An open letter to the New Brunswick Medical Society about vaping
The New Brunswick Medical Society (NBMS) recently published “Physicians pleased with new restrictions on vaping products“.
As a physician, I would l like to make it clear that I am NOT pleased with New Brunswick’s ban on flavoured vaping products. This is an open letter I have written to the NMBA, the Canadian Cancer Society; the New Brunswick Lung Association; and Dr. Kerrie Luck, Ph.D. and Dr. Jeff Steeves, Past President, New Brunswick Medical Society:
Re: Litigation of New Brunswick Vape Flavour Ban
Good morning!
As a physician who has seen the disease, disability and death caused by tobacco smoking, I urge you to intervene in opposition to the vape flavour ban, which is likely to increase deaths from tobacco use.
I understand your concern about recreational vaping by youth, but banning flavours is not an effective way to address this issue. Youth vape for many reasons, and in most studies flavours are about the third most common reason, after peer pressure and curiosity. It is true that over 90% of youth who vape use flavours, but that does not mean that banning flavours will reduce vaping by 90%. Over 90% of car drivers use coloured vehicles. If car colours were banned and all cars only came in natural metal colour, how many people would stop driving? It makes more sense to rigorously enforce existing laws against supplying vape to minors than to make up new laws.
Alcohol use causes much more damage to teenagers than vaping. Flavours make alcohol attractive to teens, but no-one is suggesting we deprive adult drinkers of the pleasure of drinking grape, hop and fruit flavoured alcohol in order to reduce teen drinking.
Flavour bans make vaping less popular both for teens and for adult smokers trying to quit. Smokers use vaping because they want to get away from the smell and toxic chemicals in cigarette smoke. Smokers who use tobacco-flavoured vape are more likely to relapse and resume smoking. To make smokers use tobacco-flavoured vape would be like insisting on an alcoholic taking whisky-flavoured medication.
You refer to protecting youth from lung damage. Please remember that “EVALI” was caused NOT by regular store-bought nicotine vape, but by the consumption of black-market THC products. Banning legal flavours will encourage a dangerous black market in flavours. Research has shown no lung damage in people who vape for three years, and smokers who switch to vaping breathe more easily and can walk further.
Smoking is five to twenty times more dangerous than vaping. Sonia Johnson, Director General of Health Canada, recently stated that zero Canadians have died from vaping. This compares to 120 Canadians dying every day from smoking. If the flavour ban stops four teens from vaping, but prevents one adult smoker from quitting tobacco use, the net effect is negative.
Please look at the data: Vape flavour bans in Nova Scotia and San Francisco have led to a black market and to an increase in tobacco smoking.
Yours Sincerely
Dr, John Oyston MB BS, BMedSci, FRCA, FRCP(C)
Updated 17th Dec to correct the name of the New Brunswick Medical Society. I apologize for calling them the New Brunswick Medical Association.