10/09/2019 12:39 PM
DGP: German and European pulmonologists warn of e-cigarettes
E-cigarettes are not a good remedy for people who want to quit smoking altogether. The German Society for Pulmonology and Respiratory Medicine (DGP) refers to this. Anyone switching from a traditional cigarette to an e-cigarette simply swaps one addiction to another. Although some addiction researchers are spreading that e-cigarettes are a practical means of smoking and withdrawing nicotine. However, recent research shows that the long-term benefits of e-cigarettes cannot be proven by quitting. In contrast, electrical replacement products pose health risks, the extent of which has not yet been fully evaluated.
Therefore, German and European lung doctors have warned against the use of electronic cigarettes and reiterated their call for a comprehensive ban on the advertising of electronic smoking products.
And not just because several people in the United States died after using e-cigarettes in acute respiratory failure, and some of these patients died (1), warning DGP of e-cigarettes, especially adolescents. Several studies – including one in Germany – have shown that students who use e-cigarettes are more likely to use conventional cigarettes (2). "The industry relies on a living factor in advertising, addressing, first and foremost, young people for whom e-cigarettes are a low-threshold offer for entry into nicotine addiction," says the professor. honey. Michael Pfeifer, CEO of DGP. Also, for the protection of minors, an expert seeks a complete ban on advertising for both traditional tobacco and e-cigarettes.
Electronic vaporizers are considered to be significantly less damaging to health than classic tobacco cigarettes. However, it hides that, depending on the type of e-cigarette and the composition of the liquid used, harmful substances are inhaled, including respiratory irritants such as propylene glycol, carcinogens such as formaldehyde, and partially harmful metals such as lead and chromium and nicotine. The aromatic substances used also present a number of health hazards (3, 4). Acute potentially adverse effects, especially on the lungs and respiratory tract, have been reported in a recent review (5). "The long-term consequences of e-cigarette consumption cannot yet be fully evaluated. However, the findings so far show that these devices pose a significant health hazard. Therefore, it is reckless and irresponsible in the cigarette industry to sell e-cigarettes as a safe, modern alternative." says Pfeifer.
The European Respiratory Society (ERS) also issued a recent statement of opposition to the triviality of the danger of e-cigarettes (6). The ERS also disagrees with the repeated claim that e-cigarettes have a positive effect on smoking cessation. Although a meta-analysis of several longitudinal studies on the efficacy of e-cigarettes has shown that they have shown a short-term positive effect of separation in controlled clinical settings. However, in the long run and in real conditions, they make it difficult to abstain from smoking. "Anyone who recommends e-cigarettes to stop smoking is misjudging the situation in the study. Even e-cigarettes are detrimental to health and therefore completely inappropriate as a means of separation," says Professor Tobias Welte, MD, past president of the ERS. The expert is most evident in managing nicotine-free permanently through structured cessation programs, according to the expert.
(1) Layden JE, Ghinai I, Pray I, et al. Pulmonary disease associated with e-cigarette use in Illinois and Wisconsin – preliminary report. N Engl J Med. 2019 Sep 6; Doi: 10.1056.
(2) Morgenstern M, Nies A, Goecke M, Hanewinkel R. E-cigarettes and the entry into consumption of conventional cigarettes – A cohort study of adolescents in Grade 10. Dt. Medical Journal 2018; 115: 243-248.
(3) Jabba S, Jordt S-E. Risk analysis for carcinogenic pulegon in mint and menthol-flavored e-cigarettes and smoke-free tobacco products. JAMA intern. Honey. 2019 Sep 16. DOI: 10.1001.
(4) Bitzer Z, Goel R, Reilly S, et al. The effect of aromatic chemicals on the formation of free radicals in an electronic cigarette aerosol, Free Radic Biol Med. 2018; 120: 72-79.
(5) Gotts JE, Jordt SE, McConnell R, Tarran R. What are the respiratory effects of e-cigarettes? BMJ. 2019 Sep 30; 366: l5275. Doi: 10.1136 / bmj.l5275.
(6) European Respiratory Society, Tobacco Control Committee. Tobacco Damage Reduction Position Paper (translated by DGP). August 2019.
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Fax: 0711 89 31-167
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