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Many thanks to Ingmar Kurg for this article about the good news coming out of Estonia this week. 
 

Amendments passed in the Estonian Parliament on 4 May will allow menthol flavoured e-liquids and heated tobacco products to be sold.

The Bill had been initiated by the government and attracted a raft of amendments from MPs, who recognise the importance of introducing tobacco harm reduction policies.

Last year the sale of all flavoured e-liquid (with the exception of tobacco flavour and flavourless) was banned in Estonia. Monday’s decision to allow menthol flavours to be sold is a small but important step towards recognising the importance of less harmful nicotine products and supporting smokers as they transition away from the taste of tobacco. As menthol will be banned in conventional cigarettes later this month, the availability of menthol e-liquids will also provide an alternative for smokers who like the taste of menthol.

The amendment also removes the general ban on the sale of novel smokeless tobacco products like heated tobacco products.

The Bill amending the Tobacco Act and the Alcohol, Tobacco, Fuel and Electricity Excise Duty Act was passed in the Parliament with 74 votes for and 12 against. Some MPs voted against it because they felt the legislation does not go far enough in supporting tobacco harm reduction. Those MPs were unhappy that the flavour ban on e-liquids mostly remained and wanted that to be lifted. One reason is because flavours are allowed in other less harmful products and they want e-cigarettes treated equally.

Smoke Free Estonia, a group in the Estonian Parliament led by Parliament Member Tarmo Kruusimäe, had made many suggestions on how to widen the availability of tobacco harm reduction products for smokers. Suggestions included allowing online sales for vaping products and not applying excise duty to non-nicotine containing e-liquids.

This is a small but very important step, which rows back against the draconian anti-THR regulations made by previous governments. I am now seeing that some politicians are changing their minds and are starting to understand how less harmful nicotine products work. Reasons for this are probably different - but some of it might be thanks to our work, which includes introducing THR possibilities in media and also social media. We also present the experiences and research from other countries on how less harmful products can be used to stop smoking and thus reduce the damage to public health.

Another very important factor is the black market, which emerged after the flavour ban, the huge excise duty on e-liquids and other draconian regulations were introduced. According to NNA Smoke Free Estonia calculations, the black market for e-liquids accounts for 85% of the market. Many sellers on the black market are underage. They sell homemade e-liquids in supermarket parking lots, playgrounds and skateparks and there is also a lot of business taking place on Facebook. Sometimes these sellers mix what is needed on the spot. We can only assume that these sellers do not care about selling to other children.

This situation is bad in many ways: Firstly, e-cigarette users are in danger because they are somewhat forced to use e-liquids of highly questionable quality, which have not been laboratory tested. We all know from the USA how dangerous the black market can be. Secondly, e-cigarette products can end up in the hands of the under eighteens, which is not where they should be. Thirdly, it is scaring away smokers who might otherwise switch to less harmful products. After flavours were banned here last year we made some calculations and according to our estimates around 10% of vapers moved back to smoking after the flavour ban was introduced.

The problem is that there is no way that any government can effectively enforce such strict regulations, because all e-liquid components (except nicotine) are readily available in other markets. That makes it very easy to mix e-liquids together yourself and if you do not want to DIY you can easily find someone who does.

Then there is the loss of tax revenue. The government loses a lot when it imposes unreasonable taxation, because people will find a way to avoid taxes if products are easily available on the black market.

Previously, before Estonia had such harsh anti THR regulations, it was vape shops, selling quality laboratory tested e-liquids, which were responsible for much of the market.

I think all countries need to learn how fast and how wrong things can go if over regulation takes place. I am really pleased that so many Estonian politicians have understood these problems and want to make changes that will make the situation better. I hope that Estonia will be one of the few countries which has had very strict regulations and then takes this lesson from its mistakes: that harsh regulations do not work and we should return as fast as possible to reasonable regulations that actually protect youngsters and which work for smokers and vapers.

Ingmar Kurg
CEO of NNA Smoke Free Estonia
Board member of INNCO

Ingmar

 

 

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WHY you need to respond to the Danish notification and HOW to go about it. Thank you to Danish Vapers Association (DADAFO) for writing this.     

Denmark is set to introduce a flavour ban on both nicotine and non-nicotine containing e-liquids, where only tobacco and menthol flavours will be permitted. This will affect 85-90% of Danish vapers, who will be forced to vape only tobacco or menthol flavoured e-liquids, or go back to smoking, or take the risk and buy unregulated black market products, or DIY to get the flavours they prefer, to have success with remaining smoke free.

The proposed legislation, will turn many people (vapers and smokers) into criminals - people whose only crime is to try and stay smoke free, by switching to a low risk alternative such as vaping or snus. These proposed amendments will also force appx. 90% of the Danish vape shops to close, since there will be no legal market for a wide variety of e-liquids with different flavours. However, there will still be a market, albeit underground, and away from the authorities.

The Danish Ministry of Health sent a notification of this to the European Commission on the 17th of April 2020 - with a standstill period of three months. In this period, the Commission has to comment whether or not they think that the Danish government has a case and can legally amend the existing laws to include a total flavor ban on all tobacco and non-tobacco nicotine, and non-nicotine containing products, used as substitutes for smoking (except of course, medicinal nicotine replacement therapy products). So in fact, all products that are used as substitutes for smoking, will have the flavour ban imposed.

The notification also includes other proposals which will prevent smokers from being aware that safer nicotine products exist.

Banning flavours in Denmark would set a precedent for other member states to ban flavors and could even lead to a flavour ban in the next TPD.

The Danish government “forgot” to notify the European Commission prior to the negotiations regarding the proposed flavour ban, and now they have promised the majority of the political parties that have reached an agreement through negotiation that a flavour ban can go into effect, without any problems. This oversight is what the Danish government is trying to cover up at the moment. There is no transparency in the way they are handling the proposed ban, and they are trying to push the legislation amidst a COVID-19 crisis, where the media and the European Commission has their focus elsewhere.

BACKGROUND

The Tobacco Products Directive (TPD) covers the regulation of e-cigarettes. The TPD requires individual countries to notify the EU Commission if they wish to take further measures in “protecting public health” by further regulating products covered by the TPD (“gold plating”). As flavours are permitted under the TPD, Denmark has had to notify the Commission of their proposal to ban them. With a majority of the principal Danish political parties in favour, it is expected that the ban will be waved through, unless the EU Commission stops it first.

The EU Commission has three months to stop the legislation, if sufficient evidence on public health impact is not provided. But the notification has been buried under “the COVID-19 crisis” and it is not likely, that the Commission will find the time to read or reply to all the stakeholder contributions.

The Danish plans will see all flavors banned, including accessories that could provide flavour to e-cigarettes. The proposals also include plain packaging for all tobacco products, non-tobacco nicotine containing products and vaping products, restrictions on nicotine pouches, no visibility of products at point of sale - including on the internet - and a complete advertising ban.

MAIN CONTENTS OF THE PROPOSED LAW
  • Display ban : Tobacco products, tobacco substitutes and electronic cigarettes are not to be visible to consumers at points of sale, including on the Internet, until a customer specifically requests them. This does not however apply to: Physical shops that specialise in the sale of cigars, pipes and pipe tobaccorespectively, and the sale of electronic cigarettes
  • Stricter ban on advertising and sponsorship: All forms of direct and indirect advertising and sponsorship are banned and, as an additional element, tobacco substitutes and herbal products for smoking are also covered by the ban.
  • Plain Standardised packaging: All tobacco products, herbal products for smoking and electronic cigarettes must have a uniform appearance. This does not however apply to cigars, pipe tobacco and pipes. The standardisation means, among other things, that the manufacturer and product name must appear in a standardised way, that logos must not stand out and that the colour etc. of the packaging must be standardised. Standardisation can limit the advertising effect of the packaging.
  • Smoke-free school time: To avoid school pupils being confronted with smoking etc. during school hours, it is proposed that school time should be smoke-free in all primary schools, boarding schools, continuation schools and upper secondary education facilities.
  • Smoke-free properties: Upper secondary education facilities including children and young people under 18 years of age and not covered by the current requirements for smoke-free properties are proposed to be included.
  • Ban on the sale of tobacco, tobacco substitutes, herbal products for smoking and electronic cigarettes and refill containers with and without nicotine in primary schools, boarding schools, continuation schools and upper secondary education facilities.
  • Ban on flavourings in tobacco products and electronic cigarettes: The sale of electronic cigarettes including refill containers with or without nicotine,. with characteristic flavours other than the taste of tobacco and menthol is banned. The same is proposed for those tobacco products that are not already covered by the ban on characteristic flavours, although not for pipe tobacco and cigars or herbal products for smoking.
  • Regulation of tobacco substitutes (non-tobacco nicotine products): Not previously regulated in Danish law, but proposed to be covered by the same regulation as tobacco products with respect to for example, advertising regulations, age limits, etc. Requirements are also proposed on health warnings on the packaging in line with the current regulations for electronic cigarettes. This applies for instance to tobacco-free snus, and other products that do not contain tobacco.
  • Age control system and stricter penalty levels: Requirements are laid down for all retailers marketing over the Internet to ensure a system that effectively verifies the age of the purchaser, and the penalty of breaching the age limit is proposed to be made stricter.
  • Registration scheme for retailers of electronic cigarettes and refill containers with and without nicotine, registration scheme for tobacco substitutes and refill containers without nicotine.
  • Stricter penalties for breaches of the Act on smoke-free environments.
  • Easier access for municipalities to provide free smoking cessation medication - this program does NOT include free e-cigarettes for smoking cessation, since e-cigarettes are NOT considered a viable tool for smoking cessation.

The impact assessment report (see here for an unofficial English translation) focuses exclusively on children and youth and does not mention  unintended consequences for adult smokers or vapers even once. “Think of the children” is a phrase that can be read between every line in the proposal for the law amendments. But - the politicians should also “think of the children's parents”  so they can keep on being smoke-free, live longer, and be around to see their grandchildren as well.

The TPD is currently being reviewed, with a report due in May 2021. The stakeholder hearings are on their way soon, but it is unknown why Denmark has chosen to rush these restrictions through now, for legislation in the midst of a global pandemic, instead of feeding their wishes into the  TPD review.

Why is Denmark in such a hurry to restrict adults access to safer nicotine products, without regard to the negative consequences for adult smokers and vapers? The government and the Ministry for Health have been told that “tobacco harm reduction” is not a part of the solution, but in fact THR is seen as a problem in regards to lowering the tobacco smoking prevalence in Denmark. The Ministry of Health believes in the dogma “Quit or die” for longterm smokers who wish to quit smoking. The only recommended way to quit smoking is through consultations with a cessation “expert”, combined with NRT or prescription drugs such as Champix (Varenicline) or Zyban (Bupropione).  

The flavour ban is a part of a larger “Action Plan against Tobacco”, which includes plain packaging on all tobacco related products, a total display ban and severe fines if you sell tobacco or tobacco related products to persons under the age of 18. And on top of this, the Danish government has reached a consensus that all tobacco related products should be so expensive (price and excess tax to be levied) that youth can not afford to buy these products. But the Danish government could not gain support for the higher prices/taxes, so in order to look determined and energetic, they have “thrown” vaping under the bus, and included even more draconian legislation on a product that could be part of the solution for the so called “smoking epidemic”.

WHY DOES THIS MATTER TO YOU?

If the Danish government gets away with banning flavours in Denmark it will encourage flavour bans elsewhere and could affect how the upcoming TPD3 regulates flavours. Prohibition has already crept in, with flavour bans in Estonia, Finland and Hungary. These bans could ultimately affect every European country, and bring the general public health in jeopardy. Black markets, which have been mostly avoided in Europe, will very likely find a place in the market, and that is not good news for consumer safety. Need we remind what happened in the US, regarding EVALI? A national outbreak of a mysterious lung disease, occured in the US, and no one could explain why there were so many young people getting sick and dying in certain states in the US. The Center for Disease Control, CDC, took months to come to the conclusion that the products that were vaped were illicit cartridges with THC which had been cut with vitamin E acetate, to make the liquid maintain thickness despite dilution - so it would appear to be of “high quality”. Vapers almost immediately realised that the lung disease could not possibly have been caused by regular nicotine containing e-liquids:  If that were the case, many more would have suffered from this disease, and have died before the outbreak in the US in 2019.

 The same disaster could happen in Denmark, and subsequently in the rest of Europe, if  flavours in the e-liquids are banned. Many of the current vapers, and the smokers who might want to switch to vaping will find themselves in a market where the flavours they desire are taken away. So - what to do? Do we buy the flavours from other outlets? Not knowing whether the flavours are OK to inhale, and not made with lipids/oils, glucose, diacetyl etc? Or do we find a “good neighbour”, who can still supply us with the flavours we want? The Danish government has said that they don’t anticipate that cross border sales will be an issue - since few teens  have the time or money to make the trip to either Germany or Sweden. The Danish government probably hasn't noticed that it is very easy to get hold of anything, using social media, to obtain any kind of substance - as a pick-up within a short distance - so there is in fact no need to travel a long distance, to get what you desire.

PLEASE RESPOND TO THE NOTIFICATION

Please respond with your private or your organisation's contribution to the notification:

https://ec.europa.eu/growth/tools-databases/tris/en/search/?trisaction=search.detail&year=2020&num=228

The main points for the notification are in English but the main documents are in Danish.

SUBMITTING A CONTRIBUTION

Link for submitting your contribution:  https://ec.europa.eu/growth/tools-databases/tris/en/search/?trisaction=search.detail&year=2020&num=228

stakeholder contributions

Link to an English translation of the notification

 https://ec.europa.eu/growth/tools-databases/tris/en/index.cfm/search/?trisaction=search.detail&year=2020&num=220&mLang=EN

You can either upload your contribution as a document or type directly into the webform.

***** The notification itself is in Danish but your submission can be in any of the official languages of the EU ****

WHEN?

Responses will be accepted until 20th of July 2020 (the end of the standstill period) but they prefer responses to be sent in at least one month before that.

WHAT DOES DADAFO, THE DANISH VAPERS ASSOCIATION, SAY?

We need your help. We hope that all the European tobacco harm reduction associations will back us on this – sending in comments from each of the organizations.

DADAFO warned in December (link to English translation) that a flavour ban could drive up to 70,000 Danish ex-smokers back to cigarettes and/or severely harm the general public health. At best (if the nonsense about teen vaping being due to flavors is assumed to be true) this ban will prevent 1,200 Danish teens from starting to vape each year. The official numbers for teen vaping have been declining since 2014, fewer and fewer teens are vaping, furthermore teen e-cigarette use is primarily amongst current or previous smokers. At the same time, smoking prevalence for youth is going up. There is indeed a problem, but the problem is NOT vaping or flavours. The problem is still tobacco cigarette smoking among youth.

DADAFO 's primary focus is on the ban on flavours in e-liquids other than tobacco flavours and menthol flavours - as well as a proposal that e-liquids should be charged an excise tax of DKK 2.00 per ml. There are no specific proposals on how the tax should be levied - is it a tax on the amount of liquid or on the content of nicotine per ml of liquid? Would a liquid with 3 mg. per. ml. be charged with the same amount as a liquid of 18 mg. per. ml.? What about liquids without any nicotine? A 10 ml bottle of non-flavoured e-liquid cost appx. DKK 30,00 - and after the excise tax is imposed, the same bottle will be DKK 50.00 - a price hike of nearly 70%! This means that vaping is probably going to be more expensive than smoking.

The Danish law amendments was put to a public hearing in January/February 2020 - and DADAFO sent in the response of the Danish vapers - Read the English translation here.

We implore you to read our response to the public hearing -  it describes many of the issues that other countries in Europe might soon face.  

If the Commission lets this pass it will set a dangerous precedent for banning flavours in other European countries and could ultimately affect every European country in the future.

We need your help, reach out to your organisations and ask them to write a contribution on why a flavor ban is counter-productive to public health. Focus on the fact that a comprehensive risk assessment has not been done, and that the adult vapers have been completely ignored and forgotten (250,000-300,000 Danes). This legislation WILL create new smokers.

 

RESOURCES

Notification detail - link

Stakeholders Contributions page - link

Impact assessment report, DADAFO's  translation (English) - link

DADAFO's hearing statement, translated into English - link

DADAFO's possible points to include - link

DADAFO's E-cigarette and vaper consumer survey - link 

 

 

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With the onset of COVID-19, governments around the world are frantically trying to put measures in place to deal with the greatest crisis we have faced in a generation. In many countries all but non-essential businesses have been shut, mass gatherings have been banned, countries have closed their borders and strict travel restrictions have been put in place. These measures, together with social distancing, are vital to ensure we ‘flatten the curve’ and slow down the spread of the virus, but they have also presented some challenges and had unintended consequences of their own.

As we have previously reported, restricted access to safer nicotine products is proving to be one of the unintended consequences of the current crisis. This has been highlighted once again since the border between Finland and Sweden closed a number of weeks ago. ETHRA partner, EUforSnus, has reported that there are growing concerns among the 200000 Finnish snus users that they cannot now purchase snus for personal use.  According to Finnish (and EU) law, buying snus for personal use is not prohibited and travellers to Finland are allowed to bring in 1kg of snus. 1 kg of snus corresponds to about 30-40 cans of portion snus.

Now Finnish snus users are demanding that the Finnish government temporarily allows Finns to make online snus purchases. Marko Matilainen, EUforSnus moderator, has made the proposal to the Finnish government to allow the ordering and selling of snus in Finland arguing:  “in the current situation, passenger imports from Sweden for snus are impossible, and there is a high risk that many will resort to cigarettes. It is known that tobacco exacerbates the susceptibility to coronary pneumonia, so the non-smoking option is better, this also significantly supports the Government's "non-smoking Finland" project.”

We would urge all ETHRA partners and supporters of tobacco harm reduction to share this initiative to allow temporary remote ordering of snus in Finland. The petition requires 50000 signatures by Finnish citizens, and can be found here [Link]

Thanks to EUforSnus for bringing this to our attention [Link]

Snus has a proven track record when it comes to harm reduction and Sweden, where snus is widely used as a replacement for combustible tobacco, has the lowest instances of smoking related male cancer and heart disease in the developed world. Snus’ record as a smoking cessation aid is equally impressive, with Sweden having already reached its smoke free target of <5% smoking prevalence. Snus is also the only tobacco product to have been granted a modified risk order by the US FDA.

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Facebook and Vapolitique
One social media platform appears to be doing its utmost to restrict the free flow of information.

Philippe Poirson found himself locked out of Facebook after he shared an article from the newspaper 24 Heures, regarding chloroquine tests on COVID-19 at the Lausanne hospital, on the grounds that he’d breached the policy on “organized violence and apology for crime”.

The crackdown on Vapolitique’s Poirson follows a ban being issued to Dr. Philippe Arvers, an addiction and tobacco specialist at the Armed Forces Medical Center, for sharing a VICE article denigrating studies by Stanton Glantz.

Philippe reports that Facebook is also blocking access to COVID-19 articles from Buzzfeed, Politico, The Atlantic, USA Today, Vice, Business Insider, Axios and The Seattle Times.

Guy Rosen, vice president of Facebook, said in a tweet that this was a, "problem with an automated system which removes links to abusive sites, but which has removed many other posts too.”

  • Covid-19: la censure de Facebook connait un nouvel accès de fièvre, très orientée idéologiquement”, Vapolitique – [link]

France
Thanks to the excellent work of SOVAPE, among others, French vape shops have been allowed to reopen following an instruction to close due to the pandemic.

Vapolitique highlights that keeping vape stores open can help limit the spread of COVID-19: “[It] reduces social interactions by preventing vapers who do not have the possibility of buying at a distance from adding to smokers in the same tobacco shops. This reduces the effects of promiscuity and facilitates social distance, which is currently the most effective means of prevention against the spread of the virus.”

Philippe notes that Fivape, an independent vape federation, and SIIV, the vape trade union, both published recommendations yesterday on the in-store rules to follow for the vape sector:

The Swiss organisation Association of French vaping professionals (ARPV) has also communicated its advice:

  • A distance of two meters between each person
  • Systematic hand washing with an alcoholic product between each customer
  • Disinfect counters, handles and equipment handled between each customer

Philippe reports that a number of vape stores have set up drive-thru systems for orders by phone or email. They will also continue to ship these orders by post – for as long as the service runs - to help people in emergency situations and recent ex-smokers.

  • SOVAPE – [link]
  • Suisse, France et Italie: l'ouverture des vapeshops répond d'une double réduction des risques”, Vapolitique – [link]
  • FIVAPE recommendations – [link]

Martin Dockrell Responds
In response to an opinion piece about the role of smoking cessation and COVID-19 [link],  Public Health England’s Martin Dockrell called for vape stores to remain open as part of any action to slow the spread of the virus.

He wrote: “I note that … [France] and [Italy] exempted vape shops from their shut down. Very sensible. Great that food shops are kept going but most sell tobacco. It would be very unfortunate to protect tobacco supplies and block the supplies of the most popular and effective ways to quit.”

Martin Dockrell tweet

Greece
Dr Konstantinos Farsalinos has updated ETHRA on the current situation in Greece. He says that vape stores are regulated as food stores and therefore remain open. Greece instructed all stores other than food shops, vape shops and car repair centres to close.

Vape stores have been told not to allow vaping in-store, which includes the testing of eliquid flavours, and to focus on posting online and phone orders following advice given to the government by Dr Farsalinos.

Italy
Filtermag is reporting that Dr Riccardo Polosa has successfully reversed the nation’s decision to close down vape stores.

Italy’s response to becoming the European nation suffering the most from the COVID-19 pandemic was to ban public gatherings, close schools and shutting down most businesses – including vape brick and mortar shops.

Helen Redmond reports Dr Polosa saying: “I thought it was terribly wrong to keep tobacconists open and vape shops closed for the simple reason that in a situation of high anxiety and stress, people will smoke a lot at home where they are confined and they will expose a lot of bystanders to the risks of tobacco smoke. Particularly young babies, kids.”

For people who have already developed a smoking-related disease, this is good news. They can feel for themselves the beneficial effects of the switch.”

  • A Scientist Persuaded Italy to Exempt Vape Shops From COVID-19 Lockdown”, Filtermag – [link]

Belgium
Belgian smokers and vapers are suffering from the government’s intransigence and blinkered view of tobacco harm reduction.

Frank Baeyens tweeted to ask the Belgium government to allow online sales or to open the vape shops. With no access to juice or vape products, fears are that many ex-smokers will return to using tobacco cigarettes the longer the situation is allowed to persist.

Spain
It has been reported that most shops are closed in Spain, but tobacconists remain open. Some tobacconists carry vape stocks, but this is far from an ideal situation for those seeking to reduce their harm exposure while legally using nicotine.

United Kingdom
The Independent Vape Trade Association (IBVTA) has issued advice to the vape industry on how to conduct business during the COVID outbreak. IBVTA’s advice can be read in the article linked below.

The UK Vaping Industry Association (UKVIA) has written to the UK government to emphasise the importance of keeping vape shops open. UKVIA says: “Our simple ask of you is to ensure that vape shops in towns and rural areas stay open during the crisis. We recognise and support the Government’s intensified containment plan for the virus but would urge you and your colleagues to look at the example of Italy. Dr Riccardo Polosa, a world renowned scientist and researcher on vaping and tobacco harm reduction and founder of the Centre of Excellence for the Acceleration of Harm Reduction, successfully argued that due to the stress caused by the Coronavirus, with the closure of vape shops vapers were highly likely to go back to smoking cigarettes to maintain their nicotine needs. This could be dangerous from a public health perspective and could heighten the risk of exposure of tobacco smoke to bystanders. This could also place a further burden on an already overstretched health system.

  • IBVTA Issues COVID-19 Advice – [link]
  • The UKVIA writes to the Government to urge them to keep vape shops open during and post the coronavirus crisis – [link]
  • The UKVIA writes to the Scottish and Welsh Governments to urge them to keep vape shops open during and post the coronavirus crisis – [link]