Using models disconnected from reality to justify huge ‘endgame’ interventions

New Zealand is planning to introduce so-called ‘endgame’ measures, including the removal of nicotine from legally available tobacco. We examine and review the modelling used to justify the measure and find multiple fatal flaws.

With thanks to Dilbert @SottAdamsSays

In this blog, we take a look at modelling used to justify ‘endgame’ legislation under discussion in New Zealand. Among other things, this would reduce nicotine in cigarettes and other tobacco available through legal channels to minimal levels. We find the modelling and data assumptions bear no relation whatsoever to the underlying processes and the effects that such legislation would trigger. Deep cuts in smoking are assumed as inputs to the model. Unsurprisingly, therefore, the model results show deep cuts in smoking, and this determines the resulting health benefits. But the assumptions have no grounding in reality and misinterpret and misuse trial findings.

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A powerful declaration makes a compelling case for tobacco harm reduction

Spain has a vocal and well-funded tobacco control establishment. But the data suggest its traditional approach is failing. 170 national and international experts call for a rethink and make the case that Spain embraces tobacco harm reduction as a real-world public health strategy.

Prevalence of daily tobacco use in the last 30 days in the population aged 15-64, by sex
and age (%). Spain, 2019/2020 EDADES, 2021 figure 1.1.13 (Full report PDF)

The post provides the text of a letter sent to the public health authorities in Spain and related commentary. To go straight to the letter in PDF format, it’s here: Less Harm: International Declaration for a Smoke-free Spain, in English and en español.

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Vaping risk compared to smoking: challenging a false and dangerous claim by Professor Stanton Glantz

This blog examines an extraordinary claim by Professor Stanton Glantz that the US public is right to believe that vaping is as harmful as smoking and that science is now catching up with public opinion. This claim is profoundly and dangerously false, and it demands a challenge.   This is a 13,000-word review looking in detail at Professor Glantz’s 700-word commentary and its supporting citations, examining thirteen claims that form the basis of the overall claim relating to cancer, heart attacks, stroke and respiratory illness, impact on smoking cessation and population smoking.

…and VAPING IS SMOKING

This is a 13,000-word critique of 700-word commentary by Professor Stanton Glantz: The Evidence of Electronic Cigarette Risks Is Catching Up With Public Perception. Read or print this blog as a formatted PDF.

In this blog, I examine an extraordinary claim by Professor Stanton Glantz of the University of California at San Francisco. Professor Glantz claims that the US public is right to believe that vaping is as harmful as smoking and that science is now catching up with public opinion.

This claim is profoundly and dangerously false, and it demands a challenge.  Professor Glantz makes his claim in a commentary in response to a substantive paper on perceptions of the relative risk of smoking and vaping. Both articles appeared in the American Medical Association’s JAMA Network Open.  This is an in-depth blog looking in detail at Professor Glantz’s short commentary and its supporting citations, examining thirteen claims that form the basis of his overall claim.  I am hoping the critique provided here will be a useful primer to some of the arguments in this controversial field.

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