Lesson 1: Misdirection
This is Slide #20 from a presentation by a Harvard professor to the FDA on dissolvable tobacco products. The goal of the slide is to make the audience believe that users of Camel dissolvables will be poisoned by heavy metal exposure. (Click the image to enlarge)

The entry off to the right provides what he tells the audience is the EPA estimate of dangerous levels of these substances -- 1 mg per gram.
Notice all those 3-digit numbers in the other columns. Scary, right?
Until you notice that these are expressed as nanograms per gram (ng/g).
1 milligram = 1 000 000 nanograms
Let's take the first value. A Camel mint orb contains 346 nanograms of Cadmium per gram of product, according to this slide.
According to Campaign for tobacco Free Kids (this must be true, because CTFK would never lie to us)
1 box of 15 “Pieces” = 0.12 oz.
We need to convert to grams here:
0.12 ounces = 3.40194278 grams
So, if you consumed an entire box of Camel orbs, you would be taking in (3.40194278 grams * 346 nanograms) 1177 nanograms of Cadmium. How does this compare to the EPA danger dose? Divide 1,000,000 by 1177 to discover that you'll need to consume nearly 850 boxes of product.
Let's take a closer look at the EPA danger warning.
http://hpschapters.org/northcarolina/NSDS/cadmium.pdf
So, let us assume that the intake from a box of Camel orbs is the same as taking it in from food, rather than from water. We need to convert the 1177 nanograms in a box of orbs to milligrams.
1177 nanograms = 0.001177 milligrams Cadmium per box
To reach a toxic level, you would need to consume 2.5 boxes per day for each kilogram of your body weight. This value was calculated by dividing the 0.003 mg/kg-d (Oral RfD: Food) value by 0.001177 mg per box.
Let's take an average weight of 150 pounds, which converts to 68 kg.
So all you'd need to consume would be (2.5 * 68) 170 boxes per day.
Piece of cake.
So the first piece of misdirection on this slide was to express the toxic value in one measurement, and the quantity in the product using a different measurement. Instead of telling us that Camel Mint Orbs deliver 346 nanograms per gram, the value should have been expressed as milligrams: 0.000346 milligrams per gram.
The second piece of misdirection on this slide is to give us a harm comparison for inhaled heavy metals, known full well that Camel dissolvable products are ingested, not inhaled.
This is Slide #20 from a presentation by a Harvard professor to the FDA on dissolvable tobacco products. The goal of the slide is to make the audience believe that users of Camel dissolvables will be poisoned by heavy metal exposure. (Click the image to enlarge)

The entry off to the right provides what he tells the audience is the EPA estimate of dangerous levels of these substances -- 1 mg per gram.
Notice all those 3-digit numbers in the other columns. Scary, right?
Until you notice that these are expressed as nanograms per gram (ng/g).
1 milligram = 1 000 000 nanograms
Let's take the first value. A Camel mint orb contains 346 nanograms of Cadmium per gram of product, according to this slide.
According to Campaign for tobacco Free Kids (this must be true, because CTFK would never lie to us)
1 box of 15 “Pieces” = 0.12 oz.
We need to convert to grams here:
0.12 ounces = 3.40194278 grams
So, if you consumed an entire box of Camel orbs, you would be taking in (3.40194278 grams * 346 nanograms) 1177 nanograms of Cadmium. How does this compare to the EPA danger dose? Divide 1,000,000 by 1177 to discover that you'll need to consume nearly 850 boxes of product.
Let's take a closer look at the EPA danger warning.
Cadmium is classified by the Environmental Protection Agency (EPA) as a probable human carcinogen. This is based on studies of cadmium smelter workers who developed lung cancer after chronic inhalation exposure. However, cadmium has not been shown to cause cancer when ingested.
The EPA has also developed toxicity values to estimate the risk of developing cancer or other adverse health effects as a result of inhaling or ingesting cadmium. The toxicity value for estimating the risk of getting cancer is called a slope factor (SF), and the value for the non-cancer effect is called a reference dose (RfD). An SF is an estimate of the chance that a person exposed to the chemical will get cancer from in one milligram per kilogram of body weight per day (mg/kg-day), for a lifetime.
The inhalation SF for cadmium is based on studies of humans exposed to cadmium in the workplace and studies in animals. An RfD is an estimate of the highest dose that can be taken in every day without causing an adverse non-cancer effect. Oral RfDs for food and water, shown at right, were developed using a toxicokinetic model that relates cadmium intake to concentrations in the kidney.
Oral RfD: Water ---- Oral RfD: Food
0.0005 mg/kg-d -------0.003 mg/kg-d
http://hpschapters.org/northcarolina/NSDS/cadmium.pdf
So, let us assume that the intake from a box of Camel orbs is the same as taking it in from food, rather than from water. We need to convert the 1177 nanograms in a box of orbs to milligrams.
1177 nanograms = 0.001177 milligrams Cadmium per box
To reach a toxic level, you would need to consume 2.5 boxes per day for each kilogram of your body weight. This value was calculated by dividing the 0.003 mg/kg-d (Oral RfD: Food) value by 0.001177 mg per box.
Let's take an average weight of 150 pounds, which converts to 68 kg.
So all you'd need to consume would be (2.5 * 68) 170 boxes per day.
Piece of cake.
So the first piece of misdirection on this slide was to express the toxic value in one measurement, and the quantity in the product using a different measurement. Instead of telling us that Camel Mint Orbs deliver 346 nanograms per gram, the value should have been expressed as milligrams: 0.000346 milligrams per gram.
The second piece of misdirection on this slide is to give us a harm comparison for inhaled heavy metals, known full well that Camel dissolvable products are ingested, not inhaled.
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