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Indian researchers: E-cigarettes can help smokers to quit the habit

"Electronic Nicotine Delivery Systems (ENDs) as a Substitute to Conventional Cigarette: An Evidence-based Audit"

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October 4, 2016: E-cigarettes can help people quit smoking by providing them a significantly safer option, says a paper by Indian researchers who undertook an evidence-based audit of published scientific literature on the issue.

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The paper, titled “Electronic Nicotine Delivery Systems (ENDs) as a Substitute to Conventional Cigarette: An Evidence-based Audit”, has been co-authored by Sambuddha Das, Yashmin Choudhury, S. Thangminlal Vaiphei and R.N. Sharan of the Department of Biochemistry, North-Eastern Hill University (NEHU).

[bctt tweet=”According to the World Health Organisation (WHO), some one billion people smoke, resulting in about six million deaths annually.” username=””]

More than one million Indians reportedly die annually because of smoking, making it the fourth leading cause of death due to non-communicable diseases (NCD) in the country.

The authors sought to identify better and safer forms of nicotine delivery to help people quit, especially those unable to do so. They found ENDs — also commonly known as “e-cigarettes” — demonstrate minimum health and safety concerns compared to the high risks associated with smoking and can be key to helping people kick the habit.

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“Our systematic meta-analysis of published literature compares the health and safety aspects of vaping using ENDS with smoking conventional cigarettes. We find that ENDS have minimum health and safety concerns compared to the high risks associated with conventional cigarettes,” said Sharan, a professor at NEHU.

“Although some gaps remain to be filled by further research, our study conclusively establishes that ENDS offer smokers a far safer alternative way to consume nicotine, which itself is relatively harmless,” he added.

The paper also demonstrates that in countries such as the UK, US, France, and Malaysia, where e-cigarette is relatively freely available, the number of cigarette smokers has declined.

Enabling access to such less harmful products in India would likely support public health objectives and reduce the burden of smoking-related health issues.

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“Using a multi-criteria risk analysis approach with conservative criteria weighting, we find that ENDS are an effective option to quit conventional cigarette smoking,” Sharan noted.

“Regulators and public health agencies should take note of these positive attributes of ENDS and explore policies that would enable access to these products.” (IANS)

  • Antara

    This must be given a try!

  • Aakash Mandyal

    Good news for the mass of people who are addicted to smoking. E-Cigarettes must be helpful to the people.

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Vaping Can Lead to Chronic Disease in Lungs known as “Popcorn Injury”

This novel disease pattern of airway injury associated with vaping leading to chronic obstruction appears to be distinct from the alveolar injury

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Vaping
Novel disease pattern of airway injury associated with Vaping leading to chronic obstruction appears to be distinct from the alveolar injury characterizing the EVALI . Pixabay

In yet another serious health alert on e-cigarette use, researchers have documented first-ever case of a new form of damage from Vaping products in a youth which is similar to “popcorn lung,” a condition seen in workers exposed to food flavouring fumes in microwave popcorn factories.

If inhaled, the chemical called diacetyl causes bronchiolitis, which is characterized by the small airways of the lungs becoming inflamed and obstructed.

The 17-year-old patient who narrowly avoided the need for a double lung transplant suffered with this new type of vaping-related injury.

A team from Lawson Health Research Institute in London, Ontario, and University Health Network (UHN) in Toronto described the life-threatening bronchiolitis in a previously healthy 17-year-old male who initially presented for care after a week of persistent and intractable cough and was eventually hospitalized and put on life support.

After ruling out other causes, the team suspected flavoured e-liquids as the cause. The youth’s family reported that he vaped daily using a variety of flavoured cartridges and used tetrahydrocannabinol (THC) regularly. THC is the chemical responsible for most of marijuana’s psychological effects.

“This novel disease pattern of airway injury associated with vaping leading to chronic obstruction appears to be distinct from the alveolar injury characterizing the EVALI (e-cigarette or vaping product use-associated lung injury) have been described cases recently reported in the US, and the seven confirmed or probable cases in Canada, highlighting the need for further research and regulation of e-cigarettes,” elaborated lead author Dr Karen Bosma, Associate Scientist at Lawson.

The case study, published in CMAJ (Canadian Medical Association Journal), provides detailed medical information on the extent and type of injury as well as treatment.

“This case of life-threatening acute bronchiolitis posed a diagnostic and therapeutic challenge,” the authors wrote.

Vaping
In yet another serious health alert on e-cigarette use, researchers have documented first-ever case of a new form of damage from Vaping products in a youth which is similar to “popcorn lung,” a condition seen in workers exposed to food flavouring fumes in microwave popcorn factories. Pixabay

“Given the patient’s intense vaping exposure to flavoured e-liquid and negative workup for other causes of bronchiolitis, we suspected that bronchiolitis obliterans might have been developing in this patient as in microwave popcorn factory workers exposed to occupational inhalation of diacetyl.”

The youth narrowly avoided the need for a double lung transplant, but now has evidence of chronic damage to his airways.

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He is still recovering from his lengthy stay in the intensive care unit, and is abstaining from e-cigarettes, marijuana and tobacco.

“This case may represent the first direct evidence of the lung disease most expected to result from e-cigarette use,” said Dr Matthew Stanbrook, Deputy Editor, CMAJ. (IANS)