The Mercury News

Juul shakeup as mystery illness taints vaping industry.

Recent outbreak of lung illnesses and deaths have escalated effort to curb underage vaping

- By Matthew Perrone and Michelle Chapman

The nation’s largest e-cigarette maker will stop advertisin­g its devices in the U.S. and replace its chief executive as mysterious breathing illnesses and an explosion in teen vaping have triggered efforts to crack down on the largely unregulate­d industry.

Juul Labs, based in San Francisco, and other e-cigarette makers are fighting to survive as they face backlash from two public health debacles. Federal and state officials have seized on the recent outbreak of lung illnesses — including nine reported deaths — to push through restrictio­ns designed to curb underage vaping.

No major e-cigarette brand has been tied to the ailments, including Juul, which said it won’t fight a Trump administra­tion proposal for a sweeping ban on e-cigarette flavors that can appeal to teens.

Governors in Michigan and New York moved to outlaw vaping flavors this month, while Massachuse­tts said Tuesday that it will ban all vaping products for four months, the first such step in the country.

“I think this rush to judgment is extraordin­ary, and we might be looking at the demise of vaping,” said Kenneth Warner, professor emeritus at University of Michigan’s school of public health.

Warner and some other experts believe vaping has the potential to dramatical­ly reduce the deadly toll of traditiona­l cigarettes among adult smokers. But he said Juul made “enormous mistakes” in its early advertisin­g campaigns, which featured young models, bright colors and youth-oriented catchphras­es.

E-cigarettes have been largely unregulate­d since arriving in the U.S. in 2007. The Food and Drug Administra­tion has set next May as a deadline for manufac

turers to submit their products for review.

Exempt from restrictio­ns on traditiona­l tobacco marketing, Juul until now has advertised its e-cigarettes in print, TV, radio and online. It’s also replacing its CEO with a senior executive from Altria, the maker of Marlboro cigarettes that paid $13 billion for a 35% stake in Juul in December.

The new chief, K.C. Crosthwait­e, said in a statement that Juul has long focused on providing adult smokers with alternativ­es

but recognized that there’s “unacceptab­le levels of youth usage and eroding public confidence in our industry.”

Health experts generally consider e-cigarettes less harmful than traditiona­l cigarettes because they don’t contain all the cancer-causing byproducts of burning tobacco. But there’s virtually no long-term research on the health effects of the vapor produced when e-cigarettes heat a liquid with nicotine.

Health officials are investigat­ing hundreds of recent cases of the lung illness. Many patients said they vaped THC, marijuana’s intoxicati­ng chemical,

with bootleg devices, but officials have not yet implicated any common product or ingredient.

Meanwhile, underage vaping has reached epidemic levels, health officials say. In a government survey, more than 1 in 4 high school students reported using e-cigarettes in the previous month despite federal law banning sales to those under 18.

Former FDA commission­er, Dr. Scott Gottlieb, cautioned that the illnesses and teen vaping are separate problems that will likely require unique solutions.

“I think conflating the two is risky because it

might force us down the wrong path,” said Gottlieb, who stepped down in April.

He said banning legal ecigarette­s could push users toward riskier, illicit vapes.

Vaping opponents met Juul’s changes with skepticism.

“Juul’s announceme­nt today is aimed at repairing its image and protecting its profits, not at solving this crisis,” said Matthew Myers, president of the Campaign for Tobacco-Free Kids. “Policymake­rs must stand up to Juul and protect our kids by banning flavored e-cigarettes.”

Juul devices went on sale in 2015, and the company quickly propelled itself

to the top of the market with a combinatio­n of high-nicotine pods, dessert and fruit flavors, and viral marketing. The San Francisco company now controls roughly 70% of the U.S. e-cigarette market.

In the last year, Juul tried to reposition itself as a brand for middle-age smokers looking to wean themselves off cigarettes. But the FDA warned the company this month that its product hasn’t yet been approved to help smokers quit.

Juul has tried to head off a crackdown with a series of voluntary steps, including halting retail sales of several flavors and shutting down its social media

presence. But political pressure has only increased.

The company faces multiple investigat­ions from Congress, several federal agencies and state attorneys general. President Donald Trump said this month that the government will move to ban thousands of flavors.

“We must strive to work with regulators, policymake­rs and other stakeholde­rs, and earn the trust of the societies in which we operate,” Crosthwait­e said in a statement.

He was chief growth officer for tobacco giant Altria and replaces Juul’s CEO, Kevin Burns.

 ??  ??
 ?? SETH WENIG — THE ASSOCIATED PRESS ARCHIVES ?? Philip Morris and Altria have ended merger talks, and JUUL’s CEO is stepping down from the top post as criticism over vaping continues to intensify. E-cigarettes have been largely unregulate­d since arriving in the U.S. in 2007.
SETH WENIG — THE ASSOCIATED PRESS ARCHIVES Philip Morris and Altria have ended merger talks, and JUUL’s CEO is stepping down from the top post as criticism over vaping continues to intensify. E-cigarettes have been largely unregulate­d since arriving in the U.S. in 2007.
 ?? CRAIG MITCHELLDY­ER — THE ASSOCIATED PRESS ?? No major e-cigarette brand has been tied to recent illnesses that have killed several people and left others hospitaliz­ed with severe breathing problems. But e-cigarette makers are fighting to survive after backlash from the public health debacles.
CRAIG MITCHELLDY­ER — THE ASSOCIATED PRESS No major e-cigarette brand has been tied to recent illnesses that have killed several people and left others hospitaliz­ed with severe breathing problems. But e-cigarette makers are fighting to survive after backlash from the public health debacles.

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