Tag Archives: e-cigarettes

More mixed bags for e-cigs … study suggests e-cigs increase risk of stroke

It’s been such a mixed week for e-cigs, with one study showing e-cigs are more successful than nicotine patches and gum for helping people quit, yet the American Lung Association ripping the FDA as a “failure” for doing nothing to stem the tide of teen vaping.

Well, this week another study came out that e-cigarettes, while perhaps safer than cigarettes, are still not completely harmless.

In what is admittadly a pretty limited study, a new survey by the American Stroke Association shows that e-cig use is associated with a higher risk of strokes and heart attacks.

From an NPR story:

“There’s a certain notion that e-cigarettes are harmless,” says Dr. Paul Ndunda, the study’s author and an assistant professor at the School of Medicine at the University of Kansas in Wichita. “But this study and previous other studies show that while they’re less harmful than normal cigarettes, their use still comes with risks.”

This study relied on a behavioral factor survey from the CDC and looked at 66,000 e-cig users. It found a 71 percent higher risk of stroke, 59 percent higher risk of heart attack and 40 percent higher risk of heart disease.

(OK, I’m going to be honest here … while I’m sure these figures are accurate, my first question is how many of these e-cig users are smokers and former smokers … the increased risk of stroke and heart disease could be from the smoking more than the e-cigs.)

The study does get into this to a degree, to be fair.

From NPR:

Ndunda found e-cigarette users are twice as likely to also smoke conventional cigarettes, compared with people who don’t use e-cigarettes.

To see the health effects of e-cigarette use alone, Ndunda and his colleague Dr. Tabitha Muutu compared people who had only used e-cigarettes — not conventional cigarettes — to nonsmokers.

“Even in that group there was a 29 percent higher risk of stroke and a 25 percent higher risk of heart attack,” Ndunda says. Taken together, these two analyses point to an additive effect of e-cigarette and conventional cigarette use.

So, Ndunda admits in the aritlce that the study has its limitations because there’s so many factors at play here — e-cigs, mixing e-cigs and cigarettes, and my point, the pre-existing damage experienced by former smokers from their decades of cigarette use.

Anyway, this survey strongly suggests it’s probably a really, really bad idea to mix e-cigs and cigarettes together. That if you’re going to use e-cigs, you really have to quit cigarettes to actually have any health benefit.

FDA chief threatens to completely remove e-cigs from the market

The war between FDA chief Scott Gottlieb and the e-cig industry continues to escalate with Gottlieb last week threatening to just say “Fuck it” and completely take e-cigs off the market.

To wit, the Food and Drug Administration has come out harshly against the e-cig industry beginning about six months ago because of the skyrocketing increase in teen vaping rates.

So, the FDA came out with a series of rules regarding e-cigs, including some restrictions on fruity flavours and the requirement that e-cig products only be sold in areas open to adults. The FDA didn’t get into marketing of e-cig products.

These rules weren’t as strong as what *I* had hoped for, at the very least, I liked an idea that was floated to restrict e-cig sales strictly to tobacco shops, but that got dropped, likely because of pressure from the industry.

Anyway, Gottlieb said he has met with industry representatives and he remains unimpressed with their response so far.

This is a quote from a Gottlieb tweet:

I still believe e-cigarettes present an opportunity for adult smokers to transition off cigarettes and onto nicotine delivery products that may not have the same level of risks. However, if the youth use continues to rise, the entire category will face an existential threat

Also, from an NBC News article:


“I’ll tell you this. If the youth use continues to rise, and we see significant increases in use in 2019, on top of the dramatic rise in 2018, the entire category will face an existential threat,” Gottlieb told a meeting.
“It will be game over for these products until they can successfully traverse the regulatory process.”

Gottlieb said he has met repeatedly with the vape industry. “I find myself debating with tobacco makers and retailers the merits of selling fruity flavors in ways that remain easily accessible to kids,” he said.

Last November, Gottlieb said he was starting the process to limit sales of flavored e-cigarettes, as well as to ban menthol in combustible cigarettes.

“I have questions about whether they are living up to the very modest promises that they made,” he said. “It matters if the e-cig makers can’t honor even modest, voluntary commitments that they made to the FDA.”

I’m curious if the industry is taking these threats seriously? Juul very quickly shut down its social media presence, but it might be too little, too late to slow down teen vaping use … or to satisfy the FDA.

Gottlieb said the dramatic rise in e-cigs is sabotaging the success public health advocates have had in cutting the teen smoking rate.

From a Yahoo article:

“This progress is being undercut — even eclipsed — by the recent, dramatic rise in youth vaping. A few years ago, it would have been incredible to me that we’d be here, discussing the potential for drug therapy to help addicted youth vapers quit nicotine,” he said Friday.

Gottlieb cited statistics about the large use of e-cigarettes by young people, saying that between 2017 and 2018 there was a 78 percent increase in e-cigarette use in high school students, and a 48 percent increase among middle schoolers. That means the total number of middle- and high-school students using e-cigarettes rose to 3.6 million — 1.5 million more than used the product the previous year. He added that more than a quarter (27.7 percent) of high-school-age e-cigarette users use the product regularly, and more than two-thirds (67.8 percent) are using flavored e-cigarettes. 

“Youth use of e-cigarettes has become an epidemic,” Gottlieb said, adding, “It could be ‘game over’ for some [of] these products until they can successfully traverse the regulatory process. I think the stakes are that high.” Gottlieb also noted that e-cigarettes can be a helpful tool for adults trying to quit smoking traditional cigarettes, and said he hopes to avoid removing e-cigarettes from the market because of the good they can serve in that regard. 

Stay tuned. Gonna be a rocky year on this issue likely.

California lawmakers propose ban on flavoured e-cig products

Yeah, those are actually e-cigarette flavours, not actual candy. Nope, not marketing to kids at all!

The headline to this article is slightly misleading. They aren’t talking about just a ban on flavoured tobacco in California, they’re talking about a ban on flavoured tobacco and flavoured e-cigarette products. I still think it’s important to differentiate between the two.

This is all part of a recent crackdown on e-cigarettes and their fruity, sugary flavours. The e-cigarette industry isn’t really fooling anyone when they claim they aren’t marketing to kids when they make flavours like “Smurf grape” and bubble gum.

Juul has apparently agreed to stop sales of some of its sweet flavours. Candy-flavoured cigarettes were banned some time ago, but Swisher sweet cigars, a long-established product and menthol cigarettes were still allowed.

Now, the FDA is moving to ban all flavoured tobacco products and menthol cigarettes. That move could be tied up in courts for a while, because menthol cigarettes are BIG business (roughly about 10 percent of cigarette sales) and the tobacco industry simply isn’t going to go down without a fight.

The City of San Francisco banned the sale of flavoured e-cig products and several state legislators in California are proposing a similar statewide ban.

Here’s my attitude about the sweet flavours. If e-cigs are really designed to help get smokers off cigarettes, then the draw should be the nicotine, not the flavour of the steam. By having strawberry and lemon-lime and what have you flavours, this to me is pretty clearly just part of the e-cig’s craven tactic of making their products appealing to kids — who are not using e-cigs to get off cigarettes, they’re using e-cigs to get addicted to nicotine to begin with.

Anyway, I hope the bill passes and in California, it probably has a good chance to pass. The day of reckoning for the e-cig industry has arrived, I think.

Altria now trying to buy into Juuls

Well, this was as predictable as the day is long.

I wrote a few days ago about how Altria is expanding its business to marijuana. Altria, which already owns the e-cigarette brand MarkTen, is now making a move to buy into the biggest e-cigarette brand out there, Juul.

It’s interesting. A lot of people think e-cigarettes and cigarettes are somehow in competition. Nothing could be further from the truth. They’re really two sides of the same coin, doing a cutesy little dance around each other.

At one time, Big Tobacco controlled about 80 percent of the e-cigarette market. Altria had MarkTen, RJ Reynolds controlled Blu for a while, then Blu was sold to and controlled by Imperial Brands, a subsidiary of Philip Morris. Meanwhile, RJ Reynolds kept control of Vuse. Those three brands constituted about 80 percent of the e-cigarette market.

So, no, e-cigarettes were not competing with Big Tobacco. E-cigarettes WERE Big Tobacco. All those people usuing e-cigarettes to get off cigarettes. All those people using e-cig to say “F U” to the tobacco industry. Hey, you were giving your money to the same CEOs. Big Tobacco was selling you both the disease and the cure.

Then, along came Juul to overturn the apple cart. Juul is a relatively new player in the e-cigarette market and sometime around 2017, this company started dominating the e-cig industry, pushing down Big Tobacco’s share in the market. Juul’s share got up to 75 percent. They did this in about two years.

Now, Altria is following the Big Tobacco playbook. When you can’t beat them in the marketplace, simply buy them out. 

Juuls are incredibly convenient. They look exactly like a computer flash drive. They can charge up by plugging them into a laptop. And the flavour viles are little and easy to use.

Juuls are controversial with a lot of people in the tobacco control industry because the company, much like Blu, was pretty fucking brazen about marketing to teens. Juul relied heavily on social media to market itself and they got themselve in the crosshairs big time not only of the tobacco control community, but of the FDA. After the FDA started suggesting that it was cracking down on e-cigs because of the explosion of e-cig use by teenagers, Juul very quickly abandoned all of its social media accounts and announced that it would no longer sell many of its fruity and surgary flavours.

Along comes Altria to save the day. Altria, the parent company behind what used to be known as Philip Morris, is abandoning its failed MarkTen product.

According to this CNBC article, Altria is looking at buying a “significant” share of Juul. And again, we follow the same pattern as Blu and MarkTen and Vuse.

Now, this news came out around the same time as the FDA announced that it was cracking down on e-cigs, mostly by requiring that e-cigs be sold in areas closed off to minors, and Juul shut down its social media accounts. We all know Altria has a long, long history of playing cutesy with the “Marketing to teens? Moi? Never!” game that Juul and every other e-cig brand has copied from.

I see this as Altria evolving and trying to stay an active player in the nicotine addiction game, via e-cigs and international marekts. (And my concern about Altria getting involved in marijuana is over the company cooking up schemes to add nicotine to marijuana to make it more addictive). This is a multi-billion dollar corporation that has no plans of simply slinking off into the sunset.

FDA thinking about ban on vaping flavours; Juuls on the radar

Oooh, I will DEFINITELY be keeping my eye on this one. The Food and Drug Administration is apparently mulling the possibility of banning vaping flavours and is reviewing any regulations that are needed for Juuls, as well.

Juuls are a fairly new type of e-cigarette that doesn’t look like an e-cig at all. It looks like a little flash drive that plugs into a laptop computer … and they DO plug into laptop computers in order to recharge.

Anyway, for now the FDA is doing anything, but will be starting an anti-teen vaping initiative in mid-September.

From a USA Today article:

This month, the FDA asked four e-cigarette companies for information about the appeal of their products to youths and said it could take enforcement action against the companies based on what it learns.

In mid-September, the FDA will launch a vaping prevention campaign targeting 10 million youths who vape or are open to trying it, Scott Gottlieb said. It will continue enforcement against retailers that sell to minors.

“We are very concerned that we could be addicting a whole generation of young people,” Gottlieb said. “We only have a narrow window of opportunity to address it.”

Instead of committing to regulate flavor, the FDA solicited more research on flavor’s role. Robin Koval, CEO of the anti-tobacco group Truth Initiative, said there is ample evidence that flavors attract teens.

USA Today interviewed a bunch of young college students who vaped. The interview that really jumped out at me came from Kevin Kee.

From the article:

Kevin Kee, 22, took up vaping to give up smoking when he was starting college but found himself going back to smoking again when he noticed the Juul was “more ingrained in my life than cigarettes ever were.”

“With the Juul, you can vape anywhere, 24/7. I went through pods way quicker – I could go through a pod in one day,” Kee said. “My tolerance was higher, and I didn’t want that kind of life coming out of college.”

Kee said he thinks people who vape to quit smoking are a minority and most people “vape just to vape.” Out of college and working, he’s given up cigarettes and vaping but fears a flavor ban would really hurt others.

“It’s become so ingrained in our culture that banning flavored nicotine would be like the prohibition,” he said.

People vape just to vape, not to quit cigarettes. I’m all for people using ecigs to get off cigarettes. What I’m not all for is kids 14-, 15-, 16-year-olds becoming addicted to nicotine to begin with via ecigs or Juuls.

Gottlieb also said that the FDA is keeping an eye on Juuls and for its alleged marketing to teens.

Also from the USA TODAY article regarding the controversial and relatively new Juuls:

A class-action lawsuit filed at U.S. District Court in San Francisco by Juul users alleged that the vaping giant used a two-pronged approach to target adult smokers and teens.

One San Diego teen said she was introduced to Juul by eighth-grade classmates. When her device broke last November, she obtained a warranty replacement through Juul’s website even though she was only 14, the lawsuit says.

The lawsuit alleges Juul targeted youth and nonsmokers through ads and “social media blitzes” using “alluring imagery.” Adult smokers were wooed with the promise of a lower or equal amount of nicotine compared with a cigarette even though the product is designed to be more potent and addictive than cigarettes, the lawsuit says.

“On a puff-for-puff basis, this was designed to be more powerful than the gold standard – the cigarette,” said Esfand Nafisi, a San Francisco Bay Area attorney representing Juul users. “That potency was either not disclosed or misrepresented continuously from the time of the company’s inception.”

So, the moral of the story goes … teen smoking has been all but  eliminated, but the struggle continues, and likely will always continue as long as nicotine is a legal product and companies are looking to make billions off of it by attracting new users … be it cigarettes, e-cigs or Juuls. I suspect it will be a never-ending battle.

San Francisco bans flavoured tobacco products

Yup, these are e-cigs … they’re not marketed to kids at all

San Francisco voters, by an extremely wide margin, voted during California’s Tuesday election to ban all flavoured tobacco products.

This include sugary cigars, menthol cigarettes and most importantly, sugary- or fruity-flavoured e-cig products. That is a HUGE deal because most e-cig flavours are fruity or sugary.

68 percent voted in favour of the measure. Just 31 percent voted against it.

San Francisco is notoriously one of the most stridently anti-tobacco cities in the country. And get this, RJ Reynolds spent $12 MILLION to try and defeat this measure. Why does RJ Reynolds care so much? In addition to owning  Newport menthols, the No. 1 menthol cigarette (Lorillard originally bought out Vuse and then RJR merged with Lorillard), RJ also owns Vuse e-cigarettes, the No. 1 e-cig company in the U.S. (Somewhere along the line, Vuse must have passed Blu).

Anti-tobacco advocates have been trying to get menthol cigarettes banned for a few years, with little luck, no doubt because they’re a huge part of the overall market and are particularly popular with African-American smokers (My parents always smoked menthols when I was a kid). While menthols get a pass from the Food and Drug Administration, the feds a few years ago did ban candy-flavoured cigarettes because they were clearly being directed by tobacco companies toward teen smokers.

And this is the one of the issues with all these fruity and candy-flavoured e-cigarette flavours out there. It’s well-known that teen vaping is way up; more teens vape today than smoke, which is one of the reasons why teen smoking is way down.

This is a good thing … and it isn’t. Kids are still getting addicted to nicotine, they’re just finding a less obnoxious and cheaper delivery system than cigarettes. I’m fine with smokers using e-cigs to get off of cigarettes. I’m not fine with teenagers getting addicted to nicotine to begin with via e-cigs instead of cigarettes.  And there’s no way you will convince me that c-cig flavours like strawberry shortcake, bubblegum or smurf grape are actually meant for adults.

From a CNN article:

“San Francisco’s youth are routinely bombarded with advertising for flavored tobacco and e-cigarettes every time they walk into a neighborhood convenience store. It’s clear that these products with candy themes and colorful packaging are geared towards teens,” the American Lung Association stated.

I love this quote, too from Patrick Reynolds, whose grandfather started RJ Reynolds. He’s now an avid anti-tobacco (and anti-vaping) advocate:

Patrick Reynolds, the executive director of Foundation for Smokefree America, said that R.J. Reynolds, the tobacco company that his grandfather started, had spent a lot of money fighting the ban because it’s concerned that if it passes in San Francisco, other cities will follow suit.

The company didn’t respond to messages from CNN.

“Big tobacco sees vaping as their future,” Reynolds, an anti-tobacco advocate said. “They are very afraid this is going to pass and if the voters make an informed decision to side with the health community, it will lead to hopefully a tidal wave of cities doing what SF did because the FDA did nothing. We will start to turn the tide against vaping.”

 

 

FDA to e-cig companies: Stop making your products look like candy

“Candy King” is an actual e-cig product.

The FDA is warning e-cigarette companies in a letter sent out earlier this month to stop making their products look like candy.

This has been one of the big battles against the fledglinge-cig industry — candy-flavoured products. Candy-flavoured products marketed as candy-flavoured products. And most of all, candy-flavoured products that the industry insists are not designed for underaged users.

Some of these products have names like Smurf Sauce, Twirly Sour Patch kids and Nilla Wafers.

Yeah, this is for real, those are e-cig products on the left.

Are you seriously going to try to convince me that any product with the word “Smurf” in it is actually being marketed to adults?

From a Bloomberg article:

The Food and Drug Administration and Federal Trade Commission sent 13 letters Tuesday to companies that make and sell the liquids used in e-cigarettes, warning them for using false and misleading labeling and advertising. The nicotine products resemble juice boxes, whip-cream canisters and well-known candy and cookie packages like Sour Patch Kids and Nilla Wafers.

The move follows an FDA sting operation that resulted in 40 warning letters last week to retailers that sold kids Juul e-cigarettes, the latest craze in underage tobacco use.
The FDA has given e-cigarette makers extra time to comply with certain e-cigarette regulations and is attempting to rein in youth use while it learns more about the products. Antismoking advocates have criticized the agency for not moving to ban flavors in tobacco products. FDA Commissioner Scott Gottlieb has said he wants to take a balanced approach to help adults who enjoy the flavors switch from regular cigarettes to vaping.

“Companies selling these products have a responsibility to ensure they aren’t putting children in harm’s way or enticing youth use, and we’ll continue to take action against those who sell tobacco products to youth and market products in this egregious fashion,” Gottlieb said in a statement.

The agency plans “a series of escalating actions” as part of a new plan to prevent youth tobacco use, Gottlieb said.

From a Washington Post article:

FDA commissioner Scott Gottlieb, in a telephone briefing with reporters, said that it would be hard for “any reasonable person” to examine the products and not conclude that “they are deliberately being packaged and marketed in a way that is designed to not only be appealing to kids” but also to confuse them by mimicking items they frequently consume.

So, something is supposed to hit the fan within three weeks. I’ll be keeping track of this.

I hate to say it. I try to avoid partisan politics on this page, but I am not a fan of Donald Trump and his administration, but I have to admit, this Scott Gottlieb *appears* to actually take his job seriously. I say “appears” because I am by nature a cynical person and I will await to see if the rubber meets the road with him, so to speak.

But, Jesus Christ on a cracker, e-cig flavours based on Oreo cookies, “Smurf sauce” and “Cookies & Milk” and you’re actually going to sit there with a straight face and try to convince me these are products designed for adults? C’mon!

 

What the hell is a “Juul”?

This is a “Juul”

Never heard of these things until a couple of weeks ago. I’m still not 100 percent sure what the big deal is about them.

It sounds to be something like Vaal, from the original Star Trek and  reminds of an old SNL skit about some feminine product where the whole point of the skit was “what is it?”

A Juul is apparently a new kind of e-cigarette that looks a hell of a lot like a flash drive for a laptop. And, apparently, in fact, they can be charged by plugging them into a laptop.

Anyway, the New York Times thought it was a big enough deal to do a huge article about them.

Not Vaal, Juul!

From the Times story:

Resembling a flash drive, Juul conveys a sense of industry — you’re Juuling into your MacBook Air while you are cramming for your test on Theodore Dreiser and thinking about trigonometry — and it is so easy to conceal that, as one mother explained to me, she failed to notice that her daughter was vaping in the back seat of the car as she was driving.

It’s basically just the latest “hip” e-cig. And this is one of the issues I have with e-cigs … is they keep trying to pass themselves off as “hip” and the “latest thing.” And kids love stuff that’s “hip” and the “latest thing.”

From the Times story:

The company’s position that Juul is intended strictly for “adult” smokers as its website repeatedly indicates, is belied by the menu of flavors in which the nicotine pods are offered. These include Mango, Cool Mint, Fruit Medley and Creme Brulee. As Anthony Charuvastra, a child psychiatrist and assistant professor at New York University’s Medical Center put it, “Who over 25 is looking for creme brulee as part of a smoking experience?”

Like all modern tech companies that attract tens of millions of dollars in venture capital funding, Juul believes it is doing something globally valuable, acting as “part of the solution to end combustible smoking,’’ as its marketing material proclaims. A “Mission & Values” statement on the company’s website declares that no minor should be in possession of Juul and argues that the company is working to combat underage use. In August, it instituted an age-verification system on its e-commerce site to try and prevent anyone under 21 from buying Juul products.

“James and Adam recognized a groundbreaking opportunity to apply industrial design to the smoking industry, which had not materially evolved in over one hundred years,” the Juul website also declares, indicating how little Silicon Valley can distinguish between what needs to be disrupted and what simply needs to go away.

When asked about Juul’s use by teenagers, the company said in a statement, “We condemn the use of our product by minors. We are fully committed to dramatically reducing the incidence of young people using Juul.”

Yeah, the “we here at Juul are very concerned about teen vaping” sounds pretty lame and vapid (They gave a similar statement to Women’s Health), especially when it sounds EXACTLY like the Tobacco Industry excuses for their products being blatantly marketed to teens for decades. So, colour me seriously unimpressed with the owners of Juul and their milquetoast response about teens using their product.

Study: Cancerous chemicals found in e-cigarettes

Another negative study about e-cigs.

This one is from the University of California, San Francisco (one of the leading anti-tobacco schools in the nation). It found that vapour from e-cigarettes not only contain carcinogenic chemicals, it also found that sweet, fruity-flavoured e-cig flavours are the worst for delivering carcinogenic chemicals into the lung.

These chemicals do not show up in the “ingredients” of e-cigarettes.

From an NBC story:

The chemicals are not listed on the ingredients of the vape liquid. They’re found under the catch-all description of “flavorings”, the researchers said.

Dr. Mark Rubinstein, of UCSF’s Division of Adolescent Medicine, and colleagues tested 67 teenagers who vape and compared them to 16 teens who both vape and smoke tobacco cigarettes and to 20 teens who do not use either type of cigarette.

They tested their urine and saliva and asked questions about cigarette use.

Those who used both types of cigarette had significantly higher levels of dangerous chemicals, including acrylonitrile, acrolein, propylene oxide, acrylamide and crotonaldehyde, the team reported. And those who used only e-cigarettes had much higher levels than those who used neither product.

“Among our e-cigarette–only participants, the use of fruit-flavored products produced significantly higher levels of the metabolites of acrylonitrile,” they wrote.

Glycerin and other flavorings in both tobacco and e-cigarettes can react with one another or break down into the potentially harmful chemicals.

“Acrylonitrile is a highly poisonous compound used widely in the manufacture of plastics, adhesives and synthetic rubber,” the National Center for Biotechnology Information says on its website.

Acrolein “is toxic to humans following inhalation, oral or dermal exposure,” the Environmental Protection Agency says. Some studies show it can play a part in bringing about lung cancer, although the EPA says there is not enough data to show whether it causes cancer in people.

Propylene oxide and crotonaldeyde are probable carcinogens, the EPA says, while acrylamide’s role in causing cancer is more controversial.

 This is just the latest in countless studies showing that e-cigarettes are — at BEST — not completely benign and really should be avoided by teens … and more should be done to dissuade teens from using them. They might be better than cigarettes, and might be a viable option for a smoker to quit cigarettes, but they should not be used by teens as an alternative delivery system for addictive nicotine. The best choice is to simply avoid nicotine in any form … period.

Another nail in the coffin on the idea that e-cigs are completely safe. Again, I’m a bit ambivalent on e-cigs, but it does bother me — a lot — to see them pretty blatantly marketed to teenagers. Like Medical News Today states … teenagers should not be using e-cigarettes at all.

 

 

 

E-cigs banned indoors in New York

I only got savvy to this story because I get front pages from the New York Daily News.

The main story here is about Bill O’Reilly, but up in the corner, I noticed the front-page headline of e-cigs smoked.

Sure enough, the story is e-cigarettes are now banned indoors in the state of New York.

The irony here is e-cigs were initially marketed long ago as a way to get around indoor smoking bans. I fully remember the Blu e-cig ads with Stephen Dorff and Jenny McCarthy smoking e-cigs at parties and clubs. Well not in New York. And not in a growing number of places.

The biggest issue with e-cigs indoors? Well, while that cloud of nicotine-laced steam might not smell and might not be irritating, it’s still got plenty of chemicals in it beside water vapour, including a potentially large amount of formaldehyde. (The e-cig industry has denounced these formaldeyde studies, but boy it sure sounds exactly like the cigarette companies trying to denounce the ties between smoking and lung cancer.)

I’m at the point where, absolutely e-cig steam does not bother me or irritate my eyes … but that doesn’t mean I personally want to inhale it. That doesn’t mean I want that formaldehyde coming into contact with my lung cells. I’ve found myself holding my breath or turning away from people vaping indoors.

So, yeah, sorry about those ads from three or four years ago, but vaping is being banned indoors. And I’m OK with that.