#UNHAPPYBIRTHDAY 🎂

Today marks the first #anniversary of one of the worst ever #vaping-related publications out of 🇩🇪, as judged by its scientific (non-)value ✖️ #Pharma-backed media campaign ✖️ misperceptions created

What had happened?

👇 Thread
1/n
A 🇩🇪 Prof. claimed to have identified the mechanism for vaping-related #organ #damage that in #reallife nobody has ever observed for nicotine #ECigarettes

Actual❗️ #experts in the field were very quick to point out the many #flaws in the paper👇
https://www.sciencemediacentre.org/expert-reaction-to-study-looking-at-e-cigarette-vapour-and-vascular-effects-in-mice-and-smokers/
2/n
The official @escardio press release & accompanying #mediacampaign, incl. numerous interviews by the Prof., made #exaggerated policy recommendations neither founded on the paper nor a smart #PublicHealth choice at any time

E.g.: Let's ban #eCigs were 🚬 are widely available!
3/n
The story was uncritically picked up by all major 🇩🇪 #media, possibly because it nicely fed into the #EVALI scare stories of the preceding months

#Medical media for #HealthcareProfessionals like @Medscape joined in on the feeding frenzy, even claiming "acute organ damage"

4/n
Result?

👉Likely not a single 🚭 from all the headlines
👉Not a dent in 🇩🇪 🚬 prevalence (around 28% for years!)

http://debra-study.info/wordpress/ 

5/n
Result (continued)?

👉More #misperceptions about #relativerisks of #ecigs
👉Less #HealthLiteracy
👉Less #InformedDecision #ConsumerChoice

@BfRde @BfRen survey: Only 5% of German smokers are aware that #vaping poses a much lower risk than 🚬 ❗️

https://www.bfr.bund.de/cm/350/bfr-verbrauchermonitor-2019-spezial-e-zigaretten.pdf
6/n
As if #AllOfTheAbove was not enough, the Prof. added a non-systematic LitRev in 06/20 for #badmeasure
https://doi.org/10.1093/eurheartj/ehaa460

Colorful pics made the ridiculous claim that the same "level of evidence" existed for BOTH #smoking (✅) AND #vaping (❓⁉️) to be linked to #COPD

7/n
Again, real experts like @UteMons quickly pointed out the many methodological #flaws in the #biased review:
👉"no transparency"
👉"selective choice of literature"
👉"non-scientific"

Brought to you by @Medscape & a #Pharma #COPD drug maker:
https://deutsch.medscape.com/artikelansicht/4909104

8/n
Then the surprising, almost #unbelievable turn of story in 07/20:
https://doi.org/10.1093/eurheartj/ehaa267
incl. reference to e.g. : https://www.bhf.org.uk/what-we-do/news-from-the-bhf/news-archive/2019/november/smokers-who-switch-to-vaping-see-improvements-in-their-blood-vessel-health

Actual change of mind or desperate try to rescue a Prof's reputation?

Whatever, at least some clear Q&A's, though (too?) late.

9/n
#UnintendedConsequence ❓

1⃣Huge damage to #eCigs #vaping #HarmReduction #HealthLiteracy #PublicHealth #InformedDecision #ConsumerChoice

2⃣Tremendous damage to a Prof's scientific #reputation

👉My guess: #Science is more likely to mend 1⃣ than 2⃣

#ScienceMatters
10/10
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