January 2015 archive

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

 

Say ‘Ello to This British Classic

When spoken to students who have taken high school English, the name Charles Dickens is enough to evoke shudders and sighs. Dickens’ reputation as an Old English-enthusiast and unnecessarily lengthy and flamboyant writer is not often viewed in a positive light. After reading the first chapter of Oliver Twist, I was ready to join the Dickens hate club. However, I am awfully glad I didn’t; as the story went on, I found myself drawn to the valuable messages that Dickens was sending through his creative work of art, Oliver Twist.

Set in mid-nineteenth century Victorian England, Oliver Twist revolves around the main character who gave the book its namesake, Oliver. The reader learns about Oliver’s tragic birth circumstances and about his equally challenging childhood, spent in a miserable orphanage. He is transferred to a workhouse despite his young age, where he meets the miserable Mr. Bumble who all too happily sells him to become an apprentice. After an angry outburst, Oliver runs away: only to be to get caught up in a pack of thieves, a common feature of London at the time. Dickens goes on to recount young Oliver’s encounters and eventual rescues from this horrible pack; a rescue accompanied by a thrilling secret about Oliver’s deceased parents.

While the story certainly can identify with the “good guys, bad guys” story line, it is far from superficial and cliché. Dickens uses many symbols and themes throughout the novel to signal the deeper messages he wishes to send about the society in which he was living. Perhaps most obviously, Dickens juxtaposes the hypocritical middle-class, which professes to be charitable, with the harsh treatment of London’s poor. In addition, he places Oliver’s childlike innocence alongside London’s rampant crime at that time. These juxtapositions draw the reader’s attention to the duplicity and insincerity that Dickens believes has captured Victorian England.

Ultimately, Dickens’ Oliver Twist is a social and political commentary that still holds relevant truths for us today. Dickens subtly critiques his government’s 1834 amendment to the Poor Laws. By this amendment, the government refused to give handouts and instead offered the poor food and shelter only in workhouses. Families were separated and the conditions in the workhouse worsened in an effort to teach the poor their lesson. Many in the upper and aspiring middle classes viewed their self-sufficiency as a reward from God for their hard work and patience; likewise, the poor had received their punishment for being irresponsible and incapable of taking care of themselves.

Through Oliver Twist’s commentary, Dickens brings these harsh realities to the eyes and hearts of its readers. The scenes in Dickens’ Victorian England are full of injustice; from child abuse to poor maltreatment, from orphan criminals to hypocritical “do-gooders”. While every reader will derive his or her own message from Oliver Twist, a common message that I derived from the novel was this: in a world of misfortune, a genuine deed goes a long way, creating ripples whose impact we may never see. But as individuals and as members of a collective society, leaving behind the poor by our actions and by our laws is not an option if we wish to make the world a better place.

English workhouse. Source: http://www.bbc.co.uk/schools/gcsebitesize/history/shp/britishsociety/thepoorrev1.shtml English workhouse. Source: http://www.bbc.co.uk/schools/gcsebitesize/history/shp/britishsociety/thepoorrev1.shtml%5B/caption%5D The cover of one of Dickens' most famous novels. Source: http://www.pagepulp.com/wp-content/124.jpg The cover of one of Dickens’ most famous novels. Source: http://www.pagepulp.com/wp-content/124.jpg%5B/caption%5D

 

Links

-For more on the novel: http://www.sparknotes.com/lit/oliver/summary.html

-For more on the history of the Poor Laws: http://www.bbc.co.uk/schools/gcsebitesize/history/shp/britishsociety/thepoorrev1.shtml

-For more on world poverty: https://www.dosomething.org/facts/11-facts-about-global-poverty