Tag: heated

With the recent approval of the new tobacco product IQOS for sale in the United States, there are worries that, in the midst of the youth e-cigarette epidemic, yet another nicotine delivery device may be brought to the market.

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The first product of its kind to be sold in the United States, the heat-not-burn device IQOS, was approved for marketing and sale by Philip Morris International in April after an FDA ruling. Instead of burning tobacco like regular cigarettes do, heat-not-burn tobacco products, also known as heated tobacco products, use electronic devices to heat tobacco leaves into an inhalable aerosol.

IQOS is an electronic device, but because the FDA has categorized it as a cigarette, it is governed by all of the same regulations that apply to traditional cigarettes. Although a lot is still unknown about the devices and their potential effects, Philip Morris claims that these products are safer than cigarettes.

These are the top six IQOS-related facts.

1. IQOS and e-cigarettes use different technologies.

Because they use real tobacco rather than the flavored e-liquid that is commonly found in e-cigarettes, heat-not-burn products differ from e-cigarettes. The idea behind heat-not-burn is to simulate the appearance and sensation of smoking a traditional cigarette without releasing smoke into the air.

2. The gadgets do not possess “FDA approval.”

The FDA clarified that even though its ruling “allows the tobacco products to be sold in the United States, it does not mean these products are safe or ‘FDA approved.'”

Two regulatory approvals were applied for by the company to the FDA: one was for the product to be marketed as a new tobacco product (known as a Pre-Market approval), and the other was for the product to be marketed as less harmful than other tobacco products (known as a Modified Risk Tobacco Product approval). The application for pre-market approval is subject to the FDA’s ruling. The device’s ability to be marketed as less harmful than other tobacco products has not been determined by the agency.

3. There is no proof that heated tobacco products are any safer than cigarettes.

Because tobacco releases more than 7,000 chemicals when it burns, or combusts, which are present in cigarette smoke, tobacco companies argue that heat-not-burn products are less dangerous than cigarettes.

Although IQOS is less harmful than cigarettes, according to Philip Morris, several studies found that the company’s own data did not fully support these claims in a journal Tobacco Control issue. According to research, using IQOS can expose users to higher levels of certain toxicants even though its levels may be lower than those of cigarettes in some cases. Similarly, users of IQOS may be at a lower risk for certain diseases but a higher risk for others.

The findings of Philip Morris’ research highlight the misconception that reduced exposure claims equate to reduced harm claims, and that a product’s lack of harmful chemicals does not always translate into lower levels of harm experienced by users.

4. Youth may find IQOS appealing.

Researchers at Truth Initiative® discovered that IQOS’s marketing portrays the product as “sophisticated, high-tech, and aspirational” and as “sleek, exclusive items akin to iPhones,” which may appeal to young adults and children.

The product’s marketing raises special concerns because of the recent JUUL-fueled youth e-cigarette epidemic. The use of e-cigarettes has increased, particularly among youth, the majority of whom have never smoked. In fact, in just one year, from 2017 to 2018, the use of e-cigarettes increased by 78% among high school students and 48% among middle school students. JUUL currently holds three-quarters of the market for e-cigarettes in the United States.

These worries are further supported by a different study that was published in Tobacco Control: “IQOS, marketed in a similar manner, will likely appeal to adolescents, just as e-cigarettes, particularly the JUUL-style, which are promoted with a modern, high-tech image, harm reduction, and “smokeless” messages, appeal to adolescents.”

The FDA is imposing restrictions on how the products are marketed, particularly through websites and social media, and mandating that advertising be directed towards adults in order to prevent youth access to IQOS and exposure to its advertising and promotion.

5. The menthol-infused tobacco cartridges have the potential to enhance the Marlboro brand.

With menthol, a flavor that has been demonstrated to draw in young users and make cigarettes easier to smoke and harder to quit, Philip Morris intends to sell rolls of tobacco that resemble miniature cigarettes, known as HeatSticks. The menthol variant’s impact on the product’s appeal, toxicology, or other health effects was not disclosed by the company in its applications submitted to the FDA.

Philip Morris also intends to sell HeatSticks under the Marlboro brand. By promoting the new gadget under the Marlboro name, Marlboro products—including cigarettes—may become more appealing overall. According to research, teenagers’ top brand preference for cigarettes is Marlboro.

6. The industry is attempting to deal with the growing amount of regulation by releasing these products.

According to commentary in Tobacco Control, tobacco companies are trying to subvert government regulation by framing the industry as part of the solution rather than the problem by using harm reduction claims.

According to the commentary, “[Heated tobacco products] are the latest effort by tobacco companies to adapt to a changing regulatory landscape in order to maintain and expand their customer base amid declining cigarette consumption and declining social acceptability of tobacco use.” “Companies market [heated tobacco products] to increase social acceptability for all their tobacco products where regulations are absent or loopholes exempt [heated tobacco products] from existing regulations.”

There are several varieties of heated tobacco products, some of which are promoted as “heat-not-burn” goods.

Electronic heating components are used in certain heated tobacco products.

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Certain tobacco sticks, plugs, or capsules are heated to a specific temperature. This is the operation of the electrically heated tobacco product that is allowed for sale in the US.

Certain methods involve heating liquids to produce an emission, which is then directed through a tobacco plug to extract nicotine and taste from the tobacco.

Some contain a sealed portion of the apparatus that may heat loose tobacco on its own or in combination with cannabis (marijuana) flower buds.

Some have flavorings added to them.

Some let consumers adjust things like the temperature.

Certain heated tobacco products are shaped and sized like standard cigarettes, but instead of a carbon tip, they contain glass fibers wrapped around it, which the user warms using a match or lighter. The sale of this kind of goods in the US is permitted under federal law.

Are heated tobacco products and electronic cigarettes the same thing?

No. The tobacco leaf itself is heated in heated tobacco products. In contrast, e-cigarettes heat liquids that usually contain flavorings and other substances along with nicotine that is obtained from tobacco.

Are goods made from heated tobacco less dangerous than ordinary cigarettes?

In general, there are less dangerous substances in the emissions produced by heated tobacco products than there are in ordinary cigarette smoke. That does not imply that heated tobacco products are secure, nevertheless.

According to research, heated tobacco products and their emissions include additional dangerous components not found in ordinary cigarettes in addition to many of the same toxic compounds found in conventional cigarettes.

To find out if individuals who smoke cigarettes can lower their risk of tobacco-related diseases by switching entirely to heated tobacco products, more study is required. Research from many nations indicates that the majority of adult smokers who use heated tobacco products have not given up cigarettes. According to surveys conducted among young adults in the United States, they also use heated tobacco products in addition to other tobacco products. Multiple tobacco product use is linked to a higher risk of nicotine dependency and negative health outcomes.

Only one heated tobacco product system (IQOS and three of its tobacco-containing Heatstick products) are permitted to be sold as modified risk tobacco products as of February 2022 by the U.S. Food and Drug Administration (FDA). The first tobacco products to be ordered to undergo “exposure modification” were these ones. These particular products could be advertised with the idea that someone who changes completely to IQOS from ordinary cigarettes might lessen their exposure to dangerous substances.

Regarding other heated tobacco products or secondhand exposure to these items’ emissions, no comparable claims may be made. Furthermore, the IQOS producer is not permitted to state that taking IQOS lowers the risk of illness, that the FDA has recommended or approved the product, or that the FDA believes the product is safe for consumer use.

Who is making use of heated tobacco goods?

In the US, these things are brand-new. The Food and Drug Administration (FDA) of the United States has approved the sale of only IQOS and Eclipse heated tobacco products as of February 2022. Globally, sales of more heated tobacco products are rising.

In 2017, the CDC started monitoring adult use of heated tobacco products in the United States. At that time, 2.7% of individuals who currently smoked normal cigarettes and 0.7% of adults overall said they had never tried a heated tobacco product.

When 2.4% of adults—including 6.7% of those who now smoke normal cigarettes—reported to the CDC in 2018 that they had ever used a heated tobacco product, the number of cases of heated tobacco product usage increased.

In a separate 2019 study, the percentage of individuals who reported using heated tobacco products and using e-cigarettes was greater than the percentage of adults who reported using cigarettes.

1.0% of middle and high school students in the United States in 2023 reported using heated tobacco products within the previous 30 days.

What’s the final result?

Users of heated tobacco products can inhale nicotine into their lungs by heating processed tobacco leaf. IQOS and Eclipse are among the brands of heated tobacco products that are legal for sale in the US.

To fully comprehend the immediate and long-term health consequences of heated tobacco products, more study is required.

It is dangerous to use any kind of tobacco product, including heated ones. They are particularly dangerous for children, teenagers, young adults, expectant mothers, and individuals who do not now use tobacco products.

There is no scientific evidence that heated tobacco products can assist cigarette smokers in giving up the habit.

Products for heating tobacco are made to do so without burning or emitting smoke. Following the 2016 debut of an electronic gadget called IQOS, the demand for these items skyrocketed in Japan. Although heated tobacco products are now sold in many nations, there are still uncertainties regarding their impact on health and cigarette smoking, therefore we looked at the data.

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Eleven research including more than 2,600 participants are included in our latest evaluation. The main conclusion is that those who shifted from smoking cigarettes to heated tobacco were exposed to less dangerous chemicals than those who continued to smoke, but they were exposed to more of these poisons than those who gave up tobacco use completely.

This reduced exposure was observed for several toxic chemicals associated with heart disease, cancer, and respiratory issues. This suggests that moving from cigarettes to heated tobacco may lower the risk of contracting these illnesses, but further research is needed to make this determination. The trials were all brief, and people usually require some time to acquire ailments linked to tobacco use.

Nevertheless, the data to far supports the particular dangers associated with smoking. We know that breathing the hazardous compounds produced by burning tobacco is the primary cause of the adverse consequences of cigarettes, which kill half of all habitual smokers. We would anticipate that the danger would be reduced for heated tobacco products because they are intended to prevent burning tobacco.

If heated tobacco products lower risk and assist users in quitting regular cigarettes without drawing in users who would not otherwise use tobacco products, then public health might gain.

We were unable to locate any research examining the possibility of helping smokers quit by providing them with hot tobacco products. However, we discovered two Japanese papers examining the impact of IQOS on cigarette sales. Both discovered that the introduction of IQOS hastened the decline in cigarette sales, indicating that heated tobacco products may take the place of cigarettes rather than enhance them.

However, it’s also plausible that fewer individuals stopped smoking since most people reduced their usage but didn’t completely give up. Giving up smoking completely yields greater health benefits than cutting back on smokes.

A comparison with electronic cigarettes

Another category of nicotine products that has seen significant growth in popularity recently is e-cigarettes, sometimes known as vapes. Products that include heated tobacco leaf are heated, whereas e-cigarettes heat a liquid that usually contains nicotine. The science and regulations governing these items varies greatly. Since e-cigarettes have been around longer than heated tobacco, the advantages and disadvantages of using them have been well documented.

E-cigarettes, as opposed to heated tobacco, have been demonstrated to assist users in quitting traditional cigarettes. If e-cigarettes clear the required regulatory barriers, they may even be made available to smokers in the UK in the not-too-distant future.

However, some nations, like Japan, have put in place regulations that effectively forbid the selling of nicotine-containing e-cigarettes, even while heated tobacco products are still easily accessible. Since heated tobacco is the only accessible possibly lower-risk alternative to cigarettes, this may help to explain why it has become so popular in Japan. In nations like the US and the UK, where the e-cigarette industry was well-established when IQOS began, heated tobacco usage is still uncommon.

Products from the cigarette business, which has a history of manipulating science to downplay the dangers of cigarettes, dominate the heated tobacco market. On the other hand, a large number of e-cigarette producers are independent of tobacco businesses. While e-cigarettes have been the subject of several independent investigations, all the safety studies regarding heated tobacco in our analysis were carried out by cigarette makers.

The hunt for cigarettes that aren’t as dangerous

According to tobacco firms, they have been looking for a less dangerous cigarette for decades. Certain initiatives, like cigarette filters with air holes added, have backfired.

The e-cigarette emerged as the first non-pharmaceutical nicotine substitute that gained widespread acceptance among smokers worldwide. However, e-cigarettes are free of tobacco, and many of their producers are independent of cigarette businesses. Instead, a large number of tobacco businesses concentrated on creating heated tobacco devices, a market that they could control more tightly thanks to patents.

Sales of electronic heated tobacco devices shot up in South Korea and Japan in 2014 when Philip Morris International brought IQOS to test markets. This was followed by the launch of similar devices by other tobacco businesses. Currently, some of the most well-known include Ploom by Japan Tobacco International and Glo by British American Tobacco.

The majority of studies on the safety of heated tobacco are from Philip Morris International, which filed an application to market IQOS in the US as a “reduced exposure” and “reduced risk” tobacco product. The US approved the marketing of IQOS as a reduced exposure device in 2019. “Completely switching from conventional cigarettes to the IQOS system significantly reduces your body’s exposure to harmful or potentially harmful chemicals,” the review’s findings stated.

“The evidence is not sufficient to demonstrate substantiation of either of the claims about the reduced risk of tobacco-related disease or harm,” according to the rejection letter for the reduced risk application. To be certain about the health effects of heated tobacco use, additional research is required.