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Emerging other tobacco products: Navigating the public health landscape

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IN recent years, the landscape of tobacco consumption has undergone a seismic shift with the rise of electronic and heated tobacco products, notably e-cigarettes and vaping devices. Vaping products touted by the tobacco industry as potential harm reduction tools have ignited heated debates following the emergence of serious illnesses linked to vaping. Prevailing situation requires to investigate multifaceted dimensions of this phenomenon, emphasizing the need for comprehensive strategies to address the marketing and accessibility of these products, particularly among the youth.

Vaping is linked to severe illnesses like EVALI, causing lung injuries, often needing hospitalization. Moreover, common respiratory issues include coughing, wheezing, and bronchitis. Popcorn lung, rare but serious, results from inhaling certain flavouring chemicals. Vaping is also associated with cardiovascular problems like heart attacks, hypertension, and artery stiffness, along with nicotine addiction, particularly among youth. Ongoing research uncovers further health risks.

The allure of electronic and heated tobacco products lies in their promise of reduced harm compared to traditional smoking. However, their increasing popularity, particularly among young people, has sparked concerns in public health circles. To address this issue, the World Health Organization (WHO) launched the “Stop the lies” campaign to counter tobacco industry interference in health policy, aiming to safeguard youth from harmful products. Supported by evidence from “The Global Tobacco Industry Interference Index 2023,” the campaign amplifies youth voices, exposes industry tactics, and raises public awareness. Dr. Ruediger Krech, WHO’s Director of Health Promotion, stresses the importance of defending health policies against industry influence. Despite awareness of tobacco’s dangers, the industry persists in targeting vulnerable groups through deceptive tactics like biased research funding and youth-oriented marketing. The campaign underscores the industry’s negative impact on public health, urging global action to protect policies and future generations.

Moreover, one of the primary concerns surrounding these products is their marketing strategies, often accused of glamorizing and normalizing tobacco use. The sleek designs, enticing flavours, and aggressive advertising tactics employed by manufacturers have created an environment that appeals particularly to the youth. The flavours, ranging from fruit medleys to candy-inspired concoctions, have been criticized for luring younger individuals into nicotine addiction, creating a new generation of tobacco users. Additionally, deceptive research conducted by the tobacco industry misguides youth about their perceptions of vaping.

The accessibility of electronic and heated tobacco products further compounds the issue. Vaping devices, in particular, have become ubiquitous, with online sales, specialty shops, and even conventional retailers providing easy access to these products. The discreet nature of these devices, often resembling USB drives or pens, allows users to indulge without detection, contributing to the normalization of their use among adolescents.

First and foremost, regulatory bodies must scrutinize and tighten marketing regulations for electronic and heated tobacco products. Restrictions on flavours, packaging, and advertising can curb the appeal of these products to the younger demographic. Transparency in labelling and accurate information dissemination can further empower consumers to make informed choices about their health.

Educational initiatives play a pivotal role in mitigating the impact of emerging other tobacco products. Schools, communities, and healthcare providers must collaborate to raise awareness about the risks associated with vaping and the potential consequences of nicotine addiction. Implementing age verification measures for online sales and enhancing penalties for retailers who sell to minors are crucial steps in limiting accessibility.

Furthermore, Article 5.3 of the Framework Convention for Tobacco Control (FCTC) is all about keeping tobacco’s hands off public health policies. It’s like a guardian angel, making sure that tobacco companies don’t meddle with our well-being. It warns countries to stay alert and not cozy up to tobacco interests. Instead, it urges them to spread the word about how dangerous tobacco interference can be and to steer clear of any partnerships with the industry when it comes to public health. In short, Article 5.3 is our shield against tobacco’s harmful influence, ensuring our health policies stay pure and effective.

In conclusion, the rise of electronic and heated tobacco products presents a complex challenge to public health in Pakistan. Regulatory bodies, educational institutions and healthcare providers must work together to navigate this evolving landscape, ensuring that public health remains at the forefront of decision-making. A comprehensive ban on all forms of other tobacco products is the need of the hour. As we continue to scrutinize and adapt our strategies, it is our collective responsibility to safeguard the well-being of current and future generations.

—The writer works at Coalition for Tobacco Control/Society for Alternative Media and Research (CTC/SAMAR).

Email: [email protected]

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