Science, Regulation and Public Health

Smoking is the biggest single cause of preventable death in the developed world with almost 1 billion users worldwide. The devastating effect of long-term smoking cannot be underestimated, with approximately half of all lifetime smokers dying from smoking related diseases and many more suffering a compromised quality of life.  Despite decades of successful tobacco control efforts, we are still a long way from ending the smoking epidemic. The emergence of e-cigarettes has created one of the most controversial and contentious public health issues of a generation, with divisions appearing within longstanding professional alliances in both Tobacco Control and Public Health communities, despite a continued shared goal of protecting public health and ending the smoking epidemic.

The E-Cigarette Summit provides a  neutral platform to explore the available peer reviewed evidence and debate the issues that are dividing scientists, health professionals and policy makers alike. So, are-cigarettes a valuable harm reduction strategy or a tacit U-turn on decades of effective tobacco control efforts? Whichever side of the debate you fall on, this is likely to be one of the most significant public health issues for a generation.


The last 18 months have again seen momentous change in the US tobacco control and legal and regulatory landscape. The tragic EVALI outbreak, which in the minds of many still appears to have been related to nicotine-containing e-cigarettes triggered a wave of hostile government action and tobacco control activism directed at the e-cigarette industry. The EVALI crisis developed concurrently with the release of the 2019 NYTS data, which reflected another dramatic rise in past 30-day e-cigarette use by both high school and middle school youth. Both events appeared to play a role in the former president Trump September 2019 announcement of a decision to remove all flavored e-cigarette products from the marketplace. Though that announcement was partially moderated in FDA’s early 2020 guidance that directed the removal of flavored “cartridge based” products only, there is increased uncertainty around the future of flavored e-cigarettes in the U.S. Now, all U.S. e-cigarette products have been required to enter the premarket tobacco product application (PMTA) process with the FDA – a process that could lead to the removal from the market of a significant number of current products, while potentially answering critical questions regarding product safety and the role of flavors for those products that are able to successfully obtain a PMTA.

As we look ahead to the next 12 months, it remains to be seen how the long-awaited PMTA deadline will impact the potential of tobacco harm reduction (THR). Critical questions include whether FDA product review will provide a measure of stability of this brand new category and whether it will improve the tenor of the U.S. tobacco control conversation. This year’s E-Cigarette Summit USA comes on the eve of a historical transition for the US e-cigarette industry and under the shadow of the Covid pandemic – where socio economic health disparities have been bought in to sharp focus.  As always, the Summit looks to provide an evidence based environment that encourages open and respectful dialogue on the key science and current public health topics, with a single aim of reducing smoking related death and disease.


Prof Thomas J. Glynn, PhD

Adjunct Lecturer

Stanford Prevention Research Centre, Stanford University School of Medicine

Benjamin Apelberg, Ph.D

Deputy Director for Regulatory Science in the Office of Science

FDA’s Center for Tobacco Products (CTP)

Deborah Arnott

Chief Executive

Action on Smoking and Health (UK)

Clive Bates


Counterfactual Consulting Ltd

Prof Neal L. Benowitz MD

Professor of Medicine Emeritus (Active)

University of California, San Franciso

Prof Matthew Carpenter

Professor & Co-leader of the Cancer Control Program of the Hollings Cancer Center

Department of Psychiatry and Behavioral Sciences at the Medical University of South Carolina

Alex Clark

Chief Executive Officer


Kathleen Crosby

Director, Office of Health Communication & Education

FDA Center for Tobacco Products

Cliff Douglas, JD

Director, Tobacco Research Network, Adjunct Professor, Department of Health Management and Policy

School of Public Health, University of Michigan

Prof Jonathan Foulds

Professor Department of Public Health Sciences Division of Health Services and Behavioral Research

Penn State Center for Research on Tobacco and Health

Associate Prof Abigail Friedman

Associate Professor

Dept of Health Policy & Management, Yale School of Public Health

Prof Maciej L. Goniewicz

Professor of Oncology, Department of Health Behavior, Division of Cancer Prevention and Population Studies,

Roswell Park Comprehensive Cancer Center

Prof Peter Hajek

Professor of Clinical Psychology & Director of the Tobacco Dependence Research Unit

Wolfson Institute of Public Health, Queen Mary University of London

Dr Jamie Hartmann-Boyce

Associate Professor and Editor, Cochrane Tobacco Addiction Group

Nuffield Department of Primary Care Health Sciences, University of Oxford

Andy Hyland

Chair, Department of Health Behavior

Roswell Park Comprehensive Cancer Center

Dr. Sonia Johnson

Director General of the Tobacco Control Directorate

Health Canada

Dr Brian King

Director, Center for Tobacco Products (CTP)

Food and Drug Administration (FDA)

Prof David Levy

Professor of Oncology

Lombardl Comprehensive Cancer Center, Georgetown University

Professor Ann McNeill

Professor of Tobacco Addiction

Institute of Psychiatry, Psychology & Neuroscience,, Kings College London

Prof Robin Mermelstein

Distinguished Professor of Psychology and IHRP Director

University of Illinois, Chicago

Tim Phillips

Managing Director


Dr Ray Niaura

Professor of Social & Behavioural Health & Co-Director of the Tobacco Research Lab

School of Global Public Health, New York University

Dr. Nancy A. Rigotti, MD

Professor of Medicine, Harvard Medical School

Director, Tobacco Research & Treatment Center, Massachusetts General Hospital, Boston

Prof Kenneth Warner

Professor Emeritus and Dean Emeritus

School of Public Health, University of Michigan

Ben Youdan


Youdan Consulting - New Zealand

Mitch Zeller J.D

Director (Retired) Center for Tobacco Products (CTP)

The Food & Drug Administration (FDA)

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