{"id":5007,"date":"2018-01-24T13:55:06","date_gmt":"2018-01-24T12:55:06","guid":{"rendered":"http:\/\/ch-lippmann.de\/blog\/dampffreiheit\/?p=5007"},"modified":"2026-02-25T16:24:36","modified_gmt":"2026-02-25T15:24:36","slug":"us-nasem-bericht-zur-e-zigarette-und-die-oeffentliche-gesundheit","status":"publish","type":"post","link":"https:\/\/dampffreiheit.de\/blog\/2018\/01\/us-nasem-bericht-zur-e-zigarette-und-die-oeffentliche-gesundheit\/","title":{"rendered":"[US] NASEM &#8211; Bericht zur E-Zigarette und die \u00f6ffentliche Gesundheit"},"content":{"rendered":"<p>Nach Public Health England ((PHE E-Cigarettes: an evidence update <a href=\"https:\/\/www.gov.uk\/government\/publications\/e-cigarettes-an-evidence-update\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.gov.uk\/government\/publications\/e-cigarettes-an-evidence-update<\/a>)), dem Royal College of Physicians ((RCP Nicotine without smoke: Tobacco harm reduction <a href=\"https:\/\/www.rcplondon.ac.uk\/projects\/outputs\/nicotine-without-smoke-tobacco-harm-reduction-0\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.rcplondon.ac.uk\/projects\/outputs\/nicotine-without-smoke-tobacco-harm-reduction-0<\/a>)), der British Psychology Society ((RSP Changing behaviour: electronic cigarettes <a href=\"https:\/\/www.bps.org.uk\/psychologist\/changing-behaviours\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.bps.org.uk\/news-and-policy\/changing-behaviour-electronic-cigarettes<\/a>)) und der British Medical Association ((BMA E-cigarettes &#8211; balancing risks and opportunities <a href=\"https:\/\/web.archive.org\/web\/20200310110842\/https:\/\/www.bma.org.uk\/collective-voice\/policy-and-research\/public-and-population-health\/tobacco\/e-cigarettes\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.bma.org.uk\/collective-voice\/policy-and-research\/public-and-population-health\/tobacco\/e-cigarettes<\/a>)) hat nun die in den USA angesiedelte <strong>National Acadamy of Science, Engineering and Medicine (NASEM)<\/strong> einen gro\u00dfen Report zur E-Zigarette ver\u00f6ffentlicht:<\/p>\n<p>Quelle: <a href=\"http:\/\/nationalacademies.org\/hmd\/reports\/2018\/public-health-consequences-of-e-cigarettes.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/nationalacademies.org\/hmd\/reports\/2018\/public-health-consequences-of-e-cigarettes.aspx<\/a><\/p>\n<p>Interessant ist insbesondere das Dokument, in welchem sie in 47 Kategorien Aussagen zur E-Zigarette t\u00e4tigen, basierend auf bisherigen wissenschaftlicher Erkenntnisse:<\/p>\n<p><a href=\"https:\/\/www.nap.edu\/resource\/24952\/012318ecigaretteConclusionsbyEvidence.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.nap.edu\/resource\/24952\/012318ecigaretteConclusionsbyEvidence.pdf<\/a><\/p>\n<p>Der Bericht kann bei unbedarften Lesern nat\u00fcrlich einen zweigeteilten Eindruck hinterlassen. Zum einen werden schwammige Formulierungen genutzt und toxische Substanzen im Dampf erw\u00e4hnt, als auch eine Aussage in Richtung Gatewaytheorie (welche schon zahlreich widerlegt wurde), was die Vermutung zu l\u00e4sst, dass doch die eine oder andere Junk Science Studie mit eingeflossen ist. Zum anderen, wird aber klar gesagt, dass keine Beeintr\u00e4chtigung des Herz-Kreislauf-Systems gibt und f\u00fcr viele Raucher ein Mittel zum Ausstieg aus dem Tabakkonsum ist.<\/p>\n<p><strong>Nachtrag:<\/strong><\/p>\n<p>Dr. Carl Phillips sieht das Papier der NASEM \u00e4usserst kritisch und empfiehlt den Dampfern und Dampfbef\u00fcrwortern diesem Report nicht soviel Respekt zu zollen, da es keine eindeutige Empfehlung (trotz unz\u00e4hliger wissenschaftlicher Beweise) f\u00fcr eine unbedenkliche Nutzung der E-Dampfe gibt. ((\u00a0NATIONAL ACADEMIES REPORT ON E-CIGS: JUST WHAT THE FDA ORDERED-\u00a0 <a href=\"https:\/\/web.archive.org\/web\/20180403212004\/http:\/\/dailyvaper.com:80\/2018\/01\/25\/national-academies-report-on-e-cigs-just-what-the-fda-ordered\/\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/dailyvaper.com\/2018\/01\/25\/national-academies-report-on-e-cigs-just-what-the-fda-ordered\/<\/a>))<\/p>\n<hr \/>\n<p>Danke f\u00fcr den Kommentar @Vapoon!<\/p>\n<p>&nbsp;<\/p>\n<p>Nach Prof. Michael Siegel sind dies aus seiner Sicht die Kernaussagen ((\u00a0National Academy of Sciences Report on Electronic Cigarettes Confirms that Vaping is Much Safer than Smoking and Has No Known Long-Term Health Effects <a href=\"http:\/\/tobaccoanalysis.blogspot.de\/2018\/01\/national-academy-of-sciences-report-on_24.html\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/tobaccoanalysis.blogspot.de\/2018\/01\/national-academy-of-sciences-report-on_24.html<\/a>)):<\/p>\n<p>Diese Kernaussagen werde ich\u00a0 nach und nach kommentieren.<\/p>\n<p>&nbsp;<\/p>\n<blockquote><p>1. &#8222;There is <em>substantial evidence<\/em> that except for nicotine, under typical conditions of use, exposure to potentially toxic substances from e-cigarettes is significantly lower compared with combustible tobacco cigarettes.&#8220;<\/p><\/blockquote>\n<p>Anmerkung: naja, wenn man nur die Kokelstudien betrachtet, kann man schon zu der Annahme kommen. Dies passiert aber nur, wenn die E-Dampfe ausserhalb ihrer Spezifikation betrieben wird<\/p>\n<blockquote><p>2. &#8222;There is <em>conclusive evidence<\/em> that completely substituting e-cigarettes for combustible tobacco cigarettes reduces users\u2019 exposure to numerous toxicants and carcinogens present in combustible tobacco cigarettes.&#8220;<\/p><\/blockquote>\n<p>Anmerkung: Geht klar, wenn man vom Rauchen auf das Dampfen umsteigt, hat man sich definitv alle giftigen Verbrennungsstoffe gespart.<\/p>\n<blockquote><p>3. &#8222;There is <em>moderate evidence<\/em> that risk and severity of dependence are lower for e-cigarettes than combustible tobacco cigarettes.&#8220;<\/p><\/blockquote>\n<p>Anmerkung: Es gibt m\u00e4\u00dfige Beweise, dass E-Zigaretten eine weitaus geringere Abh\u00e4ngigkeit erzeugen als Tabakzigaretten. Die Erfahrung zeigt, dass Dampfer nicht mehr die typischen Verhaltensmuster wie die als Raucher haben in Hinblick auf den Suchtdruck.<\/p>\n<blockquote><p>4. &#8222;There is <em>moderate evidence<\/em> that second-hand exposure to nicotine and particulates is lower from e-cigarettes compared with combustible tobacco cigarettes.&#8220;<\/p><\/blockquote>\n<p>Anmerkung: Wo nichts verbrannt wird kann kein Feinstaub entstehen, des weiteren gibt es auch kein &#8222;Passivdampf&#8220;.<\/p>\n<blockquote><p>5. &#8222;There is no <em>available evidence<\/em> whether or not e-cigarette use is associated with clinical cardiovascular outcomes (coronary heart disease, stroke, and peripheral artery disease) and subclinical atherosclerosis (carotid intima media-thickness and coronary artery calcification).&#8220;<\/p><\/blockquote>\n<p>Anmerkung: Es gibt keine Belege daf\u00fcr, dass der Konsum von E-Dampfprodukten Herz-Kreislauf-Krankheiten hervorruft, siehe auch Studien von Prof. Riccardo Polosa<\/p>\n<blockquote><p>6. &#8222;There is <em>insufficient evidence<\/em> that e-cigarette use is associated with long-term changes in heart rate, blood pressure, and cardiac geometry and function.&#8220;<\/p><\/blockquote>\n<p>Anmerkung: hier gilt das gleiche:\u00a0\u00a0es gibt keine Belege daf\u00fcr, dass der Konsum von E-Dampfprodukten Herz-Kreislauf-Krankheiten hervorruft, siehe auch Studien von Prof. Riccardo Polosa<\/p>\n<blockquote><p>7. &#8222;There is <em>no available evidence<\/em> whether or not e-cigarette use is associated with intermediate cancer endpoints in humans. This holds true for comparisons of e-cigarette use compared with combustible tobacco cigarettes and e-cigarette use compared with no use of tobacco products.&#8220;<\/p><\/blockquote>\n<p>Anmerkung: Es gibt keine Beweise daf\u00fcr, dass E-Zigaretten Krebs hervorrufen.<\/p>\n<blockquote><p>8. &#8222;There is <em>no available evidence<\/em> whether or not e-cigarettes cause respiratory diseases in humans.&#8220;<\/p><\/blockquote>\n<p>Anmerkung: Es gibt keine Beweise, dass Dampfen Atemwegserkrankungen hervorruft =&gt; korrekt.<\/p>\n<blockquote><p>9. &#8222;There is <em>limited evidence<\/em> for improvement in lung function and respiratory symptoms among adult smokers with asthma who switch to e-cigarettes completely or in part (dual use).&#8220;<\/p><\/blockquote>\n<p>Anmerkung: Es gibt Beweise daf\u00fcr das Raucher mit Asthma oder COPD bei einem Wechsel auf die E-Zigarette von Verbesserungen der Lungenfunktion profitieren.<\/p>\n<blockquote><p>10. &#8222;There is <em>limited evidence<\/em> for reduction of chronic obstructive pulmonary disease (COPD) exacerbations among adult smokers with COPD who switch to e-cigarettes completely or in part (dual use).&#8220;<\/p><\/blockquote>\n<p>Anmerkung:\u00a0Es gibt Beweise daf\u00fcr das Raucher mit\u00a0 COPD bei einem Wechsel auf die E-Zigarette von einer Verringerung der COPD profitieren.<\/p>\n<blockquote><p>11. &#8222;While the<em> overall evidence<\/em> from observational trials is mixed, there is moderate evidence from observational studies that more frequent use of e-cigarettes is associated with increased likelihood of cessation.&#8220;<\/p><\/blockquote>\n<p>Anmerkung: Im Gesamten betrachtet ist die Wahrscheinlichkeit sehr hoch, dass Raucher, welche die E-Zigarette ausprobieren und nutzen, mit dem Rauchen aufh\u00f6ren und somit zu Nichtraucher werden.<\/p>\n<blockquote><p>12. &#8222;There is <em>substantial evidence<\/em> that e-cigarette use increases risk of ever using combustible tobacco cigarettes among youth and young adults.&#8220;<\/p><\/blockquote>\n<p>Anmerkung: Ganz klar voll daneben: unz\u00e4hlige Studien konnten einen Gateway vom Dampfen zum Rauchen bisher nicht belegen. Die Gatewaytheorie ist tot! Was wiederum sein kann, dass Jugendliche, welche die Dampfe probieren vermutlich auch mal mit Kippen experimentieren. Aber das w\u00fcrden sie mit Sicherheit sowieso tun. (siehe. u.a. Studien von Prof. Linda Bauld)<\/p>\n<blockquote><p>13. &#8222;There is <em>conclusive evidence<\/em> that, other than nicotine, the number, quantity, and characteristics of potentially toxic substances emitted from e-cigarettes is highly variable and depends on product characteristics (including device and e-liquid characteristics) and how the device is operated.&#8220;<\/p><\/blockquote>\n<p>Anmerkung: Diese Aussage ist ebenfall daneben, denn wir Dr. Konstantinos Farsalinos schon mehrmals beweisen konnte, h\u00e4ngt dies stark vom Versuchsaufbau ab. 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