Myth: Vaping causes Popcorn Lung: Difference between revisions

 
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=Why are some experts claiming vaping causes Popcorn Lung?=
=Why are some experts claiming vaping causes Popcorn Lung?=
In 2015 the paper "[https://ehp.niehs.nih.gov/doi/10.1289/ehp.1510185 Flavoring Chemicals in E-Cigarettes: Diacetyl, 2,3-Pentanedione, and Acetoin in a Sample of 51 Products, Including Fruit-, Candy-, and Cocktail-Flavored E-Cigarettes]" was published. The authors found Diacetyl in some of the e-liquids they tested. They concluded, "Our findings confirm the presence of diacetyl and other flavoring chemicals in flavored e-cigarettes. Because of the associations between diacetyl and bronchiolitis obliterans and other severe respiratory diseases among workers inhaling heated vapors containing diacetyl, urgent action is recommended to further evaluate the extent of this new exposure to diacetyl and related flavoring compounds in e-cigarettes." (The vapors that workers inhaled were not vapor from an e-cigarette.)
In 2015 the paper "[https://ehp.niehs.nih.gov/doi/10.1289/ehp.1510185 Flavoring Chemicals in E-Cigarettes: Diacetyl, 2,3-Pentanedione, and Acetoin in a Sample of 51 Products, Including Fruit-, Candy-, and Cocktail-Flavored E-Cigarettes]" was published. The authors found Diacetyl in some of the e-liquids they tested. They concluded, "Our findings confirm the presence of diacetyl and other flavoring chemicals in flavored e-cigarettes. Because of the associations between diacetyl and bronchiolitis obliterans and other severe respiratory diseases among workers inhaling heated vapors containing diacetyl, urgent action is recommended to further evaluate the extent of this new exposure to diacetyl and related flavoring compounds in e-cigarettes." (The vapors that workers inhaled were not vapor from an e-cigarette.) [https://twitter.com/j_g_allen/status/1751230489615126963 Twitter thread about study]


Harvard T.H. Chan School of Public Health issued a press release about the study, "[https://www.hsph.harvard.edu/news/press-releases/e-cigarette-flavoring-chemicals-linked-to-respiratory-disease/ Chemicals linked with severe respiratory disease found in common e-cigarette flavors]" (Link saved on [https://web.archive.org/web/20151212202826/https://www.hsph.harvard.edu/news/press-releases/e-cigarette-flavoring-chemicals-linked-to-respiratory-disease/ Wayback Machine]). While the safety of e-cigarettes does need to be monitored, the study and the press release did not compare the levels of the chemicals found to what is inhaled from smoking a combustible cigarette. Neither the paper nor the press release said people will get Popcorn Lung from vaping. They just raised concern about the possibility.
Harvard T.H. Chan School of Public Health issued a press release about the study, "[https://www.hsph.harvard.edu/news/press-releases/e-cigarette-flavoring-chemicals-linked-to-respiratory-disease/ Chemicals linked with severe respiratory disease found in common e-cigarette flavors]" (Link saved on [https://web.archive.org/web/20151212202826/https://www.hsph.harvard.edu/news/press-releases/e-cigarette-flavoring-chemicals-linked-to-respiratory-disease/ Wayback Machine]). While the safety of e-cigarettes does need to be monitored, the study and the press release did not compare the levels of the chemicals found to what is inhaled from smoking a combustible cigarette. Neither the paper nor the press release said people will get Popcorn Lung from vaping. They just raised concern about the possibility.
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=What actions were taken to protect consumers after the study was released?=
=What actions were taken to protect consumers after the study was released?=
*Many e-liquid manufacturers switched to Diacetyl-free ingredients.
*Many e-liquid manufacturers switched to Diacetyl-free ingredients.
*Most flavor [https://shop.perfumersapprentice.com/t-FlavorWorkshopCustard.aspx manufacturers] reformulated their flavoring to Diacetyl-free formulas.
*Most flavor [https://shop.perfumersapprentice.com/t-FlavorWorkshopCustard.aspx manufacturers] reformulated their flavoring to [https://nicotineriver.com/collections/flavourart-concentrates Diacetyl-free] formulas.
*As a further precaution to avoid the potential for there to be an issue in the future, some countries have banned the use of Daicetyl in e-liquids. Examples include [https://www.legislation.gov.au/F2021L00595/latest/text Australia],[https://www.gov.uk/government/publications/chapter-6-ingredient-guidance-northern-ireland Northern Ireland], [https://www.gov.uk/government/publications/chapter-6-ingredient-guidance-great-britain Great Britain], and member states of the EU Tobacco Products Directive (TPD).
*As a further precaution to avoid the potential for there to be an issue in the future, some countries have banned the use of Daicetyl in e-liquids. Examples include [https://www.legislation.gov.au/F2021L00595/latest/text Australia],[https://www.gov.uk/government/publications/chapter-6-ingredient-guidance-northern-ireland Northern Ireland], [https://www.gov.uk/government/publications/chapter-6-ingredient-guidance-great-britain Great Britain], and member states of the EU Tobacco Products Directive (TPD).
*A [https://www.frontiersin.org/articles/10.3389/fchem.2021.756716/full study] published in 2021 found "that the mean number of chemicals detected per product has in fact changed over the years; products collected in 2017 and 2018 appear to have a significantly higher number of chemical compounds when compared to those collected in 2019. This trend is observed regardless of flavour category analyzed. Of the 825 samples tested "diacetyl was detected in two vaping liquids acquired prior to 2018, 2,3 pentanedione was not detected in any vaping liquids analyzed in the Open Characterization dataset." No Diacetyl was found in the liquids acquired after 2018.
*A [https://www.frontiersin.org/articles/10.3389/fchem.2021.756716/full study] published in 2021 found "that the mean number of chemicals detected per product has in fact changed over the years; products collected in 2017 and 2018 appear to have a significantly higher number of chemical compounds when compared to those collected in 2019. This trend is observed regardless of flavour category analyzed. Of the 825 samples tested "diacetyl was detected in two vaping liquids acquired prior to 2018, 2,3 pentanedione was not detected in any vaping liquids analyzed in the Open Characterization dataset." No Diacetyl was found in the liquids acquired after 2018.
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=Who's information can lead people to believe that vaping causes Popcorn Lung?=
=Who's information can lead people to believe that vaping causes Popcorn Lung?=
Some of these websites don't specifically say that people who vape get Popcorn Lung. They mention diacetyl is in e-cigarettes and that diacetyl can cause popcorn lung. Their failure lies in neglecting to point out that popcorn lung is rare, there is more diacetyl in combustible cigarettes than vapor products, and there are no [https://tobaccoanalysis.blogspot.com/2018/05/e-cigarette-opponents-still-making-up.html documented] cases of popcorn lung that can be directly attributed to vaping.
Some of these websites don't specifically say that people who vape get Popcorn Lung. They mention diacetyl is in e-cigarettes and that diacetyl can cause popcorn lung. Their failure lies in neglecting to point out that popcorn lung is rare, there is more diacetyl in combustible cigarettes than vapor products, and there are no [https://tobaccoanalysis.blogspot.com/2018/05/e-cigarette-opponents-still-making-up.html documented] cases of popcorn lung that can be directly attributed to vaping.
*University Hospitals - [https://www.uhhospitals.org/blog/articles/2024/04/popcorn-lung-a-dangerous-risk-of-vaping Popcorn Lung: A Dangerous Risk of Vaping] - Apr 25, 2024
*The Conversation - [https://theconversation.com/vaping-now-more-common-than-smoking-among-young-people-and-the-risks-go-beyond-lung-and-brain-damage-223125 Vaping now more common than smoking among young people – and the risks go beyond lung and brain damage] - Apr 25, 2024
*Alternative to Meds Center - [https://www.alternativetomeds.com/blog/warning-before-you-vape-again-read-these-harmful-effects-of-vaping/ Warning: Before You Vape Again, Read These Harmful Effects of Vaping] - Feb 2, 2024
*American Heart Association - [https://www.ahajournals.org/doi/10.1161/CIR.0000000000001160 Cardiopulmonary Impact of Electronic Cigarettes and Vaping Products]: A Scientific Statement From the American Heart Association - Jul 17, 2023
*American Heart Association - [https://www.ahajournals.org/doi/10.1161/CIR.0000000000001160 Cardiopulmonary Impact of Electronic Cigarettes and Vaping Products]: A Scientific Statement From the American Heart Association - Jul 17, 2023
**See Also: May 31, 2022 - American Heart Association - [https://www.heart.org/en/news/2022/05/31/in-secondhand-vape-scientists-smell-risk In secondhand vape, scientists smell risk]  
**See Also: May 31, 2022 - American Heart Association - [https://www.heart.org/en/news/2022/05/31/in-secondhand-vape-scientists-smell-risk In secondhand vape, scientists smell risk]  
*American Lung Association [https://web.archive.org/web/20160709232304/http://www.lung.org/about-us/blog/2016/07/popcorn-lung-risk-ecigs.html July 2016] and still online [https://web.archive.org/web/20240120181104/https://www.lung.org/blog/popcorn-lung-risk-ecigs January 2024].(wording slightly changed)
*American Lung Association [https://web.archive.org/web/20160709232304/http://www.lung.org/about-us/blog/2016/07/popcorn-lung-risk-ecigs.html July 2016] and still online [https://web.archive.org/web/20240120181104/https://www.lung.org/blog/popcorn-lung-risk-ecigs January 2024].(wording slightly changed)
*Business Universe - [https://www.businessuniverse.in/the-mystery-of-popcorn-lung-signs-symptoms-and-the-vaping-connection The Mystery of Popcorn Lung: Signs, Symptoms, and the Vaping Connection] - Feb 20, 2024
*CDC - [https://web.archive.org/web/20170420150557/https://e-cigarettes.surgeongeneral.gov/documents/SGR_E-Cig_Health_Care_Provider_Card_508.pdf Health Care Professionals: Educate Your Young Patients About the Risks of E-cigarettes] -Apr 20, 2017 (Date is the earliest date on WayBack Machine)
*CDC - [https://web.archive.org/web/20170420150557/https://e-cigarettes.surgeongeneral.gov/documents/SGR_E-Cig_Health_Care_Provider_Card_508.pdf Health Care Professionals: Educate Your Young Patients About the Risks of E-cigarettes] -Apr 20, 2017 (Date is the earliest date on WayBack Machine)
*Cinncinati Enquirer - [https://www.cincinnati.com/story/opinion/editorials/2024/01/31/ban-flavored-tobacco-end-vape-crisis-cincinnati/72152616007/ Cincinnati must pick up the pace on banning flavored tobacco] - Jan 31, 2024
*Cleveland Clinic - [https://web.archive.org/web/20220807182718/https://my.clevelandclinic.org/health/diseases/22590-popcorn-lung-bronchiolitis-obliterans Popcorn Lung (Bronchiolitis Obliterans)] - Apr 7, 2022 (Date is the earliest date on WayBack Machine) ('''NOTE compare this version with the current one to see if the same)
*Cleveland Clinic - [https://web.archive.org/web/20220807182718/https://my.clevelandclinic.org/health/diseases/22590-popcorn-lung-bronchiolitis-obliterans Popcorn Lung (Bronchiolitis Obliterans)] - Apr 7, 2022 (Date is the earliest date on WayBack Machine) ('''NOTE compare this version with the current one to see if the same)
*Covenant Health - [https://www.covenanthealth.com/blog/effects-of-vaping-on-teens/ The Effects of Vaping on Teens and Young Adults]
*Daily Mail - [https://www.dailymail.co.uk/health/article-13057345/vaping-dangerous-cigarettes-report-dangers-lung-disease.html How dangerous IS vaping compared with smoking? New review analyzes the dangers of both.... and finds former is linked to EIGHT lung diseases] - Feb 8, 2024
*Harvard Health Publishing - Popcorn lung: What is it, and who is at risk? (which was changed - more misleading!) [https://web.archive.org/web/20240116112026/https://www.health.harvard.edu/diseases-and-conditions/popcorn-lung-what-is-it-and-who-is-at-risk Jan 2, 2024] - See old version [https://web.archive.org/web/20231228054251/https://www.health.harvard.edu/diseases-and-conditions/popcorn-lung-what-is-it-and-who-is-at-risk Dec 21, 2023])
*Harvard Health Publishing - Popcorn lung: What is it, and who is at risk? (which was changed - more misleading!) [https://web.archive.org/web/20240116112026/https://www.health.harvard.edu/diseases-and-conditions/popcorn-lung-what-is-it-and-who-is-at-risk Jan 2, 2024] - See old version [https://web.archive.org/web/20231228054251/https://www.health.harvard.edu/diseases-and-conditions/popcorn-lung-what-is-it-and-who-is-at-risk Dec 21, 2023])
*Health - [https://www.health.com/popcorn-lung-symptoms-8426051 Signs and Symptoms of Popcorn Lung] - Jan 24, 2024 [https://twitter.com/health_com_/status/1751659678658937163 Tweet]
*Hindustan Times - [https://www.hindustantimes.com/lifestyle/health/what-is-popcorn-lung-a-rare-condition-caused-by-vaping-know-signs-and-symptoms-101708668571913.html What is popcorn lung, a rare condition caused by vaping? Know signs and symptoms] - February 23, 2024 [https://twitter.com/htlifeandstyle/status/1760913850155573668 Tweet]
*Hindustan Times - [https://www.hindustantimes.com/lifestyle/health/what-is-popcorn-lung-a-rare-condition-caused-by-vaping-know-signs-and-symptoms-101708668571913.html What is popcorn lung, a rare condition caused by vaping? Know signs and symptoms] - February 23, 2024 [https://twitter.com/htlifeandstyle/status/1760913850155573668 Tweet]
*International Journal of Advance Research in Medical Surgical Nursing [https://www.surgicalnursingjournal.com/archives/2021.v3.i1.A.61 Dangerous popcorn lung: A risk of flavored e-cigarettes] - 2021
*International Journal of Advance Research in Medical Surgical Nursing [https://www.surgicalnursingjournal.com/archives/2021.v3.i1.A.61 Dangerous popcorn lung: A risk of flavored e-cigarettes] - 2021
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*John Hopkins Medicine - [https://web.archive.org/web/20200805224246/https://www.hopkinsmedicine.org/health/wellness-and-prevention/what-does-vaping-do-to-your-lungs What Does Vaping Do to Your Lungs?] -Aug 5, 2020 (Date is the earliest saved date on WayBack Machine)
*John Hopkins Medicine - [https://web.archive.org/web/20200805224246/https://www.hopkinsmedicine.org/health/wellness-and-prevention/what-does-vaping-do-to-your-lungs What Does Vaping Do to Your Lungs?] -Aug 5, 2020 (Date is the earliest saved date on WayBack Machine)
*Parkview Health - [https://www.parkview.com/blog/e-cigarettes-know-the-risks E-cigarettes: Know the risks] - Nov 9, 2023
*Parkview Health - [https://www.parkview.com/blog/e-cigarettes-know-the-risks E-cigarettes: Know the risks] - Nov 9, 2023
*PharmEasy - [https://pharmeasy.in/blog/does-vaping-cause-cancer-exploring-the-health-implications/ Does Vaping Cause Cancer? Exploring The Health Implications] - Feb 14, 2024
*The Postline (video) - [https://www.youtube.com/watch?v=dmVFr--YHCg&t=36s Popcorn lung disease: What is it, and how does it link to vaping?] - Feb 24, 2024
*Times of India - [https://timesofindia.indiatimes.com/life-style/health-fitness/health-news/what-is-popcorn-lung-signs-and-symptoms-you-should-be-aware-of/photostory/107829266.cms?picid=107829277 What is Popcorn Lung? Signs and symptoms you should be aware of] - Feb 20, 2024
*University of Northern Colorado - [https://www.unco.edu/student-health-center/health-topics/vaping.aspx Vaping and E-Cigarettes] - Jun 11, 2022
*University of Northern Colorado - [https://www.unco.edu/student-health-center/health-topics/vaping.aspx Vaping and E-Cigarettes] - Jun 11, 2022
*University of North Texas - [https://www.unthsc.edu/school-of-public-health/vaping-advice-for-parents/ Vaping advice for parents] - Sep 19, 2019
*University of North Texas - [https://www.unthsc.edu/school-of-public-health/vaping-advice-for-parents/ Vaping advice for parents] - Sep 19, 2019
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**[https://cdn.who.int/media/docs/default-source/regulating-tobacco-products/backgroundpapersends3-4november-.pdf 2015 A systematic review of health effects of electronic cigarettes]
**[https://cdn.who.int/media/docs/default-source/regulating-tobacco-products/backgroundpapersends3-4november-.pdf 2015 A systematic review of health effects of electronic cigarettes]
**[https://pnsd.sanidad.gob.es/profesionales/publicaciones/catalogo/bibliotecaInternacionales/publicaciones/pdf/2021_WHO_Report_on_Global_Tobacco_Epidemic.pdf 2021 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC]
**[https://pnsd.sanidad.gob.es/profesionales/publicaciones/catalogo/bibliotecaInternacionales/publicaciones/pdf/2021_WHO_Report_on_Global_Tobacco_Epidemic.pdf 2021 WHO REPORT ON THE GLOBAL TOBACCO EPIDEMIC]
*WVNS 59 News - [https://www.wvnstv.com/community/health/popcorn-lung-and-the-dangers-associated-with-it/ ‘Popcorn Lung’ and what to look out for] - Feb 5, 2024
*WVNS 59 News - [https://www.wvnstv.com/community/health/popcorn-lung-and-the-dangers-associated-with-it/ ‘Popcorn Lung’ and what to look out for] - Feb 5, 2024 - [https://twitter.com/WVNS59News/status/1754823014309343660 Tweet]


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