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The excitement of last week’s news that Malaysia intends to legalize nicotine vaping has been dampened by details of the finance ministry’s plan. The government is proposing a tax rate so high it would have significant unintended consequences.

The smoking rate in 2022 among adult Americans dropped to its lowest rate since health officials began measuring it, according to survey results released yesterday. The decline came alongside an increase in the percentage of U.S. adults who vape. Preliminary full-year 2022 results from the National Health Interview Survey (NHIS) showed just 11.2 percent of adults smoked every day or some days. More than half as many surveyed adults, 5.8 percent, used vaping products every day or some days. In the fourth quarter of 2022, adult vaping prevalence reached 6.6 percent—the highest number since the NHIS added vaping to its survey in 2019. The results are estimates, and could be revised later. The NHIS is conducted annually by the National Center for Health Statistics (NCHS), a unit of the Centers for Disease Control and Prevention (CDC).

Vaping is unsafe and potentially dangerous. While the long-term health effects are unclear, we do know that vaping in the short-term has been associated with nausea, vomiting, mouth and airway irritation, chest pain and heart palpitations. There is a common misconception that vaping is merely harmless water vapour — in fact, it’s an aerosol made up of toxic particles.

The government of Thailand has rejected the efforts of one cabinet minister to legalize and regulate nicotine vaping products, and will instead reconfirm the country’s ban on sales and import of e-cigarettes. Thailand’s vape ban has been in place since 2014, and has resulted in notoriously overzealous enforcement.

This research looked at vaping as a smoking cessation tool in Australian adult smokers. The results unsurprisingly found that E-Cigarettes may have benefits for public health.The study noted that the frequency of E-Cigarette use is likely an important factor for smoking cessation success. Those that were noted to vape daily were more likely to quit or reduce smoking cigarettes than Australian smokers who didn’t. Given Australia’s current stance on vaping, this could be quite problematic.

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