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Health committee  Heart and Stroke fully endorses the Canadian Cancer Society's recommendations and the rationale for them.

February 12th, 2018Committee meeting

Lesley James

February 12th, 2018Committee meeting

Lesley James

Health committee  For the reason you mention, I think we need to be very cautious about who is using e-cigarettes. As I've said before, the only group that should see marketing of e-cigarettes are current tobacco smokers. Other than that, there's no benefit to anyone trying e-cigarettes. We need t

February 12th, 2018Committee meeting

Lesley James

Health committee  There definitely is a concern, because there will be nicotine in these products once Bill S-5 is passed, and who is to know what will happen in terms of addiction from choosing to use either an e-cigarette or a tobacco product? From research that came out and was published by CMH

February 12th, 2018Committee meeting

Lesley James

Health committee  I would agree, and with the legalization of marijuana, the Heart and Stroke supports the low-risk user guidelines. They are detailed in that they are developed by the Canadian Medical Association and the Centre for Addiction and Mental Health around how Canadians can reduce the r

February 12th, 2018Committee meeting

Lesley James

Health committee  Keeping it out of the hands of young Canadians is vastly important, so if there's an opportunity to increase the age to 19, that would be beneficial.

February 12th, 2018Committee meeting

Lesley James

February 12th, 2018Committee meeting

Lesley James

Health committee  The 95% statistic is based on qualitative opinions. We can't quantify and say e-cigarettes are 95% less harmful than combustible tobacco. I caution against using that number and widely circulating it. We know e-cigarettes are less harmful, and Heart and Stroke believes that, but

February 12th, 2018Committee meeting

Lesley James

Health committee  Heat-not-burn products are very new, and they're being marketed as a reduced harm modality. There is no evidence to suggest that being the case. On the spectrum of harm, we see e-cigarettes on the one side, combustible tobacco on the other, and heat-not-burn somewhere along that

February 12th, 2018Committee meeting

Lesley James

Health committee  Blood clots.

February 12th, 2018Committee meeting

Lesley James

Health committee  I'm not a clinician, so I'll let the physicians speak to the long-term impact of nicotine, but we know that the U.S. surgeon general has reported there's an increased heart rate and blood pressure and a possibility of blood clots, and we know that over a long term, nicotine use a

February 12th, 2018Committee meeting

Lesley James

Health committee  People start smoking for a variety of reasons, and the marketing of tobacco products is definitely one of the reasons. Role modelling also plays a big part in this. We see high levels of tobacco use among indigenous populations in Canada. It's quite hard for youth not to start

February 12th, 2018Committee meeting

Lesley James

Health committee  It's the same thing. Electronic cigarette, e-cigarette, vaping: it's all the same terminology.

February 12th, 2018Committee meeting

Lesley James

Health committee  Yes, it's confusing. I'm sorry.

February 12th, 2018Committee meeting

Lesley James

Health committee  There are a lot of questions around whether e-cigarettes are a gateway to tobacco use. There are Canadian studies that say that longitudinally, when we look at a cohort of young Canadians, those who try e-cigarettes are more likely to initiate tobacco use a year later. There's st

February 12th, 2018Committee meeting

Lesley James