Are electronic cigarettes saviors or new culprits

M. Unal, B. Yalcin, M. Selcuk
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Abstract

Electronic cigarette (EC) usage in the world is increasing. It might outsell the other tobacco products in the future with this rate of selling increase. Promoters of EC argue that using them will bring additional benefits in the fight against tobacco. By switching from cigarettes to ECs, smokers will not be exposed to a number of dangerous substances thus; morbidity and mortality of smoking would decrease. This may cause major epidemiologic changes. Opponents argue that none of these claims are proven. Nicotine itself is not only addictive but also a harmful substance. Besides it may disseminate tobacco use young people into nicotine addiction with its new harmless image. These devices imitate the hits of nicotine, therefore feed the addiction rather than prevent it. People simply may continue smoking and use EC where cigarettes are socially or legally unacceptable. The solutions of nicotine carry the risk of using unhealthy mixtures and inappropriate nicotine dosing. Users simply may abuse these devices to use other substances such as cocaine. ECs are not recognized as a form of nicotine replacement therapy. In fact most health authorities are negative on ECs. Legal issues like using ECs in public places are not clear. Health professionals are increasingly facing the questions regarding EC usage and fail to provide satisfactory answers.
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电子烟是救世主还是新的罪魁祸首
电子烟(EC)在世界上的使用正在增加。以这样的销售增长率,未来它的销量可能会超过其他烟草产品。电子烟的推动者认为,使用电子烟将在与烟草的斗争中带来额外的好处。通过从香烟转向电子烟,吸烟者将不会接触到许多危险物质;吸烟的发病率和死亡率将会下降。这可能导致重大的流行病学变化。反对者认为这些说法都没有得到证实。尼古丁本身不仅容易上瘾,而且是一种有害物质。此外,它还以其无害的新形象,可能会使吸烟的年轻人染上尼古丁瘾。这些设备模仿尼古丁的作用,因此助长而不是防止上瘾。在社会或法律不允许吸烟的地方,人们可能会继续吸烟和使用电子烟。尼古丁溶液存在使用不健康混合物和不适当尼古丁剂量的风险。使用者可能只是滥用这些设备来使用可卡因等其他物质。ECs不被认为是一种尼古丁替代疗法。事实上,大多数卫生当局对ECs持否定态度。在公共场所使用ec等法律问题尚不清楚。卫生专业人员越来越多地面临有关EC使用的问题,但未能提供令人满意的答案。
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