Focus on the smoker with empathy and understanding to create better solutions. Over 60% of the US vaping market is unauthorized. Authorizing flavors for legal companies is the most effective way to combat illegal vapes. #HarmReduction #Vaping

I’m speaking on @camjenglish’s upcoming Space. Please tune in and share your thoughts and perspectives! x.com/i/spaces/1qxvvvBPwyOxB #vaping #publichealth #tobacco

Thank you for the nudge, Skip! No #ShapingVaping tomorrow (should be back on the 18th), but check out the @camjenglish @DrLizaMD interview of @cdoug tomorrow at 11!! x.com/RushmoreExt23/status/2…

Excellent breakdown of a recent alarmist article claiming switching to vaping doesn't reduce lung cancer risk. Actually it does, even according to the paper. But the more fundamental issue is that people who quit smoking decades ago have lower lung cancer risk than people who switched to vaping (which necessarily was more recent). So cancer risk associated with shorter quit duration is being blamed on vaping.

I suspect that most of you are already aware of my general position on this "controversial" topic. That said, please set a reminder to join @DrLizaMD, @cdoug, and @camjenglish this Thursday at 4pm and bring your own insights to the discussion! x.com/i/spaces/1qxvvvBPwyOxB

Pumped to see @TheWallflowers perform here tonight. Great songs never get old. Looking forward to hearing Jakob Dylan live.

“The good thing about science is that it’s true whether or not you believe in it.” Repeat and pass along! With thanks to @neiltyson. 👏🏅

I’m excited to be speaking on @camjenglish’s upcoming live X discussion on #vaping. Expecting a good turnout. Will you join too? x.com/i/spaces/1qxvvvBPwyOxB

I welcome feedback and questions regarding my latest podcast interview. Gratitude and props to @camjenglish and @DrLizaMD for hosting an insightful conversation on the great opportunity we have to reduce harm from smoking. Facts & Fallacies Podcast: Nicotine vaping—public health miracle, or risk to children? Professor Cliff Douglas geneticliteracyproject.org/2… via @GeneticLiteracy

Separate nicotine from the 'dirty needle' of cigarettes and everything changes. Tobacco control veteran @cdoug on how #vaping saves lives: by ditching the 7K chemicals in combustion. Full episode of @GeneticLiteracy's Facts and Fallacies podcast w/ @drlizamd & me below. ⬇️

U.S. Senator Richard Durbin (D-IL) has posted the following (see below): "Big tobacco donated big bucks to Trump’s political operation & dined at his golf club. Days later, FDA permits addictive & harmful vapes to be sold without scientific review, contrary to the law.  I’m leading Senate Dems to demand answers on Big Tobacco’s scheme to hook children on this poison." The statement is consistent with the approach he has taken for a long time in this arena. Senator Durbin and I worked together decades ago on the campaign to make commercial airline flights smoke-free, as well as on other tobacco control policy matters, and I have long respected his devotion to reducing the toll of smoking-related disease. That is precisely why I find his framing here so troubling, as it reflects a perspective that is difficult to reconcile with the scientific evidence and the public health challenge before us. FDA's scientific staff are not promoting smoking or disregarding youth concerns. They have taken an exceptionally cautious approach in evaluating noncombustible nicotine products, with the goal of accelerating the end of the smoking epidemic while maintaining strong protections against youth use. Contrary to Senator Durbin's assertion, FDA's recent authorizations were the product of lengthy and meticulous scientific review, not its absence. The key fact that continues to get lost in these debates is that cigarettes are uniquely lethal because they burn tobacco and produce smoke. Noncombustible products do not. There is now broad scientific consensus that properly regulated noncombustible nicotine products—including vaping products, nicotine pouches, heated tobacco products, and other new alternatives—are far less hazardous than cigarettes. The difference is so substantial that calling it a "continuum of risk" may actually understate the point. It is closer to a risk cliff, with combustible cigarettes standing alone at the top and noncombustible products far nearer the bottom. Conflating all tobacco and nicotine products as though they pose comparable risks is not protecting public health. It obscures critical distinctions that millions of adults who smoke deserve to understand. Nearly 30 million Americans still smoke. They deserve accurate information. Public health is not served when products with profoundly different risk profiles are presented as though they are essentially the same. We can simultaneously support rigorous regulation, aggressive enforcement against illicit products, and strong measures to prevent youth use while also acknowledging that adults who switch from cigarettes to noncombustible alternatives dramatically reduce their health risks. The longer policymakers and public health leaders ignore or minimize that reality, the longer smoking-related disease and death will persist.

This deserves extra special attention. In the U.S., according to the most recent data: * 3 of every 100 high school students use nicotine vaping products 20 or more days per month. * Less than one-half of one high school student out of 100 (in other words, about 1 of every 200) smokes cigarettes 20 or more days per month. * One-half of one high school student out of 100 (in other words, 1 of every 200) uses nicotine pouches 20 or more days per month.

The widespread lack of understanding that combustible (burned and smoked) tobacco products pose much more serious health risks than alternative noncombustible nicotine products like e-cigarettes is one of the MOST CONCERNING and persistent challenges we face. Correcting such misperceptions should be one of the highest priorities for public health.

SMOKING is harmful to health. Quitting is beneficial. All the following agree nicotine vapes (a) help adults quit smoking and (b) are SAFER than cigarettes: - IMF - UK Royal College of Physicians - Director, National Institute on Drug Abuse - 15 past-Presidents of SRNT - US FDA

I often talk at a 30,000-foot level about tobacco harm reduction, the need to destigmatize nicotine, and the tools adults who smoke need to reduce their risk. At the NextGen Nicotine Conference, it’s inspiring to hear from some of the young entrepreneurs who are developing noncombustible products that hold promise to save more lives. These folks are innovating to contribute to public health while also conscientiously promoting environmentally responsible approaches. @nyahphengsitthy #NGND26 #NxtGenNicotine26 #publichealth #tobaccofree #Nicotine26 #THR #TobaccoHarmReduction

.@cdoug Presenting at Next Generation Nicotine Delivery 2026 conference on vaping & youth misinformation

One of the great challenges in public health is when ideology becomes so deeply embedded that it begins to obscure inconvenient evidence. When discussions about tobacco harm reduction focus almost exclusively on the risks of safer alternatives while giving far less attention to the catastrophic harms of smoking, people are left with an incomplete picture. Millions of smokers deserve honest information, not selective information. The question should never be whether nicotine use can be made completely risk-free. The question should be whether we are helping people move away from the products that cause the overwhelming majority of tobacco-related disease and death. History will judge public health not by how fiercely it opposed new technologies, but by how many lives it helped save. The evidence for tobacco harm reduction continues to grow. The real challenge is ensuring people are allowed to see it. @MarewaGlover @caphraorg @Mark_Butler_MP

Eradicate nicotine? "Hell no" says tobacco control veteran Cliff Douglas, "why would one want to do that?" Nicotine should be front and center in the strategy to end smoking. @cdoug @ChaunceyGardner @alli_vapes @VaporTechAssoc @INNCOorg @GFNicotine @GrimmGreen @LegionVaping regwat.ch/VTgVq1

A clear and well-documented Community Note has been added to a deceptive post from @WHO_Europe. It is past time for WHO to clean up its act and tell the truth about relative risk. Stop conflating all tobacco and nicotine products as the same when the reality is so profoundly different.