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Surgeon General's Report

Surgeon General’s Report – How bad is it anyway?

The United States Surgeon General released a new report on vaping this morning, and it’s already causing uproar all over the internet. Billed as the product of two years’ work, and the first comprehensive federal review on vapor products, it’s targeted solidly on youth vaping. In other words, it’s a huge and expensive exercise in “Think of the children!!!”

Obviously nobody in their right mind is going to advocate that young people start vaping, but the Surgeon General ignores the big question – whether or not this is this actually a problem. Bluntly, all the evidence says it’s not. Sadly the report ignores or distorts this evidence to fit a pre-determined narrative.

The full report is substantial – 298 pages long – so there’s plenty of space for an objective, careful look at the latest research. Instead, Surgeon General Murthy has chosen to air a familiar collection of borderline hysterical “concerns” about the “risks” e-cigarettes pose to America’s young people. If you can steel yourself to actually read it you might find a lot of it sounds like it was cut and pasted from the CDC and Tobacco Free Kids. There’s a reason for that, as we’ll see.

Nobody had much warning that this report was going to be released; just a few hours. That’s unusual for a high-profile public health document, and it raises the suspicion that the SG didn’t want to give anyone a chance to prepare responses to its likely content. If so it hasn’t worked, because responses are already coming thick and fast. Those from the US public health sector are generally supportive; from elsewhere, the criticism has been furious.

Critics Pull No Punches

Fanatical UK anti-tobacco group Action on Smoking and Health announced that they were “puzzled” by the SG’s level of concern about vaping, and pointed out that US smoking rates are going down. That was one of the milder responses. Greek cardiologist Dr Konstantinos Farsalinos, one of the world’s most prolific and respected vaping researchers, pulled fewer punches. Starting by labeling the report’s basic premise – that e-cigarettes are a tobacco product – “as inaccurate as it can get”, he went on to demolish most of its claims. He described the SG’s headline claims about risks of teen vaping “nothing more than emotional statements with no real content in terms of realistic risk.”

Other critics were equally scathing. Clive Bates, a veteran British anti-smoking campaigner who used to run ASH, called it “truly terrible”. Derek Yach, a former WHO executive director who set up the UN’s global tobacco control treaty, said it was “full of false, misleading, deceptive statements” and finished with, “Needs a health warning: do not read.”

It would be easy to dismiss criticism from vapers and the e-cig industry (and the SG’s supporters are busy doing just that) but Derek Yach isn’t a vaper; in fact he’s dedicated most of his adult life to tobacco control. Clive Bates isn’t a vaper either, and he also has a long history of anti-tobacco work. If people like this are outraged at the contents of the report, it’s probably worth wondering why.

How Bad Is It?

Is all this criticism fair? The short answer is yes, it is. The report makes a big deal of the number of teens who reported using an e-cigarette in the last month, but pays almost no attention to whether or not they’re regular vapers or simply experimented once or twice. It’s similarly coy about mentioning the fact teen smoking in the USA is at an all-time low. If e-cigarettes lead to smoking, as the report claims, surely the smoking rate would be going up?

Some other fairly dubious points are hammered home, as well. Youth who vape are also likely to use other tobacco products, the SG says. This is true. It’s also no surprise to anybody. Every study shows that the most common reason for using e-cigarettes is as a replacement for smoking, so we’d expect to find a lot of smokers using e-cigs. There’s also the fact that kids who like to try stuff, try stuff. It’s a safe bet that the kids who vape aren’t just more likely to smoke; they’re more likely to drink beer and have sex, as well.

By this point, the Surgeon General’s report is descending into farce. It trots out the old “ultra-fine particle” argument to suggest that vaping could harm teenagers’ lungs. The source of this ridiculous claim is UCSF professor Stanton Glantz, who has never studied science or medicine, and the research data he based it on was about diesel engine exhaust. The report also mentions heavy metals, but omits the fact that the quantities detected are tiny – a fraction of what’s allowed in an asthma inhaler. There’s a lot of talk about how nicotine can harm brain development – and no mention of the fact that’s only been seen in rats, not humans.

Overall the standard of science is nothing short of abysmal, and even a quick read will find many factual errors. For example, the report describes the Ploom and iQOS  – both heat not burn products – as e-cigarettes.

Dangerous Inadequacy

This report wasn’t written to inform the nation about the health risk of e-cigarettes, because there’s no evidence that risk even exists. Its real purpose is probably to justify the FDA’s Deeming Regulations and the host of other anti-vaping laws being brought in all across the country. That shouldn’t be a surprise, because it was almost entirely written by CDC, which under director Tom Frieden has been relentlessly hostile to vaping. One of the reviewers was Matthew Myers of the Campaign for Tobacco-Free Kids, which under his leadership has almost completely given up talking about tobacco and turned into an anti-vaping group.

Vivek Murthy is the least experienced Surgeon General in US history. His appointment in 2013, at the age of 36, came just seven years after he finished his medical residency. At the time many people expressed concerns that he didn’t have the professional experience or maturity needed to be America’s top doctor. In allowing such a biased, misleading and frankly dangerous report to be released by his office, Murthy has proven his critics right.

fergus

fergus

A former soldier in the British Army, Fergus Mason is now a freelance writer with a special interest in e-cigarettes and travel. When he’s not writing Fergus enjoys sailing, archery and fishing. He’s been vaping since early 2013 and doesn’t ever plan to stop.
fergus
  • Brian Coe

    This terrible report was only meant to do one thing,to mislead the public and using an important angle such as kids in its justification shows how far the levels of desperation have gone, I believe against all current and credible peered review researched scientific evidence these types of attacks on vaping are wearing thin, especially with no evidence to back the Surgeons claims, why is that? Because there isn’t any evidence to supper outrageous claims of “gateway” or ” brain development ” affected by nicotine.

    What’s interesting this same anti vaping attitudes towards vaping is their usual rhetoric of ” we just don’t know” or ” we don’t know about long term” fact is no one does! But here we have Vivek Murthy attacking vaping with misleading and inaccurate statements with no evidence! It’s obvious to anyone with a lack of brain development that this is nothing more than idealistic agenda bases clap trap.

    If the Surgeon General was truly concerned about the welfare of kids then he’s forgetting that these kids also have parents who have switched to vaping who soon will not be able to because of the impact of the deeming regulations of the FDA taking away 99% of vaping products!

    What matters in all this is is saving lives and vaping has saved many millions including my own, it’s time for things to change for the better or else we’ll see a drastic rise in smoking prevalence and earlier avoidable death.

    I do hope vaping comes up ” Trumps” in 2017.

  • Not too surprising, but sad. Antivapers are nothing but Antismokers wearing a new party outfit. True, there are a few Antismokers (oddly somewhat concentrated in the UK?) who’ve managed to bypass the whole “It LOOKS like smoking!” and “A lot of them have a DRUG involved that gives people Sinful Pleasure!” quagmire, but you’ve still got your Controllers, and Bereaved (who focus on Big T’s minor involvement in the vaping revolution) and Moralists et al (See: http://www.sott.net/article/128768-Recognising+Anti-Smoking+Types and think how it applies to so many Antivapers.)

    And the new SGR simply repeats the same patterns of distortions, lies, and manipulations that so many of them have danced in since the mid 1970s. ASDS

    https://pbs.twimg.com/media/Cdq8ALoW8AA2x0R.jpg

    and

    http://wispofsmoke.net/recovery.html

    has now become AVDS for many out there who saw their targets ducking out of their gunsights.

    Don’t make the same mistakes that the smokers did — don’t think that you can reach reasonable compromise with crazy people. The core of your opposition is truly, for the most part, mentally ill: they’ve rendered themselves incapable of gathering, organizing, viewing and interpreting their data objectively and simply follow the grant money and follow the craziness as it rumbas its way along to a slightly different beat. Go to Forces.org and http://www.antiprohibition.org/ and https://cfrankdavis.wordpress.com/2016/10/29/after-the-fall/ (and be sure to visit the various websites you’ll be amazed to find exist in Frank’s right hand column). Read the books that are out there, mine, Snowdon’s, Di Pierri’s, White’s, King’s, Colby’s, Lair’s, et al, and learn what weapons will be used to attack you and how to defend yourselves with that knowledge ahead of time — instead of largely too late.

    You are being attacked, and you will continue to be attacked, and the weapons used against you will not be nice, and civilized, and honest, and polite. They’ll be nasty and savage and lying and not just rude… but outright hateful. Wait until they grab hold of a vaping teen mom whose baby dies from SIDS and plunk her in front of a camera and/or congressional/parliamentary committee and watch how the distortions flowing from that one chance piece of happenstance can destroy years of effort on your part to “spread your good news.”

    So far you haven’t gotten hit with too much of the hate that’s been aimed at smokers ( See: bit.ly/Wall-Of-Hate ) but it’ll follow as sure as night follows day unless you fight back strongly, for every single square millimeter of territory the Antivapers try to take from you. Remember: every tiny little piece they gain through “compromise” simply becomes the staging area for the next attack.

    Fight them now because it won’t become any easier later.

    – MJM

  • Dave Moran

    Did the vaping world think that this devise would sneak under the attention of the anti smokers? Get real, they are on a mission to eliminate smoking along with anything that looks like smoking from the outside in. Unable to actually ban tobacco until the prison services can coup with the ultimately residual dissenters. These people are and will continue to restrict the consumption is as many places as they can dream up. Using what ever emotional tool that works. Until we reach the point where the only people able to legally smoke a cigarette or tobacco are those living on their own island or are of independent means. Not only that, the template being moulded by the anti tobaccos lobby is there for other social engineering projects in the future. The man in the white coat and stethoscope with his data sets and epidemiology is on the road to being the most powerful and loathed individual all at the same time.
    Every regional Health Officer is not only a government civil servant but also an on message soldier for every paternalistic organisation with a perceived vice to fight. Ready to take given instructions right to the heart of power. The W.H.O and other powerful institutions have become theologies issuing edicts to its disciples to carry forward. The good news is it will fail as all other prohibitionist movements have failed. People are beginning to revolt and recent voting patterns around the world are indicators that the great unwashed are beginning to tire of this continual barrage from paternalistic, micro managed obsessed authorities.

    • Yves W

      You are spot on Dave.

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What is E-Juice?

E-juice, also known as e-liquid or vaping liquid, is the liquid that’s placed in the vaping device and subsequently atomized into vapor. When you go to buy e-juice, you’ll notice it contains a mix of several ingredients. These typically include vegetable glycerin (VG), propylene glycol (PG), some type of flavoring, and nicotine.

VG and PG form the base of the e-liquid. VG is a component used in food and personal care products; its role in e-liquid is to create a thick, dense vapor. PG is another popular solvent used in a variety of everyday items. It carries the e-liquid flavor, provides the “throat hit,” and enhances the vaping liquid’s ability to soak into wicks or cartomizer materials.

Nicotine is an optional ingredient, often available in different levels. E-juice also contains some type of flavoring.

Black Note leads the pack of tobacco vaping liquid by using only natural flavoring – extract from real tobacco leaves to produce real tobacco taste. When you go to buy e-juice from other companies, you may find any number of chemicals used to create synthetic flavors that include fake strawberry, manufactured vanilla, and even man-made tobacco flavors.

If your aim when you buy e-liquid is to experience the subtle nuances, genuine flair and authentic taste of real tobacco, then you’ll be on the mark if you buy e-juice from the Black Note lineup.

Best E-Juice

When you’re going to buy e-liquid, it’s only natural you’ll want the best e-liquid. But what, exactly, does it “best e-juice” mean? We’ll tell you.

For starters, you’ll want an e-juice that doesn’t contain all kinds of strange chemicals and concoctions that you can’t even pronounce. True, even the best e-liquid will contain vegetable glycerin (VG) and proplene glycol (PG), which serve as the base of e-juice, but you don’t necessarily need a host of other chemical compounds.

The best e-juice will stick to natural ingredients, like real tobacco extract, rather than rely on synthetic flavorings, colorings and other additives. Diacetyl is one of those synthetic ingredients that has gotten a pretty bad rap, although its use is not all that uncommon for producing sweet e juice flavors.

Definitely read the ingredient list before you buy e-juice to ensure you recognize what’s on it. Better yet, see if the e-juice company offers a lab report to confirm what’s actually inside the e-liquid.

In addition to having as few chemical ingredients as possible, the best e-juice will have an amazing taste. For those who enjoy authenticity over imitation, the most amazing taste is the most natural taste, especially when it comes to tobacco. Since Black Note uses real extract from tobacco leaves, we not only avoid all those weird chemical flavorings, but we also produce the most authentic experience: tobacco vaping liquid that actually tastes like tobacco.

Best E-Liquid on the Market

Anyone looking for the best e-liquid on the market need look no further than Black Note. Black Note tobacco vaping liquid ranks as the best e-juice across the board in every category, starting with the taste.

Black Note’s main claim to fame is producing a tobacco vaping liquid that actually tastes like real tobacco. That because we use real tobacco extract, not chemicals, to create the best e-juice tobacco flavor. Using extract from real tobacco leaves retains tobacco’s nuances and flavor notes, giving you the most authentic and multi-faceted tobacco experience.

In addition to being the best e-juice for tobacco taste, Black Note also has the best e-liquid manufacturing process. We spent years researching and testing various production methods, and finally landed on one that we believe is absolutely perfect.

It starts with growing carefully selected tobacco seeds, followed by an equally precise of steps that include an extensive natural extraction process. Even our bottling and packaging is done with the utmost care, using recycled and recyclable packaging materials to ensure our products are as earth-friendly as they are vapor-friendly.

One more category where Black Note ranks as the best e-liquid is with the value. Every order comes with free domestic shipping, one-to-three day domestic shipping guarantee, and a 90-day, money-back satisfaction guarantee. If you’re not happy for any reason, or don’t agree we’re the best e-juice on the market, send it back on us and we’ll refund your money.

Vape Juice Ingredients

Vape juice ingredients can be pretty straightforward – or not. At the very least, most vape juice contains propylene glycol (PG), vegetable glycerin (VG), and some type of flavoring. Nicotine has largely become an optional ingredient that can be included at varying levels or left out altogether.

Vegetable glycerin (VG) and propylene glycol (PG) are usually the two main ingredients that make up the base of most vape juice.

VG is a plant-based substance with the ability to produce a dense, thick vapor. PG is an additive found in many food items and certain medicines. It carries the flavoring, provides the “throat hit” and enhances the vape juice’s ability to soak into the wicking materials.

Nicotine levels can vary, as can ingredients that make up the flavorings. The components that make up vape juice flavoring are where ingredients can get rather complicated.

Vape juice that relies on artificial flavorings can contain any number of extraneous chemicals and other additives, whatever it takes to recreate the flavor the ecig juice is going for.

Black Note uses only natural flavorings: extract from real tobacco leaves. That keeps our ingredient list incredibly simple, backed by a lab report to prove it. You won’t find any strange chemical concoctions used to produce our tobacco flavor, just real tobacco extract that delivers a real tobacco experience.

What is the Best Flavor for Ecig Juice?

From strawberry shortcake to banana rum, ecig juice comes in tons of flavors. While folks can debate and discuss all the fruity, sweet or food-like flavors all day long, the best flavor for e-cig liquid is straight-up tobacco.

Why? Vaping was originally created as an alternative for traditional cigarettes, mainly for those who enjoy the taste of tobacco. And when you can find an e-cig liquid that is able to recreate tobacco’s full-bodied yet delicate flavor notes and nuances, but without the harmful chemicals found in cigarettes, then you’ve found the best ecig juice.

Recreating tobacco’s complex flavor isn’t easy, especially when it’s attempted with artificial ingredients. That’s why Black Note sticks to the real thing, extracting the essence of real tobacco leaves to flavor our vaping liquid. Not only does this avoid the harmful chemicals in cigarettes, but it also eliminates the flavoring chemicals found in many ecig juices. The end result is real tobacco taste, an authentic tobacco experience and the best flavor for ecig juice you can find.

Notice also we said the best e-cig flavor was straight-up tobacco, not plain old tobacco. Black Note’s real tobacco vaping liquid happens to come in a variety of different blends, from the light and airy to the peppery and robust. Not all tobacco is created equal, and different blends capture the specialized subtleties that make each tobacco unique.

Best Sweet Tobacco E-Juice

When it comes to sweet tobacco e-juice, your options can be broken down into two categories.

The first category contains tobacco e-juice that overlays the tobacco flavor with artificial chocolate, caramel, vanilla, fruity or other dessert-like flavorings. We wouldn’t classify any such flavors as the best tobacco e liquid, simply because they typically use chemicals and other artificial ingredients to create the tobacco taste, the sweet taste, or both.

The second category of sweet tobacco e-juice is where you’ll find the best tobacco e-liquid, sweet or otherwise. This category contains vaping liquid created using only natural flavorings, which is exactly where Black Note fits in. Instead of concocting flavors using synthetic ingredients, Black Note uses an extensive extraction process that slowly and deliberately extracts the tobacco essence from real tobacco leaves.

The result is the best tobacco e-juice: tobacco vaping liquid that actually tastes like real tobacco. And if you’re going for the best sweet tobacco e liquid, we have a few tobacco blends that offer varying levels of sweetness.

Prelude is our sweetest tobacco e-liquid, containing golden Virginia tobacco. Made from fire-cured dark Virginia tobacco, Sonata is our Cavendish blend with a mildly sweet and nutty flavor. Solo is our menthol blend, giving you a semi-sweet minty taste created from natural menthol crystals extract from dried mint leaves.

For the best tobacco e-liquid that’s naturally sweet and remarkably delicious, Black Note is at your service.

WARNING: Black Note products are not smoking cessation products and have not been tested as such. Black Note products are intended for use by adults of legal smoking age (21 or older in California), and not by children or women who are pregnant or breastfeeding. Black Note products contain nicotine, a chemical known to the State of California to cause birth defects or other reproductive harm. Ingestion of the non-vaporized concentrated ingredients can be poisonous. Keep out of reach of children and pets. For immediate advice, contact poison control center: (800) 222-1222