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One hundred specialists call for WHO to change its hostile stance on tobacco harm reduction - new letter to FCTC delegates published.
clivebates.com/one-hundred-sp…
#COP9 @DrTedros
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Clive Bates
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Clive Bates
@Clive_Bates
What's right thing to do? Been with IBM, Greenpeace, ASH, Cabinet Office, Environment Agency, UN in Sudan, Welsh Government, DECC and now my own Counterfactual.
London or Derbyshire, UK Katılım Şubat 2011
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Clive Bates retweetledi
A @Clive_Bates thread 🧵
Must read!!
Clive Bates@Clive_Bates
"If Brussels ignores science on safer nicotine, it risks losing public trust" @EUPerspectives Interview with me on the wider negative effects of crude Commission misinformation on vaping, pouch, HTP risks. @EU_Health @OliverVarhelyi CC: @vonderleyen euperspectives.eu/2026/03/brusse… 1/3
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See the letter to the Commission President, @vonderleyen, covering note (a summary), and related press coverage.
"False and misleading European Commission statements about novel nicotine product safety"
clivebates.com/papers-and-let…
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See coverage of the expert letter discussed in the interview:
"Experts slam EU commissioner’s ‘hazardous’ claims about alternatives to cigarettes" @EUPerspectives
euperspectives.eu/2026/03/expert…
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"If Brussels ignores science on safer nicotine, it risks losing public trust" @EUPerspectives
Interview with me on the wider negative effects of crude Commission misinformation on vaping, pouch, HTP risks.
@EU_Health
@OliverVarhelyi
CC: @vonderleyen
euperspectives.eu/2026/03/brusse…
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Clive Bates retweetledi
My new Substack is getting some traction. It's called "The Best Laid Plans." It's about unintended consequences. Leaning #libertarian. Please take a look.
marcgunther.substack.com
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@ACSHorg @FDATobacco @DrMakaryFDA Absolutely… once they realise that the dominant impact of any *vape* policy is its effect on *smoking*, the case for doing almost nothing (beyond consumer protection) becomes unassailable.
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Clive Bates retweetledi
@Clive_Bates @FDATobacco @DrMakaryFDA This is so obviously a winning hand, and FDA—indeed the whole public health establishment—refuses to play it. They don't even have to do anything except get out of the way.
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Someone should write a book called “Blind Spots”. @FDATobacco and @DrMakaryFDA continue to ignore real-world evidence in regulating tobacco and nicotine:
1. FDA has created a huge illicit vape market bypassing FDA’s near-insurmountable barriers to entry, but regulates as if this does not exist.
2. FDA’s main impact has been to the benefit of cigarette companies, Chinese vape manufacturers and criminal networks.
3. FDA defines youth vaping as the primary problem, yet vaping has almost eliminated youth smoking - a far greater problem.
4. Older adults who smoke are the main public health and healthcare system challenge and FDA has relentlessly let them down.
5. FDA constantly adds doubt, confusion and misinformation about the risks of smokefree products and nicotine, compared to smoking. Fix that, and much good would follow.
6. The demand for nicotine is based on people wanting its psychoactive effects. It cannot be regulated out of existence, but it can be made much safer. Instead, FDA protects the cigarette trade and promotes organised crime.
That’s one gigantic blind spot, @MartyMakary
Dr. Marty Makary@DrMakaryFDA
FDA is expanding its use of real world evidence.
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@Clive_Bates @FDATobacco @DrMakaryFDA How did you come up with that remarkable suggested title? Someone should use it.
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Clive Bates retweetledi
Clive Bates@Clive_Bates
Someone should write a book called “Blind Spots”. @FDATobacco and @DrMakaryFDA continue to ignore real-world evidence in regulating tobacco and nicotine: 1. FDA has created a huge illicit vape market bypassing FDA’s near-insurmountable barriers to entry, but regulates as if this does not exist. 2. FDA’s main impact has been to the benefit of cigarette companies, Chinese vape manufacturers and criminal networks. 3. FDA defines youth vaping as the primary problem, yet vaping has almost eliminated youth smoking - a far greater problem. 4. Older adults who smoke are the main public health and healthcare system challenge and FDA has relentlessly let them down. 5. FDA constantly adds doubt, confusion and misinformation about the risks of smokefree products and nicotine, compared to smoking. Fix that, and much good would follow. 6. The demand for nicotine is based on people wanting its psychoactive effects. It cannot be regulated out of existence, but it can be made much safer. Instead, FDA protects the cigarette trade and promotes organised crime. That’s one gigantic blind spot, @MartyMakary
QME
@DrMakaryFDA Not so: @FDATobacco has not embraced real world evidence. Regulation is conducted in an imaginary, idealised world that bears no relation to the real world in which FDA operates. The result is more smoking and more illicit unregulated trade.
It’s an absurd blind spot.
Clive Bates@Clive_Bates
Someone should write a book called “Blind Spots”. @FDATobacco and @DrMakaryFDA continue to ignore real-world evidence in regulating tobacco and nicotine: 1. FDA has created a huge illicit vape market bypassing FDA’s near-insurmountable barriers to entry, but regulates as if this does not exist. 2. FDA’s main impact has been to the benefit of cigarette companies, Chinese vape manufacturers and criminal networks. 3. FDA defines youth vaping as the primary problem, yet vaping has almost eliminated youth smoking - a far greater problem. 4. Older adults who smoke are the main public health and healthcare system challenge and FDA has relentlessly let them down. 5. FDA constantly adds doubt, confusion and misinformation about the risks of smokefree products and nicotine, compared to smoking. Fix that, and much good would follow. 6. The demand for nicotine is based on people wanting its psychoactive effects. It cannot be regulated out of existence, but it can be made much safer. Instead, FDA protects the cigarette trade and promotes organised crime. That’s one gigantic blind spot, @MartyMakary
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Clive Bates retweetledi
Clive Bates retweetledi
Highly significant editorial just now in @washingtonpost. Here's a legacy media outlet, a national daily paper, taking direct aim at @FDATobacco's chronic dysfunction on vaping and calling for swift reform so that Americans can access life-saving products.
wapo.st/4rDHvRN
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Even now, there are 94 million EU citizens who smoke and many starting every day. It’s not too late for @EU_Health to adopt a rational pro-health strategy. But instead of migrating the nicotine market to low-risk products, it seems determined to create an illegal nicotine market.
Phillip Kirschberg@RushmoreExt23
@Clive_Bates It's agonizing to mull over "what could have been", but I believe there's still time to address the massive (mis?)information gap regarding low-risk nicotine products among middle-aged adults and seniors who smoke. x.com/i/status/20293…
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@patrikstromer Because being anti-snus works for them and pro-snus doesn’t. These groups exist because they adopt a successful narrative that allows them to thrive their world.
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@Clive_Bates Yes, I know this. 😀
But I don’t why they are campaigning AGAINST what is working.
They say “it’s just a narrative”, and refuse to participate in discussions.
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20 million people have died from smoking-related diseases in the EU since the 1992 EU snus prohibition. Imagine if the EU had encouraged switching to snus, incentivised pouch innovation, and gone all in to migrate nicotine use to low-risk products? EU still has 94m smokers, FFS.
Arielle Selya@ArielleSelya
Rethinking Nicotine: @KatMurti moderates a discussion on the failures of prohibition, with discussion by @Tim_Andrews @ReemAmirIbrahim @SofieHamilton comparing Swedens success in reducing smoking (with snus) vs how Australia's overly restrictive approach backfired.
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@patrikstromer That’s because they are negligent, mendacious, or insane. Sweden has about average nicotine prevalence, the lowest smoking rate, lowest rates of smoking-related diseases. The reason is unambiguously snus use as an alternative way to consume nicotine. I know you know this, Patrik!
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@Clive_Bates Strange. The Swedish Cancer Foundation claims that it is just a “narrative” that Sweden has the lowest smoking prevalence in the EU due to snus. 😉
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Clive Bates retweetledi
A coalition of 23 leading European experts in medicine, toxicology, epidemiology and addiction science has accused European Commissioner for Health and Animal Welfare Olivér Várhelyi of disseminating “false and misleading” information about the risks posed by smoke-free nicotine products, such as e-cigarettes, nicotine pouches and heated tobacco.
brusselssignal.eu/2026/03/leadin…
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@Clive_Bates @thetimes There’s also strong evidence that the growth of yoga studios devastated the pub trade. Hard to maintain regular bar attendance when half the population is doing downward dog at 6am.
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Wrong… the decline of pubs was due to the rise of electric vehicles. Sales went from about 10,000 to half a million per year in the past decade.
The pubs never had a chance.
@thetimes
The Times and The Sunday Times@thetimes
Seven pubs closed for every new vape shop over past decade #Echobox=1773595701" target="_blank" rel="nofollow noopener">thetimes.com/uk/politics/ar…
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