Myth: Vaping causes Popcorn Lung: Difference between revisions

 
(10 intermediate revisions by the same user not shown)
Line 31: Line 31:


=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.
Line 55: Line 55:
=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.
Line 67: Line 67:
*November 16, 2023 - NCSCT UK (National Centre for Smoking Cessation and Training) - [https://www.ncsct.co.uk/publications/Vaping_briefing Vaping: a guide for health and social care professionals] (Click link on website to open the PDF of the guide)
*November 16, 2023 - NCSCT UK (National Centre for Smoking Cessation and Training) - [https://www.ncsct.co.uk/publications/Vaping_briefing Vaping: a guide for health and social care professionals] (Click link on website to open the PDF of the guide)


=Are there any articles, videos or Op-Eds raising awareness about this myth?=
=Are there any articles, videos, or Op-Eds pointing out the misinformation surrounding this myth?=
*December 9, 2015 - Daily Caller - [https://dailycaller.com/2015/12/09/how-the-media-totally-exaggerated-study-on-risk-of-popcorn-lung-from-e-cigarettes/ How The Media Totally Exaggerated Study On Risk Of ‘Popcorn Lung’ From E-Cigarettes]
*December 9, 2015 - Daily Caller - [https://dailycaller.com/2015/12/09/how-the-media-totally-exaggerated-study-on-risk-of-popcorn-lung-from-e-cigarettes/ How The Media Totally Exaggerated Study On Risk Of ‘Popcorn Lung’ From E-Cigarettes]
*August 8, 2016 - Snopes.com - [https://www.snopes.com/fact-check/vaping-causes-popcorn-lung/ Vaping Causes 'Popcorn Lung'?]
*June 17, 2017 - The Florida Times-Union - [https://www.jacksonville.com/story/news/reason/2017/06/17/fact-check-do-e-cigarettes-cause-incurable-disease/15362803007/ Fact Check: Do e-cigarettes cause incurable disease]
*SEPTEMBER 25, 2018 - Filter - [https://filtermag.org/the-war-on-nicotine/ The War on Nicotine Pits Prejudice Against Public Health]
*SEPTEMBER 25, 2018 - Filter - [https://filtermag.org/the-war-on-nicotine/ The War on Nicotine Pits Prejudice Against Public Health]
*April 20, 2019 - Town Hall - [https://townhall.com/columnists/lindseystroud/2019/04/20/popcorn-lung-formaldehyde-and-now-seizures-oh-my-n2545040 Popcorn Lung, Formaldehyde, and Now Seizures, Oh My!]
*April 20, 2019 - Town Hall - [https://townhall.com/columnists/lindseystroud/2019/04/20/popcorn-lung-formaldehyde-and-now-seizures-oh-my-n2545040 Popcorn Lung, Formaldehyde, and Now Seizures, Oh My!]
Line 91: Line 93:
*December 6, 2023 - Dr. Colin Mendelsohn - Vaping FAQs - [https://colinmendelsohn.com.au/vaping/#does-vaping-cause-popcorn-lung Does vaping cause popcorn lung?]
*December 6, 2023 - Dr. Colin Mendelsohn - Vaping FAQs - [https://colinmendelsohn.com.au/vaping/#does-vaping-cause-popcorn-lung Does vaping cause popcorn lung?]
*January 19, 2024 - Filter - [https://filtermag.org/harvard-health-vaping-popcorn-lung/ Harvard Health Stands by Misleading Article on Vaping and “Popcorn Lung”]
*January 19, 2024 - Filter - [https://filtermag.org/harvard-health-vaping-popcorn-lung/ Harvard Health Stands by Misleading Article on Vaping and “Popcorn Lung”]
('''NOTE: Go through the above links and eliminate the ones that only say it's a myth or that it's been debunked and don't give any information - probably some of the op-eds. Keep the ones from Public Health''')


=Who has corrected or deleted their incorrect information on Popcorn Lung?=
=Who has corrected or deleted their incorrect information on Popcorn Lung?=
*October 20, 2015 - EurekaAlert - [https://www.eurekalert.org/news-releases/897313 Case report finds acute hypersensitivity pneumonitis in patient using e-cigarettes]
*October 20, 2015 - American College of Chest Physicians - [https://www.eurekalert.org/news-releases/897313 Case report finds acute hypersensitivity pneumonitis in patient using e-cigarettes]
**"[CORRECTION] An October 19, 2015 version of this press release stated in error a diagnosis of bronchiolitis obliterans. Researchers reported a diagnosis of inhalational injury, suspected acute hypersensitivity pneumonitis, related to e-cigarette use."
**"[CORRECTION] An October 19, 2015 version of this press release stated in error a diagnosis of bronchiolitis obliterans. Researchers reported a diagnosis of inhalational injury, suspected acute hypersensitivity pneumonitis, related to e-cigarette use."
**See Also: 2015: [http://www.ecigarette-research.org/research/index.php/whats-new/whatsnew-2015/234-bo Medical journal MISPRESENTS a case of hypersensitivity pneumonitis as popcorn lung disease caused by e-cigarette]  
**See Also: 2015: [http://www.ecigarette-research.org/research/index.php/whats-new/whatsnew-2015/234-bo Medical journal MISPRESENTS a case of hypersensitivity pneumonitis as popcorn lung disease caused by e-cigarette]  
Line 105: Line 105:
=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)
*Apr 20, 2017 - 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] (Date is the earliest date on WayBack Machine)
*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)
*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])
*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]  
*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]
*2021 - International Journal of Pharmaceutical, Chemical and Biological Sciences (IJPCBS) [https://www.ijpcbs.com/abstract/popcorn-lung-the-edisease-78162.html POPCORN LUNG: THE E-DISEASE]  
*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]
*Aug 5, 2020 - 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?] (Date is the earliest saved date on WayBack Machine)
*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
*Nov 9, 2023 - Parkview Health - [https://www.parkview.com/blog/e-cigarettes-know-the-risks E-cigarettes: Know the risks] - Nov 9, 2023
*International Journal of Pharmaceutical, Chemical and Biological Sciences (IJPCBS) [https://www.ijpcbs.com/abstract/popcorn-lung-the-edisease-78162.html POPCORN LUNG: THE E-DISEASE] - 2021
*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
*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
*Sep 19, 2019 - University of North Texas - [https://www.unthsc.edu/school-of-public-health/vaping-advice-for-parents/ Vaping advice for parents]  
*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 Texas MD Anderson Cancer Center - [https://www.mdanderson.org/cancerwise/does-vaping-cause-lung-cancer.h00-159694389.html Does vaping cause lung cancer?] - Jan 5, 2024  
*University of Texas MD Anderson Cancer Center - [https://www.mdanderson.org/cancerwise/does-vaping-cause-lung-cancer.h00-159694389.html Does vaping cause lung cancer?] - Jan 5, 2024  
*Aug 23, 2019 - University of Virginia - [https://blog.uvahealth.com/2019/08/23/popcorn-lung/ The Lessons of Popcorn Lung: Inhale With Caution]
*University of Virginia - [https://blog.uvahealth.com/2019/08/23/popcorn-lung/ The Lessons of Popcorn Lung: Inhale With Caution] - Aug 23, 2019
*[https://documents1.worldbank.org/curated/en/356561555100066200/pdf/E-Cigarettes-Use-and-Taxation.pdf World Bank Group Global Tobacco Control Program] 2019
*[https://documents1.worldbank.org/curated/en/356561555100066200/pdf/E-Cigarettes-Use-and-Taxation.pdf World Bank Group Global Tobacco Control Program] 2019
*WebMD [https://web.archive.org/web/20180731112828/https://www.webmd.com/lung/popcorn-lung#1 2018] and still online [https://web.archive.org/web/20240121091642/https://www.webmd.com/lung/popcorn-lung January 2024]
*WebMD [https://web.archive.org/web/20180731112828/https://www.webmd.com/lung/popcorn-lung#1 2018] and still online [https://web.archive.org/web/20240121091642/https://www.webmd.com/lung/popcorn-lung January 2024]
Line 124: Line 136:
**[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 - [https://twitter.com/WVNS59News/status/1754823014309343660 Tweet]


('''Question: Should I include a quote from each of these links? ASK ADVICE''')
('''To Do List - SAVE all links on Wayback''')
('''To Do List - SAVE all links on Wayback''')