Press Release: 19 Aug 2015
Electronic cigarettes are "95% less harmful than traditional tobacco," according to a study published today by the Public Health England (PHE), an agency of the British Health Service (NHS).
The Agency, which states that in a "near future" the NHS could prescribe e-cigarettes to help people quit smoking and that these could be used as an alternative to nicotine patches, considers that "vaporizing", the The action of inhaling and releasing steam from this product is "less bad" than smoking tobacco.
The report's lead author, Ann McNeill, of King's College London University, and her collaborators, believe that the use of these electronic vaporizers will mean "a revolution" for public health.
"To this day, 80,000 people die in England each year as a result of tobacco, if all smokers switched to e-cigarettes we would reduce the number of deaths to 4,000.That is our current estimate, but the figure could be much lower still, "said McNeill.
"I would encourage people interested in electronic cigarettes to try it," said the author, who urged health professionals to recommend vaporizers to people who want to stop smoking.
According to estimates, about 2.6 million Britons use electronic cigarettes in the United Kingdom.
The report of the PHE ensures that although GPs can not yet prescribe the "e-cigs", since these products do not have a license for medical purposes, it hopes to "overcome this obstacle in the future".
"This study will provide safety, quality and effectiveness to consumers who want to actively stop smoking," the report said.
Here are the links to the pages of Public Health England with the full reports:
Journal of Hazardous Materials: Jul 2020
The tobacco epidemic causes 8 million deaths each year worldwide. Responsible for nearly 30% of cancer-related deaths (especially 90% of lung cancers) and being the leading risk factor for chronic obstructive lung diseases, smoking is the world's leading single cause of preventable deaths (WHO, 2019).
Of the more than 7000 chemicals present in tobacco smoke, at least 250 are known to be harmful and about 70 can cause cancer: benzene, formaldehyde, acetaldehyde, acrylamide, nitrosamines, arsenic, cadmium ... There is no level Safe tobacco use and smoking cessation significantly reduces the risk of developing smoking-related diseases.
However, quitting smoking is a difficult and challenging task due to the addictive power of nicotine, which is naturally found in tobacco (Benowitz, 2010). Nicotine replacement therapy (available primarily as a transdermal patch, nasal spray, inhaler, gum, and sublingual tablets) can help increase the chances of sustainable smoking cessation (Stead et al., 2012). However, none of these devices mimic the sense of satisfaction that occurs with the rapid and abundant release of nicotine during smoking. During the last decade, new alternatives to regular cigarettes, such as electronic cigarettes (e-cigs), have emerged on the market. E-cigarettes are generally perceived as low-risk substitutes for cigarettes and have rapidly gained popularity, long before sufficient scientific evidence can determine their potential harmful effects on users.
The researchers started from the need to inform consumers about the real health damage caused by the new nicotine delivery devices so that they could choose which product to use to stop smoking. The results were published in the journal Science Direct.
The levels of 19 carbonyls and 23 polycyclic aromatic hydrocarbons (PAHs) were measured in the smoke of a heated cigarette, an Iqos (indicated by Htp) and three electronic cigarette models (an Ego model and a Box Mod with two different settings: one 0.5 ohm resistor heated to 18 watts and 30 watts). The liquid used for all three configurations contained 16 mg / ml nicotine and 70 percent plant glycerin density.
According to the levels of toxic compounds measured in each aerosol - write the researchers of the Pasteur Institute - aerosol derived from heated tobacco (Htp) shows a reduced cytotoxicity compared to cigarette smoke, but much higher than the vapor emissions of e-cigarettes. "Cigarette smoke contains almost 7000 toxic compounds, most of which are absent in the vapor produced by e-cigarettes. In particular, it does not contain carbon monoxide or tar, unlike cigarettes.
"To ensure realistic experimental conditions, two experienced vapers tested the e-cigs used in our study". The researchers analyzed the presence of toxic substances in each 'puff' and in a relevant way for each µg of nicotine supplied. The results, detailed for each substance, indicate for the same nicotine release, a reduction of more than 99.5% for the different models of electronic cigarette. In simple terms, it can be said that the electronic cigarette reduces the carbonyl dose between 200 and 500 times compared with traditional cigarettes.
About 100% of damage produced by traditional cigarettes, tobacco heaters (Iqos) are harmful by 23% while electronic cigarettes and vaping devices are harmful by 1%.
This study was supported by the French Cancer Institute (INCa) and the French Institute for Research in Public Health (IResP): Contracts n ° INCa_11505 and n ° INCa_13648. The authors declare that they have no conflict of interest with the tobacco, HTP or electronic cigarette industries.
Here is the link to the full study published in Science Direct:
Due to the increase in the number of vapers of electronic cigarettes in the developed world, a controversy has been created on the safety of these devices.
The large number of alarming publications and reports that can be seen in the media and on the Internet, do not correspond to the lack of serious, rigorous studies and no hidden business interests that support any strong statement in any sense.
What we can affirm as habitual users of electronic cigarettes and ex-smokers, is that, in practice, the improvement of our health with respect to when we smoke is visible and immediate.
We can not and we do not want to enter into valuing what interests can be hidden behind the affirmations of different media and pressure groups. There are even those who believe that there is a big "black hand" against electronic cigarettes. In any case, each one must create their own opinion by gathering information and studying it from a critical perspective.
The report that we propose, we found interesting because it seems aseptic and has opinions of doctors and experts from France, where vaping has been more years and is much more widespread than in our country:
"... Official figures warn that one in two long-term smokers may die from causes linked to smoking."
Philippe Presles (Physician):
"The three most toxic components of tobacco have been eliminated: tar, carbon monoxide and fine particles that cause cancer, myocardial infarctions and chronic bronchitis. What remains, then, as harmful matter? that's why some arguments seem ridiculous. If we compare the danger of the electronic cigarette with other products, I would say that first there is tobacco, then alcohol, behind the hypercaloric products based on saturated or sweetened fats and, after this, I realize that the electronic cigarette Place next to fruits or fish. The health risk is very weak, because, also, we find pesticides in fruits and vegetables, as well as heavy metals in certain fish. That would be the level of danger of the electronic cigarette ... "
... Michel Celemenski (smoker):
"I have smoked for 40 years, I have tried everything to stop smoking: the patches, the nicotine gum, the abstinence, even, in some periods, I have managed to stop smoking, but I fell again because I missed the gesture of smoking, its flavor. I like the taste of tobacco, the smoke, all that I was missing. "
And now, what do you feel when steaming?
"Frankly, I'm impressed, I've found those pleasures again and almost instantaneously, without smoke, without smell, I suddenly felt it was another way of smoking."
... Bertrand Dautzenberg, (director of the French Office of prevention against smoking):
"... To summarize: smoking tobacco is like going in the opposite direction at full speed on the highway, while the electronic cigarette is like going to 140 when the limit is set at 130 kilometers. If everyone followed this route there would be fewer accidents, something that is more difficult to measure in epidemiological terms. But, if we take into account that simile on the highway, we see that the risk reduction is colossal. "
Sébastien Bouniol, (E-Cigarette):
"The particularity of the electronic cigarette is that it came from below, thanks to the users, to the small manufacturers. It is not an invention linked to the research sponsored by the big multinationals, nor all that. It emerged almost spontaneously. In fact, until recently, here in France, for example, neither the pharmaceutical industry, nor the tobacco companies, nor the tobacco producers believed in it. No one gave him credit until last year. "
Bertrand Dautzenberg, (director of the French Office of prevention against smoking):
"The real risk for citizens is that the electronic cigarette is used as a product to attract potential tobacco smokers. I am disturbed to see that, worldwide, the big tobacco producers have chosen their strategy, they say: "We are going to acquire the small companies that manufacture it not for smokers to switch to electronic cigarettes but to recruit new consumers". And so they have told the media, they want to attract young people because the future of their market depends on the dependence of the youngest. "
Copyright © Euronews
Many health experts who appear in the media claim that more scientific studies are needed on the safety of electronic cigarettes, and we agree. But you can not ignore the multitude of studies currently available. That is why we enclose some of these studies on electronic cigarettes with their links:
6 JANUARY, 2014 PUBLISHED IN: NEWS ABOUT ELECTRONIC CIGARETTE, HEALTH
A new study developed by scientists at the Roswell Park Cancer Institute in the state of Buffalo (United States) and published in the journal Nicotine and Tobacco Research, has shown that the exhaled steam when using electronic cigarettes contains very low levels of nicotine and also in said vapor are not present other types of chemical substances that do occur in the exhaled smoke when smoking conventional cigarettes.
This study was carried out with the aim of clarifying the many doubts about the chemical composition of the steam generated by electronic cigarettes, as well as the effects that this could have on the health of indirect consumers of this product.
The researcher Maciej Goniewicz and his staff were in charge of carrying out two studies related to the passive exposure to steam of electronic cigarettes, in the first one an electronic cigarette was used with the aim of generating steam in a closed environment to then be able to measure the levels of nicotine, carbon monoxide and other gases and particles with the potential to generate health risks.
On the other hand, in the following study, we counted with the participation of five regular smokers who interspersed the consumption of tobacco and electronic cigarettes, in this study each of the participants had to enter a room where he vaporized with an electronic cigarette in two. periods of five minutes in the course of one hour, while the researchers measured the quality of the air, the room conditions were clean and had ventilation, then the same procedure was repeated but using conventional cigarettes.
It should be mentioned that Goniewicz received funding from a pharmaceutical company that sells treatments to stop smoking, on the other hand another of his colleagues with whom he shares the authorship of the study received funding from a company that manufactures electronic cigarettes.
The researchers detected nicotine levels of 2.5 micrograms per cubic meter of air in the first study, while in the second, levels reached 3.3 micrograms per cubic meter. However, they observed that the levels were ten times higher with tobacco, since they were almost 32 micrograms per cubic meter.
The data extracted from this study were very revealing since it was detected that in the environment there were only nicotine levels of 2.5 micrograms per cubic meter of air in the first one and 3.3 micrograms per cubic meter in the second one, in terms of electronic cigarette refers, which means ten times less than the results that the study showed regarding the conventional cigarette which reached levels of 32 micrograms per cubic meter.
"The exposure to nicotine is lower compared to the exposure of tobacco smoke. And we also know that nicotine is relatively safe compared to other dangerous toxic substances in tobacco smoke, "Goniewicz said.
The study also detected some particles that contain the smoke of conventional cigarettes, however the amount was found to be insignificant, on the other hand the air quality in terms of carbon monoxide and other gases did not change with the use of cigarettes electronic, that is to say, the quality of the air was always the same despite the presence of the vapor of electronic cigarettes, which shows its harmlessness in this aspect.
"What we found is that non-users of electronic cigarettes could have been exposed to nicotine, but not many toxic agents when they are in close proximity to the users of these e-cigarettes," said the expert.
20 MARCH 2014. PUBLISHED IN LIBREMERCADO. Manuel Llamas
The Congress will approve next week the new Consumer Law that, among many other aspects, regulates the electronic cigarette (e-cig), prohibiting its use in some spaces, such as educational and health centers, Administration buildings, public transport and playgrounds. If there are no changes, the new regulations will follow the guidelines set out in this respect by Brussels, whose Directive in this matter grants that product a category of its own, since it clearly differentiates it from tobacco and drugs. During its processing in the Senate, the PSOE tried to equate the e-cig with tobacco, defending the interests of tobacco and pharmaceutical companies, whose businesses are being affected in a very significant way by the rapid and growing acceptance that the cigarette is having electronic among smokers.
However, its amendment was rejected by the majority in the Upper House, with which, predictably, the Consumer Law will be approved in Congress without substantial changes. The e-cig has become a fearsome competition for both sectors. Proof of this is that the electronic cigarette business, which is very recently established in Spain, already has a turnover of 24 million euros per year and employs around 3,000 people nationwide. According to estimates of the National Association of Electronic Cigarettes (ANCE), in Spain there are already about 800,000 vapeadores-a term by which users of this product are known colloquially, while this figure is around 500 million worldwide, according to Tobacco Vapor Electronic Cigarette Assocoation (TVECA), the international employers' association of the sector.
There are many vested interests and, therefore, the e-cig is the usual object of criticism and suspicion of all kinds to try to stop its extension or, at least, restrict its use very strictly, without ruling out even the possibility of firing its taxation, as is currently the case with tobacco.
In this sense, one of the main arguments put forward by the enemies of the e-cig is to cast doubt on its possible harmful effects on health. But, nowadays, the existing studies do not show any conclusive evidence against the electronic cigarette, rather on the contrary, according to the bosses of the sector highlighted this Thursday at a press conference held in Madrid. Ray Story, CEO of TVECA, notes that medical reports carried out by official agencies in the USA have concluded that the e-cig is up to 14,000 times less harmful than tobacco. Thus, while the normal cigarette has up to 68 potentially carcinogenic elements, the electronic one only consists of five components that, although they can generate addiction -like nicotine-, are not harmful, according to the existing reports.
Vendors and manufacturers insist on their message: no matter where you look, electronic cigarettes are much less harmful to health than tobacco. Despite this, both employers defend the need for their sector to have a specific regulation, adapted to their particular characteristics. Therefore, among other measures, they defend the implementation of a "licensing system" for the sale of the product that ensures that "only establishments that comply with a series of minimum requirements in terms of experience, training and quality can operate."
Currently, the e-cig is freely marketed in all types of premises. For its part, ANCE, founded last September and representing some 500 stores in Spain, proposes to its partners to advance two years the obligation set by the European Directive to sell electronic cigarettes with a maximum concentration of nicotine of 20 milligrams per milliliter, and that their products include information on the ingredients contained in the packaging. They also suggest that the products sold by their associates include a "liability insurance of the manufacturer or the importer" in relation to the quality and safety of the product.
21 MARCH 2014. PUBLISHED IN LIBREMERCADO. Manuel Llamas
Smoking is condemned to disappear in the long term, or, at least, its harmful effects on health will be drastically reduced in the coming decades, which will undoubtedly mean a real revolution in health, but also at the level industrial and consumer. It's not science fiction. It's already happening, and the trend is unstoppable. This dream, unthinkable just a few years ago, is not due to the aggressive state interventionism or the abject prohibitionism espoused by the half-baked moral hypocrites who swell the ranks of the ruling socialism. No. If the negative impact of tobacco decreases in the coming years will not be in any case thanks to the State and its perverse sycophants, but, on the contrary, thanks to the market and its beneficial mechanisms of free and voluntary interaction. The revolution in question is called electronic cigarette (e-cig), a business invention that, despite its recent creation, was born just a decade ago, is spreading rapidly among smokers, reaping spectacular results. The key to its success is simple: it offers the best of tobacco - habit, puff sensation and nicotine shot - but discarding the long list of dangerous ingredients contained in the conventional cigarette.
Not everyone wants to quit smoking, no matter how much it hurts the social engineers who so love to impose their will on others; But, since getting sick is not a dish of good taste for anyone, many see the e-cig as an ideal alternative to maintain their habit without it costing them in the long run. The World Health Organization (WHO) estimates that there are more than 1 billion smokers in the world, and that tobacco causes 5 million deaths each year. This last figure is questionable, given the lack of credibility of this entity, but there is broad agreement about the harm caused by smoking in the long term.Be that as it may, the indisputable fact is that, today, there is not a single death attributed to the consumption of e-cig. And this despite the fact that it is estimated that there are already around 500 million vapeadores in the world - some 800,000 in Spain. Many will say that it is too early to draw conclusions, given its recent implementation, but the truth is that there are no studies to prove otherwise. A few days ago, the first case of pneumonia diagnosed in Spain due to e-cig consumption - the second worldwide - jumped to the media. Very few noticed the fact that he was an "important smoker", who was admitted to the hospital for different reasons and that during his stay he had consumed "up to five loads a day" of this product, which is outrageous. But it is also that, according to the doctors who treated him, the cause of his lipoid pneumonia was the vegetable glycerin contained in the electronic cigarette. The issue is that other professionals, such as Dr. Konstantinos E. Farsalinos, chief investigator of the Onassis Cardiac Surgery Center, categorically denied this possibility. "Glycerol is an element of the alcohol family, not a lipid, and therefore it is impossible for it to be responsible for the pathology, even if it had been aspirated in liquid form, that would violate the laws of chemistry" . That is, there are other probable causes. It's not the only one. The prestigious doctor Michael Siegel, professor in the Department of Health Sciences at the University of Boston and with a long experience in the fight against smoking, denies, point by point, the only report that links the consumption of glycerol with pneumonia lipoidea, prepared by the German Cancer Research Center. In fact, interestingly, the first case of pneumonia that was attributed to the e-cig was denied shortly after, after discovering that the disease was caused by the use of an albuterol inhaler (Ventolin). One of the very few scientific studies to which, Today, the enemies of the e-cig can be caught - although they never mention it - it was published in 2012 by the University of Athens, and the only thing that is demonstrated is that the use of an electronic cigarette for 10 minutes increases the resistance of the respiratory tract, without this implying any type of lung damage. In fact, breathing humid air has the same effect, and not for that reason the governmental and sanitary authorities consider to restrict the number of inhabitants in Galicia, where humidity is the norm. Professor Siegel, on the other hand, demonstrates in another report that vaping "does not produce detectable amounts of toxic and carcinogenic substances in the air of a closed space", concluding that "it could be more insane to breathe air in large cities compared to stay in the same room with someone who is vaping. "
To make matters worse, none of the few studies that question the e-cig claim that its consumption may have potentially adverse effects in the long term. The reports about the safety of vaping, however, are numerous. And even if it were shown to be unhealthy, even the most unbelieving scientists are forced to recognize that vaping is much healthier and safer than smoking. Thus, the alarmism that has been created about this product is pure smoke -the bad-, a vile trick orchestrated by apprentices of dictator to achieve its perverse objective, which is none other than equating the e-cig to tobacco for, of this way, to be able to restrict its consumption in public places and, above all, to tax its sale with expensive taxes. Basically, what is behind this defamatory campaign is nothing else than the defense of the big vested interests around the tobacco sector: tobacco shops and tobacconists want to regulate the e-cig because they know that it is a direct competition and, continue like this, it will end your business; pharmacists, for their part, have invested a lot of money in products to quit tobacco in the face of the easy and effective vaping alternative; Regulators and associations of all kinds do not want to lose their succulent and generous subsidies to combat smoking; and the State, of course, also shows objections, given that, after all, the habit that he says to reject brings him more than 10,000 million euros a year in tax collection. Do not get wrong. The suspicions and falsehoods that are spilled and will continue to pour on the electronic cigarette do not seek in any case the welfare of the population. Health is the hackneyed excuse employed by the interventionists of all skin and condition to take advantage of the evil of others. The war against drugs and tobacco are a clear example of this. The State has failed miserably in both areas, causing, in addition, a high number of deaths and collateral damage, whose exact volume is difficult to determine.
In Spain, for example, despite having one of the most prohibitionist laws in the world and a tax rate of around 85% of the final price of each pack, 30% of the adult population and almost 25% of young people are still stuck to tobacco, exceeding the EU average. Spain is the fourth European country where smoking is the most, the Anti-Tobacco Law has not managed to reduce this habit and the massive tax increase that tobacco has suffered has only resulted in an exponential increase in smuggling. The e-cig, on the other hand, is destined to become a much healthier and cheaper alternative than tobacco, hence its growth. Some estimates already suggest that the number of vapeadores will end up surpassing the number of smokers within a decade, at least in most developed countries, saving millions of lives, as affirmed by Robert West, director of tobacco studies from the University College of London.
The limitations that the collectivists intend to impose will only stop this beneficial effect, since they seek to strongly increase this product (taxes) and restrict its use, thus hindering the emergence of new and effective improvements in it. And this under the absurd excuse that nicotine is addictive, like so many other products (natural and pharmaceutical), although they forget to point out that it is not carcinogenic. As the platform European Initiative for Free Vapping denounces, created to collect signatures across the EU, the battle has just begun. "The vapers made an adult, responsible and private decision when they chose this young, but effective, alternative that allowed them to leave or reduce a deadly habit that claims hundreds of thousands of lives every year. Electronic cigarettes is to be interpreted as a serious threat to individual rights and the private sphere. "