E-cigarette: a Dangerous Threat Destroying Youth
Keywords:
E-cigarettes, harms, youth, secondhand smoke exposure, law banning the importation of electronic cigarettesAbstract
E-cigarettes are new electronic devices that deliver nicotine, an extremely addictive drug. When used, 7 out of 10 people will not be able to quit their nicotine addiction; and it is a gateway to other addictions. E-cigarettes are not effective as a harm reduction as claimed because they contain synthetic nicotine, which does not smell as bad, does not irritate the throat, and has greater and faster absorption. New nicotine products increase the amount of nicotine available to 100 times that of a cigarette. These e-cigarette products harm every system of the body, both in the short and long term. They especially harm the systems of the lungs, heart and blood vessels, and brain. E-cigarette vapors also contain more than 100 other toxic substances which are harmful to both smokers and those around them, through secondhand and thirdhand smoke exposure. There are also additional dangers that cigarettes do not have. These include causing E-cigarette or Vaping product use Associated Lung Injury (EVALI) and containing carcinogens. As they have batteries, they also explode causing injury. Although Thailand has a law banning the importation of electronic cigarettes, there is widespread smuggling, and use by the public due to online media promotion, which has focused on modern designs to appeal to teenagers indicating that the e-cigarette industry now targets children and youth who have never smoked. This targeting aggravates the e-cigarette crisis because nicotine affects the brain. The growing brain, develops from the womb of a pregnant woman to young adulthood at 25 years of age. Therefore, the most effective measure to prevent harm to young people is to block access to e-cigarettes and its addiction. One must maintain the law banning the importation of e-cigarettes which is protection at the source. There also needs to be strict law enforcement to control illegal e-cigarettes and comprehensive dissemination of correct knowledge of e-cigarette harms to all sectors of society, especially children and youth.
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References
Banks E, Yazidjoglou A, Brown S, Nguyen M, Martin M, Beckwith K, et al. Electronic cigarettes and health outcomes: umbrella and systematic review of the global evidence. Med J Aust 2023;218(6):267-75.
McNeill AD, Brose LS, Calder R, Bauld L, Robson D. Evidence review of e-cigarettes and heated tobacco products 2018. A report commissioned by Public Health England. London: Public Health England; 2018.
National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Population Health and Public Health Practice, Committee on the Review of the Health Effects of Electronic Nicotine Delivery Systems. Public health consequences of E-Cigarettes [Internet]. 2018 [cited 2023 Jul 25] Available from: https://nap.nationalacademies.org/catalog/24952/public-health-consequences-of-e-cigarettes
พวงพักตร์ พรหมรังษี, สาทริยา ตระกูลศรีชัย. รายงานผล งานวิจัยที่เกี่ยวข้องกับบุหรี่ไฟฟ้ า. กรุงเทพมหานคร: ศูนย์- พิษวิทยา คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี; 2563.
World Health Organization. Tobacco: E-cigarettes [Internet]. 2022 [cited 2023 Jul 25]. Available from: https://www.who.int/news-room/questions-and-answers/item/tobacco-e-cigarettes
U.S. Department of Health and Human Services. Smoking cessation: a report of the surgeon general. The 2020 surgeon general report overview [Internet]. 2022 [cited 2023 May 21]. Available from: https://www.hhs.gov/ sites/default/files/2020-cessation-sgr-full-report.pdf
Scientific Committee on Health, Environment and Emerging Risks (SCHEER). Opinion on electronic cigarettes [Internet]. 2021 [cited 2023 May 21]. Available from: https://health.ec.europa.eu/other-pages/health-sc-basic-page/final-opinion-electronic-cigarettes_en
กนิษฐา ไทยกล้า. การเฝ้ าระวังตลาดบุหรี่ไฟฟ้ าบนอินเทอร์- เน็ต ปี พ.ศ. 2566. เชียงใหม่: หน่วยสารเสพติด สถาบันวิจัยวิทยาศาสตร์สุขภาพ มหาวิทยาลัยเชียงใหม่; 2566.
Gentzke AS, Creamer M, Cullen KA, Ambrose BK, Willis G, Jamal A, et al. Vital signs: tobacco product use among middle and high school students United States, 2011-2018. Morb Mortal Wkly Rep 2019;68:157-64.
Roengrudee P, Aekplakorn W, Glantz SA, Kalayasiri R. Use of E-cigarette and associated factors among youth in Thailand. Asian Pac J Cancer Prev 2021;22(7):2199- 207.
อัจฉราพร สี่หิรัญวงศ์. การสำรวจในเยาวชนไทยในสถาน ศึกษา. กรุงเทพมหานคร: ศูนย์วิจัยและจัดการความรู้เพื่อ การควบคุมยาสูบ; 2564.
ศรีรัช ลาภใหญ่. โครงการพัฒนา ขยายผล เฝ้าระวังและ จัดการความรู้ผลิตภัณฑ์เสี่ยงสุขภาพ. รายงานประจำไตรมาส 1/2565. กรุงเทพมหานคร: สำนักงานกองทุนสนับสนุนการ สร้างเสริมสุขภาพ; 2566.
Anthony JC, Warner LA, Kessler RC. Comparative epidemiology of dependence on tobacco, alcohol, controlled substances, and inhalants: basic findings from the national comorbidity survey. Exp Clin Psychopharm 1994; 2(3):244-68.
National Institute on Drug Abuse (NIDA). Tobacco, nicotine, and e-cigarettes report [internet]. 2022 [cited 2023 Jul 25]. Available from:https://nida.nih.gov/ publications/research-reports/tobacco-nicotine-e-cigarettes/nicotine-addictive
Whitten L. Imaging studies elucidate neurobiology of cigarette craving. NIDA Notes Volume 22, Number 2 [Internet]. [cited 2023 Jul 25]. Available from: https:// nida.nih.gov/sites/default/files/nnvol22n2.pdf
Skotsimara G, Antonopoulos AS, Oikonomou E, Siasos G, Ioakeimidis N, Tsalamandris S, et al. Cardiovascular effects of electronic cigarettes: a systematic review and meta-analysis. Eur J Prev Cardiol 2019;26(11):1219- 28.
Neczypor EW, Mears MJ, Ghosh A, Sassano MF, Gumina RJ, Wold LE, et al. E-cigarettes and cardiopulmonary health: review for clinicians. Circulation 2022; 145(3):219–32.
Mohammadi L, Han DD, Xu F, Huang A, Derakhshandeh R, Rao P, et al. Chronic e-cigarette use impairs endothelial function on the physiological and cellular levels. Arteriosclerosis, Thrombosis, and Vascular Biology 2022;42(11):1333–50.
Nabavizadeh P, Liu J, Rao P, Ibrahim S, Han DD, Derakhshandeh R, et al. Impairment of endothelial function by cigarette smoke is not caused by a specific smoke constituent, but by vagal input from the airway. Arteriosclerosis, Thrombosis, and Vascular Biology 2022; 42(11):1324–32
Carll AP, Arab C, Salatini R, Miles MD, Nystoriak MA, Fulghum KL, et al. E-cigarettes and their lone constituents induce cardia arrhythmia and conduction defects in mice. Nat Commune 2022;13:6088.
Qiu H, Zhang H, Han DD, Derakhshandeh R, Wang X, Goyal N, et al. Increased vulnerability to atrial and ventricular arrhythmias caused by different types of inhaled tobacco or marijuana products. Heart Rhythm 2023; 20(1):76-86.
Wills TA, Soneji SS, Choi K, Jaspers I, Tam EK. E-cigarette use and respiratory disorders: an integrative review of converging evidence from epidemiological and laboratory studies. Eur Respir J 2021;57(1):1901815
Wetherill RR, Doot RK, Young AJ, Lee H, Schubert EK, Wiers CE, et al. Molecular imaging of pulmonary inflammation in users of electronic and combustible cigarettes: a pilot study. J Nucl Med 2023;64(5): 797-802.
Alzoubi KH, Batran RM, Al-Sawalha N, Khabour OF, Karaoughlanian N, Shihadeh A, et al. The effect of electronic cigarettes exposure on learning and memory functions: behavioural and molecular analysis. Inhal Toxicol 2021;33(6-8):234-43.
Prasedya ES, Ambana Y, Martyasari NWR, Aprizal Y, Nurrijawati, Sunarpi. Short-term e-cigarette toxicity effects on brain cognitive memory functions and inflammatory responses in mice. Toxicol Res 2020;36(3): 267-73.
Eissenberg T, Bhatnagar A, Chapman S, Jordt SE, Shihadeh A, Soule EK. Invalidity of an Oft-cited estimate of the relative harms of electronic cigarettes. Am J Public Health 2020;110(2):161-2.
Glantz S. Three years later the NASEM report on e-cigs is out of date [Internet]. 2021 [cited 2023 Jul 25] Available from: https://profglantz.com/2021/01/26/three-years-later-the-nasem-report-on-e-cigs-is-outof-date/
Stopping Tobacco Organizations and Products – STOP. FDA does not rule that IQOS reduces tobacco-related harm, yet PMI still claims victory. Issue Brief 2020 [Internet]. [cited 2023 Jul 25] Available from: https:// exposetobacco.org/wp-content/uploads/STP054_FDA_ IQOS_Brief_v3.pdf
เริงฤดี ปธานวนิช. Hfocus. บุหรี่ไฟฟ้ า: JUUL ยอมความ คดีถูกฟ้องทำการตลาดพุ่งเป้าเด็ก [อินเทอร์เน็ต]. 2566 [สืบค้นเมื่อ 23 พ.ค. 2566]. แหล่งข้อมูล: https://www. hfocus.org/content/2023/04/27509
สำนักงานสถิติแห่งชาติ. การสำรวจพฤติกรรมด้านสุขภาพ ของประชากร พ.ศ. 2564 [อินเทอร์เน็ต]. 2023 [สืบค้น เมื่อ 23 พ.ค. 256]. แหล่งข้อมูล: http://www.nso.go.th
Tobacco Control Law. United States v. Philip Morris USA, et al. [Internet]. 2017 [cited 2023 Jul 25]. Available from: https://www.tobaccocontrollaws.org/litigation/decisions/us-20171005-united-states-v.-phillipmorris
Glantz S. First epidemiological evidence linking e-cigs to cancers in people [Internet]. 2022 [cited 2023 Jul 25]. Available from: https://profglantz.com/2022/07/ 25/first-epidemiological-evidence-linking- e-cigs-tocancer-in-people
Campaign for Tobacco-Free Kids. New report details tobacco industry’s predatory marketing to women and girls and the devastating health consequences [Internet]. 2021 [cited 2023 May 23]. Available from: https:// www.tobaccofreekids.org/what-we-do/industry-watch/ doi/timeline
El-Shahawy O, Shah T, Obisesan OH, Durr M, Stokes AC, Uddin I, et al. Association of e-cigarettes with erectile dysfunction: The Population Assessment of Tobacco and Health Study. Am J Prev Med 2022;62(1): 26-38.
Schier JG, Meiman JG, Layden J, Mikosz CA, VanFrank B, King BA, et al. Severe pulmonary disease associated with electronic-cigarette-product use – Interim Guidance. Morb Mortal Wkly Rep 2019;68(36):787-90.
Seitz CM, Kabir Z. Burn injuries caused by e-cigarette explosions: a systematic review of published cases. Tob Prev Cessat 2018;4:32.
Truth Initiative. E-cigarettes: facts, stats and regulations [Internet]. 2021 [cited 2023 May 23]. Available from: https://truthinitiative.org/research-resources/emerging-tobacco-products/e-cigarettes-facts-statsand-regulations
Harvard TH. Common e-cigarette chemical flavorings may impair lung function [Internet]. 2019 [cited 2023 May 23]. Avialable from: https://www.hsph.harvard. edu/news/press-releases/common-e-cigarette-chemical-flavorings-may-impair-lung-function/
Tommasi S, Blumenfeld H, Besaratinia A. Vaping dose, device type, and e-liquid flavor are determinants of DNA damage in electronic cigarette users. Nicotine Tob Res 2023;25(6):1145-54.
Moshensky A, Brand CS, Alhaddad H, Shin J, Masso-Silva JA, Advani I, et al. Effects of mango and mint pod-based e-cigarette aerosol inhalation on inflammatory states of the brain, lung, heart, and colon in mice. Elife 2022;11:e67621.
Gaiha SM, Cheng J, Halpern-Felsher B. Association between youth smoking, electronic cigarette use, and Covid-19. J Adolesc Health 2020;67(4):519-23.
Hess IM, Lachireddy K, Capon A. A systematic review of the health risk from passive exposure to electronic cigarette vapour. Public Health Res Pract 2016;26 (2): 2621617.
Melstrom P, Koszowski B, Thanner MH, Hoh E, KingB, Bunnel R, et al. Measuring PM 2.5, ultrafine particles, nicotine air and wipe sample followimg the use of electronic cigarettes. Nicotine & Tobacco Research 2017: 19(9):1055-61.
World Health Organization. Tobacco health topic [Internet]. 2021 [cited 2023 May 23]: Available from: http:// www.who.int/health-topics/tobacco#tab_1
ภาสกร ศรีทิพย์สุโข. นักวิจัยชี้คนในบ้านสูบบุหรี่ทำ “เด็ก” หอบเฉียบพลัน เข้าฉุกเฉิน รพ. ซ้ำ 45% [อินเทอร์เน็ต]. 2566 [สืบค้นเมื่อ 21 พ.ค. 2566]. แหล่งข้อมูล: https:// mgronline.com/qol/detail/9620000066869
Islam T, Braymiller J, Eckel SP, Liu F, Tackett AP, Rebuli ME, et al. Secondhand nicotine vaping at home and respiratory symptoms in young adults. Thorax 2022; 77:663-8.
Casebolt R, Cook SJ, Islas A, Brown A, Castle K, Dutcher DD. Carbon monoxide concentration in mainstream e-cigarette emissions measured with diode laser spectroscopy. Tob Control 2020;29(6):652-5.
Hopkinson NS, Arnott D, Voulvoulis N. Environmental consequences of tobacco production and consumption. Lancet 2019;394(10203):1007-8.
Fowles J, Barreau T, Wu N. Cancer and non-cancer risks concerns from metals in electronic cigarette liquids and aerosols. Int J Env Res Public Health 2020;17:2146.
Gao W, Sanna M, Hefler M, Wen CP. Air pollution is not ‘the new smoking’: comparing the disease burden of air pollution and smoking across the globe, 1990-2017. Tob Control 2020;29(6):715-8.
Soule EK, Maloney SF, Spindle TR, Rudy AK, Hiler MM, Cobb CO. Electronic cigarette use and indoor air quality in a natural setting. Tob Control 2017;26(1):109- 12.
Hedman L, Galanti MR, Ryk L, Gilljam H, AdermarkL. Electronic cigarette use and smoking cessation in cohort studies and randomized trials: a systematic review and meta-analysis. Tob Prev Cessat 2021;7:62.
Wang RJ, Bhadriraju S, Glantz SA. E-cigarette use and adult cigarette smoking cessation: a meta-analysis. Am J Public Health 2021; 111(2):230-46.
Grabovac I, Oberndorfer M, Fischer J, Wiesinger W, Haider S, Dorner TE. Effectiveness of electronic cigarettes in smoking cessation: a systematic review and meta-analysis. Nicotine Tob Res 2021;23(4):625-34.
Pound CM, Zhang JZ, Kodua AT, Sampson M. Smoking cessation in individuals who use vaping as compared with traditional nicotine replacement therapies: a systematic review and meta-analysis. BMJ Open 2021;11: e044222.
STOP. Addiction at any cost: Philip Morris International Uncovered [Internet]. 2020 [cited 2023 May 23]. Available from: https://exposetobacco.org/pmi-uncovered/
Food & Drug Administration. FDA statement on e-cigarettes, vapes, and other electronic nicotine delivery system (ENDS) [Internet]. 2023 [cited 2023 Jul 21]. Available from: https: www.fda.gov/tobacco-products/ product-ingredients-components/e-cigarettes-vapes-and-other-electronic-nicotine-delivery-systems-ends
Adermark L, Galanti MR, Ryk C, Gilljam H, Hedman L. Prospective association between use of electronic cigarettes and use of conventional cigarettes: a systematic review and meta-analysis. ERJ Open Res 2021;7(3): 00976-2020.
Baenziger ON, Ford L, Yazidjoglou A, Joshy G, Banks E. E-cigarette use and combustible tobacco cigarette smoking uptake among non-smokers, including relapse in former smokers: umbrella review, systematic reviewand meta-analysis. BMJ Open 2021; 11(3): e045603.
Barufaldi LA, Guerra RL, de Albuquerque RCR, Nascimento A, Chança RD, de Souza MC, et al. Risk of smoking relapse with the use of electronic cigarettes: a systematic review with meta-analysis of longitudinal studies. Tob Prev Cessat 2021;29:29.
American Lung Association. Don’t just switch, quit for good [Internet]. 2022 [cited 2023 April 1] Available from: https://www.lung.org/quit-smoking/e-cigarettesvaping/quit-dont-switch
Chan GCK, StjepanoviĆ D, Lim C, Sun T, Anandan AS, Connor JP, et al. Gateway or common liability? A systematic review and meta-analysis of studies of adolescent e-cigarette use and future smoking initiation. Addiction 2021;116(4):743-56.
O’Brien D, Long J, Quigley J, Lee C, McCarthy A, Kavanagh P. Association between electronic cigarette use and tobacco cigarette smoking initiation in adolescents: a systematic review and meta-analysis. BMC Public Health 2021;21:954.
Slekman J. Vaping: it’s all a smokescreen. Pediatric Nursing 2019;45(1):12-15,35.
Torean ME, Bold KW, Kong G, Gueorgueva R, Camenga DR, Simon P, et al. Adolescents’ awareness of the nicotine strength and e-cigarette status of JUUL e-cigarettes. Drug Alcohol Depend 2019;204:107512.
Mehra VM, Keethakumar A, Bohr YM, Abdullah P, Tamim H. The association between alcohol, marijuana, Illegal drug use and current use of E-cigarette among youth and young adults in Canada: results from Canadian tobacco, alcohol and drugs survey 2017. BMC Public Health 2019;19:1208.
วิชัย เอกพลากร, หทัยชนก พรรคเจริญ, วราภรณ์ เสถียร นพเก้า. รายงานการสำรวจสุขภาพประชาชนไทยโดยการตรวจร่างกาย ครั้งที 6 พ.ศ. 2562-2563. กรุงเทพมหานคร: คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี มหาวิทยาลัย มหิดล; 2564.
พิจิตรพงศ์ สุนทรพิพิธ, ปรารถนา สถิตย์วิภาวี, ชูเกียรติ วิวัฒน์วงศ์เกษม, ศุภากร รัชพงศ์. ธุรกิจการค้าผลิตภัณฑ์ ยาสูบทางอินเตอร์เน็ต ช่วง 1: ประตูหลัก ICB Web ตลาด ในประเทศไทย. รายงานวิจัยฉบับสมบูรณ์. กรุงเทพมหานคร: ศูนย์วิจัยและจัดการความรู้เพื่อการควบคุมยาสูบ; 2564.
Herman M, Tarran R. E-cigarettes, nicotine, the lung and the brain: multilevel cascading pathophysiology. J Physiol 202;598(22):5063-71.
Yuan M, Cross SJ, Loughlin SE, Leslie FM. Nicotine and the adolescent brain. J Physiol 2015;593(16): 3397-412.
Xie Z, Ossip DJ, Rahman I, O’Connor RJ, Li D. Electronic cigarette use and subjective cognitive complaints in adults. PLoS ONE 2020;15(11):e0241599.
U.S. Department of Health and Human Services. Know the risk, e-cigarettes & young people, e-cigarettes. The Fact [Internet]. 2023 [cited 2023 May 21]. Available from: https://e-cigarettes.surgeongeneral.gov/
Centers for Disease Control and Prevention (CDC). Quick facts on the risks of e-cigarettes for kids, teens, and young adults [Internet]. 2023 [cited 2023 May 21]. Available from: https://www.cdc.gov/tobacco/basic_information/e-cigarettes/Quick-Facts-on-the-Risks-of-Ecigarettes-for-Kids-Teens-and-Young-Adults.html
Ediger K, Hasan SU, Synnes A, Shah J, Creighton D,
Isayama T, et al. Maternal smoking and neurodevelopmental outcomes in infants <29 weeks gestation: a multicenter cohort study. J Perinatol 2019;39(6):791-9.
He Y, Chen J, Zhu LH, Hua LL, Ke FF. Maternal smoking during pregnancy and ADHD: results from a systematic review and meta-analysis of prospective cohort studies. J Atten Disord 2020;24(12):1637-47.
Huang L, Wang Y, Zhang L, Zheng Z, Zhu T, Qu Y, et al. Maternal smoking and Attention-Deficit/Hyperactivity Disorder in offspring: a meta-analysis. Pediatrics 2018;141(1):e20172465.
Calder R, Gant E, Bauld L, McNeil A, Robson D, Brose LS. Vaping in pregnancy: a systematic review. Nicotine Tob Res 2021;23(9):1451-8.
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