Q I want to ask you about flavours, given your experience of people who are trying to quit. There has been some debate about restricting flavours, and how flavours entice children but, perhaps, help adults. When I first met somebody from the industry, I asked them about flavours and they told me that when somebody uses another quitting aid to stop smoking, they will use the quitting aid, then stop the quitting aid, and then they are not using any products, buying anything or making any revenue for the companies. However, when somebody has a choice of flavours, they do not just give up smoking; they transfer their addiction to another product, which they then to continue to buy because it is enjoyable to vape these different flavours and to choose different flavours at different times if they get bored. Is that something that you see in your clinical practice? How do vapes compare with nicotine patches, gums or other inhalation devices that just provide nicotine in terms of, first, giving up smoking and, secondly, persisting with a new habit?
Professor Sanjay Agrawal: There are a few things to unpack there. First, a lot of people who smoke and who want to give up use vapes because they have tried other products and have not been able to give up, be that nicotine replacement therapy or tablet pharmacotherapy. One thing those people want to get away from is the taste of tobacco, and having flavours allows them to do that. Actually, other NRT products, such as gums and lozenges, also have fruit flavours—it is not just vapes. Flavours are an integral part of helping people to get away from smoking.
Equally, as we know, flavours attract young people to smoking, so it is really important that we limit the number of them. However, the flavour descriptors are perhaps more important: I think we need to make them bland. The Bill, as it stands, provides powers to restrict all sorts of elements related to vaping, such as the number of flavours, the descriptors, the packaging, the appeal and the advertising. Having bland descriptors and eliminating flavours that we know are popular among children would be really helpful.