First they put in this statement: (my bold)
With regard to benefit, the TPSAC concludes that exclusive use of DTPs by an individual would greatly reduce risk for smoking caused disease compared with regular use of cigarettes. The TPSAC framework indicates several ways that DTPs could reduce the population disease burden caused by tobacco use: 1) decreasing the number of smokers, if availability of DTPs increases successful cessation or decreases the likelihood of initiation and use of smoked products, and 2) decreasing the risk of tobacco caused disease, if availability of DTPs sufficiently reduces cigarette smoking.
Then, at the demand of a member who insisted on a symmetry that doesn't exist, they write (again, my bold)
The TPSAC framework indicatesseveral ways that DTPs could increase the population disease burden caused by tobacco use: 1) increase the number of smokers, if availability of DTPs decreases successful cessation or increases the likelihood of initiation and use of smoked products.
As hard as that member tried, he couldn't quite persuade the chairman to agree that the use of DTPs could actually cause smokers to smoke more cigarettes, so they had to scrap #2 in this version. In the interests of creating the appearance of symmetry, where symmetry doesn't exist, the report is left in the position of defining one way as "several" ways.
Throughout their report, they continued to used the term "tobacco related" or "tobacco cause" disease despite Lautenbuach's reminder that this was inaccurate. Only when Lautenbach(sp?) insisted that they change a phrase from " tobacco related" to "smoking related" did they relent. Nonetheless, he couldn't, or chose not to, continue to correct them and the final report ended up perpetuating the propaganda meme that all tobacco products caused disease and preserved the myth of "tobacco related disease".
The chair seemed the most reasonable voting member and I shudder to think what the report would have contained if he had not reined in the guy to his right.
The discussion about Snus was particularly telling in demonstrating the extreme bias of the member to the right of the chair who kept insisting, despite all logic, that no health benefit could be realized without completely substituting snus for smoking. When they tried to write that total substitution was necessary to realize
maximum benefits, he objected, insisting that a doctor who testified said otherwise. He was forced to concede that smoking is the most harmful form of tobacco consumption yet. Despite that, he chose to make the case that someone who used 50 snus and smoked one cigarette a day experienced no health benefits over someone who smoked 50 cigs and used one snus. How did he rationalize that? Because a doctor had said that the health benefits observed in the Swedish experience were based on full smoking cessation and substitution with snus.
That was the most egregious case of someone allowing his bias to overrule simple third grade logic that I've ever seen.
This report is garbage. Every shred of evidence that DTPs were less harmful than smoking was couched in warnings and declarations that not enough is known. Every time they were forced to concede that DTPs were less harmful than cigarettes, they insisted on hypothesizing about DTPs discouraging total nicotine cessation. Harm reduction wasn't good enough, no matter how much reduction was at stake. 99% harm reduction doesn't justify the off-chance that someone might be dissuaded from quitting nicotine altogether.
Their final recommendations sounded like a laundry list of requirements to approve a new pharmaceutical. No food company would be subject to those kind of requirements. No food additives have been so scrutinized. No genetically modified foods would have to be so throughly analyzed. If the FDA accepts these recommendations, and imposes similar requirements on e-cigs and juices, you can kiss vaping goodbye.