E-Cigs: A Public Health Improvement or Crisis?

You have probably seen these devices being sold in the mall. You may have even seen them being used outside of a school or grocery store. Electronic cigarettes, called “e-cigs” for short, are making their way into our daily lives for better or for worse.

Tobacco products have a long and rich history in the United States. In fact, tobacco played an important economic role in the 17th and 18th century colonies. Although the substance was lauded as an invaluable cash crop, chewing tobacco or snuff was far lower on the popularity scale. However, a new form of tobacco took a hold of America in the late 1800s: cigarettes. The ease of production and ease of use enabled this rolled-up and compact tobacco package to reach an unequaled popularity in the United States.

Just as the need for easy use drove the transition from chewing tobacco to cigarettes, a need for a safer and more convenient alternative is also driving the latest shift from cigarettes to e-cigarettes. What exactly are these e-cigs? E-cigarettes contain a battery-powered heating coil that heats a liquid to produce an inhalable vapor (which is why the practice is often called “vaping”). Like cigarettes, these non-traditional versions contain nicotine. However, they do not contain as many of the harmful compounds found in their traditional counterparts and they do not involve any actual burning. The e-cig activates upon taking a drag and even comes with an LED light, in order to simulate the real smoking experience (Wagstaff).

The benefits that a large-scale shift to e-cigarettes could create are quite momentous. First are the environmental benefits. E-cigs don’t involve the burning of harmful chemicals that are then released into the atmosphere; they simply produce vapor, not smoke. Secondly are the public health benefits. Without smoke production, secondhand smoke is no longer an issue. Users no longer have to worry about their loved ones inhaling the toxic chemical residues from their cigarettes. Users also no longer have to consume nicotine at the expense of consuming other harmful compounds found in cigarettes. In addition, e-cigarettes are slightly more affordable than traditional cigarettes.

Physicians belonging to Britain’s Royal Academy, an organization that is a major proponent of the devices, argue that nicotine, while addictive, is not particularly harmful by itself. They maintain that e-cigs are a major step towards “harm reduction” and towards saving thousands of lives (Rodu). Top tobacco companies are taking a similar stance towards this new window of opportunity. Altria, the largest cigarette producer in the United States, has already begun selling a new line of e-cigs. Following in Altria’s footsteps is Lorillard (the third largest American cigarette producer). The company has already begun advocating the smoke-free e-cigs as part of a harm reduction campaign to improve our quality of life (Rodu). But can we trust these companies who have financially vested interests in the success of e-cigarettes?

Many governmental and medical organizations are currently saying no. The Food and Drug Administration in particular has declared that we simply do not yet know enough about the potential drawbacks of e-cigs. Stacey Anderson, an assistant professor who specializes in tobacco marketing at the University of California, argues: “To say that it’s [e-cigarette usage] less harmful is like saying it’s better to jump out of the 40th floor than the 100th floor of a building” (Beck). While she acknowledges that these devices certainly sound safer, she insists that e-cigarettes are simply cigarettes with a new name and a battery instead of a flame. Anderson also points out an unanticipated but negative consequence of e-cigs; their perceived safety may lead those who avoided traditional cigarettes to experiment with this new, seemingly safe device (Beck).

Recent statistics appear to confirm Anderson’s fear about e-cigarettes. According to the Center for Disease Control and Prevention, among youths who had never smoked before, a threefold increase has been seen from 2011 to 2013. Many e-cigarette opponents suggest that an e-cigs act as a type of gateway to a lifelong smoking (of various drugs) habit. Another blow to e-cig innocence is the fact that as of now, there are no regulations or required postings of the chemicals used in e-cigarette liquid. In a Daily Beast article titled “E-Cigarettes: The Side Effects Nobody Talks About”, Dr. Norman Edelman explains that e-cigarettes contain suspected lung irritants: a danger especially for those who have asthma, allergies, and those who exercise regularly. These irritants are responsible for lung inflammation identical to that caused by regular smoking. Completely contrary to claims made by e-cig proponents, Edelman, a Long Island professor of preventative and internal medicine, insists that “Nicotine is a poison” (Woerner).

As the opposing sides demonstrate, the e-cigarette debate is a public controversy at its core. At stake are the lives of millions of Americans smokers and non-smokers alike. Recent research suggests that bystanders are exposed to some level of nicotine from the e-cigs (Woerner). On a larger scale, taxpayers may pay the price in the future if e-cigarette users have to rely on healthcare for lung cancer or disease treatment. However, the possibility of a better, smokeless alternative to traditional cigarettes remains. Is this possibility worth the risks?

This is an issue that American citizens will have to confront sometime in the near future. However, to make such an important decision, it is clear that more information from scientists and e-cig manufacturers is required. This lack of research has been a common theme amongst the protests of e-cig opponents. Very little is known about the short-term or long-term effects of usage. This ignorance faintly resembles that surrounding traditional cigarette usage; cigarettes were widely used and even believed to have dietary benefits until mid-twentieth century scientists correlated and established a causal relationship between cigarettes and cancer. Are we willing to face this risk in the future for the potential harm reduction in the present? As a nation, we must not take such a decision lightly. Both sides must be weighed, and weighed again as we come to terms with the new technology of e-cigarettes.

 

Works Cited & Links

Beck, Julie. “Schrödinger’s Cigarette: Is Electronic Safer?” The Atlantic. Atlantic Media

Company, 13 June 2014. Web. 21 Jan. 2015.

<http://www.theatlantic.com/health/archive/2014/06/schrodingers-cigarette-is-

            electronic-safer/372671/>.

Rodu, Brad. “The Electronic Future of Cigarettes.” The Atlantic. Atlantic Media

Company, 20 June 2013. Web. 21 Jan. 2015.

<http://www.theatlantic.com/health/archive/2013/06/the-electronic-future-of-

            cigarettes/277057/>.

Wagstaff, Keith. “Vaping 101: How Do E-Cigarettes Work?” NBC News. NBC News, 24

Apr. 2014. Web. 21 Jan. 2015. <http://www.nbcnews.com/tech/tech-news/vaping-

            101-how-do-e-cigarettes-work-n88786>.

Woerner, Amanda. “E-Cigarettes: The Side Effects Nobody Talks About.” The Daily

            Beast. Newsweek/Daily Beast, 25 Sept. 2014. Web. 21 Jan. 2015.

<http://www.thedailybeast.com/articles/2014/09/25/e-cigarettes-the-side-effects-

            nobody-talks-about.html>.

Some more information about e-cigarettes. Source: http://blog.thomsonreuters.com/wp-content/uploads/2013/12/ecigs.jpg Some more information about e-cigarettes. Source: http://blog.thomsonreuters.com/wp-content/uploads/2013/12/ecigs.jpg%5B/caption%5D A woman smokes an e-cigarette. Source: http://i.livescience.com/images/i/000/059/269/i02/e-cigarette-woman-131114.jpg?1384453444 A woman smokes an e-cigarette. Source: http://i.livescience.com/images/i/000/059/269/i02/e-cigarette-woman-131114.jpg?1384453444%5B/caption%5D

 

3 Comments on E-Cigs: A Public Health Improvement or Crisis?

  1. ybb5011
    January 25, 2015 at 3:40 pm (9 years ago)

    I cannot understand why anyone would smoke a cigarette in the first place. They turn your teeth yellow, blacken your fingerpads, you always smell like smoke, they are costly, and they will eventually kill you. It makes me furious every time I am sitting outside enjoying the fresh air when suddenly I inhale a puff of smoke, turn around, and see someone with a freshly lit cigarette between their fingers. I get furious that not only do smokers ruin their own health, but they are essentially ruining the health of others by forcing them to inhale second hand smoke. If nicotine, the addictive ingredient used to make cigarettes, has ben removed from e-cigs, then why would people still have a desire to smoke. What is so appealing about giving yourself lung cancer? Something that really surprised me while reading your post was that cigarettes were widely used and even believed to have dietary benefits until the mid-twentieth century. How can someone ever convince themself that breathing in smoke is beneficial. In conclusion, I think that people should seriously think about the benefits versus the consequences of smoking, whether it be regular cigarettes or e-cigs. Hopefully they will eventually realize that the costs greatly outweigh the benefits.

  2. Gabrielle Cilea
    January 24, 2015 at 7:29 pm (9 years ago)

    I understand the differences between cigarettes and e-cigs and I do not see the benefit in either. Traditional cigarettes are one of my pet peeves; I hate the smell of the smoke, how inconsiderate it is to people around you, and the way it makes peoples’ teeth yellow. With nicotine eliminated from the e-cig composition, I don’t understand why anyone would want to smoke them anyways. Isn’t the addictive property of cigarettes in the nicotine? So people would be smoking them because they like the sensation of tobacco? I am confused by the appeal to a starting crowd. They are still harmful and without regulations, who knows what compounds are involved in making e-cigs? I really like your article because I think you hit on all the misconceptions behind cigarettes and e-cigs. I hope your blog helps people make educated decisions.

  3. Chris Messner
    January 23, 2015 at 2:14 pm (9 years ago)

    E-cigarettes, oh boy that is an interesting topic. I actually had a very awkward encounter with an e-cigarette wielder before they were popular (an e-cig hipster as certain people would call him). I was a senior in high school and I had just gone to the bathroom. The room was small so I had my backpack in the corner of the room as I was washing my hands. A boy walked in, looked around the room, noticed only me and my backpack. He asked, “is that s%& yours?” To which I replied, “yes, that is mine”. It was then I noticed he was cupping his hands by his chest. Now that he had made sure we were the only two in the bathroom, he unfurled his hands and said, “Do you want a hit?” I had no idea what I was looking at. It looked like some weird tube, and I was honestly thinking that it was some illicit drug. This boy was offering me some sort of inhalant in the men’s bathroom! I politely declined, and he then said, “You don’t smoke? Good don’t start.” Like some depressed and regretful old man who had made some grave mistake for his entire life.

    I know now that he was not offering me anything illegal, but he was offering me an e-cigarette. I have always thought they were too good to be true. All of those people walking around smoking them, yet believing that they were not getting negative effects from it? No way could a drug that people inhale not be detrimental to their health. I really think that there needs to be more studies performed on the substances. I feel like it might be similar to diet foods. Aspartame and other fake sugars are actually incredibly bad for you. We all thought we were cutting down on caloric intake, when the cost of doing so was actually ingesting a chemical that puts plaques between the neurons of our brain. The fat was way better for you than the manufactured sugar! More research must be done on e-cigarettes before anyone can say they are completely healthy.

    I also can completely understand how e-cigs are like a “gateway drug”. It looks much safer and sounds much safer; it is a machine not a smoking piece of paper in the kid’s mouths! If I were told I had to smoke either a cigarette or an e-cig then I would choose the e-cig hands down, it looks so harmless! And vapors, heck we inhale vapors all the time, water vapors are even supposedly good for clearing pores and such. I hope we can discover the true nature of these devices soon, to save new users from becoming addicted if the materials truly are harmful.

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