Square peg, round hole
Friday, November 18, 2016 at 9:14
Simon Clark

If ever there was a square peg in a round hole it was me at the Next Generation Nicotine Delivery conference in London yesterday.

In my previous post I explained that I was a little surprised to be invited to speak, even on a panel entitled 'Gaining valuable insight into consumer needs and consumption of alternative nicotine delivery products'.

I missed the first day of this two-day industry-led event but looking at the programme almost every speaker had a direct, often commercial, interest in next generation products.

Not everyone was an expert in risk reduction. Some presentations were no more than sales pitches for specific products, like the nicotine tablet that dissolves in your mouth.

Nevertheless they all came armed with a phalanx of information and statistics.

My role, in contrast, was to speak in more general terms, holding fast to views that I sense are verging on luddite to some people, including those who are professionally involved in e-cigarettes and other emerging products.

For example, the suggestion that many people enjoy smoking and don't want to quit seems almost heretical, even in the company of tobacco industry representatives, several of whom have switched roles and are now actively engaged in promoting the new generation of harm reduction products.

Anyway my fellow panellists were James Murphy, head of Biosciences at British American Tobacco, and Dr Taman Powell, founder and CEO of Xolo Vape.

We had each been invited to make some opening comments (which I had prepared) but the format changed. Instead we were asked to respond to questions from the chairman, and later the audience, in an attempt to make it more conversational.

Regular readers will be familiar with everything I said, including my little dig at PMI for openly targeting a "smoke free world".

Invited to say a few words about Forest, I stressed that we embraced harm reduction and next generation products because we're pro-choice not pro-smoking.

That said, we represent smokers who, by and large, enjoy smoking and don't want to quit.

"Many have tried e-cigarettes," I said, "but vaping doesn't suit them. It's important to understand this and ask why more smokers haven't switched.

"The debate is not just about health," I added. "It's also about risk-taking and pleasure.

"One of the reasons so many people are prepared to risk their health is because of the pleasure they get from smoking."

Repeating a point I made at the Global Tobacco and Nicotine Forum (GTNF) in Brussels in September I suggested that the reason many smokers haven't switched to e-cigarettes is because the jump to a smokeless product that doesn't contain tobacco is, for many, too big.

That gap, I said, has to be filled with other products, hence our interest in heat not burn (HnB) or what James Murphy called tobacco heating products.

At that point I quoted comments from readers of this blog, posted earlier this week. First, Mark Butcher:

Here in Geneva, where the iQOS has been on sale for more than a year, anecdotal evidence seems to show vapers (former smokers) are giving up vaping and going for the HnB products. That is despite there is no real cost saving over conventional fags as the heat sticks are taxed at the same rate as fags.

And from Pat Nurse:

I believe HnB are the true next generation for smokers. Ecigs are next generation for quitters.

That, I said, might be a bit harsh but it makes an interesting distinction. In the minds of some smokers HnB is an extension of smoking because it remains faithful to tobacco in a way that e-cigarettes do not.

What we need, I said, are more products, more choice, that fill the gap between combustible tobacco and e-cigarettes.

Responding to a question I may have misinterpreted I argued that the evolution from combustible cigarettes to smoke free products must not be rushed.

"Forcing people to quit or switch involves bullying and coercion. Smokers must be given time, decades if necessary, to make their own choices."

Finally, and I can't remember how the subject cropped up, I said I would never trust tobacco control.

"The endgame," I warned, "is not a smoke free world but a nicotine free world. If anyone can't see that they must be living in a parallel universe."

Written down (and heavily edited!) my contribution doesn't sound too bad. At the time however I felt as I often do at these events – an outsider howling at the moon.

The truth is few people want to hear that many people enjoy smoking and don't want to quit. Or that many consumers put pleasure ahead of the health risks. Or that the risks are often exaggerated.

In vaping circles fewer still want to hear that e-cigarettes may not be the panacea many believe them to be.

Don't get me wrong. I felt no hostility from the audience. (This wasn't a public health event!) I think they were just a bit surprised that I wasn't completely on message.

In the current climate, even at an industry event like this, that makes you different - and not in a good way.

PS. When I get a moment I will compare the Next Generation Nicotine Delivery conference with the E-Cigarette Summit that also took place in London yesterday.

The latter is a bigger, far better promoted event but the contrast – and the hidden message – is very interesting.

Article originally appeared on Simon Clark (http://taking-liberties.squarespace.com/).
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