Imperial Valley Press

Mixed messaging

Joe Camel was forced out of ads, so why is Juul allowed on TV?

- Kaiser Health News BY MICHELLE ANDREWS

Why does e-cigarette maker Juul advertise its product on TV when cigarette ads are banned? The short answer: Because it can.

For nearly 50 years, cigarette advertisin­g has been banned from TV and radio. But electronic cigarettes — those battery-operated devices that often resemble oversized USB drives with flavored nicotine “pods” that clip in on the end — aren’t addressed in the law.

Since launching its product in 2015, Juul Labs, based in San Francisco, has taken the e-cigarette market by storm and now accounts for roughly 75% of e-cigarette sales at convenienc­e stores and mass retail outlets. Until recently, TV ads haven’t played a role in Juul’s marketing, which relied primarily on social media.

But this year, the company launched a $10 million TV advertisin­g campaign, “Make the Switch,” that it said was aimed at helping adults find a healthier alternativ­e to smoking cigarettes. The campaign also features print and radio ads.

Many public health advocates are skeptical of the company’s repeated assertions that adult smokers are its target audience. When

the company launched its sleek e-cigarette four years ago, it relied on social media outlets such as Facebook, Instagram and Twitter to promote its product in ads that, especially at the beginning, featured playful, partying 20-somethings.

As the product caught on, young people helped spread the word to other young people using hashtags like #juul. Social media influencer­s who posted content praising Juul amplified the message.

“There’s overwhelmi­ng evidence that the behavior of Juul contribute­d to the product being sold to youth,” said Dr. Robert Jackler, a professor and the principal investigat­or at Stanford Research Into the Impact of Tobacco Advertisin­g at the university’s medical school.

Juul said it is not targeting children and teens and supports efforts to limit tobacco products to people under age 21.

“We recognize that youth use of vapor products is a problem that requires an effective and appropriat­e response from industry and regulatory bodies,” said Ted Kwong, a Juul Labs spokesman. “We strongly support restrictio­ns on social media marketing of vapor products.”

Are they safer?

E-cigarettes, also called vapes, were introduced in the United States in the mid-2000s. Some early versions resembled actual cigarettes. Juul’s product can be plugged into a USB port to recharge and fits inconspicu­ously into the palm, often frustratin­g parents and teachers seeking to stop teens from using it.

E-cigarettes don’t produce tar, in which most of the cancer-causing and other harmful chemicals from tobacco smoke are found. But both products contain nicotine, which is highly addictive and can harm the developing brains of adolescent­s.

In addition, the vapor that people inhale when the liquid nicotine in e-cigarettes is heated may contain cancer-causing chemicals, heavy metals and other dangerous substances.

Neverthele­ss, e-cigarettes are often touted as a healthier alternativ­e to cigarette smoking, and that’s the premise of Juul’s “Make the Switch” campaign. The testimonia­l ads feature adults describing the positive changes in their lives after they gave up smoking cigarettes to use Juul.

“We want adult smokers to hear directly from former adult smokers that Juul Labs provides a true alternativ­e to combustibl­e cigarettes and is showing unpreceden­ted success, with studies showing 40 to 56 percent of adult smokers fully switching within 90 days of use,” said Kwong.

Current law

Although adolescent­s may be more likely to see ads in social media than traditiona­l broadcast and print ads, the Juul TV ads probably have an impact on them, said Bonnie Halpern-Felsher, a professor of pediatrics at Stanford University School of Medicine who developed a tobacco prevention toolkit for teachers.

“When you say that a product is for an adult, the message is not ‘Don’t use,’ it’s ‘Use these products and you’ll appear to be adult or mature,’” Halpern-Felsher said.

Anti-smoking advocates would like to see the same marketing limits applied to e-cigarettes that apply to so-called combustibl­e cigarettes, including banning them from advertisin­g on TV and radio.

They would also like to see the changes that were put in place under the Master Settlement Agreement in 1998 between the largest cigarette manufactur­ers and the attorneys general of 46 states applied to e-cigarettes. The states had sued the cigarette makers to recover their costs for treating sick and dying smokers. Among other things, the agreement banned most transit and billboard advertisin­g of cigarettes, branded merchandis­e, free product samples and sponsorshi­ps of events, such as concerts and sporting events.

E-cigarette makers, such as Juul, have used some of those advertisin­g methods over the years.

“When you say that a product is for an adult, the message is not ‘Don’t use,’ it’s ‘Use these products and you’ll appear to be adult or mature.’ ” Bonnie Halpern-Felsher, Stanford University School of Medicine

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