Tobacco and Vapes Bill

Lord Patel Excerpts
Will His Majesty’s Government look further at the impact of these products, and what is the best way to protect young people? My fear is that it could potentially be decades before we have the evidence to prove that they are very damaging to young people. We have to do something right now, not wait until we are a few decades down the line.
Lord Patel Portrait Lord Patel (CB)
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My Lords, I support this amendment. We know that nicotine is highly addictive. In fact, it is one of the most addictive substances there is, even in small quantities. The noble Lord, Lord Kamall, made the point that people use it for cessation of tobacco or cigarette smoking. That is true, but the dosage, even of 20 milligrams, is too high. High doses of nicotine cause serious diseases, as mentioned by the noble Baroness, Lady Grey-Thompson. But apart from that, in older people it causes higher risk of cardiovascular disease, not just by increasing heart rate and blood pressure but by making platelets stickier and leading to higher levels of fibrinogen, which increases the risk of forming a clot. This is a good amendment and there is no reason, to my mind, why the Minister should resist it.

Baroness Fox of Buckley Portrait Baroness Fox of Buckley (Non-Afl)
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My Lords, the noble Lord, Lord Kamall, and the noble Baroness, Lady Grey-Thompson, have made some interesting cases probing the issue of the high nicotine content of pouches. However, it is worth noting that Cancer Research does not support these amendments. It says that there may well be a need for a deeper dive into the evidence, but it stresses something that has been missed in some of the debates we have had so far, certainly at Second Reading: it is tobacco that is the cancer-causing ingredient in cigarettes.

Nicotine patches do not contain tobacco. Nicotine is addictive, but the overall evidence does not support a direct causal link between nicotine and cancer: it is not carcinogenic. That is what the scientific evidence seems to show, and it comes from anti-tobacco lobbying groups and people whom I would not necessarily usually cite. It is noted that nicotine products and pouches are being used as recreational products, but they are also helpful for smoking cessation.

We have to consider what we are doing with the Bill. The NHS itself calls nicotine “relatively harmless”, and, in his 2022 review, Dr Javed Khan said that

“the government must facilitate access to the various already available safer alternative nicotine products such as nicotine pouches”.

We therefore have to be careful about demonising these things, because it is not straightforward.

There is a danger throughout the Bill—it will come up in other groups—of a constant slippage between tobacco and nicotine. Sometimes that occurs through a discussion around addiction. I would be interested to know what the Minister thinks about this—she talked about the problems of addiction on our first day in Committee—because the Bill is not necessarily tackling addiction; it is tackling harms. There is a danger that we get confused between that addiction, which, as I say, many people in the health professions do not see as a problem per se, and what we are targeting. I am worried that that slippage between nicotine and tobacco, between vapes and smoking cigarettes, leads to an unscientific mishmash of misinformation that, ironically, can damage public health.

In relation to young people using pouches until they vomit, young people use lots of things until they vomit. They can overuse a range of things, not helpfully, but it does not necessarily mean that the product itself is always the problem: sometimes, it can be youthful lack of restraint, which one might want to intervene in but not necessarily through the law.

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Earl Howe Portrait Earl Howe (Con)
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If it is a tobacco product, I take the point, but I thought that the noble Baroness was also arguing about handing out free vapes. Making it illegal for a shopkeeper to supply an adult with a regulated vaping product as a free sample feels very much like an unreasonable restraint of trade. If someone enters a shop to buy cigarettes—let us say he is a smoker—and the shopkeeper offers him a free vape, what exactly is wrong with that, as long as the regulations are adhered to? Do we really want to criminalise that kind of free supply? I am afraid that I am not convinced.

The Bill already imposes a series of significant new obligations and compliance costs on legitimate businesses. The restrictions contained in Clauses 13 to 15 alone are substantial and will likely require many retailers to make complex and costly adjustments. To introduce further constraints and prohibitions, as well as a substantial potential liability, however well-intentioned, has to be thought about very carefully before we go down that path.

Lord Patel Portrait Lord Patel (CB)
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My Lords, if the nicotine contained in the vapes is not extracted from tobacco, where is it coming from?

Earl Howe Portrait Earl Howe (Con)
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Perhaps the noble Lord, with his compendious knowledge, can enlighten us on that.

Lord Patel Portrait Lord Patel (CB)
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It comes from tobacco.

Baroness Merron Portrait Baroness Merron (Lab)
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My Lords, I thank all noble Lords for their contributions on this group of amendments exploring the part of the Bill that relates to the sale of vaping products. I will make a general point to start with, which may be helpful as it has come up a number of times in the debate. It is true to say that vapes are less harmful than smoking because they do not contain tobacco and have fewer harmful chemicals. However, because there is a nicotine content and there are unknown long-term harms, there is a risk of harm and addiction that comes with vaping. That is particularly acute for adolescents whose brains are still developing.

There is a careful balance to be struck in taking action against youth vaping, by which I mean children and young people, while ensuring that vapes absolutely remain accessible to adults who are seeking to quit. Noble Lords will have heard me refer before to the Chief Medical Officer, who is clear that if you smoke, vaping will be a better option; but if you do not smoke, do not vape. It could not be clearer.

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Baroness Northover Portrait Baroness Northover (LD)
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I disagree that we can necessarily distinguish between nicotine and a tobacco product, given that most nicotine products are derived from tobacco and are, therefore, tobacco products. However, the key thing here is that nicotine is being targeted at children, who often then graduate to smoking cigarettes. So you have not only an addiction but a potential route into the problem that we have worked on together for many years: reducing smoking, especially among the young, for all the reasons we know about.

Lord Patel Portrait Lord Patel (CB)
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May I join the argument? The noble Earl is quite right: there is a synthetic nicotine product, which is manufactured chemically. So you can have nicotine that is not a tobacco product. However, as far as we know, most of the nicotine used in vapes is derived from tobacco.

By the way, I want to come back, slightly tongue-in-cheek, on the noble Earl’s question about where it comes from. Of course, I was hoping that he would say, “From tomatoes, potatoes, nightshade and some other plants”, from which you can also get small amounts of nicotine.

Lord Kamall Portrait Lord Kamall (Con)
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My Lords, if we take the logic of the noble Baroness’s argument about nicotine being derived from tobacco, does that drive a coach and horses through the distinction between tobacco products and vaping products? Wherever you stand on this argument, are we now arguing that vaping products are, in fact, tobacco products because the nicotine in them is derived from tobacco? We all have to clarify this, whichever side of the argument we are on.