2015 - McNeil PowerPoint Presentation

Harm perceptions among adults (Internet cohort survey 2012-14) 80 70 66.6 66.5 60.4 % endorsing response 50 2012 60 40 2013 2014 30 20 9 10.6 16.9 22.9 21 20.6 10 1.5 1.8 2.1 0 Less harmful Equally harmful More harmful Don’t know Brose LS, Brown J, Hitchman SC, McNeill A. Drug & Alcohol Dependence, 2015

Harm perceptions among adults (ASH YouGov adult surveys 2013-15) 60 % of GB adults who have heard of e-cigarettes 52.5 51.5 50 41.9 40 38.3 30.2 30 2013 22.7 2014 19.8 20 13.5 2015 10.4 10 6.6 1.5 1.6 2.3 2.3 1.9 0 Less harmful Equally harmful More harmful Don't know E-cigarettes are completely harmless

Harm perceptions among youth (ASH YouGov youth surveys 2013-15) 80 73.6 70 66.4 66.7 60 % endorsing response 50 2013 40 2014 2015 30 21.3 20 18.2 13.8 11.5 13.7 9.6 10 1.2 1.5 2.4 0 Less harmful Equally harmful More harmful Don’t know Eastwood B, Dockrell M, Arnott D, Britton J, Cheeseman H, Jarvis M, McNeill A . Public Health, 2015

How should the relative risks of smoking vs e-cigarettes be communicated? • What can we say, what can’t we say, what should we say • How safe are e-cigarettes in absolute terms – is this important • Health impacts on non-users – is any risk acceptable • Dual use – will e-cigarettes undermine smokers incentive to quit • Long term use of e-cigarettes – are we creating a new problem Riccardo Polosa, Robert West, Charlotta Pisinger, Penny Woods,Martin Dockrell (PHE), Sarah Jakes Vaper