Hong Kong needs to clear the air on e-cigarettes for the sake of its smokers
I am a psychotherapist working in Singapore, with a speciality in quit-smoking interventions and the research surrounding e-cigarettes and heat-not-burn products.
Existing quit-smoking nicotine replacement therapy options (gums, patches, lozenges, nicotine nasal and other aerosol sprays) and conventional cigarette control measures have failed to significantly reduce conventional cigarette use in developed societies, including Singapore and Hong Kong, over the past 15 years.
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Although much discussed, there is as yet no definitive scientific evidence that these alternative products have a material “gateway effect”, causing youth and existing users to start smoking when they would otherwise have remained smoke-free.
The evidence shows an association between smokers and e-cigarette users because such people are subject to the same risk factors – but one does not cause the other. In the same way, alcohol does not cause smoking, although people who drink tend to smoke.
Regulating e-cigarettes and heat-not-burn products too strictly will reduce their use by smokers seeking to quit, and will encourage a “black market” business in these products, removing them from legitimate control and effective regulation by the government.
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Over-regulation of e-cigarettes and heat-not-burn products in Hong Kong risks depriving smokers of an opportunity to avoid premature morbidity and mortality, as well as depriving their non-smoking loved ones – who are exposed to the mainstream and sidestream smoke – of the same.
Andrew da Roza, Singapore