Pros and cons of vaping from a child health perspective (2)

24 March, 2023

Neil, thank you for the call for comments on this important thematic discussion on CHIFA (and HIFA).

My initial comment is on the title, 'Pros and cons of vaping from a child health perspective', which I think is out of place and misleading because there cannot be any 'pros' for vaping or any other form of tobacco use in any form or shape. I thought it is agreed and established that there is no advantage from tobacco use or smoking for even adults, talk less of children. Or am I mistaken?

People who start up nicotine use with vaping, end up getting hooked on nicotine and which then leads to using traditional tobacco products (nida.nih.gov/publications/drugfacts/vaping-devices-electronic-cigarettes)

I suggest the Title be changed for discussion on CHIFA. Let there not be any confusion, its only 'cons' for any child who uses tobacco in any form (as well as adults)..

Joseph Ana

Prof Joseph Ana

Lead Senior Fellow/ medicalconsultant.

Center for Clinical Governance Research &

Patient Safety (ACCGR&PS) @ HRI GLOBAL

P: +234 (0) 8063600642

E: info@hri-global.org

8 Amaku Street, State Housing, Calabar,Nigeria.

www.hri-global.org

CHIFA profile: CHIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria, established by HRI Global (former HRIWA). In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: www.hri-global.org. Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers. Website: www.hri-global.com Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers. http://www.hifa.org/support/members/joseph-0 http://www.hifa.org/people/steering-group Email: info@hri-global.org and jneana AT yahoo.co.uk

On Friday, 24 March 2023 at 09:24:36 GMT-4, Neil Pakenham-Walsh, UK <neil@hifa.org> wrote:

Dear CHIFA colleagues,

I invite you to comment on the topic of Tobacco, particularly from the perspective of child health.

We are now entering our fifth week of discussion and this week we focus on vaping.

Q5. What are the pros and cons of electronic nicotine delivery systems (ENDS; vaping) (eg as an aid to stop smoking; as an addictive alternative to smoking among young people)?

Here are the other guiding questions:

1. Do people understand the health, socio-economic and environmental harms of using tobacco products? What matters to them? How can they be better informed?

2. Do health workers have adequate knowledge to prevent and treat tobacco addiction among their patients? What matters to them? How can they be better informed?

3. What is the role of the tobacco industry? What can be done to address misinformation from the tobacco industry?

4. Do public health professionals and policymakers have adequate knowledge to prevent and treat tobacco addiction in their country? What are current national policies and what more can be done to fully implement those policies?

Best wishes, Neil

CHIFA profile: Neil Pakenham-Walsh is coordinator of HIFA (Healthcare Information For All), a global health community that brings all stakeholders together around the shared goal of universal access to reliable healthcare information. HIFA has 20,000 members in 180 countries, interacting in four languages and representing all parts of the global evidence ecosystem. HIFAis administered by Global Healthcare Information Network, a UK-based nonprofit in official relations with the World Health Organization. Email: neil@hifa.org

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