‘Alarmist language’ used in WHO e-cigarette report, say experts

WHO calls for stiff regulation of e-cigarettes, including bans on indoor use and sales to minors

The WHO has recommended a ban on indoor smoking of e-cigarettes as part of tougher regulation of products dangerous to children. Photograph: Dan Kitwood/Getty Images
The WHO has recommended a ban on indoor smoking of e-cigarettes as part of tougher regulation of products dangerous to children. Photograph: Dan Kitwood/Getty Images

A group of tobacco experts has criticised a World Health Organisation (WHO) report calling for more regulation on e-cigarettes, saying the evaluation used "alarmist language" to describe its findings.

Ann McNeill, a researcher at the national addiction centre at King’s College London, said she was “ shocked and surprised” at the report. “I felt it was an inaccurate portrayal of the evidence on e-cigarettes,” she said.

The WHO’s report last month called for stiff regulation of e-cigarettes as well as bans on indoor use, advertising and sales to minors. Ms McNeill said that while e-cigarettes are relatively new and “we certainly don’t yet have all the answers as to their long-term health impact”, it is clear they are far safer than cigarettes, which kill more than six million people a year.

The uptake of e-cigarettes, which use battery-powered cartridges to produce a nicotine-laced vapour, has rocketed in the past two years, but there is fierce debate about their potential risks and benefits. Because they are new, there is a lack of long-term scientific evidence on their safety. Some experts fear they could lead to nicotine addiction and be a gateway to tobacco smoking, while others say they have enormous potential to help millions of smokers around the world kick their deadly habit.

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Peter Hajek of the tobacco dependence research unit at Queen Mary University of London, who co-authored the critique of the WHO review, said it was vital that e-cigarettes should be assessed in relation to the known harms of tobacco cigarettes.

“There are currently two products competing for smokers’ custom,” he said. “One - the conventional cigarette - endangers users and bystanders and recruits new customers from among non-smoking children who try it. “The other - the

e-cigarette - is orders of magnitude safer, poses no risk to bystanders, and generates negligible rates of regular use among non-smoking children who try it.”

According to the authors of the critique, the WHO review implied e-cigarette use in youth had become a major problem and could be acting as a gateway to smoking. They said the review failed to acknowledge that the concentrations of toxins found in e-cigarettes were mostly a tiny fraction of what is found in cigarette smoke.

The review gives the impression that e-cigarettes make it more difficult for people to stop smoking, when the opposite is true, the experts added.

Reuters