Vape Shops Open in Two UK Hospitals

By Cali Steam Blogger
on July 12, 2019
1 comment

Vape Shops Open in Two UK Hospitals

Who's getting it right? The United States and the United Kingdom are taking very different approaches to the "vaping epidemic." In the US cities are banning the sale of all vapor products while cities in the UK are opening vape shops within hospitals to convert long term smokers to vaping.

Why such different approaches to the same issue?

Vape shops have opened in two NHS hospitals in the West Midlands as part of efforts to eradicate smoking in the UK. The outlets run by Ecigwizard are at Sandwell general hospital in West Bromwich and Birmingham city hospital, both of which are run by Sandwell and West Birmingham hospitals NHS trust.

The trust is clamping down on smoking on its grounds, with people being issued £50 fines since July 5, 2019, if they light up. Security cameras are also being used to police smoking.

Using e-cigarettes outside is allowed, on condition it takes place away from doorways, while smoking shelters have been converted into vaping areas.

The trust’s medical director, Dr David Carruthers, said his organisation’s board and clinical leaders were united in the view that eliminating passive smoking on its sites was a public health necessity.

“Every alternative is available and we ask visitors and patients to work with us to enforce these changes,” he said. “Giving up smoking saves you money and saves your health.”

Joe Lucas, the head of retail for Ecigwizard, said his company was “incredibly happy” to support the trust’s smoke-free status. “We are keen to offer vaping as an alternative to smoking, as a means to help people cut down or quit,” he said.

Just over half (51.5%) of those vaping said it was to help them quit smoking.

However on the other side of the pod (aka, the Atlantic Ocean), the US has a very different response to vaping and it's benefits.

American children as young as second graders are reportedly vaping. This is a horrifying sign that an intervention needs to end what appears to be a juvenile obsession with electronic cigarettes, or e-cigarettes.

State Rep. Marjorie Decker (D-Mass.) is apparently determined to fight against the rapid rise in youth e-cigarette use, proposing a bill recently for a 75 percent excise tax on the wholesale price of vaping products and e-cigarettes.

House Democrats recently began investigating e-cigarette leader Juul Labs and its marketing strategies to children to young adults.

As you can see the approaches to vaping couldn't be more different even though our general economic, societal and political approaches are very similar. Why the difference? Comment below.

Vaping Versus Other Harm Reduction Devices

By Vape Contributor
on July 05, 2019

Photo by Nur Andi Ravsanjani Gusma from Pexels

There has been a lot of debate lately as vaping should be categorized as a harm reduction device ie, a better alternative to traditional cigarettes. However, within the United States this has been the approach of choice for most legislatures from local to the federal government. Does that turn a blind eye to public health?

If we clarify vaping as something that can reduce harm it would be rooted within the arena of public health and human rights. It aims to improve the lives of people who are affected by drugs or drug policies through evidence-based programming. There are numerous drug-related harms that have health, social and economic impacts for individuals and communities. The United Kingdom and the European Union largely have accepted vaping as a harm reduction device.

Some examples of other harm reduction devices/methods include; needle distribution/recovery programs that distribute sterile needles and other harm reduction supplies, recover used needles and other supplies, and provide information and containers for their safe disposal. Additionally, laws requiring motorcyclists to wear helmets as well as bicyclists are also considered harm reduction methods. Even the very seatbelts that are mandated in countries states are considered harm reduction methods in moving vehicles.

Harm reduction works to meet those with substance use disorder “where they are,” accepting that drug use is their current reality, rather than forcing treatment or abstinence. Practitioners work with these individuals to take steps that reduce the harm caused by drug use.

It's widely established within the world that traditional cigarettes are bad and cause great harm to the individual and oftentimes those surrounded by constant smoke. Although, there are no conclusive studies to date that have proved for a long period of time, as vaping is a relatively new industry, scientists haven't been able to provide to case that vaping truly is a harm reduction method. Even though, many who were long time smokers have switched to vaping and enjoy the "perceived" benefits many legislators don't buy it within the United States. This is something they'll regret later? This isn't the first time the United States has gotten public health calls wrong (the public epidemic of childhood obesity, is one thing that comes to mind).

As legislatures move forward we'll continue to see many changes within the industry. We need to continue to engage our local representatives to have our voices heard as laws continue to limit choices to customers (including an all out vaping ban in San Francisco).

Visit our website to learn more about the benefits of vaping and recent vape news.

Vaping Influencers Called Out by US FDA

By Vape Contributor
on June 15, 2019

Vaping Influencers Called Out by US FDA

A week ago, on June 7, 2019 the United States Food and Drug Administration (FDA) issued warning letters to several vaping companies for their marketing programs. They targeted primarily social influencers and their sponsored posts that did not contain mandatory warnings. The posts were on popular social media sites like Facebook, Twitter and Instagram.

The specific companies that received warnings included Solace Technologies LLC (doing business as Solace Vapor), Hype City Vapors LLC, Humble Juice Co. LLC and Artist Liquids Laboratories LLC (doing business as Artist Liquid Labs).

The FDA moved to discipline vaping companies for inappropriately promoting their products to those individuals that are underage. They determined that the e-liquid products were advertised without the proper warnings reading, “WARNING: This product contains nicotine. Nicotine is an addictive chemical,” a requirement that the FDA has enforced since August 10, 2018.

Ironically, Facebook, YouTube and most popular social media sites do not allow companies to “promote” posts or pay for paid advertising; therefore, most vaping companies rely on influencers and other tactics to reach new customers. However, with this further scrutiny vaping companies will need to take additional precautions to ensure they are following proper guidance from the FDA within the United States.

As most people have heard, the FDA is continuing to combat what they have described as an epidemic of underage vaping use. Many studies have been reported to link social media advertising to the surge of vaping among teens as many companies used paid influencers and social media posts to promote their products. Some of these studies reported that there was an 80% jump in vaping among teens last year.

Even though e-cigarettes are becoming more and more recognized for their health benefits, especially compared to traditional tobacco cigarettes there is still a lot of health experts that aren’t jumping on the bandwagon. Health experts primarily point to studies that indicate that nicotine consumed by minors impacts the development of their brains. Furthermore, many politicians and health experts claim that teenagers don’t even realize that popular vaping products contain nicotine.

Moving forward, in the industry, it’s important companies are more vigilant in controlling their advertising and marketing policies. It’s likely that you’ll end up seeing less online marketing as companies fear further complications with the FDA or even financial penalties. Some vaping companies have already cancelled their Facebook, Twitter and Instagram accounts.

California Legislation Attempting to Ban Flavored Vape Juice

By Cali Steam Blogger
on May 23, 2019

California Legislation Attempting to Ban Flavored Vape Juice

Today, May 23, 2019, the California Senate shelved a bill named SB 38, which would ban the sale of vapor and smoke-free tobacco products in flavors other than tobacco.

The California bill intends to ban flavored tobacco products, aimed at reducing the use of electronic cigarettes by minors, was shelved Thursday after the author said it had been watered down so much with exemptions that it was now opposed by public health groups.

Under intense lobbying from the tobacco industry, a Senate panel amended SB 38 against the wishes of its author to exempt hookah products and some flavors that are commonly used in cigars and pipes.

Although this legislation is currently shelved the authors of the bill intend to introduce a new bill that'll be more limited in it's scope to reduce the "epidemic" of teen vaping. So it's certainly not the last time we'll hear about legislation in the state that invented modern day vaping.

We urge our California customers to be engaged and reach out to their state representatives to have their voices heard.

You can research your local contacts on the California.gov website and call, text or email them your thoughts on vaping. Briefly, share your story about switching to vaping and be sure to note any health changes you’ve experienced.

Additionally, you can mention flavors are an important aspect of vapor products as they help former smokers disassociate nicotine consumption from inhaling smoke and the taste of tobacco. Prohibiting flavor options creates a barrier to becoming smoke free and, as a result, many adults will actually be encouraged to continue smoking instead of making the switch to a product that is estimated to be 99% less hazardous than smoking.

Lastly, you can reiterate that sales of flavored smoke-free tobacco and nicotine products should not be restricted to adult-only or specialty retailers. It is important that smokers are exposed to safer alternatives in retail environments where they normally purchase cigarettes.

India Proposing to Ban the Use of E-Cigarettes

By Sponsored Post
on May 22, 2019

India Proposing to Ban the Use of E-Cigarettes

India has one of the largest populations in the world and is filled with 100 million adult smokers. So you'd look that the country and their health officials would do anything to prevent the consumption of cigarettes, or at a minimum adopt products that limit its use.

However, India is pushing for bans and regulations of products like e-cigarettes that many other countries consider to be a great, and better, alternative to traditional cigarettes. As much as 13% of the 720,000 annual premature deaths in India are tobacco-related, that's an astonishing number of people.

In 2017, a working group of India’s ministry of health and family welfare assessed the health effects of vaping and quickly determined that Electronic Nicotine Delivery Systems (ENDS), which include e-cigarettes and heat not burn tobacco products, are carcinogenic and just as addictive as combustible cigarettes.

This contradicted nearly every thorough toxicology study conducted in the world. Many leading scientists consider ENDS to carry not more than 5% of the risk of combustible cigarettes, which is why in places like the UK, e-cigarettes are now welcomed as a solution to, rather than a form of, smoking.

In a comprehensive report, released early last year, the United States National Academies of Sciences, Engineering and Medicine explicitly states that there is conclusive evidence that e-cigarettes “reduce users’ exposure to numerous toxicants and carcinogens present in combustible tobacco cigarettes” and that “e-cigarettes result in reduced short-term adverse health outcomes in several organ systems” compared to combustible cigarettes.

Last month, the first heat-not-burn product, IQOS, was granted marketing approval by the US food and drug administration. This means it met the regulator’s rigorous standards, which includes being “appropriate for the protection of public health.”

Regulatory bodies in India that set rules for the import, sales, possession and use of tobacco and ENDS products must strike a balance between potential risks and opportunities for innovative products. This includes appropriate taxation, public use guidelines, enforcing a minimum age for sales, and individual product restriction surrounding flavour choices and nicotine concentration in tobacco or e-cigarette products.

Proper ENDS regulation will incentivise smokers to quit.
Policymakers should never lose sight of the fact that proper ENDS regulation will incentivise smokers to move away from combustible cigarettes.

Giving preferential treatment to combustible cigarettes, the most dangerous form of nicotine delivery, continues to put India’s smokers at risk of premature death, and is increasingly problematic from a legal point of view.

The World Trade Organization (WTO) forbids certain forms of trade discrimination in its General Agreement on Technical Barriers to Trade (GATT). Specifically, imported products must be treated at a par with “like” products manufactured domestically.

Based on the four major criteria set out by the WTO to determine “likeness”—physical properties, end use, consumer perception and tariff classification—ENDS can be considered as “like” combustible cigarettes. The test does not require that the two products be identical; rather, the greater the degree of similarity between the products based on the outlined criteria, the higher the likelihood that those products will be deemed “like.”

Cigarettes and ENDS share physical similarities and consumers perceive the two as performing the same end-use. From this broader perspective, the natural ENDS comparator is the combustible cigarette—the very product that e-cigarettes intend to mimic and compete with.

Now, e-cigarettes are largely imported into India, while combustible cigarettes are produced locally. Under an ENDS ban, the former will be accorded less-favourable treatment, while its domestic counterpart will be available, which creates a legal issue.

Countries with highest smoking-related deaths also rely the most on tobacco revenue. Unfortunately, countries carrying the biggest burden of smoking-related illnesses and deaths also rely the most heavily on tobacco revenue. Tobacco production and sales account for nearly 2% of tax revenue in India and employ nearly 7 million people. It should be acknowledged that imported ENDS products will cut into a revenue stream that India relies on.

However, a cynic might argue that this ill-conceived ban is in fact a nefarious scheme that would enable the government to continue reaping tax from the consumption of combustible cigarettes.

India’s health ministry has simply succumbed to a misinformation campaign that insists that ENDS are just as dangerous as their combustible counterparts. After all, when we start to see the benefits of ENDS in decreasing smoking-related diseases, will anyone be arguing for the continued preferential treatment of combustible tobacco?

US Federal Judge Strikes the Vape Industry

By Vape Contributor
on May 20, 2019

US Federal Judge Strikes the Vape Industry

E-cigarettes are under fire again as a federal judge ruled the Food and Drug Administration has been lax in reviewing the impact of nicotine delivery systems on vapers’ health, and North Carolina’s attorney general filed a lawsuit against Juul, accusing it of using “unfair and deceptive” marketing practices that has led to an “epidemic” among teenagers.

North Carolina is the first state to take legal action against Juul, which is the dominant brand in the U.S. e-cigarette market, with an estimated market share of 74%, according to Nielsen. The global e-cigarette market was worth $11.26 billion in 2018, and is projected to reach $18.16 billion by 2024, according to Mordor Intelligence.

“In the complaint made in Durham Superior Court, [DA Josh] Stein wants a judge to require Juul to: cease selling e-cigs to N.C. minors; limit the flavors sold in the state; stop advertising and marketing practices that are intended to or likely to appeal to minors; and delete all data for customers whom Juul cannot confirm are at least 18,” Richard Craver writes for the Winston-Salem Journal.

“The complaint cited data that said in 2017 nearly 17% of North Carolina high school students and more than 5% of the state’s middle school students reported that they had used an e-cigarette in the previous 30 days. It also said e-cigarette use among high school and middle school students across the nation skyrocketed by 78% and 48%, respectively, from 2017 to 2018,” Turner continues.

“Several of the state’s requests overlap with existing Food and Drug Administration policies, including prohibiting the sale of Juul and other e-cigarette products to minors. But the state’s complaint goes further: FDA guidelines restrict the sale of fruit or candy flavors in stores, allowing menthol, tobacco and mint to be sold. North Carolina’s request would bring mint off the market in that state, in addition to popular flavors like mango and cucumber,” writes Deanna Paul for the Washington Post.

But the FDA itself was under attack yesterday for what a federal judge characterized as “an abdication of its statutory responsibilities.”

Judge Paul Grimm of the U.S. district court for the district of Maryland ordered the FDA “to speed up its reviews of thousands of electronic cigarettes currently on the market, siding with public health groups that sued the agency,” reports Nathanal Weixel for The Hill.

The lawsuit was filed last year by the American Academy of Pediatrics, the Campaign for Tobacco-Free Kids and other public health groups. “They argued that the FDA's delay in regulating e-cigarette products led a spike in underage vaping,” Weixel adds.

“The FDA gained authority to regulate the products in 2016, but it has allowed thousands of products to remain on the market without formal rules or product standards. The agency says that both FDA staff and manufacturers need more time to prepare for regulation,” writes the AP’s Matthew Perrone.

“Under President Donald Trump’s FDA commissioner, Scott Gottlieb -- who departed last month -- the FDA said it would not require e-cigarette manufacturers to submit their products for review until 2022. Shortly before stepping down Gottlieb moved the deadline up to 2021,” he adds.

“In a meeting w/Acting FDA Commish Sharpless yesterday it became clear he has no intention of taking legal action he’s empowered to take to protect children from the addiction of e-cigarettes. No action would be taken to ban kid-friendly vaping flavors during this President’s term,” Illinois Sen. Dick Durbin, who is the Democratic whip, tweeted yesterday morning before the decision was handed down.

Meanwhile, Juul yesterday filed a notice with the San Francisco Department of Elections “indicating that it intends to collect signatures for a ballot initiative that aims to impose additional restrictions on online and brick-and-mortar e-cigarette retailers,” Catherine Ho reports for the San Francisco Examiner.

"Say what?” you may be saying.

“It might seem strange that an e-cigarette maker would seek restrictions on the use of its product. But tobacco policy experts say it would render other existing or planned city restrictions on tobacco -- like the flavored-tobacco ban and the pending legislation to ban the sale of e-cigarettes -- unenforceable,” Ho explains.

So the uncertainty of the future of the vape industry will continue as further cases undoubtedly will be brought to trial.

Is vaping like riding a bicycle with a helmet?

By Vape Contributor
on May 08, 2019

Is vaping like riding a bicycle with a helmet?

The impact of smoking on health is huge, obviously. Half of all lifelong smokers die early because of the habit basically losing 3 months of life expectancy for every year they smoke after the age of 35. Also, most would agree the habit is both physically and psychologically addictive. Vaping has now come along and tries to help people quit smoking; however, the jury might still be out, but Public Health England claims that vaping may be contributing to at least 20,000 smokers quitting every year.

Vaping clearly has its critics (Google vaping news and you’ll 90% of the critics). Medical professionals seem reluctant to encourage smokers to make the switch to vaping despite research from the likes of Cardiff University who showed that vaping does not act as a gateway back to tobacco, nor does it normalize smoking among youth. Similarly, the Royal College of Physicians actually announced these findings back in 2016, and now, Embarrassing Bodies' Doctor Christian Jessen has put his name to a campaign calling on fellow doctors to heed this advice and support their patients to switch from smoking to vaping (what a great idea).

There is a growing list of evidence which shows vaping can reduce smoking related harm and yet despite that, more than half of hospitals across Europe ban vaping on their grounds and the majority US hospitals ban it completely. It’s time we were consistent and gave clear advice to smokers to help combat the misinformation they are all too often bombarded with, about vaping.

A study commissioned by the UK Vaping Industry Association, and the widest to date into the health, financial and social benefits of vaping, found that vapers make an average saving of £346 a year compared to when they were smoking, which could equate to an annual nationwide saving of almost £1.1bn. Plus, the long term impact of vaping might be unknown, but is "likely to be very small, and is substantially smaller than that the implications of smoking," according to the RCP. In fact, the available data suggest the risks are unlikely to exceed 5% compared to the risks of smoking cigarettes and the actual figure may even be lower.

Vaping has already proven itself as a great way for people to quit smoking and for that reason alone we should encourage the habit. We all recognize that this doesn’t help the addition to nicotine but let’s try to reduce the risks that come with traditional cigarettes. This is very similar to our love for riding bicycles that we’d never say is harmful to us but we’d always encourage riders to wear a bicycle helmet to reduce the risk of injury. In similar fashion, we’d encourage smokers to vape to reduce the risks of smoking traditional cigarettes.

US Bipartisan Bill to Increase Tobacco Sales to 21 and Restrict Online Sales

By Cali Steam Blogger
on April 19, 2019

US Bipartisan Bill to Increase Tobacco Sales to 21 and Restrict Online Sales

In the United States House of Representatives has introduced a new bipartisan bill that would set the national age to purchase tobacco and vapes products to 21 years of age. The bill would also address how tobacco products are purchased over the internet.

The bill was introduced by Alabama Republican Representative Robert Aderholt and is called the Stopping Consumption of Tobacco by Teens Act or SCOTT Act for short. The bill is a tribute to outgoing FDA Commissioner Scott Gottlieb who amplified the teenage vaping crisis to epidemic levels.

Representative Aderholt said, “this is bipartisan legislation that builds upon the work that FDA Commissioner Scott Gottlieb, has done towards stemming the tide of youth adoption of vaping products over the past few years...The fight to curb this epidemic will not end with his departure, as proven by this first step in taking tobacco out of the ready reach of underage children.”

The SCOTT Act is also known as HR 2084 and is co-sponsored by California Democrat Juan Vargas proving that anti-vaping initiatives are popular on both sides of the aisle. A bipartisan Senate bill to ban flavored vaping products, excluding tobacco, was introduced last month.

In addition to banning sales of all tobacco and vaping products to people under 21, the SCOTT Act requires online sellers of vaping products to verify a buyer’s personal information through a third-party database (which most online vape retailers, including ourselves here at Cali Steam already do). However, it would also requires a signature on delivery by an adult 21 or older. This would increase shipping cost by at least $2 per package that we oppose here at Cali Steam. Many of our customers already complain about shipping costs and we try to cover shipping costs on larger orders but the added cost would fall back on our customers.

Supporters of HR 2084 believe the laws will prevent 18-year-old high school students from buying and distributing tobacco and vaping products to underage classmates, although similar legislation to make alcohol sales illegal to under-21’s has not eliminated youth drinking. We do not believe this bill will help improve the underage vaping problems as many states already ban sales to minors under the age of 21.

We encourage our customers to reach out to their local representatives to encourage them to vote no the SCOTT Act. For doing that you can use the coupon code “VOTENO” to get 20% off your entire online order at calisteam.com.

Public Perception of Vaping as the FDA Investigates Seizures

By Sponsored Post
on April 13, 2019

Public Perception of Vaping as the FDA Investigates Seizures

Most vaping customers have recognized for awhile now that the media doesn’t necessarily spotlight the industry in a positive light. As if the press among new vaping laws hasn’t gotten the general public concerned of it’s benefits the most recent developments about seizures most certainly will. The US Food and Drug Administration is alerting the public to a potential new risk of having a seizure and asking the public to report any instances to the agency.

To date from 2010 to early 2019 the FDA has identified 35 cases of seizures, particularly among younger customers. The agency also mentioned that they have seen a slight increase of reported causes since the middle of last year. It’s always interesting to understand their foregone conclusion that there has been a slight increase when over the last 9 years there have only been 35 reported cases.

Furthermore, the FDA mentioned that it has not been able to determine a definitive link between vaping and seizures but are still asking the general public to bring forth additional information to help them investigate.

Seizures are known to be a possible side effect of nicotine poisoning, the FDA said. "We know that nicotine isn't a harmless substance, especially in the developing brains of our youth," FDA Commissioner Dr. Scott Gottlieb and Principal Deputy Commissioner Dr. Amy Abernethy said in the statement. "But we've also been clear that, even for adults, e-cigarettes are not risk free."

There is no clear pattern to the seizures: Some who had seizures were vaping for the first time, and some had been using these products for a while. The timing of seizures also ranged from after a few puffs on an e-cigarette to a full day later. Several people had previously received a seizure diagnosis, and a few had also been using other drugs, like marijuana or amphetamines, before the seizures occurred.

The FDA is looking into additional possible health risks when it comes to vaping, including whether they may cause cancer in the airways down the line, according to the statement.

The announcement comes as use of the products is skyrocketing among youth. The FDA revealed in November that vaping has increased nearly 80% among high schoolers and 50% among middle schoolers since the year before. Experts worry that e-cigarettes could put kids' developing brains at risk, get them hooked on nicotine early in life and be a gateway to smoking and other drugs.

The agency has made a number of other moves in recent months to counter vaping among kids, including warning and fining retailers for illegally selling e-cig products to kids. The agency has also expanded its investigation into e-cigarette companies in an effort to uncover whether they are marketing products illegally and outside the agency's compliance policy.

In January, the agency held a public hearing to consider the role of drug therapies to get kids to quit vapes and other nicotine products, with medical organizations and vaping groups weighing in on how to address rising levels of e-cigarette use among youth.

Even though most smokers will say vaping has been a blessing in their lives the media will continue to focus on its adverse effects. We’ll continue to hear more from the FDA within the United States as they provide additional guidance to manufacturers and retailers on the usage of e-cigarettes.

Massachusetts Attorney General Pivots to Vaping for Tax Revenue and Support

By Cali Steam Blogger
on April 11, 2019

Massachusetts Attorney General Pivots to Vaping for Tax Revenue and Support

The Attorney General of Massachusetts, Maura Healey, joined the growing number of elected officials to call for taxing e-cigarettes and banning flavored vaping products on Wednesday, the same day House leaders said they needed more time to consider whether to tax electronic smoking products or take additional steps to curb vaping by teenagers.

Healey, in a speech to business leaders at Bank of America in Boston, said her efforts to go after vaping companies for marketing and selling nicotine products to minors can only accomplish so much to curb youth smoking.

Healey's speech to the New England Council came hours before House leaders unveiled a annual budget plan that did not include Gov. Charlie Baker's proposal to raise $6 million in new revenues by taxing e-cigarettes and applying a 40 percent excise tax on wholesale vapor products.

Healey has moved aggressively over the past year to crack down on the marketing of electronic vaping products to minors, launching an investigation last summer of Juul, the largest vaping company in the country, to determine whether it intentionally markets to minors and whether it tracks underage use of its products.

The attorney general has also sent cease-and-desist letters to online e-cigarette retailers like the California-based Kilo E-Liquids that state investigators determined to be selling products into Massachusetts without verifying the ages of buyers.

Users of nicotine and tobacco products must be 21 year old to purchase in Massachusetts.

"Just because something is legal for adults doesn't means that it's safe and that's part of the message we have to really drive home here," Healey told business leaders on Wednesday. "Nicotine and these products are highly addictive and they're not good for developing lungs, minds and brains."

Healey said she's heard from superintendents, teachers, parents and students about the pervasiveness of vaping in schools. One student, she said, told her about receiving a pop-up ad on her phone for vaping products while using an app designed to help her with algebra homework.

The push to tax electronic cigarettes and ban flavored vaping products has appeared to gain momentum on Beacon Hill this year after the Legislature last session passed the law raising the statewide age to purchase tobacco and nicotine products to 21.

"There is no excise tax on e-cigarettes and it doesn't make sense that we don't treat it the same way as cigarettes, cigars and other tobacco products," Decker said.

So call for all vaping customers in Massachusetts is to have your voices heard. Reach out to your local representatives and express your feelings for vaping and it's positive impact on your health and life.

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