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updateHet Openbaar Ministerie gaat de vier grote tabaksproducenten niet strafrechtelijk vervolgen. Dat heeft justitie net gezegd tegen enkele van de tientallen aangevers, te weten longkankerpatiënte Anne Marie van Veen, KWF Kankerbestrijding en advocaat Bénédicte Ficq, die alle aangevers bijstaat.

De aanklagers verenigd in https://sickofsmoking.nl/ hebben aangekondigt direct een artikel 12 procedure te beginnen.

20 augustus 2015: Bron: Public Health England

Het roken van een electrische sigaret (E-sigaret) zou 95 procent minder schadelijk zijn dan het roken van tabak, dus een gewone sigaret. Bovendien zou de E-sigaret mensen stimuleren te stoppen met roken.

Dit blijkt althans uit Engels onderzoek dat gepubliceerd is op een website van de Britse overheid.

De overheid benadrukt met het persbericht dat ze electrische sigaretten kunnen aanbevelen om rokers te helpen met het stoppen met roken.

"E-sigaretten zijn niet geheel zonder risico, maar in vergelijking met roken blijven ze vele malen minder schadelijk. Het probleem is nog steeds dat mensen denken dat ze minstens zo schadelijk zijn", aldus professor Kevin Fenton, directeur van gezondheid en welzijn bij Public Health England.

Hoewel een stopppen met roken programma de beste resultaten geeft is de E-sigaret wellicht een goed alternatief, zegt ook Linda Bauld van het Britse Cancer Research. "Al veel mensen zijn er qua gezondheid op vooruit gegaan door over te gaan op elektronische sigaretten."

E-sigaret

De belangrijkste conclusies uit deze studie zijn:

  • geschat wordt dat E-sigaretten 95% minder schadelijk zijn dan gewone sigarettten.
  • bijna de helft van de bevolking (44,8%) realiseren zich niet dat E-sigaretten veel beter voor de gezondheid zijn.
  • tot zover bekend is ere geen bewijs dat E-sigaretten kinderen en mensen die nog niet rookten aanzetten tot roken van gewone sigaretten.

Bijna alle volwassenen van de 2,6 miljoen Britten die wel eens elektronische sigaretten roken, zijn of waren rokers van gewone sigaretten. De meesten stapten over naar de E-sigaret om uiteindelijk te stoppen met roken. 

E-sigaretten stimuleren tieners om met roken te beginnen:

Daar staat een andere studie tegenover: Psychosocial Factors Associated With Adolescent Electronic Cigarette and Cigarette Use die juist zou bewijzen dat tieners door het roken van electrische sigaretten en dan met name via de waterpijp bv. gestimuleerd worden om tabak te gaan roken. Het abstract van die studie staat onderaan artikel.

Het volledige studierapport: E-cigarettes: an evidence update - A report commissioned by Public Health England is gratis te downloaden van de website van de Engelse overheid.

Hier hun persbericht:

e-cigarettes are around 95% less harmful than smoking

Source: Public Health England

Expert independent review concludes that e-cigarettes have potential to help smokers quit.

An expert independent evidence review published today by Public Health England (PHE) concludes that e-cigarettes are significantly less harmful to health than tobacco and have the potential to help smokers quit smoking.

Key findings of the review include:

  • the current best estimate is that e-cigarettes are around 95% less harmful than smoking
  • nearly half the population (44.8%) don’t realise e-cigarettes are much less harmful than smoking
  • there is no evidence so far that e-cigarettes are acting as a route into smoking for children or non-smokers

The review, commissioned by PHE and led by Professor Ann McNeill (King’s College London) and Professor Peter Hajek (Queen Mary University of London), suggests that e-cigarettes may be contributing to falling smoking rates among adults and young people. Following the review PHE has published a paper on the implications of the evidence for policy and practice.

The comprehensive review of the evidence finds that almost all of the 2.6 million adults using e-cigarettes in Great Britain are current or ex-smokers, most of whom are using the devices to help them quit smoking or to prevent them going back to cigarettes. It also provides reassurance that very few adults and young people who have never smoked are becoming regular e-cigarette users (less than 1% in each group).

However, the review raises concerns that increasing numbers of people think e-cigarettes are equally or more harmful than smoking (22.1% in 2015, up from 8.1% in 2013: ASH Smokefree GB survey) or don’t know (22.7% in 2015, ASH Smokefree GB survey).

Despite this trend all current evidence finds that e-cigarettes carry a fraction of the risk of smoking.

Emerging evidence suggests some of the highest successful quit rates are now seen among smokers who use an e-cigarette and also receive additional support from their local stop smoking services.

Professor Kevin Fenton, Director of Health and Wellbeing at Public Health England said:

Smoking remains England’s number one killer and the best thing a smoker can do is to quit completely, now and forever.

E-cigarettes are not completely risk free but when compared to smoking, evidence shows they carry just a fraction of the harm. The problem is people increasingly think they are at least as harmful and this may be keeping millions of smokers from quitting. Local stop smoking services should look to support e-cigarette users in their journey to quitting completely.

Professor Ann McNeill, King’s College London and independent author of the review, said:

There is no evidence that e-cigarettes are undermining England’s falling smoking rates. Instead the evidence consistently finds that e-cigarettes are another tool for stopping smoking and in my view smokers should try vaping and vapers should stop smoking entirely.

E-cigarettes could be a game changer in public health in particular by reducing the enormous health inequalities caused by smoking.

Professor Peter Hajek, Queen Mary University London and independent author of the review said:

My reading of the evidence is that smokers who switch to vaping remove almost all the risks smoking poses to their health. Smokers differ in their needs and I would advise them not to give up on e-cigarettes if they do not like the first one they try. It may take some experimentation with different products and e-liquids to find the right one.

Professor Linda Bauld, Cancer Research UK’s expert in cancer prevention, said:

Fears that e-cigarettes have made smoking seem normal again or even led to people taking up tobacco smoking are not so far being realised based on the evidence assessed by this important independent review. In fact, the overall evidence points to e-cigarettes actually helping people to give up smoking tobacco.

Free Stop Smoking Services remain the most effective way for people to quit but we recognise the potential benefits for e-cigarettes in helping large numbers of people move away from tobacco.

Cancer Research UK is funding more research to deal with the unanswered questions around these products including the longer-term impact.

Lisa Surtees, acting director at Fresh Smoke Free North East, the first region where all local stop smoking services are actively promoted as e-cigarette friendly, said:

Despite making great strides to reduce smoking, tobacco is still our biggest killer. Our region has always kept an open mind towards using electronic cigarettes as we can see the massive potential health benefits from switching.

All of our local NHS Stop Smoking Services now proactively welcome anyone who wants to use these devices as part of their quit attempt and increase their chance of success.

Ends

Public Health England press office

Please contact PHE press office for:

Notes to Editors:

Public Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. It does this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. PHE is an operationally autonomous executive agency of the Department of Health. www.gov.uk/phe, Twitter: @PHE_uk, Facebook: www.facebook.com/PublicHealthEngland

PHE’s remit letter for 2014 to 2015 requested an update of the evidence around e-cigarettes. PHE commissioned Professors Ann McNeill and Peter Hajek to review the available evidence. The review builds on previous evidence summaries published by PHE in 2014.

The full list of authors of the report are:

  • McNeill A, Brose LS, Calder R, Hitchman SC: Institute of Psychiatry, Psychology & Neuroscience, National Addiction Centre, King’s College London and UK Centre for Tobacco & Alcohol Studies

  • Hajek P, McRobbie H (Chapters 9 and 10): Wolfson Institute of Preventive Medicine, Barts and The London School of Medicine and Dentistry Queen Mary, University of London and UK Centre for Tobacco & Alcohol Studies

Implications of the evidence for policy and practice: Based on the findings of the evidence review PHE advises that:

  • e-cigarettes have the potential to help smokers quit smoking, and the evidence indicates they carry a fraction of the risk of smoking cigarettes but are not risk free

  • e-cigarettes potentially offer a wide reach, low-cost intervention to reduce smoking in more deprived groups in society where smoking is elevated, and we want to see this potential fully realised

  • there is an opportunity for e-cigarettes to help tackle the high smoking rates among people with mental health problems, particularly in the context of creating smokefree mental health units

  • the potential of e-cigarettes to help improve public health depends on the extent to which they can act as a route out of smoking for the country’s eight million tobacco users, without providing a route into smoking for children and non-smokers. Appropriate and proportionate regulation is essential if this goal is to be achieved

  • local stop smoking services provide smokers with the best chance of quitting successfully and we want to see them engaging actively with smokers who want to quit with the help of e-cigarettes

  • we want to see all health and social care professionals providing accurate advice on the relative risks of smoking and e-cigarette use, and providing effective referral routes into stop smoking services

  • the best thing smokers can do for their health is to quit smoking completely and to quit for good. PHE is committed to ensure that smokers have a range of evidence-based, effective tools to help them to quit. We encourage smokers who want to use e-cigarettes as an aid to quit smoking to seek the support of local stop smoking services

  • given the potential benefits as quitting aids, PHE looks forward to the arrival on the market of a choice of medicinally regulated products that can be made available to smokers by the NHS on prescription. This will provide assurance on the safety, quality and effectiveness to consumers who want to use these products as quitting aids

  • the latest evidence will be considered in the development of the next Tobacco Control Plan for England with a view to maximising the potential of e-cigarettes as a route out of smoking and minimising the risk of their acting as a route into smoking

From October this year it will be an offence to sell e-cigarettes to anyone under the age of 18 or to buy e-cigarettes for them. The government is consulting on a comprehensive array of regulations under the European Tobacco Products Directive.

there is a strong association of e-cigarette psychosocial factors with both e-cigarette and cigarette use will lead to increased cigarette use or dual use of cigarettes and e-cigarettes, or whether e-cigarettes will serve as a gateway to cigarette use.

Pediatrics. 2015 Aug;136(2):308-17. doi: 10.1542/peds.2015-0639.

Psychosocial Factors Associated With Adolescent Electronic Cigarette and Cigarette Use.

Abstract

BACKGROUND:

Use of electronic cigarettes (e-cigarettes) among adolescents has increased since their introduction into the US market in 2007. Little is known about the role of e-cigarette psychosocial factors on risk of e-cigarette or cigarette use in adolescence.

METHODS:

Information on e-cigarette and cigarette psychosocial factors (use and attitudes about use in the home and among friends) was collected from 11th- and 12th-grade participants in the Southern California Children's Health Study during the spring of 2014.

RESULTS:

Of 2084 participants, 499 (24.0%) had used an e-cigarette, including 200 (9.6%) current users (past 30 days); 390 participants (18.7%) had smoked a combustible cigarette, and 119 (5.7%) were current cigarette smokers. Cigarette and e-cigarette use were correlated. Nevertheless, 40.5% (n = 81) of current e-cigarette users had never smoked a cigarette. Psychosocial factors (home use of each product, friends' use of and positive attitudes toward e-cigarettes and cigarettes) and participant perception of the harm of e-cigarettes were strongly positively associated both with e-cigarette and cigarette use. Most youth who reported e-cigarette use had friends who used e-cigarettes, and almost half of current users reported that they did not believe there were health risks associated with e-cigarette use.

CONCLUSIONS:

Longitudinal studies of adolescents are needed to determine whether the strong association of e-cigarette psychosocial factors with both e-cigarette and cigarette use will lead to increased cigarette use or dual use of cigarettes and e-cigarettes, or whether e-cigarettes will serve as a gateway to cigarette use.

Copyright © 2015 by the American Academy of Pediatrics.

PMID:
26216326
[PubMed - in process]
PMCID:
PMC4516947
[Available on 2016-08-01]

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