What Are Electronic Cigarettes And How Safe Are They?
If you haven’t seen
the strangely-sleek barrel of an electronic cigarette yet, or its peculiar
vapor cloud, chances are you will soon. The Centers for Disease Control (CDC)
reported earlier this year that use of electronic cigarettes, also known as
e-cigarettes, rose from about 10% in 2010 to about 21% in 2011 among adults who
smoked combustible cigarettes.
Battery powered
tube-like devices, e-cigarettes are often made to resemble actual tobacco
cigarettes. E-cigarettes release water vapor laced with nicotine housed in a
cartridge. Users then inhale the vapor as they would the smoke from a
combustible cigarette.
E-cigarettes are
touted by manufacturers and proponents as a safe alternative to traditional
combustible cigarettes, but many physicians disagree. And, while companies say
they don’t promote the battery-operated devices as smoking cessation tools,
some smokers try anyway.
The fact that
e-cigarettes don’t produce smoke and don’t contain most of the chemicals found
in combustible cigarettes may make them the lesser of two evils, but neither is
a good idea, says Ray Casciari, MD, FRCP, director of the thoracic oncology
program and the chief medical officer at St. Joseph Hospital, in Orange, Calif.
People who are using e-cigarettes are still inhaling substances not meant to
enter the lungs. Alongside the nicotine, users may be inhaling substances that
might not be safe.
“You don’t know
what that is doing to your lungs,” Casciari says. “My experience over the past
35 years is that anything you put in the lungs has a chance of causing either
lung damage or irritation.” He explains that lungs have no way of protecting
themselves, other than producing mucus to create a barrier or by coughing.
Add to that,
e-cigarettes lack regulation, meaning the actual substances used and how much
the user inhales is left up to the manufacturer.
Proponents for
e-cigarettes believe that people who want the option of using the devices
should be able to. “E-cigarettes are part of a larger phenomenon known as
tobacco harm reduction,” says Carl Phillips, PhD, scientific director of
Consumer Advocates for Smoke-free Alternatives Association (CASAA), a consumer
and vendor advocacy group that promotes the use of non-tobacco products.
Phillips sees e-cigarettes as a desirable alternative to combustible
cigarettes.
Fans of the e-cigarettes
say that users are limiting their risks for harm because they are inhaling mist
not smoke, which they believe is the real danger. A study presented last year
at the European Respiratory Annual Congress says otherwise. Researchers
measured how effectively a group of smokers and non-smokers were able to bring
air into their lungs before and after using an e-cigarette. The results showed
a significant increase in airway resistance (the ease of how air enters the
lungs) among most of the study subjects after they inhaled the e-cigarette’s
mist.
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