It’s 2013. The Harlem Shake is on the radio and e-cigarettes have gotten a factor. A gaggle of researchers convene to debate these and different merchandise containing nicotine.
In a 2014 paper detailing the outcomes of that assembly, the authors rated “electronic nicotine delivery systems” (e-cigarettes) as having “only 4%” of the utmost relative hurt of cigarettes.
Critically, the authors said their “understanding of the potential hazards” of e-cigarettes was “at a very early stage” as a result of they lacked “hard evidence for the harms of most products on most of the criteria” they examined.
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In different phrases, they famous their work was methodologically weak and their estimates had been simply that – guesses primarily based on their opinions reasonably than scientific proof.
But a type of “guesstimates” has gone on to turn out to be probably the most cited piece of vaping misinformation globally: e-cigarettes are 95% less harmful than tobacco cigarettes.
The downside is, it’s fallacious.
How the guesstimate took off
Public Health England used the 95% determine in its 2015 evaluate of e-cigarettes, however failed to say the caveats of the guesstimate.
This prompted widespread criticism from specialists. An editorial in The Lancet medical journal labelled the 2014 paper “an extraordinarily flimsy foundation” on which to base the main conclusion of Public Health England’s evaluate.
The Lancet editorial notes Public Health England used the guesstimate regardless of it being primarily based on “the opinions of a small group of individuals with no prespecified expertise in tobacco control” and “an almost total absence of evidence”.
The 2015 editorial additionally raised considerations about conflicts of curiosity, noting that some researchers concerned in growing the guesstimate had connections to Big Tobacco. These conflicts had been described additional within the British Medical Journal in September and November.
Despite this, the 95% determine remained in Public Health England’s communications. It had additionally unfold to e-cigarette promoting.
By 2020, the guesstimate had turn out to be a “factoid”: unreliable info repeated so usually it turns into accepted as truth. Yet given the rising proof of harms related to e-cigarette use, the factoid was even less legitimate seven years later.
How it has been utilized in Australia
The {industry} and its allies have been so efficient at publicising this unscientific guesstimate, it continues for use to undermine Australia’s public well being coverage.
In submissions made to Australia’s 2020 Senate Inquiry into Tobacco Harm Reduction, {industry} our bodies and allies leaned closely on the factoid of their arguments for legalising e-cigarettes.
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They continued to take action within the 2020 Therapeutic Goods Administration’s session on the rescheduling of nicotine as prescription solely and most not too long ago within the 2022 session on proposed reforms to the regulation of vaping merchandise to restrict importation and enhance product requirements.
Why does it matter?
Although this factoid has been debunked, it continues to affect folks’s considering. Misinformation researchers discuss with this because the continued affect impact: as soon as it takes maintain, it’s notoriously tough to dislodge.
As a digestible, attention-grabbing stat, it circulates within the media, and is repeated many times. And as a result of we usually tend to consider false info when it has been repeated many instances (the illusory fact impact), the misinformation turns into “truth”, even after we now have been instructed it’s false.
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Even this 12 months, harm-reduction specialists have used the factoid to argue vaping is less harmful than smoking and that Australia might look to different international locations that legally promote vapes to adults with out prescription.
What’s the answer?
We should debunk the parable that e-cigarettes are 95% less harmful than tobacco cigarettes usually and with factual proof.
Here is that proof:
- e-cigarette use entails the inhalation of poisonous substances and is related to poisoning, lung damage and burns
- nicotine e-cigarettes could cause dependence or habit in non-smokers
- younger non-smokers who use e-cigarettes are extra probably than non-users to provoke smoking and turn out to be common people who smoke
- e-cigarettes don’t end in decreased hurt if customers proceed to smoke (which most do). This examine discovered no distinction between e-cigarette customers’ and people who smoke’ charges of smoking-related illness and self-reported well being six years later.
Public well being insurance policies must be knowledgeable by neutral proof, not industry-backed guesses. It’s time to go away the factoid again in 2013 with The Harlem Shake.