AHRER India

We are a pan-India body of medical professionals and researchers keen on adoption of harm reduction strategies in drugs/tobacco control and public health.

[AHRER India @ahrerindia]

Not surprised by the common misconception that nicotine causes cancer

We suggest re-reading any textbook of pharmacology

Truth-telling, a major pillar of healthcare as it directly influences autonomy and health choices, is only possible if we doctors know the truth ourselves.

[Dr. Nikhil R M (NeuroRad) @mehtanikhil]

@bhavinj I really don’t know what is happening around, milk 🥛 and its products have become dangerous things to eat! Cigarettes nicotine no longer causing cancer! Is this some kind of commercial manipulation like mobiles or network doesn’t harm us! 🤔🤔🤔

[Dr. Vikas Jain @docvikjay]

@mehtanikhil @bhavinj Saddened, but not surprised to hear another doctor, who thinks, nicotine is carcinogenic. Nicotine causes dependence, it's the tar and other chemicals, when tobacco is burnt, that cause cancer.

[Bhavin Jankharia @bhavinj]

The Ban on E-Cigarettes in India - Has the Time Come to Reconsider?

....given that nicotine is not carcinogenic per se and data suggests that e-cigarettes help those who want to stop smoking...

Audio and text
https://t.co/mFyTYvy6d8

#atmasvasth #healthfulageing #atmasvasthbook #smoking #e-cigarettes #ENDS #nicotine

[AHRER India @ahrerindia]

These are the voices of real people who managed to quit a deadly habit. Why does @WHO and the whole tobacco control ecosystem feel they can ignore the very people who they claim they are looking out for?

@MoHFW_INDIA @drshalini_icmr @Swasticharan @apurvaIAS @mansukhmandviya

[Mind, Body & Beard @by_deane]

I would really like to read more personal shares on negative health effects caused by #vaping. So many on social talking about the positive impact it has had on their lives. Where are the negatives?

(Not interested in links to articles or science papers)

[AHRER India @ahrerindia]

Dr. Farsalinos @FarsalinosK rebuts Prof Glantz's review article which claims smoking and vaping carry similar risks for causing diseases like Heart disease, Stroke and Metabolic disorder.

Glantz's review makes the fatal flaw of using data mainly from cross-sectional studies (prevalence at a given point in time) to imply causation. The studies ignore prior tobacco use as a factor.

To be fair, all these cross-sectional studies clearly state that causation cannot be determined, yet that doesn't deter Glantz.

Glantz also urges that we ignore toxic biomarker levels (near non-smoker levels in vapers) without providing an alternate explanation for this alleged magical effect of increased disease despite low exposure to toxins.

This is unfortunate but nothing new for Glantz, whose previous article was retracted because he claimed that vaping caused heart attacks years before one started vaping (implying time travel?)

@MoHFW_INDIA @TISSpeak @IMAIndiaOrg @atulambekar @rnsharan
@mansukhmandviya @spsinghbaghelpr @DrBharatippawar @Swasticharan @vishalchauhan_1 @drshalini_icmr @apurvaIAS @NitiAayog @icmrdelhi @aiims_newdelhi @nicpr_noida @NMC_IND @DghsIndia @fordaIndia @faima_India_ @GKH_SLT @ayadav24 @ravimehro @MalathyIyerTOI @somitapal @ETHealthWorld @ThePrintIndia @Rukmini @htTweets

https://t.co/39dLCcwy4u…

[Dr. Venkata Lakshmi Narasimha MD DM @narasimha_gvl]

Cochrane review published in Jan 2024:
"There is high‐certainty evidence that ECs with nicotine increase quit rates compared to NRT and moderate‐certainty evidence that they increase quit rates compared to ECs without nicotine."

https://t.co/7R7mVsByjF

[Dr. Venkata Lakshmi Narasimha MD DM @narasimha_gvl]

E-cig:
"It is now time for the medical community to acknowledge the progress & add e-cigarettes to smoking-cessation toolkit. The burden of 🚬related disease is too big for potential solutions such as e-cigarettes to be ignored"

-Nancy A. Rigotti, M.D
10.1056/NEJMe2314977 @NEJM

[AddyTuney @AddyTuney]

@vapeindia @DghsIndia @NYCHealthSystem @PennStHershey @JonathanFoulds @FordaIndia @bhupindermaybe Youth in USA, CA, NZ, SWDN, AUS & UK are smoke free. Big business/NGO lobbyist DON'T want the world to know: flavored nicotine vaping eliminates smoking & reg youth use always drops to a very low % because it's easier to quit;
https://t.co/q74hDTnPbQ
https://t.co/ySrfsgJ73U

[AVI @vapeindia]

College students publish junk paper: cite EVALI (no⇝to nic ecigs), old US data (teen use is 2.1mn, lowest in 10 yrs). Inflate risk (CVD), supress benefit (less harm).
@DghsIndia @NYCHealthSystem @PennStHershey @JonathanFoulds @FordaIndia @bhupindermaybe
https://t.co/wXd60meVPR

[K. Farsalinos @FarsalinosK]

E-cigarette use is associated with cardiovascular disease... in the same way that statins cause myocardial infarction!!

https://t.co/30BYZebFdC

[AVI @vapeindia]

'The addition of e-cigarettes to standard smoking-cessation counseling led to higher rates of tobacco abstinence compared to counseling alone. This suggests that e-cigarettes may be a beneficial tool in smoking cessation efforts'
@mohfw_India @nicpr_noida
https://t.co/MaIhgont4c

[AVI @vapeindia]

We are delighted to note Prof @ravimehro, after authoring many papers with "all SLT is same" claim & architect of ICMR's dubious white paper on ENDS, finally sees the benefit of tobacco harm reduction & snus in curbing deaths. Hope others too will follow the science. #THRworks

@PMOI@PMOIndia @mansukhmandviya @mohfw_India @spsinghbaghelpr @drbharatippawar @swasticharan @vishalchauhan1 @drshalini_icmr @NitiAayog @icmrdelhi @aiims_newdelhi @nicpr_noida @INCIndia @RijoMJohn @Hriday_Org @TweetofSEEDS @RCTCPGI @GKH_SLT @WHOSEARO @iphindia @ProfSonuGoel @LindaBauld @Clive_Bates @FarsalinosK @rnsharan @Dr_KiranMelkote @ahrerindia

[AHRER India @ahrerindia]

RCTs - Gold Standard of evidence for efficacy / harm. Strangely, vaping RCTs are restricted, even de-facto prohibited by @NMC_IND

Considering our tobacco control fixation on cessation-only approaches, are we ok with a success rate <1%
And 1.3 million people dying each year?

[AVI @vapeindia]

Further RCT evidence that vaping is more effective than current smoking cessation methods. #endvapeban

एक और RCT जो दर्शाता है कि वेपिंग मौजूदा धूम्रपान समापन तरीकों से अधिक प्रभावी है।

@mansukhmandviya @mohfw_India @imaindiaorg @kharge @PMOIndia

[AHRER India @ahrerindia]

Looking forward to @Dr_KiranMelkote at #GBS2024 for #ScriptingATomorrow in Public health and Universal health care

@ETNOW_GBS @ET_Edge @TimesNow @ETNOWlive
@et_insights

[European Tobacco Harm Reduction Advocates @europethra]

The Philippines joined other countries in pushing for tobacco harm reduction as part of strategies to mitigate the impact of smoking on public health during #COP10FCTC

https://t.co/srMugIBOlx

[AVI @vapeindia]

At #COP10FCTC, we notice big concern about vaping. We urge nations to consult others that have regulated well than those that banned badly. Further, most country reports are missing humanity towards 1.3bn users. Please do more to #HelpSmokers.

@FCTCofficial @TheGGTC @WHOsearo

[TIMES NOW @TimesNow]

@Dr_KiranMelkote, Orthopaedic Surgeon,
@fmri_official, will be sharing his outlook at The Times Group Global Business Summit 2024.​

The Times Group presents ET NOW Global Business Summit 2024.

Know more: https://t.co/3WZT1tJKSH

#GBS #GBS2024 #ScriptingATomorrow

@ETNOW_GBS @ET_Edge

[ET NOW @ETNOWlive]

.@Dr_KiranMelkote, Orthopaedic Surgeon,@fmri_official, will be sharing his outlook at The Times Group Global Business Summit 2024.​

@ETNOW_GBS @ET_Edge #GBS #GBS2024 #ScriptingATomorrow

[Rajesh N. Sharan @rnsharan]

While one arm of @WHO, @IARC, estimates meteoritic rise in global cancer by 75% by 2050 and flags @tobacco as 1 of its 3 main drivers, the other arm, @FCTC, has to pragmatically shift gear in its efforts to control tobacco @MoHFW_INDIA
https://t.co/ztzpdhb0Ib

[Dr Kiran Melkote @Dr_KiranMelkote]

I agree with many points in this article, especially one questioning the ludicrous research ban

BUT i have a problem with prioritising heated tobacco products over vapes, especially when vapes are better as quit-smoking tools

Why not both? With risk-proportionate regulation?