Smoke and mirrors
Until safety and efficacy are adequately assessed, Joseph Bush sees the decision to stock e-cigarettes as another example of commercialism trumping health professionalism
On October 6, having just delivered a scintillating lecture to final year MPharm students, I paid a brief visit to the Pharmacy Show taking place a short journey away at the NEC. The principal reason I went along was to witness a debate on e-cigarettes and community pharmacy. But I also had a walk around the exhibition (and ‘stuck it to the man' by grabbing myself a free GPhC mug, GPhC ‘repositionable notes' [generic Post-it® notes], a GPhC pen and a GPhC trolley tag). I found the exhibition incredibly dispiriting. Alongside the usual pharma representation (GSK, Pfizer), suppliers of pharmacy shelving, accountants specialising in pharmacy etc was a panoply of, er, stuff. And alongside the homeopathy, kinesio-tape, acupressure and a laser-emitting, hair-growth-promoting helmet, there were more than 20 purveyors of e-cigarettes. Their stands were very impressive (one featured a car for some undiscernible reason) and it was clear that these companies had invested not-inconsiderable sums of money on exhibiting – presumably on the basis of seeing some return on their investment in the form of a glut of new orders from contractors eager to stock their wares. Now, logic suggests that e-cigarettes will be less harmful than standard tobacco cigarettes. I'm relatively certain this will turn out to be the case, although the evidence to demonstrate this is not available and would take years (decades?) to accumulate. I raise this because this "logic suggests that…" kind of thinking has led to unnecessary harm before. And while evidence on e-cigarettes' effectiveness as a stop-smoking aid is equivocal, they are more attractive to smokers than NRT (which does have good evidence of its effectiveness), with suggestions that 40 per cent of people looking to quit use e-cigarettes in an attempt to do so. |
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Until safety and efficacy are adequately assessed, I see the decision to stock e-cigarettes as another example of commercialism trumping health professionalism |
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