When a leading public health historian claims to know more about your past than you do …

source: https://www.bugaup.org/press/SMH2002-10-12_no_ifs_no_butts.pdf

[UPDATE 28 Apr 2021: the 3 authors of the paper discussed below have agreed to amend their response to reflect issues I raised with them in the email posted below. When this happens on the Addiction website, I will edit the blog below to reflect that.]

Earlier this year, Professor Virginia Berridge, a significant historian from the London School of Hygiene and Tropical Medicine, and four Australian authors from the University of Queensland published a paper in the international journal Addiction. The paper which can be read here looked at “understanding why Australia and England have such different policies towards electronic nicotine delivery systems.”

My colleague Mike Daube, an emeritus professor from Curtin University, and I were both named in the paper. We found several erroneous statements in the paper and so we wrote this response, setting out our concerns. This has now been published together with Berridge and two of her co-authors’ reply to our response.

In their reply they set out some corrections they agree needed to be made, but they have not corrected their comments on my involvement with BUGA UP, doubling down on them.

In their original paper, they wrote: ‘Chapman is an Emeritus Professor of public health who also has a long history as an anti-smoking activist, including as a proud founding member of BUGA UP in Australia, which spray-painted anti-smoking graffiti on cigarette advertising billboards [44]’.

That is simply wrong, and is not supported by the reference they provided. In our response we wrote that  “Simon Chapman was not a member (let alone a ‘proud founding member’) of Billboard Utilising Graffitists Against Unhealthy Promotions (BUGA UP), and has indeed at various times paid credit to its founders and members”, providing  two references here and here.

Prior to our response being published by Addiction today (26 April, 2021) I noticed that Berridge and colleagues reply had been published on the journal’s website. I read that they were “puzzled” that I had stated that I was not a founding member or even a member of BUGA UP.

So on 20 April, 2021 I sent the email below to Virginia Berridge, Wayne Hall and Coral Gartner, commenting on each of four new cited references which they seem to believe provide evidence that I indeed was a founding member/member of BUGA UP. 

In the following days, I noticed that their response had been taken down from the Addiction website. I hoped that, now having been given explanations of their further errors, that they would have requested the take-down and edited it accordingly. But apparently not. They appear confident in their conviction that I was indeed a founding member/member of BUGA UP. I received no reply from them and their original reply has been published with its incorrect information intact.

To set the record straight, I publish my email to them.

20 April, 2021

“Dear Virginia (cc: Coral & Wayne)

I’ve seen your Addiction letter. Let me try to clear up your puzzlement about my status with BUGA UP, and whether I was a “proud founding member”.

I’ll start by saying emphatically that I know I was not a “member” of BUGA UP, let alone a “proud founding member”. So when you seek to assemble what you believe is evidence that I was a member or founding member, you’ll appreciate that this is somewhere between galling and amusing.

Let me take the sources used in your edited revision in the order  you presented them in your letter, and then add an additional one – the archival mothership of evidence about BUGA UP that may have eluded you.

  1. My statement early in my 2008 book “At our first meeting [of MOPUP] BUGA‐UP… was born… My modest involvement was to take ongoing responsibility for the billboard on a shop directly opposite the entrance to News Ltd… We held a 20‐year reunion in October 2003.” [in fact it was October 2002 .. my error]

Response: It is clear from the unedited quote and the reference supplied in my book (your reference #10) that I was in MOP UP, not BUGA UP when the original MOP UP launch meeting took place at the Sydney morgue.  Several people who I had never met who attended were already graffitiing billboards before that meeting took place. So I could hardly have been a “founding member” of BUGA UP. 

I lived near the News Limited building and I graffitied a small framed, perspex covered shopfront tobacco ad that was at street level on a tiny general store/sandwich shop directly opposite the News Limited entrance. I used a marking pen and always just wrote “cancer” across the covering perspex, which I imagine was quickly erased by with a rag and methylated spirit  soon afterwards. I doubt if I did this more than five times. I never signed these “BUGA UP”, which was considered indicative of membership (“The principle was that if you did a billboard on your own you could sign it BUGA-UP and that meant you were part of BUGA-UP.”) 

So this is quite a long way from the elaborate, marathon and years-long efforts of those who were BUGA UP mainstays, which is why I described my billboard graffiti career as “modest”. I graffitied a few times but I was not a member of BUGA UP, although I admired their efforts immensely. That is an important difference.

The 20 year reunion  held, as this Sydney Morning Herald piece makes clear, was attended by those involved in MOP UP and BUGA UP. The photo shows seven people. L-R, numbers 1,3, 4 and 5 were in MOP UP, the others in BUGA UP. I have a very large number of news clips, newsletters and correspondence showing that I was one of the founding members of MOP UP.  

  • “Simon Chapman was also a prominent spokesperson for Billboard Utilising Graffitists Against Unhealthy Promotions (BUGA UP)” your reference #4 (the BBC QED documentary in 1984)

Response: The event shown in the QED program was organized by BUGA UP. They tried to get a large crowd there to witness their civil disobedience knowing that  the TV crew would be there to record it. There were lots of medical students and doctors who came along to support BUGA UP, as I did. I can identify several of them. To my knowledge, few if any of them other than those shown painting the billboard were people who were active in BUGA UP. I was there as a supporter too (the billboard was in Moore Park Rd near the (then) Sydney Sportsground, and I lived about 300m away in Selwyn St Paddington). I was interviewed not as a spokesperson for BUGA UP, but as someone who was prominent in tobacco control who had views about BUGA UP. 

Similarly, in the ABC Today Tonight segment (hardly a “documentary”), I was not speaking as a BUGA UP member, but again as someone  prominent in tobacco control. Nowhere am I described as being from BUGA UP. At one point, in recounting how the two groups emerged I said of the BUGA UP people who attended MOP UP’s launch “they said ‘you’re MOP UP, we’re BUGA UP”.

Response: I have never seen this article before you cited it. It was published in Autumn 2014. I notice in the reference list that the author says she had a personal communication with me in September 2003. So this is a longer gestation period than even Tolkein took to write Lord of the Rings.    I have no recollection of speaking with the author, but I gave many, many interviews across the years and do not doubt that I did speak with her. But I certainly was never contacted by her to check or approve her attributions to me. Had I been, I would have corrected the following:

  • I was never “Professor of Community Medicine at Sydney University” (it’s public health). 
  • She says I “hosted the reunion” (of BUGA UP). As  mentioned above, it was a reunion of MOP UP and BUGA UP. The reunion was not held on “23 Aug 2003” but on 11 October 2002.
  • I was not a “founding member” of BUGA UP, nor a “member”.

BUGA UP’s archival website has a page where many press items have been posted.  Please look through that page and on any of the other pages on the site and try to find any reference that says I was a member or founding member of BUGA UP. You won’t find any because I wasn’t.

So your letter in Addiction, despite being a correction of your original article, still contains errors. You could have very easily checked your assertions out with me prior to publication. I would have been very happy to assist you.

You also say that we provided no evidence that ATHRA took funding from KAC. But you could have checked that in a few seconds by googling  [ATHRA + “Knowledge Action Change”] which would have taken you immediately to this Sydney Morning Herald item.  You might also like to read this about the tobacco industry’s digital fingerprints on ATHRA’s website.”

If your child is vaping, here’s how they get hold of them in Australia and who’s to blame

This week a major Sydney GPS school suspended eight country boarding students who had been reported for vaping on the bus bringing them back to school after the school holidays. This was far from an isolated incident. Schools have been writing to parents threatening suspension for vaping. Convenience stores across Australia are awash with disposable nicotine vapes with sickly sweet chemical fruit flavours, all of course with iron-clad guarantees of being totally unappealing to kids.

Because they contain nicotine, their sale is totally illegal. In NSW, the Department of Health has seized stock and prosecuted a small number of sellers. If you bother to go searching, they also have a webpage where you can report retailers selling these highly profitable training wheels for many years of nicotine addiction. No data have been released about how many reports have been made to the webpage, but you can bet there is a giant chasm between report numbers, investigations by Health Department officials and court prosecutions.

All Big Tobacco companies are now neck deep in manufacturing vapes as well as their cigarette mainstays. With giant fingers crossed behind their backs, they all publicly sing the industry song that they really, truly want all their adult cigarette customers to stop smoking and switch to vaping. When confronted with data on the dramatic rise in teenage vaping,  spin from the industry and its tame vaping advocate quislings goes like this:

  1. Awr … that’s so unfortunate. Please, please kids, understand that vaping is meant to be for adults. And you don’t want people to think you’re like an adult do you!
  2. But anyway, nicotine is not dangerous. Indeed,  it’s almost a vitamin-like wonder drug. It’s tar and carbon monoxide from burning tobacco that are the problem. So all relax and let vaping rip.
  3. So what if kids vape? It’s better that they vape than smoke. We are actually doing public health god’s work these days! (conveniently omitting to mention that  smoking  — and any nicotine use —  by kids is at an all-time record low – see chart at end)

So how has it happened that vaping is exploding among kids in Australia? 

In June last year, health minister Greg Hunt announced that personal imports of nicotine vaping products (NVPs) would be prohibited, harmonising vapes with the law preventing individuals from importing cigarettes and tobacco products without a special permit which has been in place since March 2019. A backbench revolt by a brainstrust of 28 Nationals and Liberals including the usual suspects (Barnaby Joyce, Matt Canavan, George Christensen, Eric Abetz, Tim Wilson, James Paterson,  Jason Falinski, Trent Zimmerman, Dave Sharma,  Amanda Stoker, Bridget McKenzie and good friend of British American Tobacco Australia’s lobbyist Michael Kauter, Hollie Hughes) saw health minister Greg Hunt forced to shelve the plan soon afterwards.

The Nationals received $55,000 from Philip Morris as “gold” level support in 2019-20. Money well spent!

The import ban was originally proposed by Hunt as critical to the success of the decision of the Therapeutic Goods Administration to require all those wanting to legally access NVP to have a doctor’s prescription after Oct 1, 2021. Those importing will also need to have a prescription, but there are a bewildering number of questions needing clarification to assess how the rubber will meet the road or whether the whole scheme will be a fizzer.

These include

  1. How will these import shipments be described?
  2. What will stop exporters mislabelling them as other goods?
  3. How will the required prescriptions be attached to shipment manifests?
  4. How will exporters check that prescriptions are valid  and not photoshopped?
  5. How will they ensure a prescription hasn’t been used repeatedly, perhaps by on-sellers?
  6. How will post office workers or couriers open imported packages to see if the contents are permitted under the prescription?
  7. How will they know the person receiving them is who was named on the prescription?
  8. How will they ensure the person receiving them is over 18, as required?

Quite obviously, the import scheme will see both individual vapers and entrepreneurs exploit many of these.  There will be so many ways for those who won’t be bothered to get a NVP license and kids to game the importation route. I often get courier delivered goods and it’s common for the delivery guy to just ask you for your name without any ID requirement, or for you to dash out any old signature on their digital machine.

Retail availability of  Disposable Nicotine Vaping Products (DNVPs)  in Australia

DNVPs are already being heavily marketed and sold via social media platforms in plain sight. A simple search for the brand ‘Puff Bar’ on Instagram provides  this array of opportunites:

Direct from China online retailing into Australia

With the rise in popularity, availability and production of DNVPs, both genuine and illicit (although the two are most often indistinguishable), came the rise in direct from China online retailing.  A brief desktop search finds a number of offshore retail sites for DNVPs, most of which appear to be for direct from China sales:

These sites often bear typical signatures of direct from China retail sites with  clear syntactical errors in the English translation, consistent with machine translation. The sites themselves are typically ‘au’ specific sub-sites of international domains.

If you go to Facebook marketplace and search for “fruit”, “mixed fruit” or “fruit bars” you’ll be deluged with offers to buy NVPs, in twee ads like those below that, your honour, are not for vapes at all, but for mixed fruit. A phone call to the numbers shown finds that all the fruit you hoped for has sadly sold out, but if you’d like bulk buy vapes you’re in luck!

“Fruit” on sale on Facebook Marketplace

Disposable NVPs are sold at very low price point so the manufacturing standards used in DNVPs are commensurately low. It is simply not possible to manufacture a high quality, reliable and safe NVP at this price point. Cheap e-cigs use cheap batteries. Exploding ecig batteries are primarily due to the use of cheap, untested and uncertified lithium-ion batteries. As seen in news reports of exploding devices, the exothermic (explosive) potential of a lithium-ion battery is obvious.

This out of control farce has been happening in Australia for months. Retailers are displaying the illegal products openly in many shops having calculated that the chances of prosecution are beyond miniscule. My mail is that there is yet another classic duck-shoving exercise in federal/state responsibilities underway on this. All state and territory health departments are pointing their fingers at the commonwealth government for shelving the decision to ban personal importation of NVPs and urging that the ban be reinstated. The Commonwealth washes its hands, responding that it is a state government responsibility to police retailing breaches, not theirs.

While no recent survey data are available, it seems highly likely that when they are next published that we will see what Canada, the US and New Zealand have experienced with regular vaping (not just curiosity experimentation) being repeated here.

Recent New Zealand school data on smoking and vaping

Nicotine is anything but benign. While vaping cultists glibly proclaim that every kid who started vaping and then took up smoking would have taken up smoking up regardless, recent research shows kids who vape are over four times as likely to smoke than non-vapers. And vaping is increasingly being revealed as anything but a revolutionary improvement in how to quit smoking (see here and here).

Australia has an exemplary track record in reducing the number of children who smoke (see chart). These data are draining the life blood out of the tobacco industry with ever-diminishing cohorts of would-be smokers failing to take it up. The tobacco industry’s acolytes in the Australian parliament who are now threatening this massive public health success story need to be urgently stopped.

The NVP import ban should be reinstated quickly. The original $250,000 fines should remain as a serious deterrent to those profiting from this political public health vandalism.

Source https://www.tobaccoinaustralia.org.au/chapter-1-prevalence/1-6-prevalence-of-smoking-teenagers

Postscript (3 May 2021): The Deputy Secretary of the Australian Department of Health and head of the Health Product Regulation Group Adjunct Professor John Skerritt has replied to this blog here. I will comment on his letter at a later date

In the midst of a pandemic, English smokers are quitting in droves. So how are they doing it?

Matthew Peters and Simon Chapman

Over the past few years, a conga line of English tobacco control academics and e-cigarette barrow-pushers has been in Australia and contributed to parliamentary inquiries in the hope of convincing we ignorant colonials how critical e-cigarettes have been to tobacco control in the Old Blighty. Dummy spits have been rife when their gospel advice has been ignored.  Colonial insolence has been decried when heretics pointed out that smoking affordability was rather more closely related to prevalence trends than was e-cigarette use.

So enter stage left a certain virus. Since March 2020 when COVID began its devastation, the number of English smokers who have tried to quit has increased sharply as has the proportion of those attempts that is successful (see purple line below). So how did they do it? Not in the main by vaping. The proportion of English smokers using e-cigarettes while trying to quit has continued a steady decline that began in late 2016, with a few temporary peaks around promotional events such as Stoptober.

In early 2016, English smokers trying to quit did it unassisted (cold turkey)  in roughly the same proportion as those using e-cigs. Today, the rate of unassisted cessation is more than double that of EC use, all against a background of wall-to-wall high street vaping shops, an almost cult-like veneration of e-cigs by the English tobacco control establishment, long term demonisation of cold turkey (see illustrations below) and massive advertising and promotional campaigns by vaping manufacturers.

Their brethren in Australia valiantly continue to chant the English gospel but the annoying data just won’t go away.



Data source: extracted from Smoking in England reports

Philip Morris’ Secret War against the WHO and tobacco control experts.

Here is an English translation of a piece published on 14 April, 2021 in the French newspaper Le Monde. It is a profile of Derek Yach, the former senior WHO official who played a major role in establishing the global Framework Convention on Tobacco Control (the FCTC). Today Yach leads the Foundation for a Smokefree World, an “independent” organisation entirely funded by Philip Morris International.

“Project Unthinkable” a 2018 book by Derek Yach, ghostwritten by Lisa Fitterman

Stéphane Horel: Philip Morris’ Secret War against the WHO and tobacco control experts. Le Monde 14 April, 2021

Six steps the Government and the TGA must take to stop its vapable nicotine prescription plan failing badly

It is illegal in Australia to buy nicotine for vaping, either separately or in an e‑cigarette, without a prescription. The sale, supply and possession of nicotine liquid is controlled under a mixture of national, state and territory laws that regulate it as a prescription drug when used for therapeutic purposes, and otherwise as a dangerous poison available to only those authorised to handle it.

From October 1, the law will be clearer. Changes to the Poisons Standard, following a review by the TGA last year, leave no doubt that nicotine liquid for vaping will be legally available only on a doctor’s prescription.

Pressure to loosen the law has been intense yet the majority report of a Senate committee on the regulation of e-cigarettes last November held firm. As only registered pharmacists can fill prescriptions, the laws preventing convenience stores, service stations and vape shops from selling e-cigarettes containing nicotine will remain. Few Senate committee members were convinced by hand-on-heart assurances from Ampol/Caltex that their service station staff would be highly trained if allowed to sell vapes.

The committee was chaired by Liberal Hollie Hughes. Hughes and Matt Canavan were rolled by all other members for their de facto anything-goes plan to allow nicotine juice to be sold almost anywhere, with any flavouring, in any quantity or nicotine concentration.  A Financial Review exposé showed Hughes socialising with and being lauded by a British American Tobacco Australia lobbyist and vaping advocates with links to Phillip Morris, despite government guidelines about interaction with tobacco companies.

L-R Michael Kauter, lobbyist for British American Tobacco Australia; Senator Hollie Hughes, Prof David Gracey (Kauter’s husband and “senior counsel – health” to Kauter’s lobbying company) 5 Oct 2020, in Canberra.

In June 2020, Health Minister Greg Hunt tried to stop vapers from importing liquid nicotine for personal use. This is allowed under the Personal Importation Scheme if the buyer has a prescription from a doctor registered in Australia. Backbench pressure from Nationals and some in the Liberal’s right flank saw Hunt’s attempt quietly dropped.

No nicotine products have been approved by the TGA. This means that doctors cannot prescribe them (other than under the Personal Importation Scheme) unless they have been specially authorised. It also means that the products have not been tested for safety, quality or efficacy. For users, the message is ‘buyer beware’.

Nearly all Australian health and medical groups are united that if nicotine liquid is to be available, it should only be via prescription and not sold over the counter. They also agree that the TGA is the appropriate regulator  but there are limits on its controls, the advice it can give on the use of products that it hasn’t tested or approved, and which haven’t been established to have any therapeutic benefit

The TGA’s preferred prescription options are currently disturbingly minimalist in what they require of prescribing doctors. If things proceed as is, prescribing doctors may be exposed to potential legal liability and vapers to avoidable health risks, and the tsunami of illegal on-selling to teenagers without much stronger enforcement of the law will continue. The TGA  would allow a doctor to simply write “nicotine liquid” or “nicotine salts” for three months supply. Just as no doctor would ever simply prescribe “methadone” or “codeine” without specifying a dose, so should it be equally unacceptable to do this on a prescription for nicotine.

Then let’s consider vape flavours. Some 2.3 million Australians have asthma and most regularly use inhalers for breathing relief. No nebuliser drugs anywhere in the world are sold flavoured because no regulatory agency, including the TGA, has ever declared inhaling flavouring chemicals to be safe. Those importing nicotine juice have 15,000 flavours to choose from which they inhale an average of 173 times a day – 62,780 times a year. This is a ticking chronic disease time-bomb across long-term use, unless properly regulated by the TGA with its brief of monitoring adverse reactions.

Here’s how some of these risks can be minimised.

First, Greg Hunt’s ban on personal importation of nicotine liquid should be urgently reinstated.

Second, if that fails politically, then reflecting a December 2020 recommendation of a WHO expert committee, the government should ban the importation, sale and possession of all vapable nicotine not in sealed “pod” systems which prevent users from altering the contents by boosting the nicotine dose and adding unregulated flavours.

Third, all prescriptions should be required to specify a particular product that has met minimum standards. The TGA has released for public consultation a draft standard setting out minimum requirements for labelling, packaging and contents. This should only be a starting point. Vapers importing from overseas may be unknowingly consuming products mixed in crude, unregulated “bathtub labs” by opportunist entrepreneurs. Any health problems arising may see vapers take legal action against doctors whose non-specific scripts opened the gate to use of these products.

Fourth, the TGA is putting no limit on nicotine concentration or volume of liquid: GPs can technically prescribe litres and litres of  highly concentrated neurotoxin. This is a reckless loophole that could be easily closed.

Fifth, the TGA’s proposed standard for nicotine liquid should specify that the products must made with pharmaceutical grade ingredients and meet declared high product manufacturing standards.

And sixth, with federal border security staff able to inspect only a tiny fraction of incoming mail, and state health department inspectors having many other duties than checking if nicotine is being sold illegally away from pharmacies, fines for those exploiting the loophole provided by the Personal Importation Scheme to import without a prescription or sell to other people rather than use it themselves need to be set at seriously deterrent levels. The maximum penalty for illegally importing liquid nicotine products is $222,000. This maximum is likely to apply to large scale importing efforts by criminals, But fines for individuals importing without prescriptions need to be substantial too  or many take their chances with what will be low risk detection rates.

Australian vaping retailers have shown widespread willingness to ignore the law and kids currently find it very easy to buy vapes like those shown below. Allowing personal importation to continue, already banned for tobacco, will see predatory on-sellers supplying and expanding this lucrative market. This seriously risks addicting hundreds of thousands of Australian teenagers to nicotine who would have never used it in any form and causing cardiorespiratory disease in years to come. Few doctors will issue nicotine prescriptions to minors.

What should we make of 11 nations suspending the AstraZeneca COVID-19 vaccine rollout?

What are we to make of the governments of 11 nations (Ireland, Iceland, Netherlands, Denmark, Bulgaria, Norway, Thailand and most recently, France, Italy, Germany and Spain) suspending the rollout of the AstraZeneca COVID-19 vaccine following as yet unspecific reports of “blood clotting” or thrombosis in what is a reportedly small number of those being vaccinated in Norway?

There are some basic considerations that all reading these news reports need to keep in mind. Foremost here is that blood clotting is far from uncommon. Around 30,000 people develop blood clots (venous thromboembolism (VTE) – in the deep veins of the leg (deep vein thrombosis) or in the lungs (pulmonary embolism), every year in Australia, with about 5,000 dying as a result. Many of these develop post-operatively in hospitals and account for about 10% of all deaths in hospitals.

The risk factors for developing thrombosis include:

  • Older age
  • Smoking
  • Diabetes
  • High blood pressure (hypertension)
  • High cholesterol
  • Lack of activity and obesity
  • Poor diet
  • Family history of arterial thrombosis
  • Lack of movement, such as after surgery or on a long flight

All of these risk factors are of course very prevalent in most societies, which explains why the prevalence of thrombosis is also significant. Aging is perhaps the single most important risk factor: thrombosis  is very rare in young people (< 1 per 10 000 per year) but increases to around 1% per year in the elderly.

This means that, regardless of whether there is any COVID-19 vaccine program being rolled out in any nation, we should expect to see many cases of thrombosis. With the aged and those with chronic disease being prioritised in vaccine rollouts, we would therefore expect the incidence (new cases) of thrombosis to be considerably higher in these groups than in segments of the population who have been given lower priority in the rollout queue.  

But this may have nothing to do with the vaccine.

Epidemiologists investigating whether reports of possible rises or clusters in the incidence of diseases always look first to what the “expected” or background incidence is, and then statistically compare this with the current “observed” rate. If the observed rate is significantly higher than that which earlier data would suggest should be expected, and comparable ages are being considered, then focus quickly shifts to investigating possible plausible other causes.

I’ve yet to find any reports that this point has been reached in the Norwegian investigations.

Reasoning that just because symptoms of disease occur after exposure to some agent (drug, vaccine, contaminant etc), that one of these agent must have caused the symptoms, is known as the post hoc ergo propter hoc (after, therefore because of) fallacy.

During my career I’ve seen many examples of media and community alarm bells going off because of this reasoning. For example, when nicotine replacement therapy (NRT) first became available in the early 1990s, there were claims that some people using it were having heart attacks. It was not rocket science to point out that all who were using NRT were smokers, and that smoking is a major risk factor for cardiovascular disease and heart attack. Of course there would have always been smokers using NRT and trying to quit who were already at high risk of heart trouble, regardless of whether they were using NRT.

I used to start an early lecture to new public health students by saying that about 90% of drivers involved in serious road accidents in their commute to work, had eaten breakfast. Was it therefore reasonable and sensible to suspect that eating breakfast increased your chances of being injured on the road shortly afterwards? Obviously not.

Nearly all of the suspending nations have many advanced epidemiologists . These nations are also not known for imprudent policy shifts based on knee-jerk reasoning. Their decision to suspend the roll-out is therefore significant. We should expect a thorough analysis of the issues raised above and of each of the Norwegian cases.

[this blog was updated twice after publication to increase the number of suspending nations from 4 to 11]

How to best carry wine to Europe

In 2006, we lived in Lyon in a 17th century apartment, just up Montée de Chemin Neuf about 300m from the old town, Vieux Lyon, with its cobbled narrow streets, subterranean traboules and gastronomic restaurants. I was on the first sabbatical I had ever taken in more than 25 years as an academic. I had a desk at the WHO’s International Agency for Research in Cancer and wrote a textbook on public health advocacy across 8 months of one of the best years of my life.

We became great friends with some neighbours, Claire-Marie and Phillipe. Two years after returning home, we returned to Europe on a holiday and decided to fly first to Lyon and spend time with them again.

We decided to take them a really good Australian wine. I bought a Penfolds St Henri. I fretted about it being smashed in the stowed luggage, even if packed in rolls of clothing in the centre of the suitcase. So I packed in it in my hand luggage.

The luggage scanning camera picked it up as we went through customs, just after immigration and of course it was confiscated. In the excitement of the departure, I’d totally forgotten about the liquids ban. “Are you some kind of moron, Simon?” Trish said to me loudly as the uniformed customs man placed it in the box where all the confiscated perfumes, cosmetics, and nail files so often used by terrorists to hijack aircraft were stored for destruction each day. I had visions of the loud guffawing in the customs officers’ staff room and  scissors-paper-rock rounds being played to find which one would take my bottle home.

“Well, you idiot, we’re now going to have to buy a replacement in the duty-free area here and so pay all that money all over again” my sanctimonious wife delighted in telling me. “And don’t think you’re going to get away with buying something cheap. I know you!”

So, a second St Henri in hand, ensconced in its sealed thick plastic see-through duty-free bag, we set off for Frankfurt, where we’d change planes for the flight south to Lyon–Saint Exupéry Airport airport.

At Frankfurt we had to collect our stowed bags and go through customs to board the internal EU flight to Lyon. So of course, with my luck, the second St. Henri was confiscated again.

My empathic wife this time unloaded audibly and unmercifully “Don’t you ever think anything through? I can’t believe your stupidity!” I gently reminded her that it was she who had insisted I buy the new bottle at Sydney. “So aren’t you the one who travels all the time for work? Didn’t you stop for a second and think that this might happen?” she continued.

Never her fault.

“We just can’t arrive bare-handed. You’re just going to have to buy them another bottle. And DO NOT be mean – get them something really good.” I knew I had to do this. Third time lucky.

But of course, the world famous Australian wine section in Frankfurt’s duty-free section was nowhere to be found. If I wanted a French grand cru or an Italian Brunello, there were row upon row to choose from. But I couldn’t take coal to Newcastle, so settled on an aged litre of single malt, which almost melted my credit card.

So we made our way toward the gate to board our flight to Lyon. Not 20 metres from the duty-free cash register, the bag holding the whiskey split and with an almighty crash, Scotland’s finest pooled all over the hard tiled floor. I took the sodden split bag back to the cash register protesting the bag I had been given and wanting a refund. There was talk about me waiting for the duty manager to get back from some far flung part of the airport to make a decision. But our flight was leaving in 20 minutes.

We flew to Lyon empty-handed. Claire-Marie and Phillipe laughed and laughed and said they didn’t ever really drink whiskey anyway. They opened some superb Condrieu and Haut Medoc.

Trish, Claire-Marie, Phillipe, moi

Vaping advocates say the darndest things: 6 There’s nicotine in potatoes and tomatoes, so should we restrict or ban them too?

In 1989, the now long defunct  Tobacco Institute of Australia’s West Australian spokesman Ron Berryman advised us all to relax and simmer down on nicotine, saying:

Ron’s excitement was all about the fact that the tobacco plant is related to other members of the solanaceae (nightshade) family. These include tomatoes, aubergines (eggplants) and potatoes. Nicotine alkaloids occur naturally in all of these, but in … shall we say … rather different concentrations.

Thirty two years on, this week Alex Wodak, the gift who keeps on giving to my series on Vaping advocates say the darndest things (see here and here), did not disappoint, posting this reprise of an old tobacco industry meme.

And boy, did he show us how profoundly ignorant and inconsistent all those health agencies and experts are who are expressing caution about nicotine being not quite the almost vitamin-like wonder chemical that many vapers claim it to be. As we’ll see, it’s blindingly “obvious” that with nicotine being in both vape and solanceous vegetables, policy toward both demands to be aligned.

So let’s run through how nicotine in cigarettes and e-cigarettes compare to that in vegetables.

Both cigarettes and e-cigarettes contain a wide range of nicotine, depending on the brand and concentration of nicotine found in different vaping delivery systems. But when you smoke 20 cigarettes, you’ll inhale somewhere between 22-36mg of nicotine, so a midpoint of say 30mg a day. This study found that across different e-cigarettes, 15 puffs delivered between 0.5 to 15.4 mg of nicotine. The average vaper pulls on their e-cig 172 times a day, meaning that across a day they inhale between 5.7 to 176.6mg of nicotine. Let’s take the midpoint of that range (85.5mg) as an average.

Now let’s look at what sort of dose you get from eating vegetables containing nicotine alkaloids. Let’s first pause to emphasise that nicotine in cigarettes and e-cigarettes is measured in milligrams (mg), but in vegetables nicotine alkaloids are much, much less concentrated and are measured in nanograms (ng).

Now let’s work this through for the potato option to see how many potatoes a 172 puff-a-day vaper would need to eat to consume the same amount of nicotine from vaping.

Remember what we learned in first year high school science?

1000 nanograms (ng) = 1 microgram (mcg or µg)

1000 mcg = 1 milligram (mg) or 1,000,000ng

1000 mg = 1 gram (g) or 1 billion ng

1000g – 1 kilogram (kg) or 1000 billion ng

1000kg = 1 tonne

A typical potato weighs 150g and therefore contains 2,250 nanograms or 2.25 micrograms of nicotine. So if your daily potato-sourced nicotine target  equivalent is the 85.5 milligrams a vaper inhales each day, a ballpark of a mere 13,000 potatoes per day will get you there. So your Hello Fresh daily delivery order will be for a paltry 2,000 kg, every day. Two tonnes.

Keep ‘em coming Alex!

See also in this series:

Vaping advocates say the darndest things. 1: The Cancer Council Australia takes huge donations from cigarette retailers. WordPress  30 Jul, 2020

Vaping advocates say the darndest things 2: Tobacco control advocates help Big Tobacco. WordPress 12 Aug, 2020

Vaping advocates say the darndest things 3: Australia’s prescribed vaping model “privileges” Big Tobacco Feb 15, 2020

Vaping advoactes say the dardnest things 4: Many in tobacco control do not support open access to vapes because they are just protecting their jobs. WordPress 27 Feb 2021

Vaping advocates say the dardnest things 5: I take money from China and Bloomberg to conduct bogus studies. WordPress 6 Mar, 2021

Vaping advocates say the darndest things 7: Vaping prohibitionists have been punished, hurt, suffered and damaged by Big Tobacco WordPress 2 Jun, 2021

Vaping advocates say the darndest things 8: I hide behind troll account. WordPress 29 Jun, 2021

Vaping advocates say the darndest things 5: I take money from China and Bloomberg to conduct bogus studies

I’ve written before on this blog about the efforts of Alex Wodak, a director of the Australian Tobacco Harm Reduction Association, to smear the Cancer Council by alleging, completely falsely,  that they receive money from tobacco retailers and are therefore hypocrites.

I block many trolls and obsessives on Twitter for a variety of reasons.  I block Wodak because I don’t give the time of day to those who post unabashed “doctor knows best” arrogant tweets like these:

# at the end of the blog, see a list of prominent non-clinical supporters of vaping who despite their great handicap of not having a medical undergraduate degree, are apparently able to comprehend biological publications.

Wodak often tweets with unctuous certitude about the importance of politeness

Yet Wodak  has now joined with some semi-literate vaping troll, “Jerome Laguerre” (“Its all there in plain site … they not even hiding it”) whom I block on Twitter, in trying to imply that I am funded by “China”.

So let’s look at how they arrive at all this.  Laguerre probably googled my name, perhaps with “Sydney University” in the hope of hitting paydirt on some nefarious, scandalous, secret information about my shameful connections. He may have found this:

If he had bothered to then click “China Studies Centre” he might have noticed that the CSC is entirely funded by Sydney University and that 300 scholars at the University, including me, are “members” of the CSC. But Lageurre knows that I have “an official post”. 

What does “membership” mean? When the CSC was established at the University of Sydney in 2011, all staff with any research interest in China (in any field) were invited to register their interest with the CSC. This would facilitate communication and perhaps shared projects between staff, students and those external to the University sharing information and collaborating. All those with such interests are listed as “members”.

I had long had research and teaching collaborations in tobacco control with Fudan and Zhejiang Universities. I’d also edited a supplement on China for the BMJ’s Tobacco Control journal.  I had guest lectured at Zhejiang University once in 2010, and been to Fudan in Shanghai several times, to lecture and work with colleagues there on projects that eventually produced six publications (all listed in my CV here). Chinese universities often confer honorary roles on international staff who assist them with teaching and research. That happened to me with both of these universities.

In none of these collaborations was I paid anything. My air travel was paid for from $50,000 prize money I was awarded in 2008 for being NSW Cancer Researcher of the Year. I think it’s likely, although I don’t recall, that my hotel costs were paid for by the two Chinese universities. This is of course always customary when guest lecturers need to travel away from home.

So from that reality, Laguerre tweets, and Wodak retweets and responds (thus republishing the same utterly false tripe) that I “take money from China and Bloomberg through the Uni he is working for” to “produce bogus studies”. And predictably, this false news causes the intended reaction

Wodak has also recently published tweets stating that Maurice Swanson, the CEO of the Australian Council on Smoking and Health, is somehow being funded indirectly by “Bloomberg” (by which he presumably means Bloomberg Philanthropies).

But ACOSH has never received any funding or support of any kind from Bloomberg. It has long been funded the West Australian government’s Health Promotion Foundation, Healthway, something that basic searching could have established.

Wodak’s on-going attempts to smear Australian tobacco control agencies, charities and individuals and to insinuate that they are being secretive about who is funding their work in relation to efforts to have governments seriously regulate e-cigarettes, are just disgraceful.

#some prominent non-medical researchers and advocates who are pro-vaping:Linda Bauld, Ron Borland, Jamie Brown, Coral Gartner, Marewa Glover, Peter Hajek, Wayne Hall, Ann McNeill, David Sweanor, Ken Warner, Robert West

See also in this series:

Vaping advocates say the darndest things. 1: The Cancer Council Australia takes huge donations from cigarette retailers. WordPress  30 Jul, 2020

Vaping advocates say the darndest things 2: Tobacco control advocates help Big Tobacco. WordPress 12 Aug, 2020

Vaping advocates say the darndest things 3: Australia’s prescribed vaping model privileges Big Tobacco WordPress Feb 15, 2021

Vaping advocates say the dardnest things 4: Many in tobacco control do not support open access to vapes because they are just protecting their jobs. WordPress 27 Feb 2021

Vaping advocates say the darndest things 6: There’s nicotine in potatoes and tomatoes so should we restrict or ban them too? WordPress 9 Mar, 2021

Vaping advocates say the darndest things 7: Vaping prohibitionists have been punished, hurt, suffered and damaged by Big Tobacco WordPress 2 Jun, 2021

Vaping advocates say the darndest things 8: I hide behind troll account. WordPress 29 Jun, 2021

Vaping advocates say the darndest things: (4) Many in tobacco control do not support open access to vapes because they are just protecting their jobs

Just when you think you’ve met peak stupidity in the vaping debate, you find a new verse in vaping advocacy theology that makes you spray your coffee.

Here’s a proper doozie that often gets an outing from those with a taste for conspiracy theories. It runs like this.

“The obvious reason why there’s so much opposition among people in public health to all the regulatory reforms being advocated, is that these people are just trying to protect their jobs. Vaping is driving smoking down so fast that tobacco control people can see the writing on the wall. If there are no smokers left, they won’t have any problem left to deal with. So no wonder they are desperate to try slow down the inevitable.”

It’s an argument that some have used for many years

The deranged fraternal twin to this argument invariably then pipes up with “And those working in tobacco control are paid absolute fortunes and massive grants by governments, so they have huge incentives to attack anything which might really drive down smoking.” This recent blog by a Queensland vaper with recent form in getting things completely wrong (see below) ticks both these boxes, and plenty more besides.

I recommend you try to read the blog right through to get a feeling for the depths of claptrap these people can plumb when they let their fantasies off the leash. But let’s here focus on a few passages.

Where to begin with this batty nonsense? First up, if public health workers really didn’t want smoking rates to fall, why have they kept successfully advocating ever since the late 1960s for policies and programs that have caused the brakeless train to head south almost continually for 40 years? Here’s a graph of falling smoking prevalence in Australian adults, from results from two different survey series.

Source: https://www.tobaccoinaustralia.org.au/chapter-1-prevalence/1-3-prevalence-of-smoking-adults

So what’s driving this disaster for the tobacco industry?  Chance? Luck? How about synergies between the full suite of tobacco control policies and campaigns that’s made Big Tobacco long describe Australia as “one of the darkest markets in the world”? Mass reach public awareness campaigns (with beautiful irony, the very same ones that motivated many vapers to try ecigs); tax rises; total advertising and promotion bans; smokefree public spaces, public transport, bars, clubs and stadiums; retail display bans; graphic health warnings on packs; and plain packaging?

The massive Tobacco in Australia website documents the research evidence for all of these across hundreds of pages here.

So the fruitcake wing of vaping advocacy would have you believe that  those of us who across 40+ years have worked to hold high success in achieving every policy and law reform we ever fought for; who saw millions of smokers quit and still more never take it up including record numbers of Australians today who have never smoked ; and who caused smoking to be utterly denormalised from an aspirational, glamourous thing that happened in every setting you ever entered to one where 90% of smokers today regret ever starting; who saw smoking rates fall to where they have never been lower;  and who drove lung cancer incidence rates down to a level  last seen in the early 1960s  …. well, of course anyone can appreciate that we were making all this happen because secretly, we really didn’t want smoking to keep falling.

Secretly, we wanted everything we did to fail because in the words of our incisive, shrewd commentator cited earlier “You see as any shrewd person would realise, if you are getting paid big money for eliminating a problem and you eliminate it entirely, then the job is over, it’s done and therefore you have nothing to justify putting your hand out for.”

Presumably it’s just the same for COVID-19 specialists, those trying to reduce domestic violence, skin cancer, road deaths … in fact anyone trying to solve any problem. We need to understand that none of these problems have ever been eliminated because all involved are busy stomping on the brakes so they can keep their jobs.

Perhaps it’s more subtle than that. Perhaps we all secretly agree that the galloping uptake of vaping will be so furious and so amazingly successful in slashing smoking rates, that the bottom will fall out of all remaining smoking. Conversion to vaping will be all but total. When the miracle of vaping came along, the penny finally dropped and we all suddenly decided that enough was enough, saw the looming unemployment we all faced and called for e-cigarettes to be seriously regulated into prescription status.

But hang on. Neither of those assumptions are true: nowhere has vaping caused major declines in smoking prevalence, and vaping is quite dismal in its effectiveness in  smoking cessation. In England, where vape shops wallpaper high streets and vaping theologists dominate policy forums, the proportion of smokers who vape, according to the latest data summary from Robert West’s Smoking In England project, e-cigarette use in adults has been stable since 2013, plateaued in smokers and recent ex-smokers, and the majority of e-cigarettes users are still smoking (dual users).Vaping may well be holding far more in smoking than it tips out of it.

Smoking seems to have even kicked up a little in the very latest English survey.

And check out  from page 8 in our submission to the recent Senate enquiry into vaping, just how very ordinary vaping is in helping smokers quit. Would you take a drug that failed with 90% of users? That’s what the latest Cochrane review concluded about how good e-cigarettes were in quitting in clinical trials.

“Millions upon millions of dollars of grants via the federal department of health”

According to our Queensland blogger, those whose assessment of the evidence on e-cigarettes the government trusts have been rewarded with lavish grants from the Department of Health. This is curious, because it’s the NHMRC which awards research grants to successful applicants each year, not the Department. I stopped applying for grants well before I retired in 2016.  And neither of my co-authors (Mike Daube and Matthew Peters) of the submission to the recent Senate committee on harm reduction which was frequently cited in the published majority report have any recent grants either. Perhaps I should go and check my letterbox or one of my many Swiss and Caribbean secret bank accounts?

But, interestingly, look who have recently been awarded a very large ($2.5m) grant to look at tobacco endgames. Why, it’s a list of excellent researchers which includes several who have often been praised by vaping advocates. So something seems to be not quite right here with the claim that vaping skeptics are being duchessed by the government.

But oh, I forgot. As our Queensland blogger told us, it’s also New York billionaire Michael Bloomberg’s small change via  Bloomberg Philanthropies which is secretly showering Australian vaping skeptics with funds.

ATHRA director Alex Wodak seems to know this too, tweeting this week that the Australian Council on Smoking and Health in Perth (directed by Maurice Swanson) is funded via Bloomberg money apparently routed through “a few [of course nameless] organisations”.  Very odd indeed, that neither Maurice nor Bloomberg know anything about this.

Wodak has previously accused the Cancer Council of accepting tobacco money. When this was shown to be absolute nonsense, he offered no retraction or apology. This is what it’s come to.

See also these previous blogs in this series.

Vaping advocates say the darndest things 2: Tobacco control advocates help Big Tobacco. WordPress 12 Aug, 2020

Vaping advocates say the darndest things 3: Australia’s prescribed vaping model “privileges” Big Tobacco Feb 15, 2020

Vaping advocates say the dardnest things 5: I take money from China and Bloomberg to conduct bogus studies. WordPress 6 Mar, 2021

Vaping advocates say the darndest things 6: There’s nicotine in potatoes and tomatoes so should we restrict or ban them too? WordPress 9 Mar, 2021

Vaping advocates say the darndest things 7: Vaping prohibitionists have been punished, hurt, suffered and damaged by Big Tobacco WordPress 2 Jun, 2021

Vaping advocates say the darndest things 8: I hide behind troll account. WordPress 29 Jun, 2021