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Thread: Debate on the safety of ecigs - Hajek and Pisinger - To be continued!

  1. #1
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    Debate on the safety of ecigs - Hajek and Pisinger - To be continued!

    The start of a good debate...

    Debate on safety of e-cigarettes continues

    Hajek's paper....

    BMC Medicine | Full text | Electronic cigarettes have a potential for huge public health benefit
    "Conclusions
    Today’s e-cigarettes appeal to only a fraction of the smoking population, but if they are allowed to carry on competing with cigarettes as a consumer product and innovate and evolve, there is a good chance that they will continue to improve in offering smokers what they want, cigarette sales will continue to fall, and over the next 10 years, in countries where EC are available and competitively priced, the use of combustible tobacco will virtually disappear. The public health benefit would be huge, even if recreational use of nicotine carries on. If, on the other hand, misleading public health messages discourage smokers from switching and drastic regulations stop EC evolution and make them uncompetitive, the opportunity for a dramatic reduction in smoking related disease and death will be postponed by many years or even missed altogether. Future commentators are likely to consider attempts to remove safer alternatives to cigarettes from the market unethical, however virtuous the missionaries of the nicotine eradication gospel may feel. In the meantime, clinicians facing smokers who cannot or do not want to stop smoking and who follow evidence and common sense rather than ideologically and commercially driven agendas should recommend that their patients try several types of e-cigarettes to see if they can find one meeting their needs."


    Pisinger's paper....

    BMC Medicine | Full text | Why public health people are more worried than excited over e-cigarettes

    "Conclusions
    Most probably, ECs are less harmful than CCs, but they can hardly be called safe. Consequences of EC use must be viewed in a long-term public health perspective, including both smokers and non-smokers. Based on the limited and often conflicting evidence on safety, the doubtful efficacy as a smoking cessation aid, and the alarming rise in use in young people and non-smokers, most public health professionals urge great caution with ECs and call for regulation, monitoring, and research not biased by conflicts of interest.

    As the WHO states, this is an “evolving frontier filled with promise and threat for tobacco control”[1]. I shall be the first to celebrate if the ECs turn out to be a safe and effective weapon in tobacco control. Till then, let us focus on intensifying our fight for a smoke-free world by restricting the influence of the tobacco industry, by regulating smoking and other tobacco-/nicotine containing products, and by offering evidence-based help for smoking cessation – we know this works."
    sperex, JenJ, Omnipotus and 2 others like this.

  2. #2
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    Further reading on this topic which was linked in the original article

    "Current evidence suggests benefits of e-cigarettes outweigh harms
    A major scientific review of available research on the use, content, and safety of e-cigarettes has concluded that – although long-term health effects of e-cigarette use are unknown – compared with conventional cigarettes they are likely to be much less harmful to users or bystanders.
    The review of current evidence about e-cigarettes, carried out by Queen Mary University of London (QMUL) and published today by the scientific journal Addiction, concludes that despite gaps in the knowledge which require further research, the current evidence about e-cigarettes does not justify regulating them more strictly than, or even as strictly as, conventional cigarettes. Regulatory decisions will provide the greatest public health benefit when they are proportional, based on evidence, and incorporate a rational appraisal of likely risks and benefits.
    The scientific review was conducted by an international team of leading tobacco researchers led by QMUL's Professor Peter Hajek. Hajek comments: "The evidence we currently have is clear: e-cigarettes should be allowed to compete against conventional cigarettes in the marketplace. Health care professionals may advise smokers who are unwilling to cease nicotine use to switch to e-cigarettes. Smokers who have not managed to stop with current treatments may also benefit from switching to e-cigarettes."
    Electronic cigarettes have gained considerable popularity over the past few years. While public health researchers investigate their potential harms (reducing motivation to stop smoking, providing a gateway to smoking) and benefits (giving smokers safer access to nicotine and reducing or even virtually eliminating cigarette use), regulatory bodies around the world are currently debating whether, and how heavily, to regulate e-cigarettes. Their verdicts likely will feature among the key public health decisions of our time."


    Current evidence suggests benefits of e-cigarettes outweigh harms
    sperex and Vaporific like this.

  3. #3
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    Is Pisinger a total moron? It's like someone told him "just say a whole lot of obviously false crap, you'll look like an idiot, but big pharma will back you all the way, and public health will like you because frankly they're desperate for a champion".

    I've looked at the Pisinger paper a bit, and it has infographics that look like they were devised by a 5 year old (no offense 5 year olds). "Here's a drawing of a weighing scale, I'll write the cons on red boxes, and stack them, and it will like they're really heavy, and will tip the balance. Proof!"

    Amateur.

 

 

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