Vaping Instead Of Smoking Could Prevent Millions Of Premature Deaths

Fri, October 6, 2017 at 2:08 PM UTC

Switching to e-cigarettes won’t solve all the health problems smokers face. For example, e-cigarettes are still addictive, and studies suggest that they may be bad for heart health. But compared with traditional tobacco cigarettes — which, in addition to nicotine, are full of tar and other toxins — e-cigarettes could be a less-risky option, a new study suggests.

Using mathematical models, researchers calculated how two possible scenarios of cigarette and e-cigarette use — one optimistic scenario and one pessimistic scenario — could impact public health if Americans who smoked cigarettes switched to e-cigarettes over the next 10 years.

The researchers noted that the study had several limitations. For example, the models are based on smoking uptake and quitting rates through 2012, but they do not account for the recent growth in e-cigarette use. In addition, the models included only cigarettes and e-cigarettes, and excluded other tobacco products, such as smokeless tobacco, according to the study. [4 Myths About E-Cigarettes]

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The optimistic and pessimistic scenarios were based on a status-quo rate up to 2012 of smokers either quitting smoking altogether or switching to vaping. In the study’s “optimistic” model, the researchers assumed that more people stopped smoking tobacco cigarettes (primarily switching to e-cigarettes) and that the current scientific understanding that e-cigs aren’t quite as bad as cigarettes holds true. In that optimistic model, the researchers found that 6.6 million premature deaths could be avoided in the U.S., according to the study, which was published yesterday (Oct. 2) in the journal Tobacco Control.

Though one of the study authors has worked with both Pfizer and Johnson & Johnson, two manufacturers of smoking-cessation medications, this particular study was funded by the National Institutes of Health and did not receive any industry money, according to a statement.

In the study’s “pessimistic” model, the researchers assumed that fewer people gave up smoking than are doing so under the current rate and that the health risks of e-cigarettes turned out to be worse than scientists’ current understanding. In this case, only 1.6 million premature deaths were avoided.

The findings “support a policy strategy that encourages replacing cigarette smoking with vaping to yield substantial life-year gains” compared with cigarette smoking, lead researcher David Levy, an oncologist at Georgetown University Medical Center, said in a statement. In other words, switching from cigarettes to e-cigarettes could extend the lives of smokers, compared with if they were to continue smoking traditional tobacco cigarettes. [10 Tips to Help You Quit Smoking]

In addition to living longer than they would if they continued smoking tobacco cigarettes, those who switched to e-cigarettes might see other health benefits, “including reduced disease disability to smokers, reduced pain and suffering, and reduced exposure to secondhand smoke,” Levy said.

“Even the gloomiest analysis [the pessimistic model] shows a significant gain in years of life if nicotine is obtained from vaping instead of much more deadly amounts of toxicants inhaled with cigarette smoke,” Levy said.

Writing in an editorial that was published alongside the new study, Marita Hefler, a public health researcher at Menzies School of Health Research in Australia, said that “the health gains modelled [in the new study] show that even in a pessimistic scenario,” rapidly phasing out regular cigarettes could result in significant public health gains.

Original article on Live Science.

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Also on HuffPost

Some youth have their first taste of nicotine via e-cigarettes.

<a href="https://www.huffingtonpost.com/2014/05/14/e-cigarette-studies_n_5319225.html" target="_blank">Twenty percent of middle schoolers</a> and 7.2 percent of high schooler e-cigarette users in the U.S. report never smoking cigarettes. — Twenty percent of middle schoolers and 7.2 percent of high schooler e-cigarette users in the U.S. report never smoking cigarettes.

Nicotine absorption varies too much between brands.

Early 2010 studies found that users got much lower levels of nicotine from e-cigarettes than from conventional cigarettes, but more recent studies show that experienced e-cigarette users can draw levels of nicotine from an e-cigarette that are similar to conventional cigarettes. Yet another study noted that the chosen e-cigarettes for the research malfunctioned for a third of participants. UCSF researchers say this indicates the need for stronger product standards and regulations.

Just because particulate matter from e-cigarettes isn't well studied, doesn't mean it's safe.

To deliver nicotine, e-cigarettes create a spray of very fine particles that have yet to be studied in depth. "It is not clear whether the ultra-fine particles delivered by e-cigarettes have health effects and toxicity similar to the ambient fine particles generated by conventional cigarette smoke or secondhand smoke," wrote the researchers. But we do know that fine particulate matter from cigarettes and from air pollution are associated with an increased risk of cardiovascular and respiratory disease. And some research has found that the size and spray of fine particulate matter from e-cigarettes is just as great or greater than conventional cigarettes.

Major tobacco companies have acquired or produced their own e-cigarette products.

They're promoting the products as "harm reduction" for smokers, which allows them to protect their cigarette market while promoting a new product. Companies also using "grassroots" tactics to form seemingly independent smokers' rights groups, just like they did for cigarettes in the 1980s.

So far, e-cigarette use is not associated with the successful quitting of conventional cigarettes.

One clinical trial found that e-cigarettes was no more effective than the nicotine patch at helping people quit, and both cessation methods "produced very modest quit rates without counseling."

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This article originally appeared on HuffPost.

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