It is especially astonishing that the 95% safer figure is used, given that it has no credibility internationally. There are serious questions about the funding of the meeting it came from and it is simply impossible to know how safe a product is when it has only been used widely for a relatively short time. It took decades to discover the health effects of smoking.
The World Health Organisation has said explicitly that a precise figure cannot be given, referring to "Unsubstantiated or overstated claims of safety and cessation". Also, as reported earlier this week in a study from Birmingham, new evidence is appearing weekly raising concerns about safety.
It is equally astonishing to see the claim that they are a proven smoking aid given the recent publication of a large controlled trial in the New England Journal of Medicine concluding that "Among smokers who received usual care (information and motivational text messages), the addition of free cessation aids or e-cigarettes did not provide a benefit. ". Moreover, there is now lots of evidence from observational studies that they reduce quitting.
The suggestion to increase nicotine is especially worrying given that organisations such as ASH have argued that the UK is safe from the rapid increase in use of Juuls by schoolchildren seen in the USA because of the lower levels permitted here. The report simply dismisses concerns such as that by the former chair of the American Academy of Pediatrics Tobacco Consortium, who has said “Juul is already a massive public-health disaster". But then, the report ignores the considerable evidence that these products are a gateway to smoking.
Fortunately, other countries are not following England's direction, despite massive pressure from a very well funded Big Tobacco operation. Instead, they are waiting for the results on our giant experiment on our people.