Stanton Glantz

Secondhand smoke pioneer Jim Repace died in April 2026 I only recently learned that Jim Repace, who laid the scientific foundation establishing that secondhand tobacco smoke exposure was widespread and serious starting in the 1970s and published the first estimate of the number of lung cancer…

Pediatrics publishes 2025 NYTS results that highlight problems with FDA’s permissive policy toward e-cigarettes and nicotine pouches Pediatrics just published the final version of my paper "Tobacco Use Among Middle and High School Students: 2025 National Youth Tobacco Survey." They key…

UCSF Makes Internal Firearm Industry Documents Public In 1994 when I worked with the UCSF Library to put the original collection of about 10,000 pages of internal documents from the Brown and Williamson Tobacco company on the internet, I had no idea that the project would grow not only to the…

A new FDA policy allows e-cigarettes and nicotine pouches to be sold without the scientific review and marketing authorization required by law, threatening our hard-won progress reducing youth tobacco use.

Some Thai e-cig use despite ban on imports and sales Roengrudee Patanavanich, her Thai colleagues, and I just published "Patterns of e-cigarette use by sex and age in Thailand: The National Health Examination Survey 2024–2025" that provides detailed statistics on cigarette and e-cigarette use in…

Big Tobacco promotes e-cigarettes, undermines health protections through U.S. business groups worldwide usrtk.org/healthwire/b...

Actually daily and near-daily use is increasing. The data are in our new analysis of the 2025 NYTS profglantz.com/2026/06/30/2...

2025 National Youth Tobacco Survey highlights problems with FDA's permissive policy toward e-cigarettes and nicotine pouches

Comprehensive smoke-free laws reduce cardiovascular deaths In 2004, when Richard Sargent, Robert Shepard and I published "Reduced incidence of admissions for myocardial infarction associated with public smoking ban: before and after study" reporting that hospital admissions for heart attacks…

Use this new guide to jump in to previously secret Juul documents; you'll surprise yourself with what you find!

Switching from cigs to ecigs does not significantly reduce lung cancer risk Yeon Wook Kim and colleagues' new paper "Electronic cigarette use after smokingcessation and lung cancer risk" shows that smokers who switch to e-cigarettes have about a 50% higher risk of developing lung cancer and about…

If you look at what I have written over the years you will see that my views have changed as the evidence has accumulated. I don’t think you or the other ecig advocates can say the same thing. Your arguments have been set in amber for the last 15-20 years or so.

The problem with this paper, like all similar papers, is that it ignores all the evidence that e-cigarettes are associated with disease approaching or indistinguishable from cigs. It also minimizes effects on kids. Our new paper explicitly engages and debunks all their arguments. rdcu.be/fmV1O

Our recent paper "E-cigarettes increase harm and should be discouraged" is now available for free here: www.nature.com/articles/s41...

We support FDA expanding HPHC list and suggest adding more flavoring agents (public comment) On April; 26, 2026, FDA announced that it added 18 compounds to its "Harmful and Potentially Harmful Constituents" (HPHC) list to assess toxicity of tobacco products. This was the first update of the list…

We support California’s updated”Unflavored Tobacco List” and suggest some improvements The California Attorney Genera maintains an official "unflavored tobacco product list" to facilitate implementation and enforcement of the state's flavored tobacco product ban. The AG proposed "readopting" an…

E-cigarettes increase harm and should be discouraged (new paper) Pam Ling and I recently published "E-cigarettes increase harm and should be discouraged" in Nature Human Behavior that summarizes the current evidence on e-cigarettes. The Introduction sums up the paper: Ever since they were…

Yep, Trump's Chinese visit was a great Triumph. How Chinese media reported it

FDA should drop its draft guidance to allow some sales of flavored e-cigs because it fails to demonstrate that harm to youth outweighs theoretical benefits to adults My colleagues and I just submitted this public comment to FDA opposing its proposal to allow sales of flavored e-cigarettes and…

A full recording of this year's It's About a Billion Lives symposium is now available on the CTCRE website. Thank you to our co-hosts, speakers, scholars, and all who attended. Access the symposium recording here: ucsf.app.box.com/file/2221952...

I surprised Michael Smerconsih when he interviewed me about UK generational smoking ban On April 23, 2026, Michael Smerconsih interviewed me about the UK Generational Smoking ban. I surprised him by arguing that generational smoking bans are bad public policy because they divert resources from…

Need help searching the archive? Puzzled by Boolean search terms? Join our virtual office hour! Ask IDL archivists your burning questions about using the archive search and research tools. Monday, May 4, 1 - 2 p.m. PDT Zoom live Q&A, not recorded tiny.ucsf.edu/c8JXyw for registration & accessibility

Local flavor bans followed by big drops in youth e-cig use The evidence that comprehensive flavor bans are followed by drops in tobacco consumption keeps piling up. A new study by Giovanni Appolon, and colleagues, Local Flavored Tobacco Bans and Youth Electronic Nicotine Delivery Systems Use, of…

Should be unthinkable - but sadly, it doesn't seem to be now

MAHA claims that nicotine is good for you echo decades of tobacco industry propaganda The New York Times recently highlighted how many "Make America Healthy Again" influencers are promoting the benefits of nicotine, including reversing Alzheimer's Disease and improving cognition. While we don't…

FDA adds 18 chemicals to list of harmful constituents in tobacco products, including propelyene glycol and vegetable glycerine The FDA is required to maintain a list of "Harmful and Potentially Harmful Constituents" (HPHC) in tobacco products. The original list was released in 2012 and was mostly…

Evidence that ecigs are a gateway to smoking and promote relapse in former smokers keeps piling up Jagdish Kaur from WHO and several colleagues from India's new paper "E-cigarette use and subsequent tobacco smoking initiation: an umbrella review with Bayesian model meta-analysis" provides the most…

Nicotine pouches maintain the nicotine market for tobacco companies Nicotine pouches (like ZYN and on!) are being touted by some advocates as a "harm reduction" alternative to smoking cigarettes. Kelvin Choi and colleagues examined whether this happens in real life in their new paper "Patterns of…

Can everyone just say loudly and often that President Trump has achieved the most amazing victories in the history of the world, giving him the justification to bring US forces home. Of course, we can tell him the truth later.

Latest News: ENDS use is significantly associated with increased risk of tobacco smoking initiation among non-smokers, particularly adolescents, supporting the gateway hypothesis. https://bit.ly/4rXIn3X

Few of the SMC “experts” work in cancer and none of the ones who do do the kind of mechanistic research the paper is about.

I link to the SMC criticisms (from ecig advocates in England) in my post and note that most are generic with no specific engagement with the specifics of the cancer paper. Few of the "experts" are cancer researchers and none do the kind of mechanistic studies the paper bases its conclusions on.

The cigarette smoking rate among U.S. adults fell to a historic low of 9.9% in 2024, down sharply from a high of 42.4% in 1965. Vox calls it “the most successful health campaign in modern history.” But this battle is far from over.

Broad evidence implicates e-cigarettes as a cause of cancer Bernard Stewart and colleagues from Australia just published "The carcinogenicity of e-cigarettes: a qualitative risk assessment" in Carcinogenesis. This review (summary) of the literature cites 116 papers, 15 of which were published in…

FDA releases 2025 NYTS data without any analysis; Altria and Rutgers (separately) provide summary results In April 2025, the Trump Administration shuttered the CDC Office on Smoking and Health and stopped collecting data for the 2025 National Youth Tobacco Survey. Later, the Administration…

California’s “Unflavored Tobacco List” will improve compliance with and enforcement of flavored tobacco ban Last year California passed AB 3218 to tighten up and simplify compliance with and enforcement of California's ban on the sale of flavored tobacco products. Part of this was to have the…

What the data actually shows is that, accounting for dual use, e-cigs are about as dangerous or more dangerous than cigarettes. See profglantz.com/2026/02/18/e...

She works for Pinney Associates who works for Juul.

I did read it. That’s how I knew she didn’t address the fact that e-cigarettes are associated with increased risks in never smokers. (All these critics make essentially the same arguments, all of which are anticipated and addressed in the papers. They ignore that, too.)

His critique, like all the others, ignores the fact that there are associations between ecig use and disease in NEVER smokers.

Paper Alert! Using the Truth Tobacco Industry Documents, authors investigate the role of trade associations in managing conflict between the US cigarette and smokeless tobacco industries. #TobaccoControl #PublicHealth #archives tobaccocontrol.bmj.com/content/earl...

1/New study in #JAMAHealthForum, led by Kaiser Permanente & co-authored by researchers at @publichealthinst.bsky.social, UCSF, & USC finds past-year #cannabis use during adolescence is associated with a significantly higher risk of incident psychotic, bipolar, depressive & anxiety disorders.

These statements are outdated. Both are based on biomarkers not direct measures of disease outcomes. As we note in our new paper, most of the disease data are relatively new. It is important to base decisions on all currently available evidence.

E-cigarettes are nearly as risky as cigarettes; dual use is worse: The evidence continues to pile up Using e-cigarettes (vaping) has been promoted as a much safer alternative to smoking cigarettes. However, a new head-to-head comparison of actual disease in e-cigarette users compared to cigarette…

What the BAT chief scientist had to say about causality half a century ago E-cigarette advocates, global warming deniers and social media companies continue to sidestep the implications of research showing dangers of their products by, among other things, retreating behind the high walls of claims…

DOJ spying on Congress’ viewing of Epstein files echos tobacco company spying on researchers On February 9, 2026, as required by Epstein Files Transparency Act, the Department of Justice gave members of Congress access to the unredacted Epstein files, but just made four computer terminals at…

Spinola et al support Brazil’s e-cigarette ban while defending implementation criticism Shortly before the 11th WHO Framework Convention On Tobacco Control Conference of the Parties in November 2025, Vitoria Borges Spinola, Lucas Porto Santos, Hamilton Roschel, Bruno Gualano, and Megan E. Roberts…

Based on our experience managing the UCSF Industry Documents Library, DOJ should have been able to easily release properly redacted Epstein files by December 19, 2025 The issue of redactions – both redacting names of victims and not redacting participants in Jeffery Epstein’s “social circle” --…

I just wrote a @theactionnetwork.bsky.social letter: Protect $40 million in street safety capital funding. Write one here: actionnetwork.org/letters/prot...

Congress revives CDC Office on Smoking and Health Last year the Trump Administration eliminated the CDC Office on Smoking and Health and fired the FDA Center for Tobacco Products leadership, paving the way for FDA to even more closely embrace the tobacco industry’s “harm reduction” marketing…