Lady Gaga’s Deal to Promote Blu eCigs Is a Public Health Nightmare

Lady Gaga is joining forces with Blu eCigs, according to the Sunday Telegraph, which says she will make a video featuring the electronic cigarettes. This is a nightmare for public health officials, who have spent decades trying to push smoking to the margins of the culture. Cigarette makers were barred from TV and radio advertising in 1970. State lawsuits against tobacco companies settled in 1998 ended billboard ads and banished Joe Camel and other marketing toward youth. Since then, tobacco companies have had to settle for advertising at counters and cash registers.

Now, with Lady Gaga and other celebrities, such as Jenny McCarthy, hawking e-cigarettes, images of glamorous people raising small white cylinders to their mouths and exhaling white clouds are once again ubiquitous. Even Santa vapes. Public health officials fear the change might not just spark e-cig sales but could reverse the decline in cigarette smoking as well.

There’s no doubt that the master settlement’s ban on advertising to teens helped push down adolescent smoking rates. “Since they weren’t able to advertise to youth, they shifted their focus more to the young adults,” Tom Glynn, outgoing director of Cancer Science & Trends at the American Cancer Society, told me. “We did see [an] uptick in young adults smoking.”

Now e-cigarettes are leading a resurgence of advertising, including marketing to youth. Sales of electronic smoking devices in the U.S. reached more than $760 million in the past 12 months, although the growth rate has slowed in recent months. Blu, which Lorillard (LO) acquired in 2012 for $135 million, is the top brand in the U.S., with about 39 percent of the market, according to Bloomberg Industries data.

Blu is also responsible for 80 percent of the e-cigarette TV ads that adolescents and young adults were likely to see in recent years, according to an analysis of Nielsen data published in the journal Pediatrics in June. The study concluded that ”e-cigarette companies advertise their products to a broad audience that includes 24 million youth, and youth and young adult television exposure has increased dramatically between 2011 and 2013.” That was before Blu’s deal to reach Gaga’s little monsters. Blu parent Lorillard did not return a call for comment Monday morning.

Clinical studies haven’t yet established the long-term risks of inhaling vaporized nicotine liquid in uncontrolled doses or how effective e-cigarettes are in helping people quit smoking. E-cig promoters sometimes argue that their product is less harmful than cigarettes, and many in the medical community agree. But doctors don’t think that vaping is better than not smoking at all.

Yet mass media advertising such as TV ads and music video placements are aimed more toward expanding a market rather than targeting current smokers to replace their burning leaves with vapor. The Food and Drug Administration recently proposed rules to bar e-cigarette sales to minors, but the agency would still permit TV ads and other forms of marketing.

Still, regulators are concerned by kids experimenting with e-cigs. “Any initiation of any nicotine-containing product is not good for public health,” Mitch Zeller, director of the FDA’s Center for Tobacco Products, told reporters when the agency proposed its rule in April. “But it’s especially damaging if those kids become tolerant to nicotine, they get used to the nicotine, and they then go on to seek their nicotine from combusting cigarettes.” Don’t expect to hear that message on a Lady Gaga video.

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