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  • The 5th annual E-Cigarette Summit will take place on Friday 17th November at The Royal Society, London
  • Registration for the E-Cigarette Summit 2017 is now open

Click here for a printable version of the programme

E-Cigarette Summit 2017

 

09:00 - 09:05

Welcome from the Chair

  • Professor Ann McNeill Professor of Tobacco Addiction - UK Centre for Tobacco and Alcohol Studies (UKCTAS), Kings College London


Evidence and Research


09:05 - 09:15

A Tobacco Control Plan for England: Challenges in creating a Smokefree Generation

  • Dr Tim Baxter Deputy Director for Healthy Behaviours - Department of Health (DoH)
09:15 - 09:35

Improving the quality of research on e-cigarettes

Research on e-cigarettes has suffered from a range of major problems in terms of the methods used and interpretation and reporting of the findings. Many of these are resolvable by researchers and those who use research findings adhering to well-established principles concerning conflicts of interest of all kinds, not just industry funding, a systematic and dispassionate approach to causal interpretation, accurate reporting of variables actually measured, and use of evidence of different kinds to triangulate on conclusions. This presentation will examine the issues, with examples, and consider how application of principles of good scientific practice (GSP) would have led to different conclusions.

  • Professor Robert West Professor of Health Psychology & Director of Tobacco Studies - University College London (UCL)
09:35 - 09:55

What a difference a year makes; the changing global picture of tobacco harm reduction

Tobacco harm reduction has been a controversial issue for tobacco control and public health, however the last twelve month have seen a sea change in some countries who are now considering the benefits of taking this approach.  This session will look at the changing global picture and also look at what the UK has done and how it has contributed to these changes, with a particular focus on countries who have or are proposing a more positive policy framework.  This session will also touch on developments in low and middle income countries where tobacco harm reduction is not currently a priority and consider how the right balance can be struck to meet the needs of different groups and keep options open for the future.

  • Professor Linda Bauld Professor of Health Policy - University of Stirling, UK Centre for Tobacco and Alcohol Studies (UKTAS) and Cancer Research UK
09:55 - 10:15

Values and the continuum of harm reduction

Harm reduction and precaution have been ideas that sharply divided the tobacco control community. Yet the recent history is one of seeming unification around the idea of harm reduction. Despite increasing acceptance of Tobacco harm reduction at a policy and government level, proposals for how to reduce harm sometimes differ radically. For example, banning flavor or restricting sales to smokers at one end of the continuum, actively promoting e-cigarettes to smokers at the other. This session will explore the question of whether harm reduction and precaution continue to underpin, if less starkly, policy choices now often framed as the former

  • Prof Amy Fairchild Associate Dean of Academic Affairs - Public Health Texas A&M University
10:15 - 10:25

The challenges for health charities: communicating caution without downplaying the harm of smoking

Speaker to be confirmed

10:25 - 10:45

Panel Q and A

  • Dr Tim Baxter Deputy Director for Healthy Behaviours - Department of Health (DoH)
  • Professor Robert West Professor of Health Psychology & Director of Tobacco Studies - University College London (UCL)
  • Professor Linda Bauld Professor of Health Policy - University of Stirling, UK Centre for Tobacco and Alcohol Studies (UKTAS) and Cancer Research UK
  • Prof Amy Fairchild Associate Dean of Academic Affairs - Public Health Texas A&M University
10:45 - 11:05

Morning refreshment break

 


Safety and Health Effects


11:05 - 11:20

Relative risks of cancer posed by combustible and vapourising forms of nicotine delivery: evidence from chemical exposures

One of the few methods for comparing the risks of cancer from smoking with vaping uses the chemical composition of their aerosols and known cancer potencies of individual carcinogens along with estimates of the quantities of aerosol to which a smoker or vaper is exposed each day. This presentation uses published chemical data from a wide range of sources to map out the spectrum of cancer risks over the range of nicotine-bearing aerosols. Cigarettes and heat-not-burn tobacco products occupy well-defined regions of the risk spectrum, in contrast e-cigarette vapours are broadly distributed spanning the range from the very low risk of a medicinal nicotine inhaler to the very high risk of cigarette smoke. The available chemical evidence indicates that the risk of cancer from vaping e-cigarettes is generally low (<1% of tobacco smoke) but vaping at high atomiser powers can lead to higher risks associated with excessive carbonyl production. Further research into hardware technologies and liquid ingredients could lead to e-cigarette emissions of consistently low cancer risk.

11:20 - 11:35

Toxicant and carcinogen exposure associated with long-term e-cigarette use

This talk will cover published and unpublished research on the association of exposure to known tobacco-related toxicants and carcinogens in long-term users of e-cigarettes, with or without concurrent combustible cigarette use, compared with long-term users of other harm reduction products, cigarette smokers and never smokers. It will also describe upcoming research evaluating the comparative exposure to toxicants and carcinogens in users of heat-not-burn products.

  • Dr Lion Shahab Senior Lecturer in Health Psychology - University College London (UCL)
11:35 - 11:55

Comparing the Cochrane review of electronic cigarettes to other meta-analyses

Cochrane reviews are accepted as the gold standard in evaluating scientific evidence on healthcare interventions. In this session, a lead Cochrane author will compare the Cochrane review of electronic cigarettes for smoking cessation with other meta-analyses of electronic cigarettes, exploring reasons for differing conclusions and the strengths and weaknesses of the varying approaches.

  • Dr Jamie Hartmann-Boyce MA, DPhil Senior Researcher (Health Behaviours), Managing Editor (Cochrane Tobacco Addiction Group) - Nuffield Department of Primary Care Health Sciences, University of Oxford
11:55 - 12:15

Cardiovascular effects of nicotine vs. cigarette smoke

Smoking is a leading preventable risk factor for cardiovascular disease. However, there is some confusion concerning the contribution of nicotine to smoking-related cardiovascular disease.This presentation will focus on presenting evidence about the potential effects of nicotine on cardiovascular health. Studies evaluating nicotine intake from non-combustible products will be presented and the relative risk of harm reduction nicotine products compared to smoking will be discussed.

12:15 - 12:35

The impact of long term e-cigarette use on lung health

Under normal condition of use, electronic cigarettes (ECs) are a much less harmful alternative to tobacco cigarettes. Nonetheless, there is concern as to whether regular long-term use may carry some risk to lung health. The available evidence from retrospective as well as prospective studies of regular EC users shows no negative impact on lung health outcomes. In particular, studies of patients with pre-existing airways disease indicate overall respiratory improvement, whereas more recent work on long term exposure in EC users who have never smoked shows no deterioration. Consequently, ECs are unlikely to raise significant health concerns for the respiratory tract under normal condition of use. Former smokers using and smokers intending to use ECs should receive correct information about residual risks and potential benefits of these products. Promoting further access to ECs may substantially reduce individual risk and population harm.

12:35 - 12:55

Panel Q and A

  • Dr Ed Stephens Senior Research Fellow - University of St Andrews
  • Dr Lion Shahab Senior Lecturer in Health Psychology - University College London (UCL)
  • Dr Jamie Hartmann-Boyce MA, DPhil Senior Researcher (Health Behaviours), Managing Editor (Cochrane Tobacco Addiction Group) - Nuffield Department of Primary Care Health Sciences, University of Oxford
  • Dr Konstantinos Farsalinos M.D Research Fellow - Onassis Cardiac Surgery Greece, Department of Pharmacology, University of Patras, Greece
  • Professor Riccardo Polosa Director - Institute of Internal Medicine and Clinical Immunology, University of Catania
12:55 - 13:45

Lunch


Industry and Regulation


13:45 - 14:05

Regulation of ‘heat not burn’ versus e-cigarettes

‘Heat not burn’ tobacco products are relatively new on the UK market. What are the differences between ‘heat not burn’ products and e-cigarettes and what implications might this have, now and in the future, as the market continues to evolve? This presentation will include analysis of the different business models, marketing tactics, and regulatory frameworks for e-cigarettes compared to novel tobacco products in the UK.

14:05 - 14:20

An update on the CAP and BCAP consultation on e-cigarette advertisers and health claims

The Committee of Advertising Practice (CAP) and the Broadcast Committee of Advertising Practice (BCAP) has recently concluded a consultation on removing the current ban on electronic cigarette advertisers making health claims, following a call for evidence last year.   This session will outline some of the issues covered in that consultation and the next steps as well as looking at the wider advertising picture.

  • Robert Morrison Senior Regulatory Policy Executive - Committee of Advertising Practice
14:20 - 14:35

The independent vape sector – a unique relationship with smokers and vapers

The independent vape sector - a unique relationship with smokers and vapers:

The number of people vaping has risen from virtually zero in 2008 to 2.9 million in 2017.  Despite this growth many people still know very little about vapers or vape shop/online businesses. In this session Matthew Moden, an independent vaping business owner, will talk through the real world experiences of interacting with consumers and building a responsible business and constructive relationship with public health and regulators. This will be considered in context of the following questions:

  • Who are vapers and what products are they using and why
  • The impact that public health messages have had on smokers and vapers perceptions of harm
  • The impact of year of TPD regulation
  • What next for the independent vaping sector -threats and opportunities

  • Matthew Moden MD Liberty Flights - Chairman of IBVTA Manufacturers and Importers Committee
14:35 - 14:45

The current status of the e-cigarette consumer notification process

The notification scheme for regulating e-cigarettes as consumer products has been in place for a year.  This session will provide a brief update on where we are, what has happened and future focus:

  • Market changes we have seen as a result of the notification process and their implications and how wer are working with Trading Standards to Monitor and review compliance
  • The Yellow card system –how it is working, what safety reports we are seeing and how are we monitoring and responding
  • An update on the current status for medicines regulation and a clarification of research requirements

  • Beryl Keeley E-cigarette Notification Scheme Lead - (MHRA) The Medicines and Healthcare Products Regulatory Agency
14:45 - 15:00

How might medicinal regulators evolve in their expectations for ENDS?

While ENDS products appear to have had a significant impact on smoking within a tobacco regulatory framework, there has been zero progress in expanding market-available choice of such products within a medicinal framework. What opportunities exist to change this?

  • Considerations re Safety, Efficacy, and Quality
  • MHRA and FDA comparisons
  • NRT & ENDS Product Characteristics

15:00 - 15:20

Panel and open floor Q&A

  • Deborah Arnott Chief Executive - Action on Smoking and Health (ASH)
  • Robert Morrison Senior Regulatory Policy Executive - Committee of Advertising Practice
  • Beryl Keeley E-cigarette Notification Scheme Lead - (MHRA) The Medicines and Healthcare Products Regulatory Agency
  • David M. Graham Chief Impact Officer - NJOY
  • Matthew Moden MD Liberty Flights - Chairman of IBVTA Manufacturers and Importers Committee
15:20 - 15:40

Afternoon refreshment break

 


Public Health Policy


15:40 - 15:55

Time to switch – reaching the last 35%

One in three British smokers in 2017 say they have never tried an e-cigarette and a further 42% have tried e-cigarettes but no longer use them.

Who are these smokers? What makes them different and what must Public Health to do to increase switching among smokers who do not vape? What are the opportunities for reducing health inequalities?

Martin will share some of what we know about smokers who do not vape and how they differ from those who do. He will also address some of the actions that public health is taking to reach those smokers from Stoptober to a Smokefree NHS, on the air and below the line.

15:55 - 16:10

The challenges and achievements of advocating for e-cigarettes – a service provider’s journey from sceptic to advocate

In this session Louise Ross, Stop Smoking Service Manager for Leicester looks at the questions that e-cigarettes have raised for stop-smoking providers, clinicians, policy makers and consumers. This session will look at the challenges and outcomes this has had for her particular stop smoking service and explore the sometimes frustrating hurdles that needed to be overcome.  Setting the scene with the numbers and demographics she will look at the current outcomes and benefits.

  • Louise Ross Stop Smoking Service Manager - Leicester City Council
16:10 - 16:25

How an e-cigarette strategy could help move towards the goal that we all have, to reduce cigarette use

In this session, Professor Levy will present different modelling scenarios under which smokers adopt e-cigarettes, and project how many lives years can be saved under those scenarios. This session will discuss many of the contentious issues around e-cigarettes, including the magnitude of relative risks, dual use, slowing down cessation and the gateway effect, as well as potential effects of regulations on industry structure and behavior.

  • Prof David Levy Professor - Lombardl Comprehensive Cancer Center, Georgetown University
16:25 - 16:40

Ethical Issues Raised by the Australian Ban on Electronic Nicotine Devices

Over the past 30 years the daily smoking prevalence among Australian adults has declined to 13% thanks to very high tobacco taxes, bans on cigarette advertising, smoke-free policies in all public spaces, graphic health warnings and plain packaging of cigarettes. The advent of e-cigarettes or electronic nicotine delivery devices (ENDS) has been a disruptive technology that promises to provide smokers with a much lower risk way of obtaining nicotine than smoking cigarettes. Australia has banned the sale of ENDS to adults. This policy is supported by the most of the Australian tobacco control community. Australia’s policy contrasts with that in the UK where ENDS are freely available for sale and regulated as consumer goods. This paper explains how the Australian ban has come about, critically analyses the arguments offered to justify the policy and discusses the ethical and policy issues that it raises. It also describes ways in which the sale of ENDS could be regulated for recreational use that would address the more reasonable concerns of those who support a ban.

16:40 - 17:00

Keynote: Five E-Cigarette Summits on – what are we still fighting about?

From the beginning e-cigarettes have been a contentious subject with the battle lines drawn between those who believe they will undermine tobacco control efforts, and those who believe that they have great potential to reduce the harms from smoking. Caught in the middle of this (not always polite) war of science and words are ordinary people attempting to make informed decisions about their lives and their health. Vapers have become passionate advocates for e-cigarettes, which many accredit for saving their lives. They are true experts in this field – and yet often their voices are missing from the debate. This presentation will cover the following topics, but from a consumer point of view:

  • Challenges for consumers - changing perceptions and promoting understanding of vaping and the people who do it.
  • Challenges for public health - engaging with vapers, understanding the validity of their experiences and using that information to help others.
  • Challenges for all; the nicotine landscape is changing, is that a benefit or a threat?
  • Leading by example – the UK is well positioned to show the world how it should be done, but is it brave enough?

  • Sarah Jakes Vaper - Board Member - New Nicotine Alliance
17:00 - 17:25

Panel Discussion and Open Floor Q&A

  • Prof David Levy Professor - Lombardl Comprehensive Cancer Center, Georgetown University
  • Prof Wayne Hall Professor - Centre for Youth Substance Abuse, Queensland
  • Sarah Jakes Vaper - Board Member - New Nicotine Alliance
  • Louise Ross Stop Smoking Service Manager - Leicester City Council
  • Martin Dockrell Tobacco Control Programme Lead - Publich Health England
17:25 - 17:30

Closing Remarks & Close

Following the close of the Summit all participants are invited to join us for networking drinks

  • Professor Ann McNeill Professor of Tobacco Addiction - UK Centre for Tobacco and Alcohol Studies (UKCTAS), Kings College London