Electronic cigarettes - miracle or menace?

Electronic cigarettes do not have tar, the harmful part of a normal cigarette

The number of people using e-cigarettes in the UK is expected to reach a million this year but while some believe the electronic alternative to tobacco could help save hundreds of thousands of lives others think they normalise what looks like smoking and may be unsafe

Anyone walking into a busy pub in Manchester may well be confronted with a rather shocking sight.

At one table it looks like a group of friends are smoking, but there is no smell in the air and no ashtrays on the table. What they are using are e-cigarettes.

One of the women, Steph, says the e-cigarette has helped her to stop smoking.

"I've tried patches and inhalator's," she says. "They're a lot better because you feel like you're having a cigarette."

"They're a great idea," says another woman, Lisa. "You've got the health benefits from it and it does taste like a cigarette."

The e-cigarette comes in two parts.

In one end there is liquid nicotine, in the other a rechargeable battery and an atomiser. When the user sucks, the liquid nicotine is vaporised and absorbed through the mouth. What looks like smoke is largely water vapour.Because there is no tobacco in e-cigarettes, there is no tar and it is the tar in ordinary cigarettes that kills.

Safety concerns

“ Quote

If all the smokers in Britain stopped smoking cigarettes and started smoking e-cigarettes we would save 5 million deaths in people who are alive today”

Professor John Britton. Royal College of Physicians The e-cigarette market is growing fast. A survey by the charity Action on Smoking and Health (ASH) suggests 700,000 people in the UK were using e-cigarettes last year. The charity estimates that number will reach a million in 2013 and some medical experts see huge potential benefits.

"Nicotine itself is not a particularly hazardous drug," says Professor John Britton, who leads the tobacco advisory group for the Royal College of Physicians.

"It's something on a par with the effects you get from caffeine. "If all the smokers in Britain stopped smoking cigarettes and started smoking e-cigarettes we would save 5 million deaths in people who are alive today. It's a massive potential public health prize." There are however concerns about the safety and regulation of e-cigarettes. They can legally be sold to children. There are few restrictions on advertising. Critics say some of the adverts glamorise something that looks like smoking. Unlike patches and gum, e-cigarettes are not regulated like medicines. It means there are no rules for example about the purity of the nicotine in them.

Regulation call

So are e-cigarettes safe?

"The simple answer is we don't know," says Dr Vivienne Nathanson from the British Medical Association (BMA). "It's going to take some time before we do know because we need to see them in use and study very carefully what the effects of e-cigarettes are."

The BMA is just one of the bodies to respond to a consultation on e-cigarettes by the Medicines and Healthcare products Regulatory Agency. The agency is deciding whether the e-cigarettes should be licensed as a medicine and more tightly regulated. The BMA thinks they should.

“Quote

I don't think there's any difference between going for a caffeine break and having a nicotine break”

Lawrence Jones

UK Fast

"I would either take them off the shelves or I would very heavily regulate them so that we know the contents of each e-cigarette were very fixed," says Dr Nathanson. E-cigarettes are currently classed as a general consumer product and regulated by trading standards. It means they cannot contain hazardous chemicals, for example, and that the battery in them must meet EU standards. The trade association for e-cigarettes, the Electronic Cigarette Industry Trade Association, says they make no medicinal claims for their product. It is sold merely as an alternative to ordinary cigarettes.

Attempts to classify e-cigarettes as a medicinal product have been made in Holland and Germany but the industry successfully overturned the decisions in court.

Workplace etiquette

One UK based distributor, called VIP, says over stringent regulation could see them go out of business. Nonetheless Andy Whitmore, the company's marketing director, said it would "welcome regulation that ensures the product can't be sold to anyone under the age of 18".

There are many other questions. For example, should using e-cigarettes be allowed in a public place? At the offices of UK Fast - an internet storage company - employees can use them at their desk.

"It's a tricky one," says the company's chief executive officer, Lawrence Jones.

"It does look like smoking but could you stop someone from chewing a pencil or biting their nails? I don't think there's any difference between going for a caffeine break and having a nicotine break."

Other companies have banned it. But in theory electronic cigarettes can be used anywhere - on planes, trains, in hospitals.

The BMA is worried that the more people start using e-cigarettes the more it will normalise something that looks like smoking. They have called for the ban on smoking in public places to be extended to e-cigarettes.

A decision on whether the regulation of electronic cigarettes should be tightened will be made in a few weeks.

http://www.bbc.co.uk/news/uk-21406540

Electronic cigarettes seem to work

Electronic cigarettes seem to work, psychologically and physically

Since many of my patients have reported using electronic cigarettes to successfully stop smoking, I now recommend the devices to anyone who has tried to quit smoking cold turkey and failed.
And I think it is time that other doctors do, too.
Electronic cigarettes combine a mouthpiece, which contains liquid (including nicotine), an atomizer (which heats the liquid and turns it into vapor), a battery and an LED tip that glows like the tip of a lighted cigarette.
While early versions of the electronic cigarette date back to 1963, with a patent awarded to inventor Herbert Gilbert, the modern versions of electronic cigarettes—the basis for big brands in the industry, such as LOGIC and Blu—were introduced at the beginning of this century.
The reason my patients tell me electronic cigarettes work better than the patch or nicotine gum is that they simulate the act of smoking, but not perfectly.  They are good enough to substitute for real cigarettes, but they aren’t good enough to become an addiction, in and of themselves.  An analogy in the arena of food addiction would be something low calorie that fills you up enough to prevent bingeing on sweets, gives you some distance from that addiction, but then becomes forgettable, because it isn’t really all that compelling.
It is, of course, imperative that the electronic cigarette be a good-enough fake.  And, on this count, LOGIC seems to have a slight psychological advantage, given what patients tell me is a very realistic smoking experience—but not too realistic, as noted above.  Interestingly enough, the LOGIC brand seems to be the best-selling one in New York City, perhaps because of these factors.
There is certainly controversy about whether electronic cigarettes are harmless.  Critics note that they do, of course, contain nicotine (which is the whole idea, after all).  And critics have also found other substances in the vapor released by electronic cigarettes—even cancer-causing substances, but in tiny, tiny amounts that proponents of the devices claim would have no negative effect on well-being at all.
What no one seems to argue about is that electronic cigarettes—from LOGIC or Blu or any leading brand—are not nearly as dangerous as smoking real cigarettes.  LOGIC claims its device avoids 4,000 toxins that are found in cigarettes.
Given my experiences and those of numerous clinicians I have spoken with, it would seem to be a good time to conduct large scale clinical trials in which patients who smoke are given electronic cigarettes by their doctors, encouraged to use them and then quizzed on their use of real tobacco weeks and months and years later.  If the data generated support the product, then it may be wise for medical insurance companies to offer electronic cigarettes to smokers for free.  My bet is they would save lots of money—from the costs of treating heart disease and cancer—down the road.
Dr. Keith Ablow is a psychiatrist and member of the Fox News Medical A-Team. Dr. Ablow can be reached at

http://www.foxnews.com/health/2013/01/30/electronic-cigarettes-seem-to-work-psychologically-and-physically/

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E-Cigarettes Pose No Risk of Heart Disease

Electronic cigarettes used by smokers who want to kick the habit show no connection to heart disease, according to a study that adds to evidence of health benefits of switching from tobacco to smokeless alternatives.

E-cigarettes, electronic tubes that simulate the effect of smoking by producing nicotine vapor, prompted no adverse effects on cardiac function in the study, researchers from the Athens- based Onassis Cardiac Surgery Center said in a report presented at the European Society of Cardiology annual meeting in Munich today.

Investigators examined the heart activity of 20 young daily smokers after one ordinary cigarette against 22 people who smoked an electronic cigarette for 7 minutes. Whereas tobacco smokers showed “significant” disruptions of functions such as heartbeats or blood pressure, the effect of e-cigarettes on the heart was minimal, Konstantinos Farsalinos, one of the researchers, said in the presentation.

“Currently available data suggest that electronic cigarettes are far less harmful, and substituting tobacco with electronic cigarettes may be beneficial to health,” Farsalinos said.

Previous studies have found that the electronic devices would have to be smoked daily for four to 12 months to achieve the levels of nitrosamines, a carcinogen, that are present in a single tobacco cigarette, the researchers said. Industrywide e- cigarette sales this year are likely to double from $250 million in 2011, according to UBS AG.

Psychological Effects
Electronic cigarettes, which mimic the look and feel of traditional versions without generating smoke and ash, are one of the few smoking alternatives that provide users with their chemical need for nicotine and reproduce the psychological effect of holding and smoking a cigarette, the researcher said.

Makers of the battery-powered devices include Lorillard Inc. (LO), a Greensboro, North Carolina-based producer of standard cigarettes, which acquired Blue Ecigs for $135 million in April. The U.S. Food and Drug Administration has yet to impose rules on the testing and production of e-cigarettes.

About 2.5 million people use e-cigarettes in the U.S., according to an estimate by the Tobacco Vapor Electronic Cigarette Association.

Although nicotine is present in the devices’ vapor, it is absorbed by the blood at a far slower rate than tobacco smoke, accounting for the lower levels of toxicity, Farsalinos said. No traces of nitrosamine were found in the e-cigarettes in the study, he said.

To contact the reporter on this story: Mehreen Khan in London at mkhan108@bloomberg.net

To contact the editor responsible for this story: Phil Serafino at pserafino@bloomberg.net

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Electronic Cigarette - Dr. David Baron, M.D

Another positive review

Staying clean and green!

 Leonardo DiCaprio lights up an electronic cigarette to get his nicotine fix on film set

He reportedly tried to help friend Robert Pattinson quit smoking at the end of last year.
And Leonardo DiCaprio is seemingly becoming an expert at quitting the bad habit himself as he was spotted puffing on an electronic cigarette on the set of his new movie.
The actor – who is filming The Wolf of Wall Street – could be seen with the nifty device in his hand as he sat inside an eatery in East Harlem, New York.




Leo seemed in good spirits in between recording scenes at Rao's Restaurant, smiling as he got his nicotine fix in a healthier way than using a normal cigarette. The star happily blew out rings of smoke between takes while filming on his last day for new movie.

The 38-year-old was dressed in a suit which he wore a blue shirt and red tie under.

He also hung on to the electronic cigarette as he traipsed the streets in the more casual ensemble of loose blue jeans and a maroon jumper.

Hopefully his Twilight star friend has had the same will power with trying to give up the bad habit himself.

Robert has been close with him since Leo reached out following his Kristen Stewart cheating scandal, asking if he wanted to party.

He was also seen smoking the same thing last May on the set of DJango Unchained.

Unfortunately for him, he plays the role of chain-smoking villain Calvin Candie in the Quentin Tarantino film so it must have been a hard battle between tasting the real thing.

DiCaprio plays a deranged plantation owner in the movie which is about a man trying to rescue his wife from the hands of Leo’s character.

It also stars other big names including Samuel L. Jackson, Sacha Baron Cohen and Kurt Russell.

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Big Tobacco Is Ready

Want to Quit Smoking? – Big Tobacco Is Ready

If you vowed to stop smoking in 2013, Big Tobacco won't be caught off guard. The industry is quickly moving into the manufacturing and sale of electronic cigarettes, a business which Bonnie Herzog at Wells Fargo said brought in $400 million to $500 million in sales in 2012 and will "at least" double in 2013.

"We're actually predicting that consumption of e-cigs could surpass consumption of traditional cigarettes in the next decade," she said. The technology used in making these tobacco-free, battery-powered products is increasingly making them more lifelike.

"I'm a smoker and I could not quit smoking," said John Cameron, brother of Oscar winning director James Cameron.
About the time James was releasing "Avatar," John decided to get healthy. He took his first puff of an e-cigarette and got hooked. Now he's CEO of Safecig, an e-cigarette company.

"I can tell you that this is a revolutionary product. It will change the human race," he said. "It will change our relation to technology. It will change our relation to addiction."
Safecig uses technology and components which Cameron said are often found in cellphones. These help recreate the look, heat, taste, smell, and feel of smoking tobacco. Even the packaging mimics a regular pack of cigarettes. But instead of "smoking," users inhale liquid nicotine heated into a vapor, without tobacco or tar.

Why bother, when you can buy nicotine gum or patches? Often it's hard to quit because smokers miss the act of smoking. "It's probably 60 to 70 percent — the experience," Cameron said.
Other brands in the space include Njoy and Vapor Corp., which trades as a penny stock. China-based Joyetech has been a pioneer in electronic cigarettes, but as rivals began multiplying last year, the company filed suit against ten American firms, including Safecig, alleging patent violations.

E-Cigarettes to Help you Quit Smoking in 2013

With New Year right at our door step, many of us are making new resolutions to be fulfilled in the coming year. For those who aim to quit smoking, e-cigarettes are a good deal.

Quitting smoking or any kind of addiction is not really easy. It requires lots of efforts, power, changes in lifestyle and get adapted to daily doings without seeking help of cigarette. However, there is good news for the smokers who always wanted to quit smoking but were not able to do so.

E-cigarette will help you to quit smoking habit in a much better way. Studies suggest that risks linked to the Electronic cigarettes are much lower than that of smoking. Another study carried out by the American Association of Public Health Physicians asserted that it can help in saving about four million people from the tobacco-related sickness in coming twenty years.

Its basic ingredients are propylene glycol, vegetable glycerin, the natural flavors, and nicotine. It's comparatively cleaner and isn't toxic at all. It will also help non-smokers escape the second-hand smoke as vaporizes the smoke and eliminates all the smell.

"I definitely enjoy it. When I come down here it's kind of an irritant and your clothes kind of smell. It's usually just a hassle", said Daniel Weatherby, a resident and non-smoker from Morgantown.