Just a few thoughts IMO, and lots of questions. (I’ve had either too much caffeine or not enough)
The question of who pays for the study is a catch 22. Government funding (NIH, NIMH) is perceived by most as to be the least biased. However, grants are in short supply these days. There are apparent conflicts of interest if tobacco or pharmaceutical companies pay- and there are apparent conflicts if e-cig manufacturers pay. There is no such thing as a pure study. Strong studies need to be designed, and they will need to be paid for by the e-cig manufacturer’s, and the conflicts disclosed. The best defense against the charge of COI are well-designed studies, along with transparency . The FDA will require the tests and won’t pay for them. Testing will need to be done, and done well. Can we contribute to CASAA and designate that money going to funding of studies?
Anecdotal studies aren’t well-respected anymore (but heck out NEJM sometime). Self report studies aren’t the best either, however they are still used and can carry weight. If well-designed, with caveats and limitations clearly identified the data can actually be relatively strong, especially in fuzzy areas where there aren’t easy ways to measure biological events in people. There are many informal polls here. They’re limited in use because it’s a skewed sample. But there are ways of expanding the pool, or decreasing the skew.
Biological studies are required, but there are many other elements that can be used. I’d love to see those studies, as well as long term studies, self report studies etc. In short, we need a body of data. How to get it? I hope Dr. T continues to study the effects of e-ciggs. But we can’t just hope that “they” do them. Are there grad students out there looking for dissertation topics? Anyone interested in designing a good self report questionnaire and finding ways to validate it? Can any of the surveys on this forum also be posted on survey monkey or other sites, and open to everyone? How do we capture data from people who haven’t had good experiences with e-cigs, or who have but aren’t into forums?
From posts I’ve read on this forum we have people who are capable of doing the work, MDs, nurses, statisticians, chemists, mathematicians, students and a lot of people who care. It sounds like KK is getting ready to start doing some testing (yay, i am really interested in the results)- is there a way that we can help those results become something than for oue own information?
The other part of the battle is the media and public opinion. Many of us hace had really postive experiences in talking to people. Do we have any people in the media and public relations who are willing to help us reach the people that we can't talk to directly? Can we move from reacting to the media to becoming proactive?
(ok, done, coffee cup is empty, and i can't get my caffeine directly from my usb port- yet)