Friday, 17 October 2025

Banning cigarette filters?

Some further thoughts on this at my Substack.
 

Smokers would have to greatly overestimate the benefits of filters for a ban to provide a net benefit in public health terms, and I doubt they do. I expect most of them think they provide no protection at all. Most smokers have only ever known filtered cigarettes and they know that they are highly dangerous. In any case, making a product more dangerous in order to scare people off using it has got to be ethically questionable.

The anti-smoking lobby’s approach to this issue is all over the place. They were all in favour of the development of low tar cigarettes in the 1970s. They now say that was a mistake. Fair enough, but if it was a mistake why did they lobby for the EU to set limits on tar yields in the 1990s and then fight to lower those limits in the 2000s? They then successfully lobbied the EU to ban tobacco companies from putting the tar and nicotine content on packs because this information was (supposedly) misleading. Which is it? Either all cigarettes are as bad as each other, in which case get rid of the limits on tar and nicotine, or low tar cigarettes are safer than high tar cigarettes, in which case consumers should be informed.

Their current position seems to be that all cigarettes are as bad as each other and that filters should be banned because they give the opposite impression. If so, the EU’s limits on tar and nicotine serve no purpose and should be abolished. Indeed, they will have to be abolished if filters are banned because there is no such thing as a low-tar unfiltered cigarette. This is an issue that the authors of the Addiction article, who include ASH’s Hazel Cheeseman, never address. They can’t be dumb enough to think that the EU will accidentally ban cigarettes by banning filters and leaving the tar limits in place so they must think - if they have thought about it at all - that the EU will allow high tar cigarettes to be sold again. That would be fine with me. It’s just be a bit surprising that it’s also fine with an anti-smoking group.

 



Tuesday, 14 October 2025

Prohibitionists for human rights!

Not a spoof

 
Tobacco Control has published an hilarious article by a lawyer from ASH (USA) and a social scientist from Mike Bloomberg's Tobacco Control Research Group (Bath University). It is titled Tobacco control advocates as human rights defenders: a call for recognition. and is every bit as ridiculous as it sounds. 
  

Tobacco control advocacy is not without risks. Increasingly, advocates have spoken out about the threats, harassment and attacks they face when confronting powerful corporate interests.

 
This "harassment" mostly consists being called things like 'nicotine Nazis', 'health fascists' and 'killjoys'. It turns out that if you stigmatise people, extort money from them through sin taxes and ruin their social lives, they will dislike you. Who knew? And yet, despite working tirelessly to make the lives of nicotine users miserable, I have never heard of any anti-smoking campaigner in the modern era being physically attacked by a smoker. When you think about it, that is quite remarkable. 
 

This commentary argues that tobacco control advocates should be recognised as human rights defenders (HRDs) under international frameworks.  

 
Hahaha! 
 

The Office of the High Commissioner on Human Rights (OHCHR) defines HRDs as individuals who, individually or with others, act to promote or protect human rights in a peaceful manner.

 
You know who isn't defined as a human rights defender? Ambulance-chasing lawyers and pointless academics who sit around on fat salaries thinking up ways to take away people's right to enjoy themselves. There are lots of names for people like that but 'human rights defender' is definitely not one of them.
 

This definition is based on actions, not positions or titles. By this standard, tobacco control advocates—who work to protect and advance the right to health (and other rights) and challenge harmful corporate practices—clearly fall within the scope of HRDs.

 
Anti-smoking lobbyists do not advance the right to health. Insofar as not smoking is synonymous with health, people can choose to do it or choose not to do it. Having the right to something does not mean that a person should be compelled by others to maximise it at the expense of everything else they hold dear. People have the right to a family life but that doesn't mean they should be forced to have children. 
 
What difference would it make if we go along with this gaslighting and pretend that prohibitionists are champions of human rights?
 

... much of the practical, frontline support for HRDs comes from civil society. For example, a civil society-led initiative based in Europe offers a variety of support mechanisms, including a hotline for urgent protection and visits in detention. 

 
The initiative they are referring to has been supporting women living in Afghanistan under the Taliban and libertarians fighting political oppression in Georgia. Surely even the most deluded 'tobacco control' nutter can see that the plight of these people has nothing in common with single-issue campaigners being called nanny statists on Facebook? 
 

Tobacco control has always been about defending the right to health, life, and dignity. 

 
No, it has always been a prohibitionist crusade run by neurotics, bigots and grifters. As the campaign against e-cigarettes and nicotine pouches shows, it was never really about health and it certainly isn't about dignity.  
 

 A moral crusade explicitly grounded in 'denormalisation' was never going to advance human dignity.
 

Yet the advocates who lead this work often face threats without the recognition or protection afforded to other defenders of human rights. 

 
The authors helpfully link to a website that might otherwise have escaped me. Paid for by two of Bloomberg's front groups, Courage Against Tobacco tells the heart-rending stories of brave of anti-smoking careerists who have suffered at the hands of the tobacco industry. The 'tobacco industry' is very broadly defined, including not just companies who make and sell tobacco products but also "all related corporate entities connected to tobacco manufacturing companies", "research institutions accepting tobacco funding", "third-party allies" and "lobbyists advancing industry positions". And, as if that were not enough, it also includes: 
 
  • Organizations promoting "reduced-harm" products while opposing evidence-based measures aligned with the WHO FCTC
  • Entities that consistently advance tobacco industry policy positions 
 
In other words, it includes literally everybody who disagrees with them. 

The website tells the story of a French anti-smoking campaigner who was "allegedly insulted online" by somebody from an organisation called 'Angry Tobacconists'. It tells the tale of ASH Scotland's Sheila Duffy being called a "health Nazi" by FOREST and of a former Detective Chief Inspector threatening to take her to court over something (the details are not clear). And we hear about some anti-smoking activist in southeast Asia who received a 36 page letter of complaint from somebody who is apparently vaguely connected to the tobacco industry.

It certainly puts the situation in Gaza and Ukraine into perspective, doesn't it? Nobody has ever suffered like a professional tobacco control lobbyist has suffered - and all to protect human rights! (i.e. their right to tell other people how to live their lives.)
 

Recognising tobacco control advocates as HRDs is not symbolic—it is a necessary step to close a serious protection gap. It would align the field more explicitly with global justice efforts, unlock underused legal and institutional resources...

 
And there we have it. Is that the sound of a cash register I can hear? 
 

... and send a clear message that defending health is defending human rights. As pressure from commercial actors intensifies, the global tobacco control community must act—not only to advance policy, but to safeguard those advancing it.

 
These people are deluded beyond belief. Clive Bates puts it well in a rapid response...
 

Tobacco control advocates are not defending human rights, but rather promoting controls and limitations on the rights of others. The threats to the safety of tobacco control activists are minimal in practice, but the threats to millions of others from adopting a prohibitionist, war-on-drugs posture towards safer forms of nicotine are significant.

 

 


Monday, 13 October 2025

Towards prohibition

I was spoke to Brent Stafford at Regulator Watch when I was at the Global Nicotine Forum in June. We discussed vaping, prohibition and why things will get worse before they get better. Here's the video.



Thursday, 9 October 2025

Has the ultra-processed food panic peaked?

 

Remember Joe Wicks, the chirpy gym bunny whose YouTube channel got children exercising during lockdown? He was quite famous in the spring of 2020 but was rather less famous five years later. In 2021, at the peak of its success, Joe Wicks Ltd. had £2,181,299 in the bank. By 2024, it had just £78,758. 

Whether the fading fame and fortune of Mr Wicks had anything to do with his decision to get onboard the bandwagon against ultra-processed food (UPF), we may never know, but it has certainly got him back on prime time TV. He has been on the breakfast sofa with Ed Balls and Susanna Reid, and viewers were treated to a whole hour of him on Channel 4 this week (Joe Wicks: Licensed to Kill). His promotional device is the “Killer” protein bar which he has created and is portraying as “the most dangerous health bar” ever. It supposedly causes cancer, stroke and heart disease — and yet it is legal! Why won’t the government do something?!

Inevitably, the documentary involves Wicks going on a poorly scripted “journey” to discover the truth about what is really going on in our food environment, blah, blah, blah. Equally inevitably, his tutelage leans heavily on the opinions of Chris van Tulleken who has recently been made a professor and is beginning to look as crazy as he sounds. For cinematic reasons, van Tulleken is portrayed as living in a dimly lit, underground laboratory surrounded by bottles of dangerous chemicals. The vibe is that of a strange but brilliant scientist who has accidentally unleashed the zombie apocalypse and is humanity’s only hope of ending it. Once Wicks gets to work manufacturing his unhealthy snack, van Tulleken occasionally surfaces with an intense stare, urging his youngish protégé to see it through to the end.

Read the rest at The Critic



Wednesday, 1 October 2025

Dewi Evans' response to the latest Letby documentary

Dewi Evans has sent a response to journalists following the broadcast of Conviction (AKA Lucy Letby: Murder or Mistake) which I reviewed last week. He says it's free to be shared so here it is for anyone who might be interested... 

Danny Bogado, Rosy Milner and the Channel 4 team took on a challenging documentary (Murder or Mistake, Channel 4, 29 September 2025). Producing a 2 hours' documentary from evidence that took Cheshire Police several years to collect and led to the longest criminal trial in English legal history is in itself remarkable. 

It was a privilege to be considered the chief prosecution witness in a trial that has led to the lifelong incarceration of England’s worst female killer. Her conviction would not have succeeded without Cheshire Police’s diligence and attention to detail, and the evidence of my fellow independent witnesses and the numerous nurses and doctors from the Countess of Chester Hospital. The evidence of all the witnesses was crucial. 

Lucy Letby’s new barrister has broken new ground in launching an appeal via press and media, providing of course a very selective version of events. Mark McDonald helpfully summarised 6 issues on his agenda; the rota, the experts, air embolus, insulin, the neonatal unit, and the media. Despite his natural thespian skills and his considerable bravado Mr McDonald and his supporters failed to offer any evidence not disclosed at Letby’s trial, or would stand scrutiny at a clinical or scientific presentation or the rigours of cross examination. 

The relevance, or not, of the rota, and Letby’s presence, has been flogged to death. Peter Elston, statistician and investment manager, just could not understand the difference between information that is statistically significant and that which is clinically significant. Statistics will point you in a certain direction. It does not prove that something took place. It’s why statistics did not play a part in the prosecution’s case. Presumably it’s why the Defence did not seek a statistical explanation either. 

Private Eye’s Dr Phil Hammond claims credit for exposing the concerns regarding what became the Bristol Heart Scandal. He conveniently overlooks the fact that the same magazine took over 10 years to admit it got it wrong in relation to discredited medic Andrew Wakefield and his flawed MMR / autism claims. His claim that my diagnosis of air embolus was because I “couldn’t think of anything else” reflects his clinical limitations, not unexpected given he is best known as a comedian who writes for The Eye. My diagnosis of air embolus was supported by my fellow independent witnesses, belatedly by the Chester paediatricians, and backed up by 18 publications. 

Shoo Lee may well be an eminent epidemiologist. His experience of air embolus is limited to reporting 3 cases from the 1980s. More tellingly he has no background of medicolegal matters because “I don’t do medico-legal cases. I don’t like them”. Bogado's programme did not have time to include my detailed critique of his 2 published papers.  If his most recent paper (published in December 2024) had been available before the trial its content would have been very useful - for the prosecution. His criticisms of my role, disclosed at the press conference, were all factually incorrect. Summaries from other members of the Panel were awash with errors, some of the weakest reports I have seen during my career.

Given the time constraints it was inevitable that the documentary concentrated on just a couple of cases. The timing of Baby C’s collapse created confusion. In my very first report (7 November 2017) I raised concerns regarding the event late on Saturday 13 June 2015 that led to his collapse and death. Over the next 5 years the dates seem to have become confused, leading to the prosecution alleging that the assault took place the previous day. I recognised the confusion at the Trial, reaffirming my original concern that the fatal assault was late on 13 June. I believe that Cheshire Police, the CPS, and the Prosecution team should set the record straight. 

Back in 2017, when I first raised concerns regarding Baby C’s demise, I was unaware of Letby’s presence on the unit, let alone that she was up close to Baby C at the time of his collapse. There is nothing in Baby C’s clinical records to confirm Lucy Letby’s presence. 

Baby O’s demise was given considerable attention, and we were presented with some extraordinary explanations from British Columbia based neonatologist Richard Taylor and the Brighton duo of Neil Aiton and Svilena Dimitrova. According to them Baby O’s death was due to a cannula inserted into the baby’s abdomen 20 - 30 minutes before he died. This fails to explain why the baby was moribund, sadly at death’s door, before the cannula was inserted. For good measure Aiton claimed that the ventilator pressures used to resuscitate the baby were too high. This does not explain why the baby required resuscitation in the first place. He had never required resuscitation following his birth, and his collapse took place when in Lucy Letby’s care. The Taylor, Aiton, Dimitrova hypothesis has been widely condemned by others, including a pathologist who gave his opinion on a recent Panorama programme. Their opinion should be confined to the Donald Trump School of Evidential Science. 

The controversy regarding insulin poisoning has been widely explored. Professor John Gregory recently endorsed (on the same Panorama programme) the opinion of his fellow paediatric endocrinologist Prof Peter Hindmarsh, stating that baby F and baby M were both poisoned with insulin. Insulin poisoning had been accepted by Letby’s Defence team at the trial, and indeed by Lucy Letby herself. 

Criticism of the neonatal unit building was reasonable, and the unit has long moved to more suitable premises. Alleging that the department was “failing” or unsatisfactory is unfair and unreasonable. Survival rates, the best quality control of any neonatal unit, were as good in Chester as the ONS [Office of National Statistics] figures for England & Wales, even for the smallest babies. The Thirlwall Inquiry confirmed that staffing was similar to other units in the North West of England. 

Mark McDonald and his team failed to show any new evidence that would justify another appeal. Unhelpfully for him, this week’s Law Society Gazette article by Bianca Castro (26 September) states: “Conviction did not uncover anything new, a potential problem if the CCRC [Criminal Cases Review Commission] are to refer the case back to the Court of Appeal.”  

The victims in the Letby Trial are the babies harmed and murdered by Lucy Letby, and their families. A campaign to release England’s worst female serial killer is beyond my understanding. It adds to the hurt and grief the families have suffered for the past decade. 


Tuesday, 30 September 2025

"Nicotine control" and the WHO

I wrote about the WHO for the Telegraph over the weekend. One of its Regional Directors has said that he wants to "erase" alcohol. In the article I discuss the malign influence of "Movendi" - the temperance group formerly known as the International Order of Good Templars - who are official partners of the WHO (fun fact: they are funded by the Swedish lottery).
 

Movendi is one of the “civil society” groups that Dr Piukala described as “essential” in his speech this week. Drinkers everywhere should be worried about a gospel temperance society collaborating with the world’s biggest health agency, although the WHO has become so puritanical and dogmatic in recent years that it is hard to know which of them is more extreme.

They both want to denormalise alcohol through advertising bans, licensing restrictions and sin taxes. They both claim that drinking is harmful at any level. They both compare alcohol to tobacco and equate the alcohol industry with the tobacco industry. This is no small thing when WHO Europe explicitly says that its goal is to create a society that is not just “tobacco-free” but “nicotine-free”.

 
More fool anyone who isn't worried about the direction of travel. The WHO didn't always want to eradicate tobacco. At one time, it would have accused anyone who suggested that it had prohibitionist intentions of being hysterical. They now explicitly want to eradicate not just tobacco but nicotine. If you don't think they would like to eradicate alcohol, even as a WHO Regional Director essentially says as much, then I am afraid that you are gullible.
 
On the point of erasing nicotine, Clive Bates points out that the UN's snappily titled Political declaration of the fourth high-level meeting of the General Assembly on the prevention and control of noncommunicable diseases and the promotion of mental health and well-being has been made worse since it was first drafted. In the first draft, there was "only one asinine reference to nicotine" (a reference to electronic nicotine delivery systems), but now member states are urged to focus on "nicotine control".
 
This is supposed to be a statement about NCDs (i.e. cancer, cardiovascular disease, COPD, etc) finalised after a lengthy deliberative process. It is intended to focus on UN SDG Target 3.4, which aims to reduce mortality in adults aged 30-70 from major NCDs by one-third by 2030. The target that is likely to be missed by some distance. Yet, the text refers throughout to “tobacco and nicotine control” even though the primary driver of NCDs is not tobacco per se or nicotine, but smoke, including tobacco smoke.

  
The good news is that the UN was forced to water down some of the messaging in the final draft. For example, member states were told to "Increase taxation on tobacco, alcohol and sugar-sweetened beverages" in the first draft, but in the final draft this has been changed to "Consider introducing or increasing taxes on tobacco and alcohol to support health objectives, in line with national circumstances".
 
But its crusade against nicotine has been ramped up, with member states encouraged to:
 
(a) significantly reduce tobacco and nicotine use by: (i) implementing health warnings on all tobacco and nicotine packages; (ii) restricting tobacco and nicotine advertising
 
A nicotine-free world isn't going to happen. It is a pie in the sky prohibitionist fantasy. But, as I say in the Telegraph article, people can do a lot of damage reaching for Utopia. 
 
The irony is that, even if you think that using state coercion to create a smoke-free world is an ethical objective, it is made much more difficult if you fight a parallel war against nicotine, firstly because you will be using scarce resources on multiple targets and secondly - most importantly - because people are more likely to stop smoking if they can use a safer form of nicotine.


Thursday, 25 September 2025

Plain packs for vapes

The one-club golfers in 'public health' want plain packaging for vapes because of course they do. I've written about it for The Critic...
 

The epidemic of misinformation about the risks of vaping is one of the great public health disasters of the century and is all the more shameful for having been driven by people who have words “public health” in their job titles. The “popcorn lung” myth, the EVALI hoax and an endless series of tabloid scare stories — combined with the enduring misconception that nicotine causes cancer — have turned public understanding on its head. As the graph below shows, twice as many Britons think that vaping is as dangerous as smoking, if not worse, than correctly believe that it is far less harmful.

If vaccines or paracetamol were subjected to the same level of misinformation, public health professionals would be working frantically to move the public’s perceptions towards reality. Insanely, they are doing the opposite. The government’s Tobacco and Vapes Bill will give the health secretary Henry VIII powers to regulate vapes like cigarettes, thereby cementing the notion in the public’s mind that the health risks are comparable. The government is being cheered on by a motley assortment of fork-tongued “public health” academics and activists who pay lip service to the benefits of e-cigarettes while doing everything they can to suppress demand for them. 

A particularly egregious example of this was reported by the Independent this week. Members of the tiny, state-funded, prohibitionist pressure group Action on Smoking and Health have teamed up with researchers from King’s College to demand plain packaging for e-cigarettes. There is, of course, only one other product that comes in plain packaging: combustible tobacco. 

 
Do read it all. As an aside, one of the authors of the study is Deborah Arnott who memorably claimed that 'the “domino theory” i.e. that once a measure has been applied to tobacco it will be applied to other products is patently false'. She was campaigning for plain packaging at the time.