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Critical appraisal of the European Union Scientific Committee on Health, Environmental and Emerging Risks (SCHEER) Preliminary Opinion on electronic cigarettes
- Source :
- Harm Reduction Journal, Vol 18, Iss 1, Pp 1-15 (2021), Harm Reduction Journal
- Publication Year :
- 2021
- Publisher :
- BMC, 2021.
-
Abstract
- Background In preparation for the 2021 revision of the European Union Tobacco Products Directive, the Scientific Committee on Health, Environmental and Emerging Risks (SCHEER) has posted its Preliminary Opinion on Electronic Cigarettes. They concluded that e-cigarettes only achieve a sub-optimal level of protection of human health. In this paper, we provide evidence that the Opinion’s conclusions are not adequately backed up by scientific evidence and did not discuss the potential health benefits of using alternative combustion-free nicotine-containing products as substitute for tobacco cigarettes. Methods Searches for articles were conducted in PubMed and by citation chasing in Google Scholar. Articles were also retrieved with a review of references in major publications. Primary data from World Health Organization surveys, the conclusions of reviews, and peer-reviewed non-industry studies were cited to address errors and omissions identified in the Opinion. Results The Opinion omitted reporting on the individual and population health benefits of the substitution of e-cigarettes (ENDS) for cigarette smoking. Alternative hypotheses to the gateway theory were not evaluated. Its assessment of cardiovascular risk is contradicted by numerous reviews. It cites ever-use data that do not represent current patterns of use. It did not report non-nicotine use. It presented erroneous statements on trends in ENDS prevalence. It over-emphasized the role of flavours in youth ENDS initiation. It did not discuss cessation in sufficient length. Conclusions For the delivery of a robust and comprehensive final report, the members of the Working Group of the Scientific Committee on Health, Environmental and Emerging Risks will need to consider (1) the potential health benefits of ENDS substitution for cigarette smoking, (2) alternative hypotheses and contradictory studies on the gateway effect, (3) its assessment of cardiovascular risk, (4) the measurements of frequency of use, (5) non-nicotine use, (6) the role of flavours, and (7) a fulsome discussion of cessation.
- Subjects :
- Opinion
Adolescent
Medicine (miscellaneous)
SCHEER
Population health
Electronic Nicotine Delivery Systems
030204 cardiovascular system & hematology
Scientific evidence
European Union Tobacco Products Directive
03 medical and health sciences
0302 clinical medicine
Political science
e-cigarettes
ENDS
Gateway
Risk assessment
Tobacco harm reduction
Humans
media_common.cataloged_instance
European Union
030212 general & internal medicine
European union
media_common
Social work
business.industry
lcsh:Public aspects of medicine
Public Health, Environmental and Occupational Health
lcsh:RA1-1270
Tobacco Products
Public relations
Psychiatry and Mental health
Health psychology
Critical appraisal
Smoking Cessation
business
Citation
Environmental Health
Subjects
Details
- Language :
- English
- ISSN :
- 14777517
- Volume :
- 18
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Harm Reduction Journal
- Accession number :
- edsair.doi.dedup.....61c70f8aec97a68575ec0d640d84d730