Posted on

Public health, e-cigs and heat not burn. Why all the hatred?

Public health

Keep smoking we need the money.

We have been monitoring the entire public health movement since 2015 and we have decided to impart our thoughts on what we think about the cult of public health.

Firstly it is fairly obvious that public health stop-smoking groups do not want people to stop smoking, because if everyone stopped smoking they would all be out of a job. But it is much more complex than that. Public health have to be *seen* actively trying to get people to stop smoking so that they can continue to get rewarded with enormous grants, usual funded by public money.

Until e-cigarettes came along the options on the market were truly dire, it mainly consisted of patches, gums and tablets. The patches and gums were truly woeful with around a 6% success rate. The tablets were more successful but had some shocking side effects including suicidal thoughts, leading to some people actually committing suicide. The classic scenario was the old “quit, relapse, quit, relapse” cycle with the patches and gums, people would try to quit using them then fail and go back to smoking for a while, then try again and fail again with the patches and gums, and so the dreadful cycle continued. Public health groups like the UK’s ASH (Action on Smoking and Health) wasted millions of pounds of public money for nothing, the smoking rate remained stubborn and refused to move…..then along came e-cigarettes and much more recently heat not burn.

By crikey these work!

The main reason that e-cigs and HnB work is because they both mimic the action of smoking perfectly, this is the reason they have been phenomenally successful, to be honest they are both brilliant inventions and in just a few short years we have seen the smoking rate start to fall after years of flat-lining. The smoking ban of 2007 we were told would vastly reduce the smoking rates, the smoking rate barely moved in the UK the preceding years. All the smoking ban did was shut down thousands of pubs and bingo halls, decimating communities and pit smokers against non-smokers, and generally make smokers feel like social pariahs.

iqos and 60 heets special offer

E-cigs and heat not burn have really put the cat among the pigeons for the public health racket though, in the case of e-cigarettes it has basically been a grass roots movement and thousands have managed to quit smoking without any help from either the government or public health. It hasn’t cost the government a penny either, people are actually buying the equipment out of THEIR OWN MONEY. Even though they can get a prescription for traditional NRT such as the patches and gums for free, they don’t bother, they actually pay for e-cigarettes and heat not burn devices out of their own money. How can that be? Are these people crazy? They’re not crazy at all, the reason they are paying for e-cigarettes and heat not burn devices is because THEY WORK. It really is as simple as that. Not everyone will get on with e-cigs, some prefer the actual taste of the smoke that they’re used to and that is where heat not burn comes in. That is why there is a market for both e-cigarettes and heat not burn devices and why both will thrive despite all the fake news and cherry picked studies.

“Not enough evidence”/”We don’t know what’s in them” etc. etc.

So, back to public health, what do they do about these new modern devices? At first there was a kind of twitchy knee-jerk reaction and they immediately condemned them, seeing the possibility of hundreds of thousands of pounds of grant money going down the drain. It would have been a massive shock to them to see e-cigs doing what their NRT had manifestly failed to do for years (decades?) and that was to get people to actually stop smoking. First of all there was the old “we need more evidence” line, naturally as each year goes by with nobody dropping dead from vaping that argument weakens pretty quickly. You will still hear some of the more crazy people in public health trotting that line out in 2018 even though some early adopters have been vaping now for over 10 years. Another classic line trotted out is the famous “we don’t know what’s in them” with regards to the e-liquid, even though all e-liquid bottles are now required to list the ingredients.

The manufactured diacetyl scare.

They absolutely love to mention the study that found some diacetyl in certain e-liquids even though most e-liquids have completely removed diacetyl from their e-liquids and the amount of diacetyl found in the e-liquid was FAR LOWER than the diacetyl levels found in traditional cigarettes. These crackpots will clutch onto any straw that they can find. Diacetyl is thought to be responsible for a disease called “popcorn lung” a disease that popcorn factory workers used to get from years of breathing in the dust of this flavouring agent. It is also worth noting that there have been no cases of popcorn lung directly attributed to regular cigarette smokers, let alone vapers. This was another manufactured scare story bought to you by people that absolutely hate e-cigarettes.

Among many reasons that public health hate e-cigarettes is because public health didn’t invent them, if public health did invent them then they would be the best thing since sliced bread. The same goes for heat not burn, but heat not burn is even worse because they are primarily an invention of those EVIL BIG TOBACCO COMPANY BASTARDS.

Now we are seeing some public health orgs actually getting behind vaping, there’s a good chance that they are doing this so that they can take some credit for the drop in the smoking rate in the last couple of years. It’s very cheeky and dishonest but that’s what modern day public health do. They will do anything and everything that is required to keep the grant money rolling in.

How’s that MSA looking?

We have primarily been talking about UK public health organisations but over in the USA the rise of e-cigarettes and heat not burn are even more acute. There is something called the Tobacco Master Settlement Agreement (MSA) where tobacco companies have done a deal with individual US states. It’s basically a massive bribe whereby the state allows tobacco products to be sold so long as the tobacco companies pay that particular state vast amounts of money. Now e-cigs and heat not burn are starting to affect the MSA future projections because the payments are calculated in advance on projected cigarette sales, the more people that stop smoking traditional cigarettes the worse it is for those cosy MSA deals. This is why e-cigs are under constant attack in the USA including a de-facto ban by 2022 unless things change markedly. Heat Not Burn is currently going through a similar struggle, this is all part of the plan. Basically the “wrong” people are making money out of e-cigarettes and heat not burn.

There are going to be some massive battles ahead that much we can be sure of, but at the end of the day it always boils down to one thing and one thing only: money.

Posted on

EFOS E1 Review

EFOS E1 with HEET inserted

A few weeks ago we looked at the iBuddy i1, a new Heat not Burn device from China that uses the same Heets as Philip Morris’s iQOS. At the time I thought this was a sensible decision for iBuddy, as it saved them having to develop and distribute their own stick design. I also didn’t think PMI would mind too much; they might miss out on a few iQOS sales, but everyone who buys an iBuddy will need to get Heets for it, and PMI are the only people who sell them.

More recently I was sent another Chinese device that’s also designed to work with Heets; this is the EFOS E1, and I’ve spent the last week running several packs of Heets through it. How did it compare to the iBuddy and iQOS? That’s what I wanted to find out – and now I know.

EFOS E1 box

 

Unboxing

The EFOS is, as I’ve come to expect, nicely packaged. The box has an outer sleeve, and once that’s been slid off the top flap hinges open to reveal the device sitting in the usual moulded plastic tray. That lifts out to reveal an instruction manual and, under it, another tray containing a USB cable and a cloth carrying bag for the device. It’s all nicely presented and gives the feel of a quality product.

The quality of the device itself isn’t bad either. The body is plastic, lozenge-shaped and fits nicely in the hand. On each long edge is a black plastic insert; one has four LEDs to show the charge status, and the other is helpfully printed with some basic information about the E1, including its battery capacity – 2,000mAh, in case you’re interested.

At the top you’ll find the only controls – a large button with an illuminated surround, and a sliding cover that can be pushed up to reveal the heating chamber. The heating chamber is interesting; instead of the iQOS’s blade, or the spike of the iBuddy, this is simply a metal chamber with perforated walls and base. It’s also set at an angle. When a Heet is inserted it’s sticking up about 30 degrees off the vertical, which looks a little surprising at first.

EFOS E1 opened box

Overall the EFOS feels well put together for the $60 price. It is mostly plastic, but it seems robust enough and I didn’t manage to break anything while getting through four packs of Heets. The supplied accessories are good quality too, but it’s a pity no cleaning equipment was supplied – to keep it running properly, it’s probably a good idea to clean the heating chamber at least once in every pack of Heets.

 

Trying it out

My EFOS arrived with the battery about half charged, so the first thing I did was plug it in and top it up. This took a pleasantly short amount of time – just over an hour passed before all four LEDs were glowing steadily. Once that was done I opened a pack of Heets, loaded one into the chamber and then, after some initial embarrassment, flicked through the instruction leaflet to figure out how it works.

The other HnB devices I’ve tried so far are switched on by holding the button until it buzzes or flashes at you. The EFOS is slightly different; it takes three rapid presses to activate it. Once you’ve done that it will buzz and vibrate slightly, and the green LED surround of the button begins flashing. Then all you have to do is wait for it to heat up.

Waiting is never my favourite pastime, and I have to admit I was getting a little impatient by the time 30 seconds had passed. It vibrated again not long after that, though, and I took that as a signal that it was ready to use (which it was). So I took a puff, and it was a bit of a surprise.

EFOS E1 unitFirstly I should say that the angled heating chamber is a great idea; it puts the Heet’s filter in a very natural position to vape. Next, the first puff I took was the best I’ve had from any HnB device I’ve tried so far. It was almost exactly like smoking a cigarette, with plenty of warm, well-flavoured vapour. It continued well for about the next eight or nine puffs, and then both flavour and vapour started to fall off sharply. The device will let you take up to 20 puffs from each Heet, vibrating again to warn you after the 18th; if you’re puffing slowly it will vibrate after five and a half minutes, and shut down in just under six. Personally, I think it would be better to limit it to ten or twelve puffs; 20 is just too much for a Heet.

This is just a minor issue, though. A bigger problem might be that the EFOS itself is too much for a Heet. When I took the first one out the chamber and looked at the end I was startled at how black the filling was. On closer examination this didn’t extend all the way up through the rolled tobacco sheet, but the tip of it – where it’s in contact with the heated base of the chamber – was pretty charred. I got a definite impression that the EFOS was great at the “Heat” part, but falling down slightly on the “not Burn” bit.

Some more flicking through the instruction manual revealed that it actually has two temperature modes, and I was running it in the (recommended) high temperature one. I changed to low temperature for a few Heets, by holding the button for three seconds while I waited for it to heat up, but found that performance fell off quite a lot. I did get more puffs from each Heet, but they much less satisfying.

 

Conclusion

The EFOS E1 is a very interesting device, and on high temperature mode it gives a great tobacco vape. Battery life is reasonable but not great; you’ll probably need to top it up after about ten Heets, and unlike iQOS it doesn’t come with a personal charger. The iBuddy i1, despite having a smaller battery capacity (1,800mAh) kept going for much longer between charges.

My real concern with the EFOS, however, is that I have a nasty suspicion the high temperature mode is burning some of the tobacco. That would certainly explain the great flavour, but it might defeat the purpose of using it in the first place. I still doubt it’s anywhere near as harmful as a lit cigarette, but if health is your top priority you might be tempted to go for an iQOS instead.

Blackened HEET
The end of this Heet looks suspiciously blackened…

 

 

 

 

 

 

 

 

iqos and 60 heets special offer

Posted on

Wikipedia – encyclopaedic or idiotic?

Wikipedia

Everyone’s familiar with Wikipedia – “the encyclopedia that anyone can edit”. It sounds like a great idea, doesn’t it? A vast, sprawling reference work that everyone in the world can add their knowledge to, with administrators and fact-checking mechanisms to make sure nobody’s contaminating it with nonsense. In theory at least, it should end up containing all the open-source information in the world and be constantly checked for accuracy by thousands of dedicated users.

The trouble is that’s not exactly how it works. If the topic of an article isn’t controversial, Wikipedia is generally pretty reliable. Apart from the odd intentional vandalism or clumsy editing by a well-meaning newcomer, both of which usually get removed pretty quickly, articles about places, objects or anything else straightforward tend to be accurate and informative. I do research every day and I regularly use Wikipedia; the articles themselves give a good overview, and there’s a handy list of references at the bottom so you can dig deeper and verify facts.

Where it gets complicated is when you start dealing with any subject that’s at all controversial. That’s when special interests slither out of the woodwork, whether it’s creationists, IRA supporters or political extremists, and start gaming Wikipedia’s tortuous rules to push their point of view.

The whole idea of Wikipedia is that everyone can edit, but in practice that’s not how it works. Apart from a few basic principles the rules for resolving disagreements are made by committee, and we all know the sort of person who likes to join unpaid committees. Unsurprisingly there’s now a mass of rules, guidelines, essays and procedures that would take a lifetime to read, so of course nobody reads them. That means nobody understands them except a hard core of dedicated fanatics, and this brings us neatly to the subject of tobacco harm reduction.

Meet the Medics

I used to be a pretty active Wikipedia editor, until I got banned a couple of years ago. Officially I got banned because I was paid to edit an article, but this isn’t actually against Wikipedia’s rules. The real reason was that I upset the key people in Wikiproject Medicine, a group that’s supposedly responsible for ensuring the accuracy of medical articles on Wikipedia. Because e-cigarettes can potentially have an impact on health, WikiMed has ruled that any articles on them have to obey the stringent rules they’ve created for medical content, and who gets to decide whether they obey those rules or not? Wikiproject Medicine, of course!

This is where the problems begin, because all the leading figures in WikiMed are fanatical opponents of tobacco harm reduction. The project is led by “Doc James” – Dr James Heilman – a socially inept GP from the wilds of rural Canada. Heilman is notable for his poor grasp of logic, even poorer grasp of the English language and a stubborn inability to admit that he might ever be wrong about anything. We’re talking about a guy who thought “A cup of coffee is drug” was a winning argument. Heilman is a complete idiot.

And, like any complete idiot who finds himself in charge of a committee, he’s assembled a collection of even worse idiots to help him out. There’s a Norwegian medical student who can’t spell “cigarette” – I am not making this up – and a few other people who’ve only escaped having personality disorders because they don’t have personalities. However the worst of the lot, by a long way, is the individual known as QuackGuru.

I don’t know what, if any, medical expertise QuackGuru has. He seems to have started on Wikipedia as an opponent of “alternative medicines,” an objective that I’m fine with, but somewhere along the way he became Doc James’s most devoted follower and, just to round off his uselessness, an anti-vaping zealot. On top of that he’s terrible at actually editing. His logic and English are both even worse than Heilman’s, and he has a maddening habit of just repeating the same obviously wrong statements over and over again. He also violates Wikipedia’s rules with monotonous regularity, and although he does get the occasional short suspension – usually just from specific topics – Heilman’s influence has protected him from the permanent ban he richly deserves.

A couple of years ago, until I was banned, I and a few others fought a long battle against the WikiMed clique to try to add some semblance of reality to the article on electronic cigarettes. This is unrelentingly negative; at one point a single paper by notorious Californian aircraft mechanic Stanton Glantz was referenced more than all the other sources put together. QuackGuru was a major source of the problems on the page, blindly applying simplistic definitions of Wiki rules to exclude any references that were positive about vaping. In the end even Heilman couldn’t protect him anymore, and he was banned from editing the page for a few months, but by that time most of the pro-vaping editors had been banned or given up in disgust.

Now it’s all happening again at the Heat not Burn page. Nobody in their right mind would say that an iQOS is a medical device, but WikiMed have claimed authority over it on the basis that it can have health effects. Well, so can a bunch of other things WikiMed doesn’t bother with – guns, for example, or cars. Both of these kill a lot more people every year than HnB ever will, but for some reason they’re not seen as medical subjects. Vaping and HnB are still just about niche enough that Heilman and his little bunch of cranks can take over, though, and that’s exactly what they’ve done.

Looking at the edit history for the HnB page, two names dominate the list – Doc James and, even more so, QuackGuru. For example, on 2 February there were eight edits made to the page; one by Doc James, one by a bot and six by Quack. Out of the last 50 edits, Quack as made 21 – often in rapid strings of minor edits, aimed at correcting the one before but actually making things worse with every attempt.

The Idiots’ Playground

About the only good thing about Quack’s atrocious sentence structure is that it obscures some of the terrible information in the article itself. The lead section says “There is no reliable evidence that (HnB) products are any less harmful than other cigarettes,” so I was already boiling with rage by the second line of the article – because HnB products are not cigarettes (got that yet, Vic?).

The first section in the body of the article is called “Health Effects”, and in the best WikiMed tradition it starts with an ad hominem smear attack on anyone who disagrees with Doc James – “Claims of lowered risk or health benefits for heat-not-burn tobacco products are based on industry-funded research”. Well so what? Why does it matter who funded the research? What matters is that it’s been peer-reviewed (it has) and the experimental methods and analysis have been found to be reliable (they are). Every medicine on the shelf at your local chemist’s was certified as safe thanks to “industry-funded research”, but you never hear anyone complaining about that.

Moving on, another of Quack’s trademarks starts to show up – his touching belief that “a scientist stated” is the same thing as evidence. It doesn’t matter what some Spanish doctor believes; what matters is what the research shows, and all the research on Heat not Burn shows that users are exposed to vastly lower levels of toxic substances. The first rule of toxicology is “the dose makes the poison”, so reduced exposure to toxins means less risk of harm.

The final section is titled “Regulation”, but as there are few regulations in place for HnB yet WikiMed have padded it with quotes from anti-harm reduction extremists. They even shoehorned in Stan Glantz’s lunatic suggestion that safer tobacco products be banned until tobacco companies stopped selling actual cigarettes. It seems none of these idiots have learned the lessons of Prohibition and what happens when you ban something a significant percentage of your population enjoys. As for Glantz himself, the suggestion that the safer products should be banned has to raise serious questions about his mental health.

 

Wikipedia can be a great resource, but it’s also a flawed one. The way it’s run creates immense problems for anyone who disagrees with the self-appointed cliques that dominate many areas of the site. Unfortunately tobacco harm reduction is one of those areas, so the world’s most popular encyclopaedia is also one of its most dangerous sources of anti-THR propaganda.

iqos and 60 heets special offer

Posted on

Meet the JUUL menace

JUUL

Here at Heat not Burn UK we’re always interested in new reduced-harm tobacco products. As you’d expect we’re most interested in HnB devices, but we’re more than happy to have a look at anything else that comes on the market. One gadget we’ve wanted to take a look at for a while (but can’t, because it’s illegal in the EU) is JUUL, an ultra-compact e-cigarette that’s taken a huge share of the US market. The JUUL is also known as a Pod mod.

You might have heard of JUUL; it’s certainly been in the news enough recently. If you haven’t heard of it before, it’s a very small and sleek e-cigarette that uses unique disposable pods. The pods don’t contain standard e-liquid; instead the juice is based on nicotine salts extracted from leaf tobacco. This is supposed to give a fast nicotine hit that’s more like a cigarette than a normal e-cig. It also has a 56mg/ml nicotine content, which is why we can’t get them in the EU.

The JUUL device is tiny, slim and rectangular; the pods snap into one end and then all you have to do is take a puff. It has an automatic switch that fires the coil every time you inhale, giving an experience that’s as close to a cigarette as you can get electronically. Each pod has about as much nicotine as a pack of cigarettes and is designed to deliver 200 puffs, and the battery can be easily topped up with a USB charger.

So the JUUL is a pretty interesting little device, and it’s already picked up a hefty share of the US market – close to half of all e-cigs sold through convenience stores. That’s potentially a lot of smokers switching to a much safer alternative, so you’d expect the public health community to give it at least a cautious thumbs up, wouldn’t you? Oh wait; of course not. We all know not to expect much in the way of sense from public health types.

JUULmania

I’m not going to say that anti-JUUL hysteria has reached the level of the “Satanic Panic” in the 1980s, a frenzy of moral outrage about Satanic ritual abuse that saw dozens of nursery owners and employees arrested on suspicion of ritually sacrificing the children who had been entrusted to their care. It’s heading in that direction fast, though. There are daily articles from the USA, and they all follow a very similar – and totally ridiculous – theme.

According to the media, “Juuling” is an epidemic of nicotine use that’s threatening to turn the youth of America into addicts, zombies and probably communists. Schools are panicking at the thought of their students sneaking a puff in class, and nobody’s stopping to look at the actual evidence.

The panic seems to be caused by the design of the device itself. It’s very small, which the media usually translate into “easily hidden,” and thanks to its low power/high nicotine delivery mode, it doesn’t produce a lot of visible vapour. Although I’ve never tried one it seems like it would be the perfect stealth device, so I suppose it would be possible for kids to have a sly drag in class. What I’m not so sure about is why this is somehow worse than them smoking a crumpled Lambert & Butler behind the bike sheds at lunchtime.

What is JUUL anyway?

In any article on JUUL it’s obligatory to mention that “it looks like a USB stick”. It doesn’t, really; it’s longer and slimmer, and has a mouthpiece at one end – USB sticks don’t tend to have those, in my fairly broad experience of the things. Still, it’s small and oblong, so that’s close enough for the media and their public health puppet masters. Cue much hilarity.

In a classic case of over-reaction, one school district in Pennsylvania has banned real USB sticks from all its schools, apparently believing that this will stop students using an e-cig that vaguely resembles one. Officials from the district were falling over themselves to talk about how important this move was in preventing the JUUL epidemic; fortunately one maverick journalist asked them how many students in the district had actually been caught using a JUUL.

One.

That’s right; the school brought in a totally disproportionate ban, and splashed the story all over the media, because they caught one student with a JUUL. I’d say this was ridiculous, if it wasn’t pathetic. Or maybe it’s both. The point is, hardly any US high school students are using JUUL. Far more are using normal e-cigs, mostly basic vape pens, and almost all teens who vape are former smokers!

 

First do no harm

The whole point these clowns are missing with their moral panic is that the product they’re panicking about was specifically designed to help people who already smoke to move to a safer alternative. They should be grateful for this; thanks to JUUL and other e-cigs, teen smoking in the USA is at its lowest rate in a century. Kids who weren’t attracted to smoking aren’t going to be attracted to vaping, either: they’re not going to buy a JUUL. The target market is adults who smoke, and it’s worth pointing out that any kids who do get their hands on a JUUL are violating the company’s strict prohibition on sales to under-21s.

What worries us at Heat not Burn UK is that the same panic that’s grown up around JUUL is likely to spread to products like iQOS when the FDA finally gets round to allowing them onto the US market. I can predict the headlines already; they’re going to focus on the fact that all the leading HnB devices are produced by tobacco companies, and throw in some wild speculation about students putting spliffs in them instead of Heets (a few articles about JUUL claimed students were mixing drugs into the liquid, despite the pod design making this impossible).

I fully support people’s right to smoke if they want to, but there’s no denying that it isn’t the healthiest habit. Smokers should have a choice of safer and effective recreational nicotine products to move to if they choose. JUUL is one of those products; iQOS, Glo and the iBuddy are others. If harm reduction advocates start supporting some products but not others, instead of combining forces against the common enemy, we’ll be picked off one by one.


Here at Heat Not Burn we are primarily all about heat not burn technology but Phillip Morris have released their own pod mod system called the iQOS Mesh and we are selling it right here on our website! Please click the Mesh banner below for more information.

IQOS MESH BANNER