November 27, 2014
The use of flavors in e-cigarettes as a way to attract youth is a major issue. (See public comments on this point submitted to the FDA: 1 2 3 4)
Konstantinos Farsalinos and colleagues published a paper, "Impact of Flavour Variability on Electronic Cigarette Use Experience: An Internet Survey," in International Journal of Environmental Research and Public Health presenting the results of a survey showing that adult e-cigarette users like flavors.
November 27, 2014
Kanae Bekki and colleagues from Japan just published a review of the data on "Carbonyl compounds generated from electronic cigarettes" in the International Journal of Environmental Research and Public Health that made the point that the level of carbonl compounds, which includes formaldehyde, acetaldehyde, acrolen, and glyoxa are found at widely varying levels in e-cigarette aerosol. Determinants of whether and how much of these toxic chemicals are present depends on the makeup of the e-liquid and voltage of the e-cigarette (which determines how hot it gets).
The hotter systems in "second generation" tank-type e-cigarette systems generally operate at higher temperatures (to produce a bigger nicotine hit that is viewed as a good thing by e-cigarette enthusiasts) and produce more toxins. Some of these higher voltage systems produce levels of formaldehye that are similar to conventional cigarette smoke.
November 27, 2014
November 26, 2014
In a comment on another post on this blog Jon Krueger reminded me that in 2010 Rebecca Schane, Pam Ling, and I published "Health Effects of Light and Intermittent Smoking" in Circulation. It concluded:
November 26, 2014
One reason that has been offered as to why e-cigarettes have not been effective at helping people stop smoking is that the e-cigarettes were "first generation" that worked at relatively low voltages and had other design features that made them less than optimal from the perspective of delivering an adequate dose of nicotine to users. Two small studies were recently published presenting data that these "second generation" e-cigarettes are more effective at delivering nicotine.