Translations:ENDS Toxicity / Carcinogenic/36/en

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  • Provision of the nicotine that smokers are addicted to without the harmful components of tobacco smoke can prevent most of the harm from smoking.
  • E-cigarettes are marketed as consumer products and are proving much more popular than NRT as a substitute and competitor for tobacco cigarettes.
  • E-cigarettes appear to be effective when used by smokers as an aid to quitting smoking.
  • The hazard to health arising from long-term vapour (vapor) inhalation from the e-cigarettes available today is unlikely to exceed 5% of the harm from smoking tobacco.
  • In the interests of public health it is important to promote the use of e-cigarettes, NRT and other non-tobacco nicotine products as widely as possible as a substitute for smoking…
  • PDF Version
  • Citation: Royal College of Physicians. Nicotine without smoke: Tobacco harm reduction. London: RCP, 2016.
  • Acknowledgement: The Tobacco Advisory Group acknowledges the help of the UK Centre for Tobacco and Alcohol Studies (, which is funded by the UK Clinical Research Collaboration, in writing this report; and thanks Natalie Wilder, Claire Daley, Jane Sugarman and James Partridge in the Royal College of Physicians Publications Department for their work in producing the report.