<?xml version="1.0" encoding="utf-8" standalone="yes"?><rss version="2.0" xmlns:atom="http://www.w3.org/2005/Atom"><channel><title>Farsalinos</title><link>https://farsalinos.github.io/en/science-deep-dives/</link><description>Recent content on Farsalinos</description><generator>Hugo -- gohugo.io</generator><language>en</language><copyright>© 2026 K. Farsalinos, MD, MPH, PhD | Science &amp; Public Health</copyright><atom:link href="https://farsalinos.github.io/en/science-deep-dives/index.xml" rel="self" type="application/rss+xml"/><item><title>Malaysia Nicotine Poison Mess</title><link>https://farsalinos.github.io/en/science-deep-dives/malaysia-poison-en/</link><pubDate>Sun, 06 Sep 2026 00:00:00 +0000</pubDate><guid>https://farsalinos.github.io/en/science-deep-dives/malaysia-poison-en/</guid><description>&lt;h2 class="relative group"&gt;Key Takeaways&#10; &lt;div id="key-takeaways" class="anchor"&gt;&lt;/div&gt;&#10; &#10; &lt;span&#10; class="absolute top-0 w-6 transition-opacity opacity-0 -start-6 not-prose group-hover:opacity-100 select-none"&gt;&#10; &lt;a class="text-primary-300 dark:text-neutral-700 !no-underline" href="#key-takeaways" aria-label="Anchor"&gt;#&lt;/a&gt;&#10; &lt;/span&gt;&#10; &#10;&lt;/h2&gt;&#10;&lt;ul&gt;&#10;&lt;li&gt;Malaysia’s High Court ruled in May 2026 that a 2023 order exempting liquid and gel nicotine from the Poisons List was unlawful.&lt;/li&gt;&#10;&lt;li&gt;The government dropped its appeal in August 2026, letting that ruling stand.&lt;/li&gt;&#10;&lt;li&gt;Nicotine e-liquid is now a Group C poison — only pharmacists or doctors can dispense it. Analysts call this a de facto ban.&lt;/li&gt;&#10;&lt;li&gt;A separate law, the Control of Smoking Products for Public Health Act 2024, still regulates vape sales. Two laws now pull in opposite directions.&lt;/li&gt;&#10;&lt;li&gt;Over RM354 million (roughly $88.5 million) in excise duties collected since 2023 sit at the center of a growing refund dispute.&lt;/li&gt;&#10;&lt;/ul&gt;&#10;&#10;&lt;figure&gt;&#10; &lt;img&#10; class="my-0 rounded-md w-[400px]"&#10; loading="lazy"&#10; decoding="async"&#10; fetchpriority="auto"&#10; alt=""&#10; width="800"&#10; height="450"&#10; src="https://farsalinos.github.io/en/science-deep-dives/malaysia-poison-en/slide2.en_hu_9ebb1966508d4aee.jpg"&#10; srcset="https://farsalinos.github.io/en/science-deep-dives/malaysia-poison-en/slide2.en_hu_9ebb1966508d4aee.jpg 800w,/en/science-deep-dives/malaysia-poison-en/slide2.en_hu_8a36175ce30dc67b.jpg 1280w"&#10; sizes="(min-width: 768px) 50vw, 65vw"&#10; data-zoom-src="https://farsalinos.github.io/en/science-deep-dives/malaysia-poison-en/slide2.en.jpg"&#10; /&gt;&#10; &#10; &#10; &lt;/figure&gt;&#10;&#10;&lt;h2 class="relative group"&gt;What Is the Current Legal Status of Nicotine Vape in Malaysia?&#10; &lt;div id="what-is-the-current-legal-status-of-nicotine-vape-in-malaysia" class="anchor"&gt;&lt;/div&gt;&#10; &#10; &lt;span&#10; class="absolute top-0 w-6 transition-opacity opacity-0 -start-6 not-prose group-hover:opacity-100 select-none"&gt;&#10; &lt;a class="text-primary-300 dark:text-neutral-700 !no-underline" href="#what-is-the-current-legal-status-of-nicotine-vape-in-malaysia" aria-label="Anchor"&gt;#&lt;/a&gt;&#10; &lt;/span&gt;&#10; &#10;&lt;/h2&gt;&#10;&lt;p&gt;Right now, nicotine e-liquid is a Group C poison under the Poisons Act 1952. That means only a licensed pharmacist or registered doctor can legally dispense it — not a vape shop, not an online store. Only two nicotine products are exempt: tobacco itself, and registered nicotine patches or gum for smoking cessation.&lt;/p&gt;</description><media:content xmlns:media="http://search.yahoo.com/mrss/" url="https://farsalinos.github.io/en/science-deep-dives/malaysia-poison-en/feature.en.jpg"/></item><item><title>SRNT Recommendations to US Physicians on Nicotine E-Cigarettes</title><link>https://farsalinos.github.io/en/science-deep-dives/srnt-rec2026-en/</link><pubDate>Wed, 02 Sep 2026 00:00:00 +0000</pubDate><guid>https://farsalinos.github.io/en/science-deep-dives/srnt-rec2026-en/</guid><description>&lt;p&gt;The international Society for Research on Nicotine and Tobacco (SRNT) recently &lt;a href="https://jamanetwork.com/journals/jama/article-abstract/2852321" target="_blank" rel="noreferrer"&gt;published in JAMA&lt;/a&gt; its recommendations for U.S. clinicians on e-cigarettes and smoking cessation. Here, I examine the scientific, clinical, and ethical foundations behind these guidelines. They mark a landmark shift toward active harm reduction for adult smokers in the United States, weighing robust clinical trial evidence against complex public health values.&lt;/p&gt;&#10;&#10;&lt;h1 class="relative group"&gt;Why were new recommendations for e-cigarettes &amp;amp; smoking cessation needed?&#10; &lt;div id="why-were-new-recommendations-for-e-cigarettes--smoking-cessation-needed" class="anchor"&gt;&lt;/div&gt;&#10; &#10; &lt;span&#10; class="absolute top-0 w-6 transition-opacity opacity-0 -start-6 not-prose group-hover:opacity-100 select-none"&gt;&#10; &lt;a class="text-primary-300 dark:text-neutral-700 !no-underline" href="#why-were-new-recommendations-for-e-cigarettes--smoking-cessation-needed" aria-label="Anchor"&gt;#&lt;/a&gt;&#10; &lt;/span&gt;&#10; &#10;&lt;/h1&gt;&#10;&lt;p&gt;Combustible tobacco remains the leading cause of preventable death in the U.S., claiming nearly &lt;strong&gt;500,000 lives&lt;/strong&gt; each year. Although over 68% of adult smokers wanted to quit in 2022 and more than half attempted to do so, &lt;strong&gt;fewer than 10% succeeded&lt;/strong&gt;. This high failure rate highlights the need to broaden the clinical toolkit with alternative strategies.&lt;/p&gt;</description><media:content xmlns:media="http://search.yahoo.com/mrss/" url="https://farsalinos.github.io/en/science-deep-dives/srnt-rec2026-en/feature.en.jpg"/></item><item><title>How Australia has Lost Control of the Nicotine Market?</title><link>https://farsalinos.github.io/en/science-deep-dives/australia-dis-en/</link><pubDate>Sun, 30 Aug 2026 00:00:00 +0000</pubDate><guid>https://farsalinos.github.io/en/science-deep-dives/australia-dis-en/</guid><description>&lt;p&gt;&lt;strong&gt;“When Best Practice Falls Short.”&lt;/strong&gt; Australia has long been praised as a world leader in tobacco regulation, shaping global standards via plain packaging and strong public‑health initiatives. Yet this image hides a serious strategic misstep. By rigidly following WHO‑endorsed “best practice” measures—namely heavy excise taxes and a medical‑only framework for nicotine vapes—Australia has unintentionally sparked a sovereignty crisis. The government has effectively abandoned its duty to oversee the market, handing control over to criminal networks.&lt;/p&gt;</description><media:content xmlns:media="http://search.yahoo.com/mrss/" url="https://farsalinos.github.io/en/science-deep-dives/australia-dis-en/feature.en.jpg"/></item><item><title>Nicotine Vapes and Smoking Cessation</title><link>https://farsalinos.github.io/en/science-deep-dives/ecig-cess2026-en/</link><pubDate>Wed, 26 Aug 2026 00:00:00 +0000</pubDate><guid>https://farsalinos.github.io/en/science-deep-dives/ecig-cess2026-en/</guid><description>&lt;p&gt;Ten out of 100 smokers quit with nicotine e-cigarettes. Only six in 100 succeed with patches or gum. That is the headline finding of the &lt;a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010216.pub11/full" target="_blank" rel="noreferrer"&gt;latest Cochrane review&lt;/a&gt; — the most rigorous form of evidence synthesis in medicine — updated in August 2026 with data current to January 2026.&lt;/p&gt;&#10;&#10;&lt;figure&gt;&#10; &lt;img&#10; class="my-0 rounded-md w-[400px]"&#10; loading="lazy"&#10; decoding="async"&#10; fetchpriority="auto"&#10; alt=""&#10; width="800"&#10; height="450"&#10; src="https://farsalinos.github.io/en/science-deep-dives/ecig-cess2026-en/slide1.en_hu_8417a7caccf9b0ea.jpg"&#10; srcset="https://farsalinos.github.io/en/science-deep-dives/ecig-cess2026-en/slide1.en_hu_8417a7caccf9b0ea.jpg 800w,/en/science-deep-dives/ecig-cess2026-en/slide1.en_hu_da01a9bcdd52caf8.jpg 1280w"&#10; sizes="(min-width: 768px) 50vw, 65vw"&#10; data-zoom-src="https://farsalinos.github.io/en/science-deep-dives/ecig-cess2026-en/slide1.en.jpg"&#10; /&gt;&#10; &#10; &#10; &lt;/figure&gt;&#10;&#10;&lt;h2 class="relative group"&gt;What the review examined&#10; &lt;div id="what-the-review-examined" class="anchor"&gt;&lt;/div&gt;&#10; &#10; &lt;span&#10; class="absolute top-0 w-6 transition-opacity opacity-0 -start-6 not-prose group-hover:opacity-100 select-none"&gt;&#10; &lt;a class="text-primary-300 dark:text-neutral-700 !no-underline" href="#what-the-review-examined" aria-label="Anchor"&gt;#&lt;/a&gt;&#10; &lt;/span&gt;&#10; &#10;&lt;/h2&gt;&#10;&lt;p&gt;The Cochrane Collaboration maintains this as a &amp;rsquo;living&amp;rsquo; systematic review: researchers screen new trials monthly and update whenever relevant evidence appears. This update pooled 80 randomised controlled trials involving 29,861 adults who smoke — nine trials added since the previous version. The conclusions did not change. Randomised trials are the gold standard for answering whether a treatment works, and GRADE certainty ratings tell us how much to trust each result.&lt;/p&gt;</description><media:content xmlns:media="http://search.yahoo.com/mrss/" url="https://farsalinos.github.io/en/science-deep-dives/ecig-cess2026-en/feature.en.jpg"/></item><item><title>The Global Paradox</title><link>https://farsalinos.github.io/en/science-deep-dives/thr-paradox-en/</link><pubDate>Mon, 24 Aug 2026 00:00:00 +0000</pubDate><guid>https://farsalinos.github.io/en/science-deep-dives/thr-paradox-en/</guid><description>&lt;p&gt;&lt;strong&gt;Why Cigarettes Are Everywhere But Non-Combustible Nicotine Alternatives Are Banned?&lt;/strong&gt;&#10;Here’s something that should make you stop and think: In 2026, you can walk into almost any store worldwide and buy a pack of cigarettes - a product that kills up to half of its long-term users. But try to buy a vape or nicotine pouch to help quit smoking, and you might be breaking the law.&lt;/p&gt;&#10;&#10;&lt;figure&gt;&#10; &lt;img&#10; class="my-0 rounded-md w-[400px]"&#10; loading="lazy"&#10; decoding="async"&#10; fetchpriority="auto"&#10; alt=""&#10; width="800"&#10; height="450"&#10; src="https://farsalinos.github.io/en/science-deep-dives/thr-paradox-en/slide2.en_hu_4326caf0593234d2.jpg"&#10; srcset="https://farsalinos.github.io/en/science-deep-dives/thr-paradox-en/slide2.en_hu_4326caf0593234d2.jpg 800w,/en/science-deep-dives/thr-paradox-en/slide2.en_hu_bc19e99145a3b28d.jpg 1280w"&#10; sizes="(min-width: 768px) 50vw, 65vw"&#10; data-zoom-src="https://farsalinos.github.io/en/science-deep-dives/thr-paradox-en/slide2.en.jpg"&#10; /&gt;&#10; &#10; &#10; &lt;/figure&gt;&#10;&lt;p&gt;This is a global pattern that defies logic and costs lives.&lt;/p&gt;</description><media:content xmlns:media="http://search.yahoo.com/mrss/" url="https://farsalinos.github.io/en/science-deep-dives/thr-paradox-en/feature.en.jpg"/></item><item><title>The Swedish Miracle</title><link>https://farsalinos.github.io/en/science-deep-dives/swed-cancer-en/</link><pubDate>Mon, 24 Aug 2026 00:00:00 +0000</pubDate><guid>https://farsalinos.github.io/en/science-deep-dives/swed-cancer-en/</guid><description>&lt;p&gt;&lt;strong&gt;Swedish males show lung cancer incidence below HALF the EU mean — harm reduction explains the gap.&lt;/strong&gt;&lt;/p&gt;&#10;&lt;p&gt;Tobacco harm reduction finds its strongest national proof in Sweden, where measurable population health gains set a global benchmark. Lung cancer remains devastating across most of Europe, yet Swedish men experience strikingly low rates. Evidence ties this outcome to Sweden&amp;rsquo;s distinctive, multi-decade strategy built around snus.&lt;/p&gt;&#10;&#10;&lt;h2 class="relative group"&gt;The Stark Lung Cancer Gap&#10; &lt;div id="the-stark-lung-cancer-gap" class="anchor"&gt;&lt;/div&gt;&#10; &#10; &lt;span&#10; class="absolute top-0 w-6 transition-opacity opacity-0 -start-6 not-prose group-hover:opacity-100 select-none"&gt;&#10; &lt;a class="text-primary-300 dark:text-neutral-700 !no-underline" href="#the-stark-lung-cancer-gap" aria-label="Anchor"&gt;#&lt;/a&gt;&#10; &lt;/span&gt;&#10; &#10;&lt;/h2&gt;&#10;&lt;p&gt;The figures speak plainly: Swedish male lung cancer incidence sits at &lt;strong&gt;39 per 100,000&lt;/strong&gt; versus the EU average of &lt;strong&gt;95 per 100,000&lt;/strong&gt; — under half the continental rate. This public health milestone translates to thousands of lives preserved annually.&lt;/p&gt;</description><media:content xmlns:media="http://search.yahoo.com/mrss/" url="https://farsalinos.github.io/en/science-deep-dives/swed-cancer-en/feature.en.jpg"/></item></channel></rss>