The great e-cig debate from Fred Hutch and SCCA experts aboutE-cig safety

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Are e-cigs safer than cigarettes?
 
According to Bricker, a fair amount of data shows that e-cigarettes don’t contain compounds like formaldehyde, benzene and ammonia which tobacco makers add to regular cigarettes to “spike” the nicotine so it acts faster on the brain and boosts the smoker’s addiction.

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E-cigarettes are also smokeless. They may look like real cigarettes (some even have an LED on the end that glows red or blue), but there’s no tobacco, no flame, no smoke and no resulting tar and carbon monoxide transferred to an e-smoker’s lungs. Instead, a battery converts liquid nicotine and/or flavors into a fog machine-type vapor known as propylene glycol.

“What we know so far is they don’t have many of those very dangerous ingredients that are added to regular cigarettes,” said Bricker. “That’s the harm reduction argument. There’s a lack of tar, a lack of formaldehyde, so that’s better.”

An article published in the January 2011 Journal of Public Health Policy embraces the harm reduction argument, concluding that “Whereas electronic cigarettes cannot be considered safe … they are undoubtedly safer than tobacco cigarettes.”
Do they help you quit?
 

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Both Bricker and Manders stress that the jury’s still out when it comes to their efficacy as a smoking cessation tool. Although one study published in Lancet in 2013 found the e-cigs were “modestly effective” at helping smokers quit, comparable to nicotine patches.
The study authors added, though, that more research is “urgently needed to clearly establish their overall benefits and harms at both individual and population levels.”
Who monitors the safety and quality of e-cigs coming into the U.S.?
Experts also have questions about the chemicals used in these unregulated products, many of which are produced in China, a country with a history of producing toxic toothpaste, toys with choking hazards and contaminated pet food. 

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“When things aren’t regulated by the FDA, it means they’re not held up to the same standards of quality,” said Manders. “Harmful products could be placed in the devices and no one will know. The dosage of nicotine could be very high or very low.”

Indeed, Bricker said information presented at the recent Society for Research on Nicotine and Tobacco conference in Seattle indicated that the level of nicotine in e-cigarettes and vape pens does differ – as does the smoking style of users. Some people take tiny “sips” throughout the day, others puff on them like cigars.

“There are individual differences in the way people use e-cigarettes so the amount of chemicals and nicotine in their bodies will vary,” said Bricker.

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