The great American youth vaping epidemic. Really?

When senior officials claim that the is an epidemic of teenage vaping or nicotine addiction, what do they actually mean and does the claim makes sense? Most vaping is infrequent, and regular use is concentrated among smokers, where is may be benficial.

But is it really?

Updated: 15 February 2019 to add section 17

Update 19 July 2019: Note that Scott Gottlieb, who features in this post, left the FDA on 5 April 2019 and joined the board of Pfizer on 27 June 2019: Ex-FDA boss joins Pfizer 83 days after leaving US drug regulator, Financial Times. 

I have been following FDA Commissioner Scott Gottlieb on Twitter and was alarmed at the threat he issued to vapers and the vaping industry in response to recent trends in US adolescent vaping.

I disagree with the FDA’s analysis of what is happening with adolescent vaping and also what should be done about it. So I need to put some flesh on the tweet above and examine some of FDA’s claims in more depth. Please dip to these talking points… it’s a long blog but I hope at least some of it will be illuminating.

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