E-cigarettes put people at risk of lung and heart disease, and may cause cancer. The industry has used legal loopholes to get a new generation addicted. Just as cigarettes were once seen as trendy and cool, the industry has marketed vaping as healthier and cool, which is attracting young people and misleading adults to believe they are a healthy alternative to cigarettes. Research just published shows e-cigarettes are unlikely to help you quit. Smokers who don’t use e-cigarettes are more than twice as likely to quit smoking than those who use e-cigarettes [1]  The health insurance industry including Discovery Life, BrightRock, Liberty, Standard Bank Insurance and brokerage Insurance Busters, have stated all customers who have life cover, and who declare that they use e-cigarettes, will be treated the same as cigarette smokers [2]. A WHO report (2016) recommended that e-cigarettes be banned in indoor areas or where smoking is prohibited. This is because of the potential for non-users to be exposed to chemicals and e-cigarette aerosol in indoor areas. This exposure has the potential to harm the health of non-users. The use of e-cigarettes has been linked to an increase in heart rate and high blood pressure, and the nicotine in e-cigarettes can cause a stiffening of the arteries, all of which can cause increased risk to heart health, including increasing the risk of heart attacks. E-cigarette use has also been linked to certain lung diseases such as COPD and cystic fibrosis (UNC School of Medicine, 2017). Researchers at the University of Connecticut found that e-cigarettes loaded with a nicotine-based liquid are potentially as harmful as unfiltered cigarettes when it comes to causing DNA damage (2017). The researchers also found that vapor from non-nicotine e-cigarettes caused as much DNA damage as filtered cigarettes, possibly due to the many chemical additives present in e-cigarette vapors. Cellular mutations caused by DNA damage can lead to cancer. The US Surgeon General’s Report (2016) reported that nicotine exposure during adolescence can cause addiction and can harm the developing adolescent brain. It noted further that nicotine can cross the placenta and has known effects on fetal and postnatal development. Therefore, nicotine delivered by e-cigarettes during pregnancy can result in multiple adverse consequences, including sudden infant death syndrome. [1] https://www.wsj.com/articles/vaping-doesnt-often-help-smokers-quit-new-study-finds-1531159338 [2] Vaping the Jury's out on its long-term use. Angelique Ruzicka. City Press 16 April 2017.

Noma ngabe awubhemi, uyahlangana nentuthu yogwayi yalabo ababhemayo futhi lokhu kwandisa amathuba okuthola umdlavuza, ama-strokes, izifo zenhliziyo kanye nezesifuba. U-Ike wayengakaze abheme empilweni yakhe, kodwa lo mama wezingane ezimbili waqalwa ngumdlavuza womphimbo. Odokotela bathi imbangela yalokhu kungaba ukuhlangana nentuthu yogwayi. https://www.youtube.com/watch?v=QRQZp2WeGBM Zonke izakhamuzi zaseNingizimu Afrika zinelungelo lokuphefumula umoya ohlanzekile kodwa intuthu yogwayi ilulaza impilo yalabo abangabhemi, ikakhulu abantwana. Ukuhabula intuthu yogwayi kuyawanyusa amathuba okuthula umdlavuza wamaphaphu, i-pneumonia, izifo zesifuba kanye nezenhliziyo [1]. Akukho kuphepha ekuhlanganeni nentuthu yogwayi. Yingakho isiphakamiso soMnyango wezeMpilo iTobacco Control Bill sibalulekile, leBill izovala ukubhema ezindaweni lapho kuhlangana khona abantu kanye nasezimotweni ezinabantwana abangaphansi kweminyaka engu-18. Le Bill iphakamisa imithetho ehlose ukunciphisa ukubhema ngokuthi kusetshenziswe amabhokisi angenamibhalo, kanye nezithombe eziqwashisa ngengozi yokubhema, kanye nokusetshenziswa kwama e-cigarettes [2]. Kodwa imboni yogwayi iyagqugquzela ukuze ivikele imivuzo yayo, futhi ifaka isicelo sokuthi le Bill ithanjiswe. Le mboni ichithe iminyaka iphika ukuthi imikhiqizo yayo ibulala ingxenye yabasebenzisi bemikhiqizo yayo [3], futhi siyazi ukuthi ukubhema kuyimbangela yomdlavuza wamaphaphu, obikwa ku-80% wama-cases [4]. Phezu kwalokho, bangama-116 abantu abafa nsuku zonke eNingizimu Afrika ngenxa yezifo ezihlangene nogwayi [5]. Isikhathi sincane, futhi siyaphela. Ukumukelwa kwemibono yomphakathi ekusekeni le Bill kuyavala ngezi-9 Agasti 2018. Uma iningi lethu lingathumela imibono eveza ukuzimisela kwethu ekubeni nomoya ohlanzekile kanye nokuncishiswa kokubhema, singaqinisekisa ukuthi kunabantu abaningi abaseka leBill ukuze yenziwe umthetho. Ukuze uthole imininingwane eminye, ungavakashela la https://www.againstsmoking.co.za/ Landela umkhankaso wethu i #BeSmokeFree kuTwitter @SAQuitline Okucashuniwe [1] World Health Organization. International Consultation on Environmental Tobacco Smoke (ETS) and Child Health. January 11–14, 1999 [2] http://www.health.gov.za/index.php/2014-03-17-09-09-38/policies-and-guidelines/doc3 [3] http://www.who.int/news-room/fact-sheets/detail/tobacco [4] Quit smoking - save your life. Kerry Cullinan for Health-e News 31 May 2018 [5] The Tobacco Atlas, sixth edition. Jeffrey Drope and Neil Schluger

Even if you don’t smoke, you are exposed to secondhand smoke that can put you at risk of developing cancer, strokes, heart disease, bronchitis, pneumonia and asthma. Ike never smoked a day in her life, but this mother of two developed throat cancer, which doctors say was likely caused by secondhand smoke. https://www.youtube.com/watch?v=QRQZp2WeGBM All South Africans should have a right to clean air, but secondhand smoking threatens the health of those who don’t smoke, especially children. Secondhand smoke increases the chances of people developing bronchitis, pneumonia, asthma and heart disease [1]. There is no safe level of secondhand smoke exposure. That’s why the Department of Health’s proposed Tobacco Control Bill is so important, because it will ban smoking in public places and in vehicles with children under the age of 18. The draft bill proposes laws which will help to reduce smoking by introducing plain packaging and graphic health warnings as well as the regulation of e-cigarettes [2]. But the Tobacco Industry is mobilising to protect their profits, and are making submissions to water down the draft Bill. The Tobacco Industry spent decades denying that their product kills up to half of its users [3], but we know that smoking is the leading driver of lung cancer, causing 80% of cases [4]. What is more, 116 people died in South Africa every day from tobacco-related disease [5]. We are running out of time. Public submissions to support government's draft Bill close on the 9th of August 2018. If enough of us send in public submissions sharing why we want clean air and less smoking, and why we support the Bill, we can ensure we have the numbers to pass the draft Bill and make it law. According to the American Lung Association at least 69 chemicals in cigarettes are known to cause cancer and many are poisonous [6]. Chemicals include acetone (used in paint stripper), ammonium (used in toilet cleaner), lead, arsenic (used in rat poison), benzene which is produced by burning cigarettes and is used in pesticides [7] and nicotine (used in insecticide). Earlier this month researchers published a study which contradicts a major claim by the e-cigarette industry. The study found that smokers who did not use e-cigarettes to quit smoking were more than twice as likely to quit, than smokers who use e-cigarettes [8]. For more information visit https://www.againstsmoking.co.za/ Follow our #BeSmokeFree campaign on Twitter @SAQuitline References [1] World Health Organization. International Consultation on Environmental Tobacco Smoke (ETS) and Child Health. January 11–14, 1999 [2] http://www.health.gov.za/index.php/2014-03-17-09-09-38/policies-and-guidelines/doc3 [3] http://www.who.int/news-room/fact-sheets/detail/tobacco [4] Quit smoking - save your life. Kerry Cullinan for Health-e News 31 May 2018 [5] The Tobacco Atlas, sixth edition. Jeffrey Drope and Neil Schluger [6] American Lung Association, Smoking Facts [7] Tobacco Free Life, Carcinogenic Compounds in Cigarette Smoke. [8] https://www.wsj.com/articles/vaping-doesnt-often-help-smokers-quit-new-study-finds-1531159338

Ensuring our children aren't hungry is our first priority as a community, but often the cheapest foods are unhealthy and can lead to health issues in our children, now and in the future, including type 2 diabetes, heart disease, high blood pressure, joint pain and certain cancers, which can be the result of lack of access to healthy food. We asked your school questions about what food most learners buy for lunch, and most said they buy kotas from vendors with sugary drinks. Learners also bought ice lollies, sweets and ice creams. This is not a balanced diet, and what we eat affects how much we can concentrate, and how sick we will get in the future. We use to have to just worry about HIV/AIDS, TB and other diseases, but now diseases like type 2 diabetes are increasing in our communities. The other reason we are getting sicker is because greedy junk food companies are aggressively marketing their products in our schools. But we can change this, if enough of us come together, we can ensure our voices are heard by the the MECs of Education and Health. If you don’t have email, you can join the campaign for free by dialing this code on your phone *134*1994*456#

Ensuring our children aren't hungry is our first priority as a community, but often the cheapest foods are unhealthy and can lead to health issues in our children, now and in the future, including type 2 diabetes, heart disease, high blood pressure, joint pain and certain cancers, which can be the result of lack of access to healthy food. We asked your school questions about what food most learners buy for lunch, and most said they buy kotas from vendors with sugary drinks. Learners also bought ice lollies, sweets and ice creams. This is not a balanced diet, and what we eat affects how much we can concentrate, and how sick we will get in the future. We use to have to just worry about HIV/AIDS, TB and other diseases, but now diseases like type 2 diabetes are increasing in our communities. The other reason we are getting sicker is because greedy junk food companies are aggressively marketing their products in our schools. But we can change this, if enough of us come together, we can ensure our voices are heard by the the MECs of Education and Health. If you don’t have email, you can join the campaign for free by dialing this code on your phone *134*1994*456#

Ensuring our children aren't hungry is our first priority as a community, but often the cheapest foods are unhealthy and can lead to health issues in our children, now and in the future, including type 2 diabetes, heart disease, high blood pressure, joint pain and certain cancers, which can be the result of lack of access to healthy food. We asked your school questions about what food most learners buy for lunch, and most said they buy kotas from vendors with sugary drinks. Learners also bought ice lollies, sweets and ice creams. This is not a balanced diet, and what we eat affects how much we can concentrate, and how sick we will get in the future. We use to have to just worry about HIV/AIDS, TB and other diseases, but now diseases like type 2 diabetes are increasing in our communities. The other reason we are getting sicker is because greedy junk food companies are aggressively marketing their products in our schools. But we can change this, if enough of us come together, we can ensure our voices are heard by the the MECs of Education and Health. If you don’t have email, you can join the campaign for free by dialing this code on your phone *134*1994*456#

Ensuring our children aren't hungry is our first priority as a community, but often the cheapest foods are unhealthy and can lead to health issues in our children, now and in the future, including type 2 diabetes, heart disease, high blood pressure, joint pain and certain cancers, which can be the result of lack of access to healthy food. We asked your school questions about what food most learners buy for lunch, and most said they buy kotas from vendors with sugary drinks. Learners also bought ice lollies, sweets and ice creams. This is not a balanced diet, and what we eat affects how much we can concentrate, and how sick we will get in the future. We use to have to just worry about HIV/AIDS, TB and other diseases, but now diseases like type 2 diabetes are increasing in our communities. The other reason we are getting sicker is because greedy junk food companies are aggressively marketing their products in our schools. But we can change this, if enough of us come together, we can ensure our voices are heard by the the MECs of Education and Health. If you don’t have email, you can join the campaign for free by dialing this code on your phone *134*1994*456#

Ensuring our children aren't hungry is our first priority as a community, but often the cheapest foods are unhealthy and can lead to health issues in our children, now and in the future, including type 2 diabetes, heart disease, high blood pressure, joint pain and certain cancers, which can be the result of lack of access to healthy food. We asked your school questions about what food most learners buy for lunch, and most said they buy kotas from vendors with sugary drinks. Learners also bought ice lollies, sweets and ice creams. This is not a balanced diet, and what we eat affects how much we can concentrate, and how sick we will get in the future. We use to have to just worry about HIV/AIDS, TB and other diseases, but now diseases like type 2 diabetes are increasing in our communities. The other reason we are getting sicker is because greedy junk food companies are aggressively marketing their products in our schools. But we can change this, if enough of us come together, we can ensure our voices are heard by the the MECs of Education and Health. If you don’t have email, you can join the campaign for free by dialing this code on your phone *134*1994*456#

Ensuring our children aren't hungry is our first priority as a community, but often the cheapest foods are unhealthy and can lead to health issues in our children, now and in the future, including type 2 diabetes, heart disease, high blood pressure, joint pain and certain cancers, which can be the result of lack of access to healthy food. We asked your school questions about what food most learners buy for lunch, and most said they buy kotas from vendors with sugary drinks. Learners also bought ice lollies, sweets and ice creams. This is not a balanced diet, and what we eat affects how much we can concentrate, and how sick we will get in the future. We use to have to just worry about HIV/AIDS, TB and other diseases, but now diseases like type 2 diabetes are increasing in our communities. The other reason we are getting sicker is because greedy junk food companies are aggressively marketing their products in our schools. But we can change this, if enough of us come together, we can ensure our voices are heard by the the MECs of Education and Health. If you don’t have email, you can join the campaign for free by dialing this code on your phone *134*1994*456#

Ensuring our children aren't hungry is our first priority as a community, but often the cheapest foods are unhealthy and can lead to health issues in our children, now and in the future, including type 2 diabetes, heart disease, high blood pressure, joint pain and certain cancers, which can be the result of lack of access to healthy food. We asked your school questions about what food most learners buy for lunch, and most said they buy kotas from vendors with sugary drinks. Learners also bought ice lollies, sweets and ice creams. This is not a balanced diet, and what we eat affects how much we can concentrate, and how sick we will get in the future. We use to have to just worry about HIV/AIDS, TB and other diseases, but now diseases like type 2 diabetes are increasing in our communities. The other reason we are getting sicker is because greedy junk food companies are aggressively marketing their products in our schools. But we can change this, if enough of us come together, we can ensure our voices are heard by the the MECs of Education and Health. If you don’t have email, you can join the campaign for free by dialing this code on your phone *134*1994*456#

Ensuring our children aren't hungry is our first priority as a community, but often the cheapest foods are unhealthy and can lead to health issues in our children, now and in the future, including type 2 diabetes, heart disease, high blood pressure, joint pain and certain cancers, which can be the result of lack of access to healthy food. We asked your school questions about what food most learners buy for lunch, and most said they buy kotas from vendors with sugary drinks. Learners also bought ice lollies, sweets and ice creams. This is not a balanced diet, and what we eat affects how much we can concentrate, and how sick we will get in the future. We use to have to just worry about HIV/AIDS, TB and other diseases, but now diseases like type 2 diabetes are increasing in our communities. The other reason we are getting sicker is because greedy junk food companies are aggressively marketing their products in our schools. But we can change this, if enough of us come together, we can ensure our voices are heard by the the MECs of Education and Health. If you don’t have email, you can join the campaign for free by dialing this code on your phone *134*1994*456#

Ensuring our children aren't hungry is our first priority as a community, but often the cheapest foods are unhealthy and can lead to health issues in our children, now and in the future, including type 2 diabetes, heart disease, high blood pressure, joint pain and certain cancers, which can be the result of lack of access to healthy food. We asked your school questions about what food most learners buy for lunch, and most said they buy kotas from vendors with sugary drinks. Learners also bought ice lollies, sweets and ice creams. This is not a balanced diet, and what we eat affects how much we can concentrate, and how sick we will get in the future. We use to have to just worry about HIV/AIDS, TB and other diseases, but now diseases like type 2 diabetes are increasing in our communities. The other reason we are getting sicker is because greedy junk food companies are aggressively marketing their products in our schools. But we can change this, if enough of us come together, we can ensure our voices are heard by the the MECs of Education and Health. If you don’t have email, you can join the campaign for free by dialing this code on your phone *134*1994*456#