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E-cigs: A healthy alternative or health hazard?

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Updated: 3/10/2011 9:19 am
WICHITA, Kansas – They’re the latest craze in nicotine addiction: electronic cigarettes promise satisfaction of smoking without the bad side effects. But do they work? And are they a health risk or benefit for smokers?

Like many smokers, it was in high school when Ben Gabel took his first puff.


“The social atmosphere, smoking makes you look cool, I guess,” he said.

And before he knew it, he couldn’t stop.

“I've quit six or seven times,” he said. “My longest run was four-and-a-half months. Um, I keep finding my way back.”

For nine years, Ben has spent countless dollars and hours trying to find a solution to an addiction he didn’t even enjoy. So when he stumbled upon an invention that gave him the nicotine without the bad side effects, he jumped on it.

Electronic cigarettes’ rapid rise in popularity is evident by the hundreds of new brands being manufactures every day by entrepreneurs like Wichitan Dave Dorsey.

“After interviewing some of those smoke shops, I said, 'Hey, if I had a better mousetrap would you be interested?' and they said, 'Yes,' so voila, here it is,” said Dorsey, who developed EVO E-Cigarettes.

Addicted for more than three decades, Dorsey has been “real” cigarette-free for seven months. In fact, he believes in E-cigs so much he developed his own brand called “EVO.”

“Long life of the battery is very important and of course the taste and the satisfaction that you get from smoking it,” he said.

Originally developed by a pharmacist in China in 2003, E-cigarettes made their way to the U.S. market in 2006.

They’re a re-usable product, comprised of a rechargeable lithium battery, an atomizer that acts as a heating element and a cartridge where the liquid nicotine is stored. When the smoker inhales, the atomizer heats the liquid and creates a water vapor.

Unlike smoke, it’s nearly odorless and without the thousands of carcinogens that come with the tar and tobacco of real cigarettes. But for some, that doesn’t make them safe.

“The only thing it's skipping is the tar and smoke,” said Debbie Fox, respiratory specialist at Wesley Medical Center.

Fox is concerned that e-cigarette manufacturers are making claims that aren’t true. She points to a compound in the liquid solution called propolyne glycol, which can be harmful in large doses. Proponents argue ‘PG’ is already found in inhalers and makeup and is recognized by the FDA as ‘safe.’

But Fox says that’s where any regulation by the FDA ends.

“They aren't regulated,” Fox said. “They haven't been FDA tested or approved.”

And therefore, for her, the unknowns are scarier than anything.

“Does it just precipitate out and not really get inhaled by others is unknown?” points out Fox. “So, there are a lot of questions.”

But it’s not solely about health benefits for e-cigarette users. It’s also a way to get around the state’s ban on indoor smoking.

“Whether it's winter time and you don't want to go outside and freeze or maybe you're staying in a hotel room that doesn't allow smoking,” said Dorsey.

And the state says that’s okay.

In a statement from the Health Department, officials said, “Electronic cigarettes are not covered by the Kansas Indoor Clean Air Act because the act defines smoking as burning tobacco. E-cigarettes do not burn tobacco.”

However, they also share concerns that they aren’t regulated and worry they may attract young people. But if smokers, like Ben, continue to see results, there’s a good chance the e-cigarettes craze has only just begun.

“With my battle with smoking, I think this is something I'm definitely going to be attached to,” he said.

E-cigarettes are also a relief to smokers’ wallets. A cartridge is about the equivalent of a pack of cigarettes and costs about $2. “Starter kits,” which usually include two batteries, cost anywhere from $30 to $80. It all equals out to about a third of the price of real cigarettes.


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bumstead68 - 2/19/2011 7:38 PM
3 Votes
"They aren't regulated,” Fox said. “They haven't been FDA tested or approved.” Well first, Yes they have been FDA tested,and found to have no more "Bad Stuff" than what the patch, gum, or inhaler had,...They didn't tell us this, but that is what the results of the testing showed. As far as FDA approval,...come on! The FDA has "Approved" more killers than the CIA has!! Chantix should have been recalled within 6 months after approval, It still continues to kill today. There are contstant lawsuits against drugs "Approved" by the FDA. I don't know why Ms Fox would want to trust the FDA, I think they have pretty well lost the trust of the rest of the general public. As far as being worried about the unknown - what's to know?? Nicotine has been studied for years, we know what it is and what it does. Propylene Glycol has been studied, long term, and shown safe for human inhalation, in more than just a couple of studies. It is possible that some of the flavoring chemicals could cause problems being inhaled,...but most of these flavors we have been inhaling for years in cigarettes, along with the Propylene glycol, and thousands of other chemicals that are KNOWN killers. I can't believe that public officials still spout these same lines that the "stop smoking" nannies have been telling them for years. If you will just do some research you will fnd that EVERY one of those anti-smoking groups, and pseudo "health" health orgs. are HEAVILY funded by the drug companies that stand to lose the most if e-cigs continue to thrive.

mikerg - 2/19/2011 10:09 AM
2 Votes
The only thing it does away with is the tar and smoke? That's what is bad for you about smoking! Propylene Glycol is hear fear? Maybe she should check her personal lubricant as it's likely the main ingredient. I'm all for more testing, but they are 1000s of times SAFER than cigarettes and should never be banned. Banning them will drive countless ex-smokers back to cigarettes and prevent the millions of lives e-cigarettes were designed to save.

t9c11 - 2/18/2011 10:32 PM
1 Vote
Some folks quit smoking cigarettes with the help of hypnosis and acupuncture. The ALA and most "smoking cessation experts" don't argue that these methods should be FDA regulated and/or FDA approved for smokers who want to quit, so why should e-cigs be?

legocollector - 2/18/2011 10:08 PM
2 Votes
Good way to put tabacco companies out of business, that in itself is a goodenough reason NOT to ban them, enough said. P.S. I lived with someone who switched from cigs to ecigs, I was no longer having my lungs and eyes burnt from smoke, nor our kids. The FDA is just as useless as the DEA. They are fraudulent groups murdering Americans for profit.

Turnkeys - 2/18/2011 1:21 PM
2 Votes
“The only thing it's skipping is the tar and smoke,” said Debbie Fox, respiratory specialist at Wesley Medical Center. The ingredients in the liquid for e-cigarettes are well documented. Propylene glycol, nicotine, food flavoring, and distilled water. According to Zachary Cahn, and Michael Siegel's recent study (1), 5,300 of the estimated 10,000-100,000 chemicals in cigarettes have been identified. Of these, according to the National Cancer Institute (2), 69 can cause cancer including: Arsenic, Benzene, Beryllium, Butadiene, Cadmium, Chromium, Ethylene oxide, Nickel, Polonium, Vinyl chloride. Formaldehyde, and yes, "the tar and smoke." Propylene glycol is used in oral and injectable pharmaceuticals, a food humectant or moisturizer, many cosmetic products, food colorings and flavorings, inhalers and many others. It is classified by the FDA as GRAS. (Generally regarded as safe.) It would be nearly impossible to reach a toxic level by consuming foods or supplements containing PG. Toxicity could only occur by ingestion of large quantities, over a gallon, in a short period of time. The same could be said of most food additives in anyone's kitchen. Debbie Fox's comments are uninformed, alarmist and without merit. I would expect more from a medical professional. For facts instead of fiction, visit casaa.org. (1) http://www.hsph.harvard.edu/centers-institutes/population-development/files/article.jphp.pdf (2) http://www.cancer.gov/cancertopics/factsheet/Tobacco/cessation

kristinnm - 2/18/2011 12:08 PM
2 Votes
The "only thing" it's skipping is tar and smoke? That's like complaining that the only thing missing from Clausthaler NA beer is the alcohol, but it still contains carbon dioxide. Carbon dioxide is poisonous in large doses, you know! You'd have to inhale or ingest a LOT more propylene glycol than what an e-cigarette produces in order for it to be harmful! The MSDS sheet lists propylene glycol as being an "irritant" for more sensitive people. Smokers have been inhaling toxic smoke for years of their lives and are now switching to a product that is listed as an "irritant" and they should be concerned? Smoke was the worse irritant of all and carried incredibly high health risks. Even the FDA-approved Nicotrol Inhaler has listed side effects including irritation of the mouth and throat. Please stop trying to twist the facts about e-cigarettes! And any health professional who still states that "we don't" anything about e-cigarettes is either lying or needs to learn how to use Google.

Dr Koze - 2/17/2011 6:54 PM
4 Votes
Siegel MD's paper can be found @ http://www.ajpm-online.net/webfiles/images/journals/amepre/AMEPRE3013.pdf Here's a more full scientific study done by Health NewZealand Ltd: http://www.healthnz.co.nz/RuyanCartridgeReport30-Oct-08.pdf

Dr Koze - 2/17/2011 6:50 PM
6 Votes
>“The only thing it's skipping is the tar and smoke,” said Debbie Fox.... Well... yeah. That's the point. Those are the primary harmful components of cigarette smoking. While nicotine is a stimulant, it's not the nicotine that kills you, it's the tar/smoke carcinogens/free radicals, and the CO (carbon monoxide) doesn't help either. People have been walking around with nicotine patches, gum, and even pharmaceutical nicotine inhalers for decades now- and the point of those products is that you are "skipping the tar and smoke"

afrazier5 - 2/17/2011 6:34 PM
4 Votes
I'm ashamed to be from Kansas to listen to stories like this! KSN should be also ashamed to allow a story that glorifies tobacco cigarettes. The only thing e-cigarettes remove are tar and smoke? Really? Cigarette smoke contains over 4,000 chemicals, including 43 known cancer-causing (carcinogenic) compounds and 400 other toxins. These include nicotine, tar, and carbon monoxide, as well as formaldehyde, ammonia, hydrogen cyanide, arsenic, and DDT. As a cigarette is smoked, the amount of tar inhaled into the lungs increases, and the last puff contains more than twice as much tar as the first puff. Carbon monoxide makes it harder for red blood cells to carry oxygen throughout the body. Tar is a mixture of substances that together form a sticky mass in the lungs. Most of the chemicals inhaled in cigarette smoke stay in the lungs. The more you inhale, the better it feels—and the greater the damage to your lungs. You should also note that the only similar ingredients between these two are nicotine which is absorbed in much lower amounts than with tobacco.

Brewlady - 2/17/2011 6:10 PM
6 Votes
This product was invented to give current smokers a safer alternative. It works. I bought my first kit the same day I bought my last pack of cigarettes. 36 years of smoking with more failed attempts to quit than I can even remember, until I bought an electronic cigarette six months ago. I spent hours online researching this product, and I have made an informed decision to use an e-cig. When I learned that the FDA wanted to BAN this, I was astounded. Why would they want to ban a product that was designed to reduce harm? They are not working in my best interest, but Big Pharma stands to lose BIG MONEY because of this product. Many current smokers are ACCIDENTALLY quitting because they purchase this product as an alternative to use where smoking isn't allowed, and end up using only the e-cig. The anti-tobacco lobby has turned into anti-nicotine, which really puzzles me. We know that there are thousands of carcinogens in tobacco smoke, that are not in an electronic cigarette. This device can't be classified as a smoking cessation product because some users, like me, don't want to stop using nicotine, although we did want a safer way to get it. This device also can't really be classified as a tobacco product, because it only contains the extracted nicotine. It can be classified as a product that will deliver nicotine with much less harm compared to a tobacco cigarette, which we know is cancer-causing, but remains available to any adult able to plunk down as much as $12 a pack in the United States. Something is very wrong when a product that was invented to reduce harm, and that smokers easily not only adapt to, but prefer over what we now call "stinkies" and "analogs", is introduced and our government officials are actively working to take away our right to purchase it. Something is very, very wrong here.
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