E-cigarettes

Electronic cigarettes[note 1] are battery-powered vaporizers that simulate the feeling of smoking, but without tobacco. Their use is commonly called "vaping". The user activates the e-cigarette by taking a puff or pressing a button. Some look like traditional cigarettes, but they come in many variations. Most are reusable but there are also disposable versions called first generation cigalikes. There are also second, third, and fourth generation devices. Instead of cigarette smoke, the user inhales an aerosol, commonly called vapor. E-cigarettes typically have a heating element that atomizes a liquid solution known as e-liquid. E-liquids usually contain propylene glycol, glycerin, nicotine, and flavorings.


The benefits and the health risks of e-cigarettes are uncertain. There is tentative evidence that they can help people quit smoking, but they have not been proven better than regulated medication. Their usefulness in tobacco harm reduction is unclear, but they could form part of future strategies to decrease tobacco related death and disease. Their safety risk to users is similar to that of smokeless tobacco. Regulated nicotine replacement products are safer than e-cigarettes, but e-cigarettes are probably safer than smoking.

Nicotine is associated with a range of harmful effects. Non-smokers who use e-cigarettes risk nicotine addiction and their use may delay or deter quitting smoking. E-cigarettes create vapor consisting of ultrafine particles. The vapor contains similar chemicals to the e-liquid, together with tiny amounts of toxicants and heavy metals. The composition of the vapor varies across and within manufacturers. E-cigarette vapor can contain harmful chemicals not found in tobacco smoke. Later-generation e-cigarettes may generate more formaldehyde than tobacco does, but reduced voltage e-cigarettes produce very low levels of formaldehyde. E-cigarette vapor contains fewer toxic substances than cigarette smoke. It also has lower concentrations of potential toxic substances than cigarette smoke, and is probably less harmful to users and bystanders. No serious adverse effects from e-cigarettes have been reported in trials. Less serious adverse effects include throat and mouth inflammation, vomiting, nausea, and cough. The long-term effects of e-cigarette use are unknown.

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