Posts for tag: Otolayrngology
The jury is still out about the use of electronic nicotine delivery systems. Their manufacturers have proposed them as a “safe” alternative to tobacco smoke. But are they? A recent review of the scientific and medical literature on the subject (Palazzolo DL (2013) Electronic cigarettes and vaping: a new challenge in clinical medicine and public health. A literature review. Front. Public Health 1:56. doi: 10.3389/fpubh.2013.00056) didn’t reveal much. There is no evidence yet of harm reduction. There definitely is no sign that they decrease cigarette smoking or increase quit rates.
We don’t even know what happens to the lungs when this vapor is inhaled. Do the flavorings cause harm, or not? What is the level of inhaled nicotine relative to cigarettes? Is second hand vapor better or worse than second hand smoke? All of these questions remain to be answered. And likely over time they will be.
I hope that vaping does turn out to be a safe alternative to tobacco smoking. But, in the long run, neither is your best bet. As hard as it may be to quit, your life and health improve in the absence of nicotine.
Mark T. Brown, MD, FACS
Image from Alice's Adventures in Wonderland by Lewis Carroll (1869)