Scheer Report - Was steckt dahinter Teil 9

Hallo Liebe Leser,

Heute kommt der neunteTeil der Anmerkungen zum Scheer Report. Also die Dinge die mir zum Scheer Report aufgefallen ist und welche man als Anregung für eine Mail an die Abgeordneten mitnehmen kann.

Vorab liste ich Euch wie schon im vorigen Teil alle Artikel dieser Serie auf:

Wie auch im Teil vorher werde ich mich nur auf die Bereiche im Scheer Report beschränken, welche nicht explicit in den vorigen Artikeln behandelt wurden, es sei denn ich habe neue Anmerkungen dazu gefunden. Daher fangen wir auch mit Seite 17 des Scheer Reportes an.

Regarding flavours, consistent evidence was found that flavours attract both youth and adults to use electronic cigarettes. Flavours decrease harm perceptions and increase willingness to try and initiate use of electronic cigarettes. Adolescents consider flavour the most important factor trying electronic cigarettes and were more likely to initiate using through flavoured electronic cigarettes. Among adults, electronic cigarette flavours increase product appeal and are a primary reason for many adults to use the product. Flavoured electronic cigarettes are used at electronic cigarette initiation by the majority of youth. These flavours enhance the appeal of electronic cigarettes by creating sensory perceptions of sweetness and coolness and masking the aversive taste of nicotine. Most e-liquid brands are available in a variety of youth-appealing flavours, ranging from fruits, desserts, candy, and soda to traditional tobacco. The number of available e-liquid flavours exceeded 7500 in 2014 and is still increasing. Forty-three main flavour categories have been found in literature, e.g. tobacco, menthol, mint, fruit, bakery/dessert, alcohol, nuts, spice, candy, coffee/tea, beverages, chocolate, sweet flavours, vanilla, and unflavoured. The "Special Eurobarometer 458" reports that the most popular flavour of electronic cigarette is fruit flavour (47%), followed by tobacco flavour (36%), menthol or mint (22%) and candy flavour (18%). Alcohol flavoured electronic cigarettes are the least popular, favoured by only 2% of respondents. Tobacco-flavoured electronic cigarettes are much more popular among those aged 55 or more (66%) vs those aged between 15 and 24 (19%), whereas younger respondents are much more likely to prefer fruit-flavoured electronic cigarettes (72%, compared with 17% of the oldest cohort) and somewhat more likely to prefer candy-flavoured electronic cigarettes (22%, compared with 11%). Sweet preference in children and adolescents is higher than in adults. Examples of preferred food-related tastes and odours for young people included cherry, candy, strawberry, orange, apple and cinnamon.

SCHEER Preliminary Opinion on electronic cigarettes

Several flavours (candy and fruit flavours) were associated with decreased harm perception, while tobacco flavour was associated with increased harm perception. Tobacco products in flavours preferred by young people may impact tobacco use and initiation, while flavours preferred by adults may impact product switching or dual use. Non-smokers in particular prefer coffee and menthol flavours. Overall, consumers preferred flavoured electronic cigarettes, and such preference varied with age groups and smoking status.
Nicotine-containing e-liquids have a stimulating effect on the reward system within the brain, which is implicated in the development of addiction. Whereas flavours are added to increase product liking, addictive substances such as nicotine play a role in motivation and influence the reward system through mechanisms of learning and wanting. Specific to youth, nicotine addiction and dependence leading to lifelong tobacco use is a major concern when considering electronic cigarette use. Consumer preference for nicotine strength and types depends on smoking status, electronic cigarette use history, and gender. Non- smokers and inexperienced electronic cigarette users tend to prefer no nicotine or low nicotine electronic cigarettes while smokers and experienced electronic cigarette users prefer medium and high nicotine electronic cigarettes. Weak evidence exists regarding a positive interaction between menthol flavour and nicotine strength. Typical nicotine absorption from a conventional cigarette is 1 mg (range 0.3–2 mg), with blood nicotine levels ranging from an average of 15 to 30 ng/mL. Studies of electronic cigarette use have revealed that, depending on duration of use and user puffing topography, serum levels of nicotine can be as high with electronic cigarette use as with use of a conventional cigarette. It is also interesting to note that a modified version of a popular pod device with a 76% US- market share is now on the EU market, with technological adjustments. This product type compensates for the lower nicotine levels in the liquid, and the increased aerosolisation results in nicotine delivery per puff approximately equal to the American original using high nicotine levels in the liquid. This suggests similar addictiveness potential of the enhanced European version and the original American product.

Health effects of electronic cigarette use are mainly due to nicotine, but are also associated with the particular flavour ingredients (including menthol) which are perceived as having diminished risk of harm from electronic cigarettes use, which are most often preferred by this population group and can contribute to attractiveness and addictiveness.

Overall, the SCHEER is of the opinion that there is strong evidence that electronic-cigarettes are a gateway to smoking for young people. In addition, there is strong evidence that nicotine in e-liquids is implicated in the development of addiction.There is also strong evidence that flavours have a relevant contribution for attractiveness of use of electronic cigarette and initiation too.

3. Role of electronic cigarettes in cessation of traditional tobacco smoking.

In the EU, research has indicated that from current and former smokers, the number of those who had ever attempted to quit without assistance increased from 70.3% in 2012 to 74.8% in 2017. During this timeframe, experimentation with the use of electronic cigarettes for smoking cessation increased (3.7% to 9.7%), while on the contrary the use of pharmacotherapy (14.6% to 11.1%) and smoking cessation services (7.5% to 5.0%) declined across the EU. Notably, the differences in cessation methods across European Member states were associated with the existence of comprehensive national smoking cessation policies. Recent data on quitting activity, including quit attempts, intention to quit, and use of cessation assistance among a cohort of smokers from eight European countries indicated that experimentation with electronic cigarettes as a smoking cessation device in the last quit attempt differed substantially across different European Member states, ranging from 5% in Spain to 51.6% in England – highlighting the differences across the EU.

SCHEER Preliminary Opinion on electronic cigarettes

Taking into account data from cohort studies and randomised control trials, the weight of evidence for smoking cessation is weak and for smoking reduction it is weak to moderate. There is evidence that nicotine containing electronic cigarettes help smokers to stop smoking in the long term compared with placebo electronic cigarettes (nicotine free). However, the small number of trials, low event rates and wide confidence intervals around the estimates result in low evidence by GRADE standards regarding the support of electronic cigarettes' effectiveness in helping smokers to quit.

The older (2014) review of Evans and Hoffmann concluded that, compared with traditional cigarettes, electronic cigarette average puff duration was significantly longer, and electronic cigarette use required stronger suction (Evans and Hoffman, 2014); it needs to be noted that none of the studies was performed with standardized, validated topography equipment. The four studies (Etter and Bullen, 2011; Hua et al., 2013; Farsalinos et al., 2013; Trtchounian et al., 2010) reviewed in Evans and Hoffman, 2014 are also summarised in table A3.1 in Annex 3. Only number of puffs, and puff duration, no puff volume and puff interval were studied. The average puff duration was reported in two studies (for more 21 details see Annex 3) and is slightly longer than those reported in the recent review described above. The average number of puffs widely differs, as some are per session, and some per day.

Diese oben zitierten Teile des Scheer Reportes möchte ich heute mit meinen Lesern durchgehen. Daher werden wir uns wie bisher auch, immer Teile des Textes vornehmen und ich werde diese kommentieren.

Regarding flavours, consistent evidence was found that flavours attract both youth and adults to use electronic cigarettes. Flavours decrease harm perceptions and increase willingness to try and initiate use of electronic cigarettes. Adolescents consider flavour the most important factor trying electronic cigarettes and were more likely to initiate using through flavoured electronic cigarettes...

Ernsthaft? Geschmack ist für Jugendliche und Erwachsene das gleiche? Wow, wer hätte das gedacht. Es sind alles Menschen. Leute diese Aussage ist so..... etwas von einem Framing ich könnte kotzen. Und seit wann senkt die Geschmacksrichtung Vanille die Wahrnehumg der Gefahr für einen Nikotinkonsum oder die Geschmacksrichtung Menthol? Den Zusammenhang hätte ich gerne mal näher erläutert. Ich verstehe das es Menschen gibt die Menthol mögen. Auch wenn es meines nicht ist. Aber Leute, nur weil jemand Aroma A mag und ein anderer Aroma B heisst das doch nicht das ein Mensch der Aroma A lieber mag als Aroma B die Wahrnehmung der Gefahr(welche eh im Gegensatz zu einer Pyro verschwindend gering ist) nicht hat. Leute, Leute.

Adolescents consider flavour the most important factor trying electronic cigarettes and were more likely to initiate using through flavoured electronic cigarettes. Among adults, electronic cigarette flavours increase product appeal and are a primary reason for many adults to use the product. Flavoured electronic cigarettes are used at electronic cigarette initiation by the majority of youth.These flavours enhance the appeal of electronic cigarettes by creating sensory perceptions of sweetness and coolness and masking the aversive taste of nicotine. Most e-liquid brands are available in a variety of youth-appealing flavours, ranging from fruits, desserts, candy, and soda to traditional tobacco.... Sweet preference in children and adolescents is higher than in adults. Examples of preferred food-related tastes and odours for young people included cherry, candy, strawberry, orange, apple and cinnamon.

Wie zum Geier könnt ihr solche Aussagen machen ohne zu differenzieren, zwischen sogenannten Sensantion Seekern, Einmalnutzern und Jugendlichen die vorher schon(verbotenerweise) geraucht haben. Leute es hackt. Nun bekomm ich nen Lachanfall. Eigengeschmack von Nikotinliquid? Ernsthaft, habt ihr das schon mal probiert habt ihr schon mal an einem Shot genippt. Die Dinger schmecken nach nichts. Ausser einer gewissen Schärfe und einer geringen Süsse durch die zur Lösung des Nikotin verwendeten Flüssigkeit, ist die na ja geschmacklich eher langweilig. Was also bitte maskieren? Und wie oben schon erwähnt, auch Erwachsene mögen Geschmacksrichtungen wie Erdbeer, Rumkugel etc.Und zu guter letzt wie kommt Ihr zu der wahnwitzigen Idee, das die Bevorzung der Geschmacksrichtung Süss, bei Heranwachsenden höher ist als bei Erwachsenen? - Ich selber bin seit meiner Kindheit ein Verfechter des "Süßen Frühstücks" Wer mir Wurst und Käse zum Frühstück anbietet wird erleben das ich nur ne Butterstolle es, bevorzugt auf Weizentoastbrot. Und ich persönlich kenne einen Youtuber, welcher in seinen Videos und Streams auf Twitch bevorzugt ein Zimtaroma dampft. Wir beide dürften aber im gleichen Alter sein. merkt ihr noch was? Diese These hinkt nicht nur auf einem Bein. Die hat keine Beine.

SCHEER Preliminary Opinion on electronic cigarettes

Several flavours (candy and fruit flavours) were associated with decreased harm perception, while tobacco flavour was associated with increased harm perception. Tobacco products in flavours preferred by young people may impact tobacco use and initiation, while flavours preferred by adults may impact product switching or dual use. Non-smokers in particular prefer coffee and menthol flavours. Overall, consumers preferred flavoured electronic cigarettes, and such preference varied with age groups and smoking status.

*räusper* Die These mit dem gesenkten Gefährdungspotential hatten wir weiter oben schon, netter Versuch des negativen Framings. Aber nun kommt der Bolzen des Jahrzehnts, nein eher des Jahrtausend. Wer Tabakliquids dampft beginnt auch wieder zu rauchen? WTF! Ich dampfe ausschliesslich Tabakliquids aber never ever wirklich niemals wieder würde ich mir eine Schachtel Zigaretten kaufen. Nicht mal die, welche ich Jahrelang 2 Schachteln plus X geraucht habe. Sorry. No Way. Eine solche Umfrage unter Tabakaromen dampfenden Dampfern würde Euch da schon Klarheit geben. Aber habt ihr diese durchgeführt?

Nicotine-containing e-liquids have a stimulating effect on the reward system within the brain, which is implicated in the development of addiction. Whereas flavours are added to increase product liking, addictive substances such as nicotine play a role in motivation and influence the reward system through mechanisms of learning and wanting. Specific to youth, nicotine addiction and dependence leading to lifelong tobacco use is a major concern when considering electronic cigarette use.

Jep und zwar genau wie die berühmte Tasse coffeinhaltiger Kaffee in der sogenannten Kaffeepause. Das alleinige Suchterzeugungspotential von Nikotin ist nicht nachgewiesen. Hierzu veweise ich wieder auf den Artikel von mir: Nikotin- das tödliche Suchtgift

Wenn es eine Abhängigkeit gibt, die ich hier nicht bestreite ist die nicht durch das Nikotin. Es ist das Ritual was abhängig macht. Sich einfach mal raus zu nehmen aus dem Alltag, etwas inhalieren, Wolken machen, das ist das was belohnt und vielleicht auch abhängig macht. Aber ist es so verkehrt sich aus dem Stress des Alltages, mit einer vergleichsbaren Handlung kurz mal aus dem Stress zu ziehen? Sorry...

Overall, the SCHEER is of the opinion that there is strong evidence that electronic-cigarettes are a gateway to smoking for young people. In addition, there is strong evidence 36 that nicotine in e-liquids is implicated in the development of addiction.There is also strong 37 evidence that flavours have a relevant contribution for attractiveness of use of electronic 38 cigarette and initiation too.

Auf diese fucking Gateway-These welche noch nie bewiesen wurde, ja sogar widerlegt wurde bin ich bereits in den vorigen Beiträgen eingegangen das werde ich hier nicht weiter kommentieren.

3. Role of electronic cigarettes in cessation of traditional tobacco smoking.

In the EU, research has indicated that from current and former smokers, the number of those who had ever attempted to quit without assistance increased from 70.3% in 2012 to 74.8% in 2017. During this timeframe, experimentation with the use of electronic cigarettes for smoking cessation increased (3.7% to 9.7%), while on the contrary the use of pharmacotherapy (14.6% to 11.1%) and smoking cessation services (7.5% to 5.0%) declined across the EU. Notably, the differences in cessation methods across European Member states were associated with the existence of comprehensive national smoking cessation policies. Recent data on quitting activity, including quit attempts, intention to quit, and use of cessation assistance among a cohort of smokers from eight European countries indicated that experimentation with electronic cigarettes as a smoking cessation device in the last quit attempt differed substantially across different European Member states, ranging from 5% in Spain to 51.6% in England – highlighting the differences across the EU.

SCHEER Preliminary Opinion on electronic cigarettes

Taking into account data from cohort studies and randomised control trials, the weight of evidence for smoking cessation is weak and for smoking reduction it is weak to moderate. There is evidence that nicotine containing electronic cigarettes help smokers to stop smoking in the long term compared with placebo electronic cigarettes (nicotine free). However, the small number of trials, low event rates and wide confidence intervals around the estimates result in low evidence by GRADE standards regarding the support of electronic cigarettes' effectiveness in helping smokers to quit.Dieser kleine aber feine Absatz verdient dann aber doch meine volle Aufmerksamkeit, also Kaffee her, ein paar Züge aus der Dampfe vorher und dann genau lesen und noch mal rekapitulieren um dann meinen Kommentar zu schreiben.

So liebe Schreiberlinge des Scheer Reportes(nicht die der hinterlgeten Studien) wen wollt ihr eigentlich verarschen!?!? Eure eigenen Zahlen belegen doch schon das immer mehr Menschen die E-Zigarette aus als Ausstiegsmedium wahrnehmen. Warum beschleicht mich hier ein gewisser Geld-und/oder Sachmittelfluss von Seiten der Pharmalobby oder deren Handlangern der WHO und deren angeschlossenen Antirauchergruppen? Ich meine ihr habt den Absatz ziemlich gut versteckt. Ich habe es auch mehrfach überlesen. Aber hier ist es doch eindeutig. Es geht nicht um Wissenschaft. Es geht um Dogmen und Geschäftemacherei, das Geschäft mit einer nicht vorhanden Sucht.Warum zum Geier verkauft ihr Eure Moral an die WHO und ihre Lügen?

Ja die Wahrnehmung dieser Methode von den Pyros los zu kommen hat sich enorm gesteigert. Und mich beschleicht der Verdacht, das Ihr genau das mit diesem Stück Klopapier verhindern wollt. Nein, es ist kein Verdacht mehr es ist eine Gewissheit.

Da kommt mir echt gleich mein Kaffee wieder hoch!

The older (2014) review of Evans and Hoffmann concluded that, compared with traditional cigarettes, electronic cigarette average puff duration was significantly longer, and electronic cigarette use required stronger suction (Evans and Hoffman, 2014); it needs to be noted that none of the studies was performed with standardized, validated topography equipment. The four studies (Etter and Bullen, 2011; Hua et al., 2013; Farsalinos et al., 2013; Trtchounian et al., 2010) reviewed in Evans and Hoffman, 2014 are also summarised in table A3.1 in Annex 3. Only number of puffs, and puff duration, no puff volume and puff interval were studied. The average puff duration was reported in two studies (for more 21 details see Annex 3) and is slightly longer than those reported in the recent review described above. The average number of puffs widely differs, as some are per session, and some per day.

Ja die Zugdauer an einer E-Zigarette ist schon bauart bedingt eine andere. Man kann an einer E-Zigarette nicht auf die gleiche Art ziehen wie an einer Pyro. Das würde zwangsweise zum Kokeln führen. Das gleiche gilt für die Zugstärke bei DL-Dampfen. Ich selber dampfe MTL und ich muss nicht stärker an meiner Ezigarette ziehen wie damals an meinen Pyros. Diese Aussage ist also nur eine halbe Wahrheit, weil sie von der Art der E-Zigarette abhängt.

Fazit

Wow, wer hätte das gedacht. Ich habe für mich persönlich endlich den Beweis gefunden, das man hier mit themenbezogener Kritik nicht weiter kommt. Es geht um Dogmen und einen Sumpf aus "moralverschiebenden" Paketen. Hier wird dreckigste Politik zu Lasten der Bürger gemacht. Das es eine Katatstrophe ist, was die "da oben" machen war mir schon klar. Aber so jenseits der Moral? Sorry ich bin echt entsetzt.

in diesem Sinne

Seid Achtsam