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10.2. SR 09-08-2015
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10.2. SR 09-08-2015
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18 <br />4.3.4 Australia and Canada and other countries with de facto bans <br />By defining these products as poisons or medicines, several jurisdictions have created an ostensible <br />ban on e-cigarettes. As with all popular recreational drugs prohibition has led to a creative black <br />market, which is likely to be reducing smoking and be beneficial to health. The force of the law has <br />been used to ensure that cigarettes are widely available, while e-cigarettes are disadvantaged – a <br />highly perverse approach to public health. It creates the appearance of toughness on the part of the <br />regulator, but in practice it irresponsibly promotes an illegal and unregulated supply chain. <br />4.3.5 The World Health Organisation <br />WHO has taken on an activist advocacy role and strayed into misrepresentation and <br />miscommunication of the science and policy issues 62. The WHO’s favoured approach is to classify <br />these products as both medicines and tobacco and to apply the restrictive measure of the WHO’s <br />tobacco treaty (the Framework Convention on Tobacco Control)63. The WHO would also like to <br />include these products in UN targets to reduce tobacco consumption by 30% by 2025 64 – making it <br />impossible to achieve this target by denying the most likely way of meeting it. Fifty-three of the <br />world’s top experts wrote to WHO in May 2014 to implore it to take a more constructive approach 65. <br />4.4 A better approach to regulation <br />The aim should be to achieve a ‘sweet spot’ of regulatory intervention that builds confidence among <br />consumers and removes cowboys and rogue products from the market, but does not impose costs, <br />burdens and restrictions that crush the smaller players, radically change the products available and <br />obstruct innovation. This relationship is illustrated conceptually in the graphic below. <br /> <br />The optimum regulatory regime would strike a subtle balance between protecting users, non-users, <br />bystanders and limiting the risks of harmful unintended consequences. <br /> <br />62 Bates C, WHO position on ENDS: A critique of the use of science and communication of risk, Oct 2014 [context][report] <br />63 See WHO position paper on ENDS, FCTC/COP/6/10 Rev.1 September 2014 [link] and Decision FCTC/COP6(9) from the <br />Conference of the Parties to the FCFC, October 2014. [link] <br />64 See Clive Bates review of WHO documents: WHO plans e-cigarette offensive, 17 April 2014 [link] <br />65 Letter to Dr Margaret Chan, Director General WHO, Reducing the toll of death and disease from tobacco – tobacco <br />harm reduction and the Framework Convention on kTobacco Control 26 May 2014 [context][letter]
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