Science Vs - Vaping: Does It Really Cause Cancer?
Episode Date: April 23, 2026Headlines have been screaming about a new study suggesting that vaping could cause cancer — and that vaping could be just as dangerous as cigarettes. And if this were true, it would be a HUGE deal. ...We’ve been hearing for years that vaping is a safer option — and can help you quit ciggies. But the new paper has run up against angry criticisms from other scientists, with some calling the paper "misleading" and "problematic." So what’s going on?? Do scientists still think vaping is safer than cigarettes? How well do vapes actually help people quit smoking? And could Big Tobacco be behind the scenes, clouding the truth about all of this?? We get help sorting it out from Professor Bernard Stewart, Professor Lion Shahab and Professor Becky Freeman. Find our transcript here: https://tinyurl.com/ScienceVsVapingCancer In this episode, we cover: (00:00) Vaping world set alight by new study (02:50) Why Some Scientists Have Linked Vaping to Cancer (07:45) Why Some Scientists Pushed Back Against Vaping-Cancer Claims (17:51) Is Vaping as Dangerous as Smoking? (25:15) Do Vapes Help People Quit Smoking? (30:52) Big Tobacco Is Funding Vaping Research This episode was produced by Wendy Zukerman and Rose Rimler, with help from Ekedi Fausther-Keeys, Meryl Horn and Michelle Dang. We’re edited by Blythe Terrell. Wendy Zukerman is our executive producer. Fact checking by Erica Akiko Howard. Mix and sound design by Bobby Lord. Music written by Bumi Hidaka, Peter Leonard, Emma Munger and Bobby Lord. Additional music from Parry Music Library / BMGPM. Thanks so much to the Australian science media centre and all the scientists who responded to our emails on this — we asked a lot of you!. A big thanks to Joseph Lavelle Wilson and the Zukerman family. Science Vs is a Spotify Studios Original. Listen for free on Spotify or wherever you get your podcasts. Follow us and tap the bell for episode notifications. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Transcript
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Hi, I'm Wendy Zuckerman. This is Science Verses.
The show that pits facts against fumes.
Groundbreaking new research has confirmed a deadly link
between e-cigarettes and cancer.
Vaping is likely to cause lung and oral cancer.
Headlines have been screaming about a new paper
that's rocking the vaping world,
claiming that vaping is more dangerous than we thought.
We're hearing that not only is it likely to cause cancer,
but also that something that scientists have been telling us for years is wrong.
So is it safer to vape than smoke?
Well, now the science is in.
New research has found vapes are no safer than conventional cigarettes.
The conclusion is unavoidable.
We can hardly say that e-cigarettes are somehow safer than conventional cigarettes.
Vaping is as bad as cigarette smoking?
Now, if this is true, it is a huge switcheroo for science.
And also, for science versus.
For literally a decade, we've been telling you
that vaping is a safer and better alternative to smoking.
In a past episode, we even played you a song
written by a bunch of researchers about it.
If you're thinking and switching to vaping, do it!
That's what the experts agree.
So did we lie to you?
Prusong?
Will we fall on our own batard?
I mean, will we be hoisted on our own?
Petard?
Well, the thing is,
while some nerds have been supportive of this new paper
that's sparking all these headlines,
others are not.
And in fact, right after the paper was published,
a bunch of scientists wrote angry responses,
calling the paper misleading, problematic,
and saying it has little credibility.
So what's going on here?
And getting this right is a big deal.
Millions of folks, including kids,
have picked up vaping around the world.
So today on the show, we are asking,
one, does vaping cause cancer?
Two, is vaping as bad as smoking now?
And three, could picking up a vape
ever be good for your health?
When it comes to vaping, there's a lot of...
You're thinking and switching to vapid.
No, no more songs until we work out what the devil's going on here.
And it's all coming up just after the break.
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Hi, Wendy here.
Today we are finding out is vaping more dangerous than we thought.
And with me to sort all of this out is senior producer Rose Rimla.
Hi, Wendy.
Hello, Rose.
I don't think I've ever heard that song before in my life.
Do we play that?
If asking your mate down the pub about vaping,
We played it.
So memorable, seemingly.
I've had it in my head all week.
In the middle of the night, this acoustic guitar will just start ringing.
All right, let's jump into this new study that's setting the vaping world light, igniting all these news reports.
It is quite interesting, and the implications are super, super important.
So I want to wake out what's going on.
What's this science fight all about?
Yeah. So to get to the bottom of this, Rose, you and I, we read this paper. And then I called up one of the lead authors, Professor Bernard Stewart. He's at the University of New South Wales in Sydney.
Good morning. Morning. Now Bernard told me that basically his entire career has been using research to figure out whether various things in our environment cause cancer. So a decade ago, he was part of this big international team that looked at the characteristics that a substance has to have.
for it to be considered carcinogenic.
He's looked at PFAS, you know, forever chemicals.
Microplastics, pesticides in soil.
But when he was watching the data coming out on vapes or e-cigarettes, he told me.
This to me was a far greater worry.
Out of curiosity, did he ever find evidence that something didn't cause cancer?
Yes.
Yes, he did.
And he actually specifically told me, you know, we have this idea that,
Everything causes cancer, but he said that's not true.
Okay, that's good.
And in that context, he was worried about vaping causing cancer.
So he and his colleagues pulled together studies published from 2017 to the middle of last year
that were looking for a link between vaping and cancer, and they wrote it up in a review paper.
And so now I kind of want to go through the case that Bernard is making that vaping causes cancer.
Mm-hmm. So we know that some of the chemicals found in vape aerosols, I'm thinking,
acrylamide, benzene, and various metals. They can cause cancer in humans.
But there was this question of when you use a vape and inhale that stuff, do you just breathe it out again?
Or does it go into your system where it can then cause damage?
And so scientists have tested the blood and urine of vapors for these kinds of chemicals.
and here's what they've found.
Those chemicals are detectable.
In other words, they have been absorbed into the body
and not just exhale.
So strike one.
There are also studies in cells
where scientists expose them to vape liquid
and then they can see that these cells
pick up DNA damage and oxidative stress,
which we know can lead to cancer.
Yeah.
On top of that,
scientists have exposed rats and mice,
mice to the vapour from e-cigarettes, and they can see markers of inflammation in their lungs.
And this is worrying to Bernard because we know that inflammation, when it's chronic, in other
circumstances, can lead to cancer.
One study in particular exposed mice to vape fumes for almost a year, which is a long time
in the life of a mouse, and a bunch of them developed lung cancer.
So then finally, Bernard's team point to a few case reports.
So here he is on that.
Individual dentists say I saw a patient with oral cancer
and this patient never smoked,
which is the well-known cause of oral cancer,
but he or she did vape.
And I suspect the vaping was connected with the cancer.
Now it's messy because in the four case reports that Bernard cites,
two of those people did have a history of smoking as well.
Regular cigarettes.
Yes, I noticed that.
Yes.
Still, but when Bernard looks at the totality of the evidence,
here's what he thinks.
So all of that data, the laboratory data,
the biomarker data, the animal data,
the case reports,
all of that taken together,
lead us inextorably to the conclusion
that vaping is likely to cause oral and lung cancer.
So that's, you know,
in the case of vaping versus cancer,
That is the case that Bernard is making.
But Rose, you were going to play defense on this, right?
Yes.
So there were a lot of scientists who were pissed off by this paper.
Yeah, yeah.
And I wanted to find out why.
And so we called up one of them, Professor Leon Schaub.
He is a vaping expert at University College, London.
And Leon didn't think the review was put together in a systematic way.
He didn't like that.
Yeah.
But he said that's not the only thing.
reason that he's skeptical.
The concern is further deepened by the fact that this review includes several papers
that claim evidence that Easton cause cancer, but that have themselves been heavily criticized.
Tell me more.
Well, so you mentioned the rodent studies, like the one where some of the mice that got
exposed to vape aerosol got lung cancer.
Yes.
In that study, the mice were living in a chamber that got filled up with the vaping.
fumes. Basically they were being hotboxed with bait. Yes. That's how they do these, right?
And they got hotboxed for four hours a day, five days a week. They were basically
enveloped in a cloud or vapor. It doesn't seem like a realistic use condition for
human. Isn't it? I mean, obviously you're not living in a cloud if you vape, but you're
you are breathing it in directly from the vape, right? Sure, but you're not sitting in a
chamber of vape clouds for hours and hours.
Unless you truly are a vape lord.
I mean, most people I know don't do that.
And I've never seen vapors lick the vape off their body,
which is what might be doing because, you know, rodents groom themselves.
Oh, right.
So they'd be licking their fur that then has the vape crap on their fur.
Which would have gotten some extra exposure, different route of exposure.
That's just a criticism you can make about these studies.
You know, I emailed the author of the paper, that paper about the mice, some questions.
Yeah.
And, yeah, he said, like, we tried carefully to create conditions that are as natural as possible to what vapors might get exposed to.
But even he was like, yeah, ultimately, it's a study in mice.
He said, this is a quote, the major purpose of exposing mice in an inhalation chamber is to determine the effect of e-cigarette aerosols in mice.
So, like, of course, we can't say this.
same is going to be true for humans. Of course. It's step one. It's step one. Yeah. So the other point
that Leon made, and this has to do with, I think the first thing you mentioned, Wendy, about how, like,
oh, it turns out the toxic chemicals, the carcinogens, they, like, actually get in the bodies of
the vapors. You can find them in their pee. And that is certainly not a good thing.
Leon and other experts who commented on this paper, they pointed out that, like, well,
these amounts of carcinogens that we find in vapor's bodies,
they're actually kind of low.
And as Leon puts it,
the dose makes the poison, right?
And that's just sort of a general rule in epidemiology
that the more you're exposed to something
that has some kind of risk,
the more likely you are to develop that disease, you know?
And so with vaping.
It's unclear whether this lower level of exposure
that's quite small represents an actual
risk for cancer formation.
Now, I mean, Leon did say he agrees.
It's totally possible vaping could have a risk of causing cancer.
He just doesn't think that we currently have the evidence to support saying that for sure, yes, we know now vaping does cause cancer.
And one reason is we actually don't have much data in actual human beings with actual cancer.
And I really went looking for other evidence that didn't make it in Bernard's review.
of people who vape getting cancer.
And I did find some studies,
and they find things like people who vape
are more likely to have lung cancer, for example.
But in all the studies that I could find,
a lot of the vapors also smokes or used to smoke.
Right.
So we don't know if the cancer came from the vaping or the smoking.
It's messy.
And that makes it a real mess, yeah.
And so without more, like, evidence in people actually getting cancer,
I don't think that these authors should have said that they have produced the,
this is what they said in a press release.
They call it the most definitive determination
that those who vape are in increased risk of cancer
compared to those who don't.
I think that is an overstatement.
Yeah.
I mean, I did ask Bernard about some of the heat that this paper's been getting.
No part intended.
You must be aware there's some criticisms of the paper
that have been floating around.
Do you mind if I just get your thoughts on them?
Yes. The criticisms are absurd and I treat them with complete contempt.
Whoa. That's a strong word. Is he mad at me?
I mean, I think he was bristling at some of the criticisms he's been getting about how there's nothing new in this paper.
You know, it's a review. But ultimately, he said, if you've got problems, write a letter to the editor.
Just making a podcast count?
I think he would treat that with contempt.
No, but seriously, he did.
He told me, you know, of course he knows that this is not rock solid evidence.
We don't have a study in thousands of people where you see that those who vape have higher rates of cancer than those who don't vape.
You know, like you mentioned, Rose, part of that is because of this messiness that a lot of vapors and particularly older vapors are smokers too.
or they used to be smokers.
But the other issue here is also time.
Bernard estimates we'd need around three decades
before you might see that cancer signature
because cancer takes a really long time to develop,
even for cigarette smokers.
And vaping was only invented in the 2000s.
That's actually why they call it the naughties.
That's not true, kids.
Don't let Wendy do revisionist is true.
No.
Okay.
So I asked Ben,
And why not wait for better evidence before making this claim?
You're serious?
You're saying we wait around until enough people are dead from lung answer before we do anything.
Is that what you're suggesting?
Well, I want you to explain so that we can take to our audience.
Look, because that is the...
The definitive proof will take decades, okay?
It took just on a hundred years.
to definitively prove that cigarettes caused cancer.
Cigarettes by that time have become the major known cause of cancer in the world.
I mean, I see his point, though.
Of course.
It's like the precautionary principle, right?
You know, better to be safe than sorry.
At the same time, you doesn't really give people license to get out over their skis
and say that we have proof that we don't have.
that's bad for science more broadly.
I mean, the truth is a lot of the team,
the whole team at Science Versus,
struggled with this.
And so what we did,
we know our limitations.
We're podcasters.
We don't write letters to editors.
So we surveyed a bunch of researchers
who study vaping and tobacco control
to see what they make of all this.
We asked them outright,
does vaping cause cancer?
We heard back from 35 scientists.
and the results were kind of all over the map,
but I would say the majority said,
we don't know, but it's possible.
And some who were then in that,
maybe we don't know, Cam, said, all right,
if vaping does cause cancer,
then the question becomes,
how much does it up your risk of cancer?
Is it like breathing in asbestos
or eating a salami every now and then?
Yeah.
And we definitely don't know that.
You know, if there was no potential benefit to vaping, it would be very easy to close the book on this to say like, okay, this is enough evidence to just assume it does and tell people quit it, don't vape.
It would be like, of course.
If there is evidence that this thing, you know, playing the kazoo is potentially carcinogenic.
And we have animal studies.
We have petri dish studies.
We have kazoo players have higher levels of this chemical that causes cancer.
cancer, everyone's not playing the kazoo. I think that would be, even though we don't have
studies saying kazoo players get tons of cancer and die. It's an irritating sound as well,
so that would be great. And it irritates people around you with its second hand,
kazooing. Yes. But this is totally ignoring the fact that there is a potential benefit of vaping,
and that's for people who smoke. And so if you're evaluating vaping as its own thing,
Ignoring the fact that its major purpose is as a smoking cessation device
to get people to stop smoking when it's very hard to do that,
you're missing like a huge part of the argument here.
So, Rose, we are going to look at that huge part of the argument
and see if it's about to all go up in a puff of smoke after the break.
Coming up.
Today on the show, we are looking at the news.
science on vaping.
Rose Rimler is here with me.
Hi, Wendy.
Now we're going to look at this claim that vaping is just as dangerous as smoking.
And as I mentioned at the start of the show, if true, this would really be a huge turnaround
for science, which absolutely happens.
We get more data, we find out new things, we change our mind.
That is the glory and the frustration of science.
Right.
Yeah.
That's why we love it.
She's a feisty beast.
So there were all these news reports recently, particularly in Australia, saying that vaping is not safer than cigarettes, off the back of Bernard's paper, right?
But what's interesting is Bernard's paper was really not comparing vapes to cigarettes.
In fact, the whole point of the paper was to say that vaping in its own right is harmful.
Forget about comparing it to cigarettes.
And yet, did you notice this in the very last, it's just in the very last line of the paper,
it's almost kind of tossed out, they say, quote, cancer aside, a range of diseases are attributable to vaping,
which can no longer be caricatured as safer than smoking.
Wild claim.
That's where scientists put their wild claims is in the last line of their last paragraph.
You're right.
It almost, I don't know if you had this feeling, but it was.
almost as if for the whole paper,
the scientists are breaking up with vaping,
and then they turn around and walk away,
but then toss off, oh, and you're bad in bed too.
And you're just as bad as smoking.
Do you know what I mean?
Yeah.
It is like, I noticed that too.
I was like, whoa.
Yeah, and the reason that it is so, whoa.
So shocking is because of just how bad cigarette smoking is.
So to remind us, he's Professor Becky Freeman.
She's a public health researcher who focuses on tobacco control and vaping at the University of Sydney.
Two out of three people who continue to smoke, so if you're not able to quit,
two out of three people who are unable to quit will die as a result of their addiction.
There's just something, it's so uniquely harmful to health.
It is so deadly.
So could vaping really be that bad?
given that there's, you know, we've just talked about these unknowns around vaping and cancer,
what do we actually know here?
I mean, could vaping be as dangerous as smoking?
So I looked into that claim, and what's interesting is that there are other scientists who say,
we should rethink this idea that vaping is flat out better for you compared to smoking.
Really?
So where are those researchers coming from?
Well, I mean, in Bernard's paper, one of the things he cites to make this case that
vaping is really bad is a review paper that came out a couple years ago. And this one was looking
mostly at heart and lung problems in people who smoke or vape. So for that, we do actually
have studies in real people. And this review paper concluded that smoking and vaping are equally
bad for cardiovascular disease, stroke, and metabolic dysfunction. Wow. That's stuff that can lead to
like diabetes and stuff.
Wow.
And that's a pretty big deal.
And so from Bernard's perspective,
if he's pretty sure that vaping is on its own cancer causing,
and this other body of research says vaping on its own is heart disease causing,
boom, like death to vaping.
Why is vaping so bad for your heart?
One reason is that nicotine itself is a vasoconstrictor.
So it could, like, tighten your blood vessels,
and you can imagine how that would be bad for your cardiovascular system.
Yeah, and vapes have a super.
surprisingly high amount of nicotine in them?
Yes, and getting higher all the time.
Like, there are studies that have found that the cartridges and vapes are bigger and contain higher percentage of nicotine than they used to.
Yeah, wow.
Okay.
Yeah, that's helpful for the bottom line, isn't it?
Yeah.
And so, like, Wendy, I have to tell you that this review paper I just mentioned did also get a lot of criticism.
Right.
All kinds of things people said about, like, oh, they didn't account for the fact that people might have been former smokers and switched to vaping because they got sick and they needed to switch.
Right.
The authors do argue back, like, hey, we tried to adjust for a lot of these things and da-da-da-da-da.
We think we've seen something real here.
So we're kind of stuck in this scientific limbo land.
Yes.
So vaping is clearly bad for your heart, whether it's as bad as cigarettes.
I mean, I think that's a little bit remains to be seen.
But where the case that smoking is still the worst option is very strong is when it comes to cancer.
Yeah.
I mean, of course, because we know smoking causes cancer, and we're not even sure about that with vaping, right?
Yeah, but that's not even exactly what I'm talking about here.
Also, when you look at the amount of carcinogens that people are exposed to when they vape versus when they smoke, it's just so much higher in smokers.
Right. All of these DNA damaging chemicals so much higher in smokers.
So, for example, there's this chemical. It's called a group of chemicals.
They're called tobacco-specific nitrosamines, and they're well known to cause cancer.
They're present in the pee of vapors at five times the levels.
They're in the pee of non-vapors.
Five times higher in vapors.
But when you look at smokers, these tobacco-specific nitrosamines, they're in the smoker's pee,
220 times as much.
As you know, your goody-to-stoo that doesn't smoke or vape.
It's way higher.
Way higher.
Yes, and when we go back to our survey of scientists,
remember those cautious, fence-sitting nerds.
Uh-huh.
Well, on this question of,
is vaping more dangerous than smoking,
they were much more clear-eyed.
90% said smoking is more dangerous than vaping.
And the rest,
said, probably, one person said it's hard to say.
So, you know, 90% that is like dentists recommended Colgate.
Rock solid.
I think we can say vaping is still safer than smoking,
and we did not lie to our audience in song.
Great.
We can sleep at night now.
I'm so glad.
Oh, gosh, I know.
So I think the broad message around vaping,
when compared to smoking, hasn't changed that much.
I mean, Wednesdays versus did our first episode on vaping, one of the key scientists I interviewed, said, quote,
because the danger of cigarettes is so stratosphericly high, it's like comparing the 15th highest mountain in the world, that would be vaping, to Mount Everest.
And the joke I made back then, which I still think is pretty good, is that climbing Mount Gaya Chung Kang is still pretty tricky.
Is that the 15th dollar's mountain in the world?
Yeah.
Well, no one say they didn't learn anything from this episode because they did.
That's right.
Okay.
But seriously, though, this has made me wonder, why are we comparing vaping to smoking?
Why are we doing this mountain comparison?
Because, you know, even if we get more data that vaping is bad and it becomes, I don't know,
Gashabrum 2, the 13th highest mountain in the world?
What if it even gets so bad that it's Gashabrum 1,
which is the 11th highest mountain in the world?
I mean, the broader point is that currently, at least,
when we compare vaping to smoking,
vaping looks good.
Still, despite these headlines you hear, vaping looks good.
Right.
But if you look at vaping just on its own,
vaping looks bad.
And so the reason that we have been making this comparison is because vaping was brought on the scene as this tool to help people quit smoking.
So it's very important for you to know as a smoker, wait, should I switch to this healthier thing or not?
Yes, that's what I was trying to say earlier.
Yeah, yeah.
Which leads us to our next question, which is how well do vapes actually help people quit smoking?
It's actually a really tiny number of people who successfully quit smoking using vapes.
Here's Becky Freeman again, the public health researcher.
Even in the best clinical trials, it's about 10%.
So it's a 90% failure rate, right?
This is not a miracle cure.
This is not some sort of tech bro solution to the smoking epidemic that we have.
Wow, I'm surprised.
Is that small?
Yeah, yeah.
No, so that number comes from a Cochrane review,
which pulled together a ton of trials looking at thousands of people
and ultimately concluded that for every 100 folks
who use nicotine e-sigs to stop smoking,
8 to 11 of them might successfully stop,
which is where you get that 90% failure, right?
It's worth pointing out, according to that review,
vapes don't look too bad when you compare it to the other stuff.
So six out of 100 people might successfully quit smoking
when they use patches or gum,
four out of 100 might successfully quit
if you do other things,
like you go cold turkey.
You were kind of surprised, right?
That it doesn't work that well.
How come?
Well, I know a couple people who have quit smoking
and baits instead.
In general, I feel like I've seen that work.
But I think also I didn't know
that the other methods were so bad.
But here is why,
because I can hear people really holding on to this,
particularly if you want to keep holding onto your vapes.
Here is why experts will say,
try all that other stuff first before going for vapes.
One is, well, let's say if you're just using patches,
you are not breathing in that vape crap.
But also because people who use vapes to quit smoking,
like the friends in your life,
keep vaping.
They then pick up the habit.
Keep smoking?
No, they keep vaping.
They pick up the habit of vaping.
They become vapors, yeah.
Whereas people who use patches, gum, stuff like that,
they eventually manage,
they've got a much higher chance
of quitting their dependency altogether.
So, for example, one randomized control trial
found that 80% of the people
who quit cigarettes using vapes
were still vaping,
a year later, 80%, while only 9% of those who did stuff like patches and gums were still using
those products.
You know what's so funny, I wasn't even thinking of the fact that you're supposed to stop
vaping.
I don't know anyone that's stop vaping.
I know, I know.
But, okay, so here's where we are at.
Most scientists agree that vaping is safer than smoking.
And that means that if you are a smoker and you want to quit, vaping may help you.
But for all the reasons we just talked about, try using other stuff first, like gum, like patches.
Yeah.
And I guess like if we're wondering why are we comparing vaping to smoking, in 2026, it's not even relevant for a ton of people.
They aren't vaping to quit smoking.
They're just vaping to vape.
Right?
Well, yeah, exactly.
I mean, one survey of thousands of Americans found that over half of established vaping young adults never regularly smoked.
So if that's you, I mean, who cares if vaping is safer than smoking, right?
And now we have a new generation of people addicted to vaping.
And in fact, Becky Freeman does this study where her and her colleagues,
will talk to thousands of young people.
And she has actually seen vaping go from this funsy thing to a full-blown addiction.
A few years ago when we first started this research, young people were like,
oh, vaping's fun, it's something I do socially on the weekend, it's no big drama.
And then over the years, it's become more of, I'm so addicted, I need to vape in the middle of the night,
I can't go a day at work without having a vape.
I try to leave it in my car and all I do is think about it.
So vaping bad for you.
Smoking, worse for you.
for you, also bad for you.
Mm-hmm.
But there's still so much doubt and confusion in the public, I think, to our listeners.
And I am wondering if at least part of that is thanks to big tobacco being up to their
old tricks against.
Is this the conspiracy theory portion of the episode?
Maybe, maybe, but hear me out, okay.
Uh-huh.
The major international tobacco companies own many of the top vaping brands, right?
Mm-hmm.
Yes.
Okay.
And it is well documented that big tobacco wrote the playbook on spreading misinformation.
Mm-hmm.
It is the playbook that big oil reads to spread misinformation about climate change.
And so one of the key tactics that they learned really early on is so effective at allowing them to
keep selling their cigarettes in the face of all their science about lung cancer is using doubt.
Are the scientists sure about what is going on?
Uh-huh.
In this case, we can see doubt all through this episode, right?
A vape's that bad.
Yeah, the study had this issue.
Yeah.
And creating doubt amongst science is so damn easy, right?
because well-meaning scientists will nitpick at each other's research to get to the truth.
Yeah.
Making it so handy for Big Vap to say,
look, the scientists are fighting.
Yeah.
Let's just keep vaping until they work it all out.
Yeah.
You know?
But of course, in the playbook,
it's not just about leaning on the down to sell your product.
Big Tobacco is also actively funding science.
And a lot of that science helps.
their cause.
So, for example, today you can find the foundation for a smoke-free world whose goal is
the end of tobacco use achieved through funding research and promoting innovation.
What could create a smoke-free world, but a vape-filled world?
Wow, that's bleak.
They are entirely, entirely funded by Bates.
big tobacco. And just a couple of years ago, they changed their name, by the way, to
global action to end smoking. And this is just one of these groups. Other companies that
sell these products are out there funding science too. Wow. Dang. Do you think this really
corrupts the majority of this research? Like how big of a problem is this? Yes, that is what I wanted
to know. Okay, so around 10 years ago, a researcher in Denmark did one of the first systematic
reviews on the health effects of e-cigarettes, which looked at almost 100 studies. And then she
analyzed all the conflicts of interest. Do you want to guess what percentage of the studies
had some industry conflict of interest? 50%. It was 35%. Okay. That's still pretty high.
And there's other studies that have kind of looked at this problem in slightly different ways.
They find that maybe it's one in four, so 24%, had disclosed industry funding.
Which, you know, one in three, one in four studies in this space are industry funded?
I mean, it's not good.
And of course, unsurprisingly, research shows that studies that are industry funded in this space
are more likely to say things like vaping is either harmless
or be pro-vaping more generally.
So you say things like, wow, they look pretty good compared to cigarettes.
And that makes me think of that paper that we talked about
about like, oh, vaping is just as bad as smoking when it comes to heart stuff.
And then I was like it got a lot of critique and criticism.
Some of it quite feisty, actually.
Yeah.
You know, and I did look at some of the declarations,
conflicts of interest and about something like half,
the responses that I found
declared at least some kind of
tie to tobacco
or getting some funding
or some money from a tobacco or
a babe company. So, I've seen it
too. Yeah.
I mean, by the way, more than 90%
of the people that we surveyed
in our little science versus
survey, they didn't get any industry funding
not even from pharmaceutical
companies.
And I also talk to Becky about
big tobacco and how it's
muddying the waters here, and here's what she said.
There is a lot of misinformation that benefits the bottom line of transnational companies
that we're also up against.
My budget, the health department's budget, pales in comparison to that of big tobacco
and big vape.
You know, and meanwhile, we are getting more and more evidence that vaping on its own
is bad, right?
Even if it, we don't know if it causes cancer yet.
We know it messes with your lungs.
We know it increases your risk of asthma.
It makes it more likely that your cough or wheeze more and more evidence showing it's not good for your heart.
Well, Wendy, that is a real bummer.
So, thanks, I guess.
Yeah, I'm sorry.
You know, but the good news is that there's a, you know, that song that we played for people that we didn't lie to them with?
Uh-huh.
The end of it is really quite prescient.
And so, you know, do you want to hear it?
Yeah, well, play me out.
But remember to mention the findings we have
Can't tell us what'll happen long term
Even though we know vaping is safer than smoking
We may still find cause for concern
The prophecy came true
The prophecy came true
John asked me how many citations are in this episode
So Wendy, how many citations are in this episode?
There's 78.
Thanks so much for telling me.
If people want to see them,
they can go to our show notes
There's a link to the transcript.
You can read them in all their glory.
Thank you, Rose.
Thanks, Wendy.
If you're thinking a switch into they've been.
Do it.
Probably try gum or patches first.
That's my kazoo.
You said it was your kazoo,
what you made emotion like it was a truffle.
What do you think a kazoo is?
Bye.
Science versus is a Spotify Studios original.
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If you like this show, give us a five-star review, write a comment, say hello.
This episode was produced by me, Wendy Zuckerman and Rose Rimler,
with help from Akedie Foster Keys, Merrill Horn and Michelle Dang.
We're edited by Blythe Chorrell.
I'm the executive producer.
Fact-checking by Erica Akiko Howard.
Mix and sound design by Bobby Lord.
Music written by Bumi Hidaka, Peter Leonard, Emma Munga and Bobby Lord.
Thank you so much to the Australian Science Media Centre
for all your help with this episode.
Also, thank you to the scientists who responded to our emails on this.
Oh my gosh, some of you wrote the most lovely and thoughtful emails.
We really appreciate you responding to us.
A big thanks to Joseph Lavelle Wilson and the Zuckerman family.
I'm Wendy Zuckerman.
Back to you next time.
You know, it's kind of like,
do you need to watch seven seasons of young Sheldon
or Star Wars The Phantom Menace?
Wait, in that analogy, which is vaping, which is smoking?
I think the more painful is young Sheldon
because of seven seasons.
Either way, you don't have to do it.
You could do other things with your time.
You don't need to do either, is the point.
Yeah, point extremely clearly made.
I can't think of a better public health message than that.
Would it help if I said, Misa, no need to...
It wouldn't help.
It wouldn't help.
Okay.
You know what, Becky Freeman has actually watched as...
Watched all seven seasons of Young Sheldon?
Right, I'm trying to make a serious point here.
Okay.
