ENDS Public Health: Difference between revisions

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=2nd Hand Vapor=
=2nd Hand Vapor=


===2022: [https://link.springer.com/article/10.1007/s11739-022-03061-2 Computational modeling method to estimate secondhand exposure potential from exhalations during e-vapor product use under various real-world scenarios]===
===2022: [https://link.springer.com/article/10.1007/s11739-022-03061-2 Computational modeling method to estimate secondhand exposure potential from exhalations during e-vapor product use under various real-world scenarios]===
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*...room air levels of nicotine, formaldehyde, acrolein, and acetaldehyde levels were significantly below OSHA PELs or American Industrial Hygiene Association (AIHA) limit...
*...room air levels of nicotine, formaldehyde, acrolein, and acetaldehyde levels were significantly below OSHA PELs or American Industrial Hygiene Association (AIHA) limit...


===2020: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504617/ Comparative Indoor Pollution from Glo, Iqos, and Juul, Using Traditional Combustion Cigarettes as Benchmark: Evidence from the Randomized SUR-VAPES AIR Trial]===
*Glo, Iqos, and Juul have significantly less intense and persistent effects on indoor pollution in comparison to combustible tobacco cigarettes.


===2018: [https://academic.oup.com/ntr/article/21/10/1371/5040053 Characterization of the Spatial and Temporal Dispersion Differences Between Exhaled E-Cigarette Mist and Cigarette Smoke]===  
===2018: [https://academic.oup.com/ntr/article/21/10/1371/5040053 Characterization of the Spatial and Temporal Dispersion Differences Between Exhaled E-Cigarette Mist and Cigarette Smoke]===  
*For both product categories, the particle concentrations registered following each puff were in the same order of magnitude. However, for e-cigarettes the particle concentration returned rapidly to background values within seconds; for conventional cigarettes it increased with successive puffs, returning to background levels after 30–45 minutes. Unlike for the e-cigarette devices tested, such temporal variation was dependent on the room ventilation rate. Particle size measurements showed that exhaled e-cigarette particles were smaller than those emitted during smoking conventional cigarettes and evaporated almost immediately after exhalation, thus affecting the removal of particles through evaporation rather than displacement by ventilation.
*For both product categories, the particle concentrations registered following each puff were in the same order of magnitude. However, for e-cigarettes the particle concentration returned rapidly to background values within seconds; for conventional cigarettes it increased with successive puffs, returning to background levels after 30–45 minutes. Unlike for the e-cigarette devices tested, such temporal variation was dependent on the room ventilation rate. Particle size measurements showed that exhaled e-cigarette particles were smaller than those emitted during smoking conventional cigarettes and evaporated almost immediately after exhalation, thus affecting the removal of particles through evaporation rather than displacement by ventilation.


===2017 [https://www.cdc.gov/niosh/hhe/reports/pdfs/2015-0107-3279.pdf?fbclid=IwAR37EOr5p5EwptMhuyrIwEDkfi4qbMh0nRwu6yz2VkY0Um-q138f3LfK64Y Evaluation of Chemical Exposures at a Vape Shop]===  
===2017 [https://www.cdc.gov/niosh/hhe/reports/pdfs/2015-0107-3279.pdf?fbclid=IwAR37EOr5p5EwptMhuyrIwEDkfi4qbMh0nRwu6yz2VkY0Um-q138f3LfK64Y Evaluation of Chemical Exposures at a Vape Shop]===  
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*Concentrations of vaping-related chemicals in our air samples were below occupational exposure limits.
*Concentrations of vaping-related chemicals in our air samples were below occupational exposure limits.
*Citation: NIOSH 2017. Evaluation of chemical exposures at a vape shop. By Zwack LM, Stefaniak AB, LeBouf RF. Cincinnati, OH: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Health Hazard Evaluation Report [tel:2015-0107-3279 2015-0107-3279]
*Citation: NIOSH 2017. Evaluation of chemical exposures at a vape shop. By Zwack LM, Stefaniak AB, LeBouf RF. Cincinnati, OH: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Health Hazard Evaluation Report [tel:2015-0107-3279 2015-0107-3279]


===2017 Dr. Michael Siegel  - [http://tobaccoanalysis.blogspot.com/2017/05/vape-shop-air-sampling-by-california.html Vape Shop Air Sampling by California State Health Department Suggests that Second Hand Vape Exposure is Minimal]===
===2017 Dr. Michael Siegel  - [http://tobaccoanalysis.blogspot.com/2017/05/vape-shop-air-sampling-by-california.html Vape Shop Air Sampling by California State Health Department Suggests that Second Hand Vape Exposure is Minimal]===
*This study, although conducted under very high exposure conditions in a small, non-ventilated vape shop with many employees and customers vaping and clouds of vapor visible, did not document any dangerous levels of exposure to any hazardous chemical. Nicotine exposure was essentially non-existent. Formaldehyde exposure was no different than in many indoor and outdoor environments at baseline. Acetone, acetoin, other aldehydes, toluene, benzene, and xylene were not detected. Chemicals that have been associated with "popcorn lung" were also not detected by the standard method.
*This study, although conducted under very high exposure conditions in a small, non-ventilated vape shop with many employees and customers vaping and clouds of vapor visible, did not document any dangerous levels of exposure to any hazardous chemical. Nicotine exposure was essentially non-existent. Formaldehyde exposure was no different than in many indoor and outdoor environments at baseline. Acetone, acetoin, other aldehydes, toluene, benzene, and xylene were not detected. Chemicals that have been associated with "popcorn lung" were also not detected by the standard method.
*This study adds to the evidence that under real-life conditions, "secondhand vaping" does not appear to pose any significant health risks.
*This study adds to the evidence that under real-life conditions, "secondhand vaping" does not appear to pose any significant health risks.
===2015: [https://sci-hub.se/10.1016/j.chroma.2015.07.094 A rapid method for the chromatographic analysis of volatile organic compounds in exhaled breath of tobacco cigarette and electronic cigarette smokers]===
*Tobacco cigarette smoke provided the samples containing highest concentrations of all compounds analyzed. Besides nicotine it contained benzene, toluene, xylenes, ethylbenzene and naphthalene in high abundance as well as other compounds such as isoprene, pent-1-ene, n-pentane, n-hexane, n-heptane and others.
*This composition was in strong contrast with that of vapor from the e-cigarettes in which all these compounds were virtually absent except nicotine


===2014: [https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-14-18 Peering through the mist: systematic review of what the chemistry of contaminants in electronic cigarettes tells us about health risks]===  
===2014: [https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-14-18 Peering through the mist: systematic review of what the chemistry of contaminants in electronic cigarettes tells us about health risks]===  
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*There was no evidence of potential for exposures of e-cigarette users to contaminants that are associated with risk to health at a level that would warrant attention if it were an involuntary workplace exposures.
*There was no evidence of potential for exposures of e-cigarette users to contaminants that are associated with risk to health at a level that would warrant attention if it were an involuntary workplace exposures.
*Exposures of bystanders are likely to be orders of magnitude less, and thus pose no apparent concern.
*Exposures of bystanders are likely to be orders of magnitude less, and thus pose no apparent concern.


===2012: [https://www.tandfonline.com/doi/abs/10.3109/08958378.2012.724728?scroll=top&needAccess=true&journalCode=iiht20 Comparison of the effects of e-cigarette vapor and cigarette smoke on indoor air quality]===  
===2012: [https://www.tandfonline.com/doi/abs/10.3109/08958378.2012.724728?scroll=top&needAccess=true&journalCode=iiht20 Comparison of the effects of e-cigarette vapor and cigarette smoke on indoor air quality]===  
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=Never Smokers=
=Never Smokers=


=== 2024: [https://pubmed.ncbi.nlm.nih.gov/38546715/ A Global Health Survey of People Who Vape but Never Smoked: Protocol for the VERITAS (Vaping Effects: Real-World International Surveillance) Study] ===


* There is only limited information about the health effects of regular vaping. Research on the health status of people who used to smoke faces the challenge that previous smoking may have caused unknown health effects. Only studies of people who vape but have never smoked combustible cigarettes can enable the detection of harms attributable to vaping.
* Large prospective studies of well-characterized electronic cigarette users with and without a history of combustible cigarette smoking are warranted to establish the long-term effects of regular vaping on respiratory health.
** We will conduct a global cross-sectional survey of individuals from 6 world regions. Respiratory symptoms will be assessed using a validated questionnaire-the Respiratory Symptom Experience Scale (RSES). Current vapers who are nonusers of other tobacco or nicotine products will be compared with matched controls who are nonusers of vapes and other tobacco or nicotine products.
** This will be a multicountry, cross-sectional internet-based survey of 750 adults aged ≥18 years who satisfy the criteria for inclusion in either a cohort of people who exclusively vape and who are nonusers of other tobacco or nicotine products ("vapers cohort"; target N=500) or a cohort of nonvapers who are also nonusers of other tobacco or nicotine products ("controls cohort"; target N=250).
* Participant recruitment started in April 2023, and enrollment was completed by November 2023 with 748 participants. Results will be reported in 2024.
* https://www.researchprotocols.org/2024/1/e54236<br />
===2020: [https://www.nber.org/papers/w27507 E-Cigarettes and Respiratory Disease: A Replication, Extension, and Future Directions]===
===2020: [https://www.nber.org/papers/w27507 E-Cigarettes and Respiratory Disease: A Replication, Extension, and Future Directions]===
*The statistical associations between e-cigarette use and respiratory disease are driven by e-cigarette users who are also current or former smokers of combustible tobacco.  
*The statistical associations between e-cigarette use and respiratory disease are driven by e-cigarette users who are also current or former smokers of combustible tobacco.  
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=Pregnancy=
=Pregnancy=


 
Please visit the [[Nicotine_-_Pregnancy_-_Nursing|Nicotine - Pregnancy - Nursing]] page for more information.
 
This section has been updated and has it's own page [[ENDS Pregnancy]]


=Perception - safety vs harm - effects on use=
=Perception - safety vs harm - effects on use=
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===2018: [https://pubmed.ncbi.nlm.nih.gov/29570695/ Lack of Substantial Post-Cessation Weight Increase in Electronic Cigarettes Users]===
===2018: [https://pubmed.ncbi.nlm.nih.gov/29570695/ Lack of Substantial Post-Cessation Weight Increase in Electronic Cigarettes Users]===
“Conclusion: Within the study limitations, EC use may help smokers attenuate cigarette consumption or remain abstinent, as well as reduce their post-cessation weight increase. The potential role of the e-vapour category for harm minimization in relation to tobacco and/or food abuse requires confirmation from larger prospective studies. Moreover, the observed lack of post-cessation weight gain in those who reduced substantially cigarette consumption by switching to ECs (i.e., dual users) is an interesting finding and calls for further research investigating the role of nicotine in weight control. Meanwhile, these preliminary findings should be communicated to smokers and particularly to weight-conscious smokers intending to quit.
*“Conclusion: Within the study limitations, EC use may help smokers attenuate cigarette consumption or remain abstinent, as well as reduce their post-cessation weight increase. The potential role of the e-vapour category for harm minimization in relation to tobacco and/or food abuse requires confirmation from larger prospective studies. Moreover, the observed lack of post-cessation weight gain in those who reduced substantially cigarette consumption by switching to ECs (i.e., dual users) is an interesting finding and calls for further research investigating the role of nicotine in weight control. Meanwhile, these preliminary findings should be communicated to smokers and particularly to weight-conscious smokers intending to quit.
By combining substantial reduction of smoking with prevention of post-cessation weight gain, EC-based interventions may promote an overall improvement in quality of life. Considering that the negative effects of weight increase could overshadow the health benefits of smoking abstinence, it is important to stimulate more research in this area.”  
*By combining substantial reduction of smoking with prevention of post-cessation weight gain, EC-based interventions may promote an overall improvement in quality of life. Considering that the negative effects of weight increase could overshadow the health benefits of smoking abstinence, it is important to stimulate more research in this area.”
 


===2018: [https://pubmed.ncbi.nlm.nih.gov/28525609/ E-cigarettes and Weight Loss—Product Design Innovation Insights From Industry Patents]===
===2018: [https://pubmed.ncbi.nlm.nih.gov/28525609/ E-cigarettes and Weight Loss—Product Design Innovation Insights From Industry Patents]===