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Health committee In general, of course, no, because there is no overall benefit for the population that uses nicotine to be taking it in the way they've been taking it. Promoting it as a lifestyle for large populations is not appropriate. The balance is that for those people who are addicted to
February 26th, 2018Committee meeting
Dr. Peter Selby
Health committee It's primarily been because of the contaminant diacetyl, which is the cause of popcorn lung per se. Some studies out of Italy suggest that people who have chronic lung disease or asthma and are unable or unwilling to stop smoking may experience an improvement when they switch t
February 26th, 2018Committee meeting
Dr. Peter Selby
Health committee There is emerging evidence, because it's not just.... The total amount of nicotine concentration needs to be considered and balanced, not so much with how much there is for the person who is going to vape it, but also with the risk to bystanders, children, or others who might get
February 26th, 2018Committee meeting
Dr. Peter Selby
Health committee I don't have personal data that I've collected, but those are association studies at large population levels that look at people at baseline one, and then look at people at baseline two, at a follow-up time period. There is this association, but what those studies cannot tell u
February 26th, 2018Committee meeting
Dr. Peter Selby
Health committee No. We have to be careful when we make claims of reduced harm. We don't actually have that evidence. We have evidence of reduced exposure, which is not necessarily the same thing as reduced harm. Anybody making a claim could make the claim with a clear conscience that there is re
February 26th, 2018Committee meeting
Dr. Peter Selby
Health committee Can you hear me?
February 26th, 2018Committee meeting
Dr. Peter Selby
Health committee It's Dr. Selby. I can hear everything. I guess you can hear me.
February 26th, 2018Committee meeting
Dr. Peter Selby
Health committee That's right. We don't want to encourage people who otherwise would never have smoked, and who otherwise would not use it, to use it in such a way that then.... We know people experiment with lots of things, but we don't want that experimentation to turn to addiction. It doesn't
February 26th, 2018Committee meeting
Dr. Peter Selby
Health committee I'm not 100% sure if it does or not, but it certainly should consider it, because at least some of the devices on the market right now can be easily modified to vape the oils, resins, or wax that can be extracted from cannabis. Potentially, other than the combustion they're getti
February 26th, 2018Committee meeting
Dr. Peter Selby
Health committee I'll take that question in two parts. First of all, nicotine is extremely addictive if it comes in a high concentration and is combusted and delivered in the way that cigarettes deliver it. That's our known way in which it becomes addictive, and people have great difficulty sto
February 26th, 2018Committee meeting
Dr. Peter Selby
Health committee Yes, I have a couple of comments. Going back to some of the work around plain packaging, as well as the products and how people who are addicted will view them, I will say that colleagues of ours have done some studies with brain scans in the U.K. Very interestingly, the package
February 26th, 2018Committee meeting
Dr. Peter Selby
Health committee I would think that any kind of marketing of a cessation aid needs to follow the pathway of a cessation aid. If it's coming with a claim of harm reduction, then it needs to show that it is a harm reduction product. Again, you're right. We need factual information. As Flory point
February 26th, 2018Committee meeting
Dr. Peter Selby
Health committee Thank you for that very insightful question. It is something that I have been thinking about for a long time when it comes to addictive substances. One thing we need to look at is that a substance can be addictive but not harmful, and substances can be harmful but not addictive.
February 26th, 2018Committee meeting
Dr. Peter Selby
Health committee Respected chair, members of the House of Commons Standing Committee on Health, thank you for inviting me to speak about Bill S-5. I am Dr. Peter Selby. I'm a medical doctor and professor at the University of Toronto, specializing in addiction medicine with a strong focus on tobac
February 26th, 2018Committee meeting
Dr. Peter Selby