{"index":"posts_1591205157","site":"news","id":"11778402","score":null,"sort":[1570378298000]},"guestAuthors":[],"slug":"vaping-health-warnings-could-make-ex-smokers-return-to-cigarettes","title":"Vaping Health Warnings Could Make Ex-Smokers Return to Cigarettes","publishDate":1570378298,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>Only two years ago, electronic cigarettes were viewed as a small industry with big potential to improve public health by offering a path to steer millions of smokers away from deadly cigarettes.\u003c/p>\n\u003cp>That promise led U.S. regulators to take a hands-off approach to e-cigarette makers, including a Silicon Valley startup named Juul Labs, which was being praised for creating \"the iPhone of e-cigarettes.\"\u003c/p>\n\u003cp>Today Juul and hundreds of smaller companies are at the center of a political backlash that threatens to sweep e-cigarettes from store shelves nationwide as politicians scramble to address two separate public health crises tied to vaping: underage use among teenagers and a mysterious and sometimes fatal lung ailment that has affected more than 1,000 people.\u003c/p>\n\u003cp>New restrictions at the local, state and federal level are poised to wipe out thousands of fruit-, candy- and dessert-flavored vapes that have attracted teens. But experts who study tobacco policy fear the scattershot approach of the clampdown could have damaging, unintended consequences, including driving adults who vape back to cigarette smoking, which remains the nation's leading preventable cause of death.\u003c/p>\n\u003cp>\"This could take us from potentially the single biggest improvement in public health in the United States toward a public health disaster in which cigarettes continue to be the dominant nicotine product,\" said Jonathan Foulds, an addiction researcher and tobacco specialist at Penn State University.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Foulds and many other experts continue to view e-cigarettes as a potential \"off-ramp\" for smokers, allowing them to continue using nicotine — the addictive chemical in cigarettes — without inhaling all the toxic byproducts of burning tobacco.\u003c/p>\n\u003cp>But they warn the vaping backlash could do irreparable harm to the public perception of e-cigarettes, while ignoring the riskiest products that are most likely to blame for the recent outbreak.\u003c/p>\n\u003cp>Federal investigators say that nearly 80% of people who have come down with the vaping illness reported using products containing THC, the high-inducing chemical found in marijuana. They have not traced the problem to any single product or ingredient. But investigators are increasingly focused on thickeners and additives found in illegal THC cartridges sold on the black market.\u003c/p>\n\u003cp>On Friday, the Food and Drug Administration specifically warned the public not to vape THC or purchase any vaping products off the street.\u003c/p>\n\u003cp>THC vapes are separate from the legal, nicotine-filled e-cigarettes being targeted by President Donald Trump and politicians across the country.\u003c/p>\n\u003cp>Democratic governors in New York, Michigan, Washington, Rhode Island and Oregon have followed the president's plan to ban flavored e-cigarettes nationally with their own state-level flavor restrictions. Massachusetts' Republican governor has gone even further, placing a four-month moratorium on sales of vaping products of any kind.\u003c/p>\n\u003cp>\"The problem here is we have convinced adult America that vaping is as dangerous as smoking — and nothing could be further from the truth,\" said Kenneth Warner, professor emeritus at the University of Michigan's school of public health.\u003c/p>\n\u003cp>E-cigarettes generally heat a flavored nicotine solution into an inhalable aerosol. There is little research on the long-term effects of inhaling the chemicals in vaping, such as vegetable glycerin. Despite those unknowns, most experts agree e-cigarettes pose a much smaller risk than cigarettes, which cause cancer, lung disease and stroke and account for some 480,000 U.S. deaths each year.\u003c/p>\n\u003cp>Even before the current uproar over vaping, most adults considered e-cigarettes dangerous. A 2017 government survey found 55% of Americans considered e-cigarettes as harmful as regular cigarettes.\u003c/p>\n\u003cp>And while the flavor bans are likely to curb teen vaping, Warner and others point out that those policies won't prohibit flavors in traditional tobacco products. That means both teens and adults could wind up switching to deadlier menthol cigarettes or flavored cigars, which come in coffee, raspberry, chocolate and hundreds of other varieties.\u003c/p>\n\u003ch3>Walking a Policy Tightrope\u003c/h3>\n\u003cp>The policy debate underscores the challenge of finding the right regulatory scheme for e-cigarettes, products for which there is little high-quality research.\u003c/p>\n\u003cp>More than 30 countries prohibit vaping products. In contrast, the United Kingdom has fully embraced them as a public health tool, urging doctors to promote them to help smokers quit.\u003c/p>\n\u003cp>The U.S. FDA has been struggling to find the right approach since it gained authority over e-cigarettes in 2016.\u003c/p>\n\u003cp>The agency repeatedly delayed its deadline to begin reviewing e-cigarettes, a step that critics say allowed products like Juul to catch on with teenagers. At the same time, e-cigarette companies and proponents say the agency's new review deadline of next May is too aggressive and will force most companies out of business.\u003c/p>\n\u003cp>Now the agency is trying to walk a tightrope between keeping e-cigarettes away from teens but preserving them for an estimated 10 million adults who use them, most of whom also smoke.\u003c/p>\n\u003cp>Further complicating the picture is the fact that no e-cigarette brand has yet been shown to help smokers quit in rigorous studies. But large-scale surveys suggest smokers who use e-cigarettes daily are up to six times more likely to quit than those who don't use them.\u003c/p>\n\u003ch3>Risk of Smoking Relapse\u003c/h3>\n\u003cp>The statistics favoring e-cigarettes are bolstered by the experiences of people like Laura Adams, 52, of Battle Creek, Michigan.\u003c/p>\n\u003cp>A smoker since age 16, Adams was rushed to the hospital in April when a coughing fit left her struggling to breathe. Doctors diagnosed her with chronic obstructive pulmonary disorder, or COPD, and told her she needed to quit cigarettes.\u003c/p>\n\u003cp>For more than 25 years previously, Adams had smoked clove-flavored cigarettes. When the government banned those in 2009, she switched to flavored cigars.\u003c/p>\n\u003cp>\"I always liked the flavors better than regular tobacco,\" Adams said.\u003cbr>\nAfter her medical emergency, Adams tried a series of e-cigarettes at a local vape shop before settling on a large, refillable device that allowed her to switch between flavors like blueberry, watermelon and peach.\u003c/p>\n\u003cp>\"As far as I'm concerned, flavored vaping juice saved my life,\" Adams said. \"It gave me the option of continuing with my nicotine but without destroying my lungs.\"\u003c/p>\n\u003cp>As Michigan stores pull their flavored products to comply with the state ban, Adams has been researching out-of-state suppliers and even do-it-yourself kits for mixing flavors.\u003c/p>\n\u003cp>But some public health advocates fear less motivated ex-smokers will simply return to cigarettes. Even with the success of Juul, e-cigarettes remain a tiny slice of the U.S. tobacco market, accounting for $8.6 billion in sales compared to $95 billion for cigarettes, according to Euromonitor.\u003c/p>\n\u003cp>Industry analysts point to early indicators that e-cigarette sales are beginning to flag amid the bans and negative headlines. E-cigarette sales slowed by 11% over the four weeks ended Sept. 22, according to retail data tracked by Nielsen.\u003c/p>\n\u003cp>The trend \"could result in improved combustible cigarette\" sales \"as vapers potentially return\" to smoking, Wells Fargo analyst Bonnie Herzog told investors in a recent note.\u003c/p>\n\u003cp>That's exactly the opposite of what public health officials have been trying to achieve, noted former FDA Commissioner Scott Gottlieb, who stepped down in April.\u003c/p>\n\u003cp>As FDA chief, Gottlieb outlined an ambitious anti-smoking plan intended to shift most of the nation's 34 million smokers away from cigarettes and toward less risky products. The unprecedented plan involved a two-step process: cutting nicotine in traditional cigarettes to make them virtually nonaddictive and then promoting FDA-sanctioned, lower-risk alternatives, such as e-cigarettes.\u003c/p>\n\u003cp>But the agency has yet to unveil its proposal for cutting nicotine. And a separate proposal to ban menthol cigarettes is still in regulatory limbo.\u003c/p>\n\u003cp>So as the agency begins sweeping flavored e-cigarettes off the market in coming months, Gottlieb fears smokers may revert to regular cigarettes and cigars, which will still have nicotine levels and flavors designed to addict users.\u003c/p>\n\u003cp>\"This was always a package deal, and it's become even more critical than ever to advance that entire policy agenda,\" he said.\u003cbr>\nThe FDA says it remains committed to Gottlieb's vision of lower-nicotine cigarettes and less-harmful alternative products. The agency's regulatory calendar lists this month as the target date to release its proposal for regulating nicotine. But that effort will take years to implement and will almost certainly face lawsuits from tobacco companies.\u003c/p>\n\u003cp>Meanwhile, it remains unclear which e-cigarettes — if any — will survive the FDA review process set to begin in May.\u003cbr>\nUnder agency standards, only vaping products that represent a net benefit to the nation's public health are supposed to be permitted.\u003c/p>\n\u003cp>Proving that standard will require companies to submit detailed analysis of their ingredients and population-level estimates of how their products will impact both adult and underage users.\u003c/p>\n\u003cp>Industry observers say few, if any, of the thousands of vape shops that mix their own custom flavors and solutions will be able to meet the threshold.\u003c/p>\n\u003cp>\"It's ironic that the vape shops, who really championed e-cigarettes for smoking cessation, are going to be out of business,\" said Dr. Neal Benowitz, a nicotine and tobacco researcher at the University of California San Francisco.\u003c/p>\n\u003cp>That leaves a handful of industry heavyweights such as Juul, which could benefit from billions in research funding from Marlboro-maker Altria, the tobacco company that owns a 35% stake in the vaping firm.\u003c/p>\n\u003cp>But Juul has been besieged by lawsuits and investigations into its alleged role in triggering the explosion of teen vaping. That history could block the company from ever winning FDA approval for its current device, according to former FDA officials.\u003c/p>\n\u003ch3>A Third Way\u003c/h3>\n\u003cp>The uncertainty swirling around vaping could clear the path for another product that is neither a traditional cigarette nor an e-cigarette.\u003c/p>\n\u003cp>Earlier this year, the FDA authorized the sale of a first-of-a-kind device, IQOS, that heats tobacco without burning it. The approach is designed to mimic the experience of smoking while producing fewer toxic chemicals than paper-and-tobacco cigarettes.\u003c/p>\n\u003cp>The battery-powered device is getting a preliminary launch this month in Atlanta ahead of a wider rollout. But IQOS's pedigree underscores the persistence of Big Tobacco companies, even in a world increasingly focused on vaping and other alternative products.\u003c/p>\n\u003cp>IQOS was developed by Philip Morris International, the global tobacco giant that sells Marlboro cigarettes overseas. It will be sold in the U.S. by the biggest American cigarette maker, Altria, which is also Juul's biggest investor.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education. The AP is solely responsible for all content.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"As politicians address public health crises tied to vaping, health advocates fear ex-smokers will go back to using cigarettes.","status":"publish","parent":0,"modified":1570486845,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":48,"wordCount":1785},"headData":{"title":"Vaping Health Warnings Could Make Ex-Smokers Return to Cigarettes | KQED","description":"As politicians address public health crises tied to vaping, health advocates fear ex-smokers will go back to using cigarettes.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Vaping Health Warnings Could Make Ex-Smokers Return to Cigarettes","datePublished":"2019-10-06T16:11:38.000Z","dateModified":"2019-10-07T22:20:45.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11778402 https://ww2.kqed.org/news/?p=11778402","disqusUrl":"https://ww2.kqed.org/news/2019/10/06/vaping-health-warnings-could-make-ex-smokers-return-to-cigarettes/","disqusTitle":"Vaping Health Warnings Could Make Ex-Smokers Return to Cigarettes","source":"Associated Press","nprByline":"Matthew Perrone \u003cbr> \u003cstrong>Associated Press\u003c/strong>","path":"/news/11778402/vaping-health-warnings-could-make-ex-smokers-return-to-cigarettes","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Only two years ago, electronic cigarettes were viewed as a small industry with big potential to improve public health by offering a path to steer millions of smokers away from deadly cigarettes.\u003c/p>\n\u003cp>That promise led U.S. regulators to take a hands-off approach to e-cigarette makers, including a Silicon Valley startup named Juul Labs, which was being praised for creating \"the iPhone of e-cigarettes.\"\u003c/p>\n\u003cp>Today Juul and hundreds of smaller companies are at the center of a political backlash that threatens to sweep e-cigarettes from store shelves nationwide as politicians scramble to address two separate public health crises tied to vaping: underage use among teenagers and a mysterious and sometimes fatal lung ailment that has affected more than 1,000 people.\u003c/p>\n\u003cp>New restrictions at the local, state and federal level are poised to wipe out thousands of fruit-, candy- and dessert-flavored vapes that have attracted teens. But experts who study tobacco policy fear the scattershot approach of the clampdown could have damaging, unintended consequences, including driving adults who vape back to cigarette smoking, which remains the nation's leading preventable cause of death.\u003c/p>\n\u003cp>\"This could take us from potentially the single biggest improvement in public health in the United States toward a public health disaster in which cigarettes continue to be the dominant nicotine product,\" said Jonathan Foulds, an addiction researcher and tobacco specialist at Penn State University.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Foulds and many other experts continue to view e-cigarettes as a potential \"off-ramp\" for smokers, allowing them to continue using nicotine — the addictive chemical in cigarettes — without inhaling all the toxic byproducts of burning tobacco.\u003c/p>\n\u003cp>But they warn the vaping backlash could do irreparable harm to the public perception of e-cigarettes, while ignoring the riskiest products that are most likely to blame for the recent outbreak.\u003c/p>\n\u003cp>Federal investigators say that nearly 80% of people who have come down with the vaping illness reported using products containing THC, the high-inducing chemical found in marijuana. They have not traced the problem to any single product or ingredient. But investigators are increasingly focused on thickeners and additives found in illegal THC cartridges sold on the black market.\u003c/p>\n\u003cp>On Friday, the Food and Drug Administration specifically warned the public not to vape THC or purchase any vaping products off the street.\u003c/p>\n\u003cp>THC vapes are separate from the legal, nicotine-filled e-cigarettes being targeted by President Donald Trump and politicians across the country.\u003c/p>\n\u003cp>Democratic governors in New York, Michigan, Washington, Rhode Island and Oregon have followed the president's plan to ban flavored e-cigarettes nationally with their own state-level flavor restrictions. Massachusetts' Republican governor has gone even further, placing a four-month moratorium on sales of vaping products of any kind.\u003c/p>\n\u003cp>\"The problem here is we have convinced adult America that vaping is as dangerous as smoking — and nothing could be further from the truth,\" said Kenneth Warner, professor emeritus at the University of Michigan's school of public health.\u003c/p>\n\u003cp>E-cigarettes generally heat a flavored nicotine solution into an inhalable aerosol. There is little research on the long-term effects of inhaling the chemicals in vaping, such as vegetable glycerin. Despite those unknowns, most experts agree e-cigarettes pose a much smaller risk than cigarettes, which cause cancer, lung disease and stroke and account for some 480,000 U.S. deaths each year.\u003c/p>\n\u003cp>Even before the current uproar over vaping, most adults considered e-cigarettes dangerous. A 2017 government survey found 55% of Americans considered e-cigarettes as harmful as regular cigarettes.\u003c/p>\n\u003cp>And while the flavor bans are likely to curb teen vaping, Warner and others point out that those policies won't prohibit flavors in traditional tobacco products. That means both teens and adults could wind up switching to deadlier menthol cigarettes or flavored cigars, which come in coffee, raspberry, chocolate and hundreds of other varieties.\u003c/p>\n\u003ch3>Walking a Policy Tightrope\u003c/h3>\n\u003cp>The policy debate underscores the challenge of finding the right regulatory scheme for e-cigarettes, products for which there is little high-quality research.\u003c/p>\n\u003cp>More than 30 countries prohibit vaping products. In contrast, the United Kingdom has fully embraced them as a public health tool, urging doctors to promote them to help smokers quit.\u003c/p>\n\u003cp>The U.S. FDA has been struggling to find the right approach since it gained authority over e-cigarettes in 2016.\u003c/p>\n\u003cp>The agency repeatedly delayed its deadline to begin reviewing e-cigarettes, a step that critics say allowed products like Juul to catch on with teenagers. At the same time, e-cigarette companies and proponents say the agency's new review deadline of next May is too aggressive and will force most companies out of business.\u003c/p>\n\u003cp>Now the agency is trying to walk a tightrope between keeping e-cigarettes away from teens but preserving them for an estimated 10 million adults who use them, most of whom also smoke.\u003c/p>\n\u003cp>Further complicating the picture is the fact that no e-cigarette brand has yet been shown to help smokers quit in rigorous studies. But large-scale surveys suggest smokers who use e-cigarettes daily are up to six times more likely to quit than those who don't use them.\u003c/p>\n\u003ch3>Risk of Smoking Relapse\u003c/h3>\n\u003cp>The statistics favoring e-cigarettes are bolstered by the experiences of people like Laura Adams, 52, of Battle Creek, Michigan.\u003c/p>\n\u003cp>A smoker since age 16, Adams was rushed to the hospital in April when a coughing fit left her struggling to breathe. Doctors diagnosed her with chronic obstructive pulmonary disorder, or COPD, and told her she needed to quit cigarettes.\u003c/p>\n\u003cp>For more than 25 years previously, Adams had smoked clove-flavored cigarettes. When the government banned those in 2009, she switched to flavored cigars.\u003c/p>\n\u003cp>\"I always liked the flavors better than regular tobacco,\" Adams said.\u003cbr>\nAfter her medical emergency, Adams tried a series of e-cigarettes at a local vape shop before settling on a large, refillable device that allowed her to switch between flavors like blueberry, watermelon and peach.\u003c/p>\n\u003cp>\"As far as I'm concerned, flavored vaping juice saved my life,\" Adams said. \"It gave me the option of continuing with my nicotine but without destroying my lungs.\"\u003c/p>\n\u003cp>As Michigan stores pull their flavored products to comply with the state ban, Adams has been researching out-of-state suppliers and even do-it-yourself kits for mixing flavors.\u003c/p>\n\u003cp>But some public health advocates fear less motivated ex-smokers will simply return to cigarettes. Even with the success of Juul, e-cigarettes remain a tiny slice of the U.S. tobacco market, accounting for $8.6 billion in sales compared to $95 billion for cigarettes, according to Euromonitor.\u003c/p>\n\u003cp>Industry analysts point to early indicators that e-cigarette sales are beginning to flag amid the bans and negative headlines. E-cigarette sales slowed by 11% over the four weeks ended Sept. 22, according to retail data tracked by Nielsen.\u003c/p>\n\u003cp>The trend \"could result in improved combustible cigarette\" sales \"as vapers potentially return\" to smoking, Wells Fargo analyst Bonnie Herzog told investors in a recent note.\u003c/p>\n\u003cp>That's exactly the opposite of what public health officials have been trying to achieve, noted former FDA Commissioner Scott Gottlieb, who stepped down in April.\u003c/p>\n\u003cp>As FDA chief, Gottlieb outlined an ambitious anti-smoking plan intended to shift most of the nation's 34 million smokers away from cigarettes and toward less risky products. The unprecedented plan involved a two-step process: cutting nicotine in traditional cigarettes to make them virtually nonaddictive and then promoting FDA-sanctioned, lower-risk alternatives, such as e-cigarettes.\u003c/p>\n\u003cp>But the agency has yet to unveil its proposal for cutting nicotine. And a separate proposal to ban menthol cigarettes is still in regulatory limbo.\u003c/p>\n\u003cp>So as the agency begins sweeping flavored e-cigarettes off the market in coming months, Gottlieb fears smokers may revert to regular cigarettes and cigars, which will still have nicotine levels and flavors designed to addict users.\u003c/p>\n\u003cp>\"This was always a package deal, and it's become even more critical than ever to advance that entire policy agenda,\" he said.\u003cbr>\nThe FDA says it remains committed to Gottlieb's vision of lower-nicotine cigarettes and less-harmful alternative products. The agency's regulatory calendar lists this month as the target date to release its proposal for regulating nicotine. But that effort will take years to implement and will almost certainly face lawsuits from tobacco companies.\u003c/p>\n\u003cp>Meanwhile, it remains unclear which e-cigarettes — if any — will survive the FDA review process set to begin in May.\u003cbr>\nUnder agency standards, only vaping products that represent a net benefit to the nation's public health are supposed to be permitted.\u003c/p>\n\u003cp>Proving that standard will require companies to submit detailed analysis of their ingredients and population-level estimates of how their products will impact both adult and underage users.\u003c/p>\n\u003cp>Industry observers say few, if any, of the thousands of vape shops that mix their own custom flavors and solutions will be able to meet the threshold.\u003c/p>\n\u003cp>\"It's ironic that the vape shops, who really championed e-cigarettes for smoking cessation, are going to be out of business,\" said Dr. Neal Benowitz, a nicotine and tobacco researcher at the University of California San Francisco.\u003c/p>\n\u003cp>That leaves a handful of industry heavyweights such as Juul, which could benefit from billions in research funding from Marlboro-maker Altria, the tobacco company that owns a 35% stake in the vaping firm.\u003c/p>\n\u003cp>But Juul has been besieged by lawsuits and investigations into its alleged role in triggering the explosion of teen vaping. That history could block the company from ever winning FDA approval for its current device, according to former FDA officials.\u003c/p>\n\u003ch3>A Third Way\u003c/h3>\n\u003cp>The uncertainty swirling around vaping could clear the path for another product that is neither a traditional cigarette nor an e-cigarette.\u003c/p>\n\u003cp>Earlier this year, the FDA authorized the sale of a first-of-a-kind device, IQOS, that heats tobacco without burning it. The approach is designed to mimic the experience of smoking while producing fewer toxic chemicals than paper-and-tobacco cigarettes.\u003c/p>\n\u003cp>The battery-powered device is getting a preliminary launch this month in Atlanta ahead of a wider rollout. But IQOS's pedigree underscores the persistence of Big Tobacco companies, even in a world increasingly focused on vaping and other alternative products.\u003c/p>\n\u003cp>IQOS was developed by Philip Morris International, the global tobacco giant that sells Marlboro cigarettes overseas. It will be sold in the U.S. by the biggest American cigarette maker, Altria, which is also Juul's biggest investor.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education. The AP is solely responsible for all content.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11778402/vaping-health-warnings-could-make-ex-smokers-return-to-cigarettes","authors":["byline_news_11778402"],"programs":["news_72"],"categories":["news_457","news_8"],"tags":["news_24056","news_22856","news_19542","news_26605","news_458","news_25879","news_22857"],"featImg":"news_11778404","label":"source_news_11778402"},"news_11774395":{"type":"posts","id":"news_11774395","meta":{"index":"posts_1591205157","site":"news","id":"11774395","score":null,"sort":[1568507450000]},"guestAuthors":[],"slug":"san-jose-to-join-bay-area-cities-in-banning-e-cigs-flavored-tobacco","title":"San Jose Looks to Join Bay Area Cities in Banning E-Cigs, Flavored Tobacco","publishDate":1568507450,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>A San Jose official is pushing for a \u003ca href=\"http://www.sanjoseinside.com/2019/09/13/councilwoman-calls-for-ban-on-vaping-products-in-san-jose/#.XXu3M8bu4J4.twitter\" target=\"_blank\" rel=\"noopener\">local ban\u003c/a> on some vaping and flavored tobacco products.\u003c/p>\n\u003cp>The recommendations from San Jose city councilmember Magdalena Carrasco come shortly after the Trump administration and the Federal Drug Administration \u003ca href=\"https://www.npr.org/sections/health-shots/2019/09/11/759851853/fda-to-banish-flavored-e-cigarettes-to-combat-youth-vaping\" target=\"_blank\" rel=\"noopener\">announced plans\u003c/a> for an upcoming policy that would enable the \u003ca href=\"https://www.kqed.org/news/11773752/bay-area-vaping-critics-praise-trump-administration-plans-to-ban-flavored-products\" target=\"_blank\" rel=\"noopener\">removal\u003c/a> of many flavored non-tobacco e-cigarettes from the market.\u003c/p>\n\u003cp>This follows a recent \u003ca href=\"https://www.kqed.org/news/11773385/6-potential-cases-of-vaping-related-lung-illness-reported-in-bay-area\" target=\"_blank\" rel=\"noopener\">announcement\u003c/a> from officials with the California Department of Public Health who say they’ve identified 67 potential cases of acute lung disease in people with a recent history of vaping since late June, including 6 in the Bay Area.\u003c/p>\n\u003cp>Carrasco’s recommendations further aim to limit young people’s access to tobacco products through the removal of a \u003ca href=\"https://library.municode.com/ca/san_jose/codes/code_of_ordinances?nodeId=TIT6BULIRE_CH6.87TORELI_PT2GEPR_6.87.210TORELIEX\" target=\"_blank\" rel=\"noopener\">municipal code exemption\u003c/a> that currently allows San Jose’s tobacco and vape shops to operate without a city license on the condition that people under 18 years of age aren’t admitted into the shop.\u003c/p>\n\u003cp>In a \u003ca href=\"https://sanjose.legistar.com/LegislationDetail.aspx?ID=4134208&GUID=266ABA3F-C283-4F25-8994-7FF4E923CB8F\" target=\"_blank\" rel=\"noopener\">memo\u003c/a> to the city last week, Carrasco states that this “loophole” leaves the city no recourse for unlicensed vendor violations and is out of date with the \u003ca href=\"https://www.kqed.org/stateofhealth/196103/buying-tobacco-or-e-cigarettes-in-california-you-need-to-be-21\" target=\"_blank\" rel=\"noopener\">state-wide ban\u003c/a> on the sale of tobacco products to people under 21 years of age since 2016.\u003c/p>\n\u003cp>[aside tag='vaping' label='More Coverage.']\u003c/p>\n\u003cp>The city councilmember also cited a recent Santa Clara County Public Health report that found \u003ca href=\"https://www.sccgov.org/sites/phd/news/Pages/tobacco-vaping-survey-08-2019.aspx\" target=\"_blank\" rel=\"noopener\">e-cigarette use has increased\u003c/a> among teens in the county and statewide.\u003c/p>\n\u003cp>The report is based on a survey given to students at 18 Santa Clara County middle and high schools in which nearly one in three students surveyed reported having tried vaping. According to the report, about 13% of participating students reported using e-cigarettes within the last month.\u003c/p>\n\u003cp>According to San Jose public health officials, that’s slightly higher than the state’s rate for that age group and almost half the national rate.\u003c/p>\n\u003cp>The proposed changes in San Jose would also include regulations to limit “any further overconcentration of tobacco businesses,” especially near areas frequented by kids like schools and community centers.\u003c/p>\n\u003cp>The councilmember’s recommendations are set to be heard by the city’s Rules Committee next week.\u003c/p>\n\u003cp>If the city decides to restrict the sale of e-cigarettes, it would be following in the footsteps of \u003ca href=\"https://www.kqed.org/news/11757125/san-francisco-approves-ban-on-e-cigarette-sales-distribution\" target=\"_blank\" rel=\"noopener\">San Francisco\u003c/a> and \u003ca href=\"https://www.mercurynews.com/2019/09/10/richmond-bans-sale-of-e-cigarettes/\" target=\"_blank\" rel=\"noopener\">Richmond\u003c/a>.\u003c/p>\n\u003cp>The Bay Area-based company \u003ca href=\"https://www.juul.com\" target=\"_blank\" rel=\"noopener\">Juul Labs\u003c/a> — one of the biggest producers of e-cigarettes in the country and a vocal opponent of San Francisco's ban — did not immediately respond to a request for comment.\u003c/p>\n\u003cp>Meanwhile, voters in Livermore are \u003ca href=\"https://www.mercurynews.com/2019/09/13/voters-of-east-bay-city-to-decide-if-sale-of-vape-pens-should-be-banned/\" target=\"_blank\" rel=\"noopener\">set to decide\u003c/a> whether or not to ban these products this coming March.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"If the ban passed, San Jose would follow other Bay Area cities in placing restrictions on e-cigarettes and flavored tobacco products. ","status":"publish","parent":0,"modified":1568581831,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":451},"headData":{"title":"San Jose Looks to Join Bay Area Cities in Banning E-Cigs, Flavored Tobacco | KQED","description":"If the ban passed, San Jose would follow other Bay Area cities in placing restrictions on e-cigarettes and flavored tobacco products. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"San Jose Looks to Join Bay Area Cities in Banning E-Cigs, Flavored Tobacco","datePublished":"2019-09-15T00:30:50.000Z","dateModified":"2019-09-15T21:10:31.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11774395 https://ww2.kqed.org/news/?p=11774395","disqusUrl":"https://ww2.kqed.org/news/2019/09/14/san-jose-to-join-bay-area-cities-in-banning-e-cigs-flavored-tobacco/","disqusTitle":"San Jose Looks to Join Bay Area Cities in Banning E-Cigs, Flavored Tobacco","path":"/news/11774395/san-jose-to-join-bay-area-cities-in-banning-e-cigs-flavored-tobacco","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A San Jose official is pushing for a \u003ca href=\"http://www.sanjoseinside.com/2019/09/13/councilwoman-calls-for-ban-on-vaping-products-in-san-jose/#.XXu3M8bu4J4.twitter\" target=\"_blank\" rel=\"noopener\">local ban\u003c/a> on some vaping and flavored tobacco products.\u003c/p>\n\u003cp>The recommendations from San Jose city councilmember Magdalena Carrasco come shortly after the Trump administration and the Federal Drug Administration \u003ca href=\"https://www.npr.org/sections/health-shots/2019/09/11/759851853/fda-to-banish-flavored-e-cigarettes-to-combat-youth-vaping\" target=\"_blank\" rel=\"noopener\">announced plans\u003c/a> for an upcoming policy that would enable the \u003ca href=\"https://www.kqed.org/news/11773752/bay-area-vaping-critics-praise-trump-administration-plans-to-ban-flavored-products\" target=\"_blank\" rel=\"noopener\">removal\u003c/a> of many flavored non-tobacco e-cigarettes from the market.\u003c/p>\n\u003cp>This follows a recent \u003ca href=\"https://www.kqed.org/news/11773385/6-potential-cases-of-vaping-related-lung-illness-reported-in-bay-area\" target=\"_blank\" rel=\"noopener\">announcement\u003c/a> from officials with the California Department of Public Health who say they’ve identified 67 potential cases of acute lung disease in people with a recent history of vaping since late June, including 6 in the Bay Area.\u003c/p>\n\u003cp>Carrasco’s recommendations further aim to limit young people’s access to tobacco products through the removal of a \u003ca href=\"https://library.municode.com/ca/san_jose/codes/code_of_ordinances?nodeId=TIT6BULIRE_CH6.87TORELI_PT2GEPR_6.87.210TORELIEX\" target=\"_blank\" rel=\"noopener\">municipal code exemption\u003c/a> that currently allows San Jose’s tobacco and vape shops to operate without a city license on the condition that people under 18 years of age aren’t admitted into the shop.\u003c/p>\n\u003cp>In a \u003ca href=\"https://sanjose.legistar.com/LegislationDetail.aspx?ID=4134208&GUID=266ABA3F-C283-4F25-8994-7FF4E923CB8F\" target=\"_blank\" rel=\"noopener\">memo\u003c/a> to the city last week, Carrasco states that this “loophole” leaves the city no recourse for unlicensed vendor violations and is out of date with the \u003ca href=\"https://www.kqed.org/stateofhealth/196103/buying-tobacco-or-e-cigarettes-in-california-you-need-to-be-21\" target=\"_blank\" rel=\"noopener\">state-wide ban\u003c/a> on the sale of tobacco products to people under 21 years of age since 2016.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"vaping","label":"More Coverage. "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The city councilmember also cited a recent Santa Clara County Public Health report that found \u003ca href=\"https://www.sccgov.org/sites/phd/news/Pages/tobacco-vaping-survey-08-2019.aspx\" target=\"_blank\" rel=\"noopener\">e-cigarette use has increased\u003c/a> among teens in the county and statewide.\u003c/p>\n\u003cp>The report is based on a survey given to students at 18 Santa Clara County middle and high schools in which nearly one in three students surveyed reported having tried vaping. According to the report, about 13% of participating students reported using e-cigarettes within the last month.\u003c/p>\n\u003cp>According to San Jose public health officials, that’s slightly higher than the state’s rate for that age group and almost half the national rate.\u003c/p>\n\u003cp>The proposed changes in San Jose would also include regulations to limit “any further overconcentration of tobacco businesses,” especially near areas frequented by kids like schools and community centers.\u003c/p>\n\u003cp>The councilmember’s recommendations are set to be heard by the city’s Rules Committee next week.\u003c/p>\n\u003cp>If the city decides to restrict the sale of e-cigarettes, it would be following in the footsteps of \u003ca href=\"https://www.kqed.org/news/11757125/san-francisco-approves-ban-on-e-cigarette-sales-distribution\" target=\"_blank\" rel=\"noopener\">San Francisco\u003c/a> and \u003ca href=\"https://www.mercurynews.com/2019/09/10/richmond-bans-sale-of-e-cigarettes/\" target=\"_blank\" rel=\"noopener\">Richmond\u003c/a>.\u003c/p>\n\u003cp>The Bay Area-based company \u003ca href=\"https://www.juul.com\" target=\"_blank\" rel=\"noopener\">Juul Labs\u003c/a> — one of the biggest producers of e-cigarettes in the country and a vocal opponent of San Francisco's ban — did not immediately respond to a request for comment.\u003c/p>\n\u003cp>Meanwhile, voters in Livermore are \u003ca href=\"https://www.mercurynews.com/2019/09/13/voters-of-east-bay-city-to-decide-if-sale-of-vape-pens-should-be-banned/\" target=\"_blank\" rel=\"noopener\">set to decide\u003c/a> whether or not to ban these products this coming March.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11774395/san-jose-to-join-bay-area-cities-in-banning-e-cigs-flavored-tobacco","authors":["8645"],"categories":["news_457","news_8"],"tags":["news_23477","news_24338","news_18541","news_458","news_22857"],"featImg":"news_11774397","label":"news"},"news_11752111":{"type":"posts","id":"news_11752111","meta":{"index":"posts_1591205157","site":"news","id":"11752111","score":null,"sort":[1559605911000]},"guestAuthors":[],"slug":"the-california-democratic-vaping-party","title":"The California Democratic Vaping Party","publishDate":1559605911,"format":"standard","headTitle":"Mark Fiore: Drawn to the Bay | KQED News","labelTerm":{"term":18515,"site":"news"},"content":"\u003cp>Vaping company Juul, officially known as the more scientific-sounding \"Juul Labs, Inc.,\" was a major sponsor of the California Democratic Party's weekend convention as bans on flavored tobacco gain traction in \u003ca href=\"https://www.kqed.org/news/11734249/delicious-fruity-flavors-not-for-kids-promise\" target=\"_blank\" rel=\"noopener\">San Francisco\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11748537/industry-aims-to-snuff-out-first-statewide-ban-on-flavored-tobacco\" target=\"_blank\" rel=\"noopener\">statewide\u003c/a>.\u003c/p>\n\u003cp>This \u003ca href=\"https://www.kqed.org/news/11752126/a-california-democratic-convention-brought-to-you-by-e-cigarettes\" rel=\"noopener\" target=\"_blank\">caused quite a dustup at the convention\u003c/a> and led Hene Kelly, a party leader for San Francisco Democrats, to deliver a \u003ca href=\"https://twitter.com/KaivanShroff/status/1135394481988087810\" target=\"_blank\" rel=\"noopener\">stellar speech\u003c/a> from the floor.\u003c/p>\n\u003cp>In case you (or the California Democratic Party) forgot, Altria bought a 35% ownership stake in Juul that valued the hip-with-the-kids company at \u003ca href=\"https://www.bloomberg.com/news/articles/2018-12-19/juul-founders-poised-to-be-crowned-billionaires-with-altria-deal\" target=\"_blank\" rel=\"noopener\">$38 billion\u003c/a>.\u003c/p>\n\u003cp>Something tells me the sponsorship arrangement with California Democrats may go up in smoke.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Vaping company Juul was a major sponsor of the California Democratic Party's weekend convention as bans on flavored tobacco gain traction in San Francisco and statewide.","status":"publish","parent":0,"modified":1559605911,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":6,"wordCount":108},"headData":{"title":"The California Democratic Vaping Party | KQED","description":"Vaping company Juul was a major sponsor of the California Democratic Party's weekend convention as bans on flavored tobacco gain traction in San Francisco and statewide.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"The California Democratic Vaping Party","datePublished":"2019-06-03T23:51:51.000Z","dateModified":"2019-06-03T23:51:51.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11752111 https://ww2.kqed.org/news/?p=11752111","disqusUrl":"https://ww2.kqed.org/news/2019/06/03/the-california-democratic-vaping-party/","disqusTitle":"The California Democratic Vaping Party","path":"/news/11752111/the-california-democratic-vaping-party","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Vaping company Juul, officially known as the more scientific-sounding \"Juul Labs, Inc.,\" was a major sponsor of the California Democratic Party's weekend convention as bans on flavored tobacco gain traction in \u003ca href=\"https://www.kqed.org/news/11734249/delicious-fruity-flavors-not-for-kids-promise\" target=\"_blank\" rel=\"noopener\">San Francisco\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11748537/industry-aims-to-snuff-out-first-statewide-ban-on-flavored-tobacco\" target=\"_blank\" rel=\"noopener\">statewide\u003c/a>.\u003c/p>\n\u003cp>This \u003ca href=\"https://www.kqed.org/news/11752126/a-california-democratic-convention-brought-to-you-by-e-cigarettes\" rel=\"noopener\" target=\"_blank\">caused quite a dustup at the convention\u003c/a> and led Hene Kelly, a party leader for San Francisco Democrats, to deliver a \u003ca href=\"https://twitter.com/KaivanShroff/status/1135394481988087810\" target=\"_blank\" rel=\"noopener\">stellar speech\u003c/a> from the floor.\u003c/p>\n\u003cp>In case you (or the California Democratic Party) forgot, Altria bought a 35% ownership stake in Juul that valued the hip-with-the-kids company at \u003ca href=\"https://www.bloomberg.com/news/articles/2018-12-19/juul-founders-poised-to-be-crowned-billionaires-with-altria-deal\" target=\"_blank\" rel=\"noopener\">$38 billion\u003c/a>.\u003c/p>\n\u003cp>Something tells me the sponsorship arrangement with California Democrats may go up in smoke.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11752111/the-california-democratic-vaping-party","authors":["3236"],"series":["news_18515"],"categories":["news_457","news_8","news_13"],"tags":["news_25257","news_22647","news_20156","news_22856","news_24338","news_20949","news_458","news_5252","news_25879","news_22857"],"featImg":"news_11752125","label":"news_18515"},"news_11745890":{"type":"posts","id":"news_11745890","meta":{"index":"posts_1591205157","site":"news","id":"11745890","score":null,"sort":[1557345545000]},"guestAuthors":[],"slug":"proposed-tobacco-ban-sparks-fiery-debate-in-beverly-hills","title":"Proposed Tobacco Ban Sparks Fiery Debate in Beverly Hills","publishDate":1557345545,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>A fiery debate is breaking out across Beverly Hills as people at tony hair salons, gas stations and stores weigh in on whether the city of the rich and famous should become the first in the U.S. to outlaw the sale of tobacco products everywhere except for a few cigar lounges.\u003c/p>\n\u003cp>The City Council decided Tuesday night to make some changes to the proposal, such as allowing guests in the city's luxury hotels to acquire cigarettes through their concierge or room service. Members indicated they plan to pass the amended measure May 21.\u003c/p>\n\u003cp>Abstainers have said yes to the idea, and the sooner the better, while smokers protested, no way.\u003c/p>\n\u003cp>\"It's a ridiculous idea,\" hair stylist Giuseppe Franco shouted soon after lighting up a Marlboro Light on a breezeway just outside the upscale hair salon that bears his name.\u003c/p>\n\u003cp>\"First off, let's be honest. Smoking is bad. I don't let my daughter smoke,\" he said during a sometimes profane tirade delivered between puffs. \"But it's going to hurt my friends,\" he said, pointing out that a 24-hour Rite Aid pharmacy down the street does big business in cigarettes that go for about $8 a pack.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So does the Union 76 gas station a couple blocks away, where the cashier says they sell about 50 packs a day at $12 apiece.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Retired businessman John Davis']'They're going to chase the tourists out of here.'[/pullquote]\u003c/p>\n\u003cp>California is among at least 25 states that outlaw smoking in workplaces, restaurants and bars. It also has one of the highest cigarette taxes in the country at nearly $3 a pack.\u003c/p>\n\u003cp>Beverly Hills already restricts the sale of menthol cigarettes and other flavored tobacco products.\u003c/p>\n\u003cp>But the proposed ordinance would go much further, banning all tobacco products from grocery stores, pharmacies, hotels and gas stations in the city of 34,000 people between West Hollywood and Los Angeles.\u003c/p>\n\u003cp>\"My celebrity clients smoke,\" Franco fumed.\u003c/p>\n\u003cp>Like most Beverly Hills business people, Franco won't name them, but he did pull out a copy of the hotel magazine Concierge featuring a photo of him with his buddy Arnold Schwarzenegger, a cigar aficionado.\u003c/p>\n\u003cp>Cigar smokers most likely won't have to sacrifice if the ordinance is adopted. A city staff report recommends exempting three tony cigar lounges in Beverly Hills.\u003c/p>\n\u003cp>Still, the folks at one of them, Nazareth's Fine Cigars, weren't happy.\u003c/p>\n\u003cp>\"They're going to chase the tourists out of here,\" said retired businessman John Davis as he relaxed in a lounge chair, cigar in hand.\u003c/p>\n\u003cp>The decision came after the five-member council heard two hours of sometimes emotional but always polite testimony from scores of people on both sides of the issue.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Councilman Julian Gold']'We are charged with providing for the public health and that's really what this conversation is about.'[/pullquote]Owners of gas stations and other small businesses said the ban could force them to lay-off people. Health advocates said while they regretted that possibility, people's health was more important.\u003c/p>\n\u003cp>Scott McGuff, a regional manager for Rite Aide, said the Beverly Hills pharmacy draws many customers from nearby luxury hotels who pick up both cigarettes and other items and it will lose them with the ban.\u003c/p>\n\u003cp>\"It's going to affect layoffs, that's how big of a deal it is for me,\" he said.\u003c/p>\n\u003cp>While council members sympathized, they said the public's health was too important for Beverly Hills not to take action.\u003c/p>\n\u003cp>\"We are charged with providing for the public health and that's really what this conversation is about, said Councilman Julian Gold.\u003c/p>\n\u003cp>[aside tag='smoking-bans' label='More Coverage of Smoking Bans']These days, many people visit Beverly Hills from Asia and Europe, where smoking is commonplace, Davis said earlier from the cigar lounge. They'll have to head to West Hollywood to buy their smokes because cigarette sales would be banned in famous places like the Beverly Wilshire, the hotel where Julia Roberts' character stayed in \"Pretty Woman.\"\u003c/p>\n\u003cp>Not everyone in Beverly Hills is a wealthy celebrity, of course. While the median price of a home is more than $2 million and the median annual income is more than $103,000, about 9% of the population falls below the poverty line, according to the U.S. Census.\u003c/p>\n\u003cp>The gas stations, pharmacies and other places offering modest jobs and cigarettes are tucked into corners just off Rodeo Drive and other fashionable streets. Only 28 sell tobacco products, according to the city staff report.\u003c/p>\n\u003cp>The city report cites the hazards of smoking and the desire of Beverly Hills to be a healthy city as reasons for the ban on tobacco sales.\u003c/p>\n\u003cp>For non-smokers Oscar Melendez and Cezar Diaz, that's reason enough to support it.\u003c/p>\n\u003cp>\"I can pick up cigarette smoke from 30 feet away,\" Melendez said.\u003c/p>\n\u003cp>At the fashionable Sarah Pacini clothing store, it gets so bad that Diaz, the manager, said he sometimes has to close the door and ask smokers not to stand on the sidewalk out front.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Most, he said, respond politely.\u003c/p>\n\n","blocks":[],"excerpt":"The city of the rich and famous could become the first in the U.S. to outlaw the sale of tobacco products everywhere except for a few cigar lounges.","status":"publish","parent":0,"modified":1557345545,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":866},"headData":{"title":"Proposed Tobacco Ban Sparks Fiery Debate in Beverly Hills | KQED","description":"The city of the rich and famous could become the first in the U.S. to outlaw the sale of tobacco products everywhere except for a few cigar lounges.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Proposed Tobacco Ban Sparks Fiery Debate in Beverly Hills","datePublished":"2019-05-08T19:59:05.000Z","dateModified":"2019-05-08T19:59:05.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11745890 https://ww2.kqed.org/news/?p=11745890","disqusUrl":"https://ww2.kqed.org/news/2019/05/08/proposed-tobacco-ban-sparks-fiery-debate-in-beverly-hills/","disqusTitle":"Proposed Tobacco Ban Sparks Fiery Debate in Beverly Hills","nprByline":"\u003cstrong>Associated Press\u003c/strong>","path":"/news/11745890/proposed-tobacco-ban-sparks-fiery-debate-in-beverly-hills","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A fiery debate is breaking out across Beverly Hills as people at tony hair salons, gas stations and stores weigh in on whether the city of the rich and famous should become the first in the U.S. to outlaw the sale of tobacco products everywhere except for a few cigar lounges.\u003c/p>\n\u003cp>The City Council decided Tuesday night to make some changes to the proposal, such as allowing guests in the city's luxury hotels to acquire cigarettes through their concierge or room service. Members indicated they plan to pass the amended measure May 21.\u003c/p>\n\u003cp>Abstainers have said yes to the idea, and the sooner the better, while smokers protested, no way.\u003c/p>\n\u003cp>\"It's a ridiculous idea,\" hair stylist Giuseppe Franco shouted soon after lighting up a Marlboro Light on a breezeway just outside the upscale hair salon that bears his name.\u003c/p>\n\u003cp>\"First off, let's be honest. Smoking is bad. I don't let my daughter smoke,\" he said during a sometimes profane tirade delivered between puffs. \"But it's going to hurt my friends,\" he said, pointing out that a 24-hour Rite Aid pharmacy down the street does big business in cigarettes that go for about $8 a pack.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So does the Union 76 gas station a couple blocks away, where the cashier says they sell about 50 packs a day at $12 apiece.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'They're going to chase the tourists out of here.'","name":"pullquote","attributes":{"named":{"size":"small","align":"right","citation":"Retired businessman John Davis","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California is among at least 25 states that outlaw smoking in workplaces, restaurants and bars. It also has one of the highest cigarette taxes in the country at nearly $3 a pack.\u003c/p>\n\u003cp>Beverly Hills already restricts the sale of menthol cigarettes and other flavored tobacco products.\u003c/p>\n\u003cp>But the proposed ordinance would go much further, banning all tobacco products from grocery stores, pharmacies, hotels and gas stations in the city of 34,000 people between West Hollywood and Los Angeles.\u003c/p>\n\u003cp>\"My celebrity clients smoke,\" Franco fumed.\u003c/p>\n\u003cp>Like most Beverly Hills business people, Franco won't name them, but he did pull out a copy of the hotel magazine Concierge featuring a photo of him with his buddy Arnold Schwarzenegger, a cigar aficionado.\u003c/p>\n\u003cp>Cigar smokers most likely won't have to sacrifice if the ordinance is adopted. A city staff report recommends exempting three tony cigar lounges in Beverly Hills.\u003c/p>\n\u003cp>Still, the folks at one of them, Nazareth's Fine Cigars, weren't happy.\u003c/p>\n\u003cp>\"They're going to chase the tourists out of here,\" said retired businessman John Davis as he relaxed in a lounge chair, cigar in hand.\u003c/p>\n\u003cp>The decision came after the five-member council heard two hours of sometimes emotional but always polite testimony from scores of people on both sides of the issue.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'We are charged with providing for the public health and that's really what this conversation is about.'","name":"pullquote","attributes":{"named":{"size":"small","align":"right","citation":"Councilman Julian Gold","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Owners of gas stations and other small businesses said the ban could force them to lay-off people. Health advocates said while they regretted that possibility, people's health was more important.\u003c/p>\n\u003cp>Scott McGuff, a regional manager for Rite Aide, said the Beverly Hills pharmacy draws many customers from nearby luxury hotels who pick up both cigarettes and other items and it will lose them with the ban.\u003c/p>\n\u003cp>\"It's going to affect layoffs, that's how big of a deal it is for me,\" he said.\u003c/p>\n\u003cp>While council members sympathized, they said the public's health was too important for Beverly Hills not to take action.\u003c/p>\n\u003cp>\"We are charged with providing for the public health and that's really what this conversation is about, said Councilman Julian Gold.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"smoking-bans","label":"More Coverage of Smoking Bans "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>These days, many people visit Beverly Hills from Asia and Europe, where smoking is commonplace, Davis said earlier from the cigar lounge. They'll have to head to West Hollywood to buy their smokes because cigarette sales would be banned in famous places like the Beverly Wilshire, the hotel where Julia Roberts' character stayed in \"Pretty Woman.\"\u003c/p>\n\u003cp>Not everyone in Beverly Hills is a wealthy celebrity, of course. While the median price of a home is more than $2 million and the median annual income is more than $103,000, about 9% of the population falls below the poverty line, according to the U.S. Census.\u003c/p>\n\u003cp>The gas stations, pharmacies and other places offering modest jobs and cigarettes are tucked into corners just off Rodeo Drive and other fashionable streets. Only 28 sell tobacco products, according to the city staff report.\u003c/p>\n\u003cp>The city report cites the hazards of smoking and the desire of Beverly Hills to be a healthy city as reasons for the ban on tobacco sales.\u003c/p>\n\u003cp>For non-smokers Oscar Melendez and Cezar Diaz, that's reason enough to support it.\u003c/p>\n\u003cp>\"I can pick up cigarette smoke from 30 feet away,\" Melendez said.\u003c/p>\n\u003cp>At the fashionable Sarah Pacini clothing store, it gets so bad that Diaz, the manager, said he sometimes has to close the door and ask smokers not to stand on the sidewalk out front.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Most, he said, respond politely.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11745890/proposed-tobacco-ban-sparks-fiery-debate-in-beverly-hills","authors":["byline_news_11745890"],"programs":["news_72"],"categories":["news_19906","news_457","news_8","news_13"],"tags":["news_24056","news_458","news_5252","news_2314"],"featImg":"news_11745895","label":"news_72"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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