Although the e-cigarette is less unhealthy than tobacco cigarettes, the vapor of e-cigarettes contains a number of ingredients and chemical impurities in amounts that are harmful to health.
This is evidenced by research by the Dutch RIVM. The Dutch Food and Welfare Authority (NVWA) judges the investigation that electronic cigarettes - both with and without nicotine - are so unsafe that consumers should not use them for long and structural use.
Risks
Electronic cigarettes evaporate a liquid that usually contains nicotine and a flavor. The harmful substances in e-cigarettes include nicotine, propylene glycol, glycerol, aldehydes, nitrosamines and metals. Inhalation of this may cause irritation and damage to the airways, palpitations and increased risk of cancer. Particularly heavy users are at high risk of respiratory problems. These health effects are much less severe than smoking tobacco: lung cancer, heart disease and stroke, pulmonary emphysema and COPD, and mouth, tongue, esophagus, stomach and bladder cancer.
Differences between liquids
The RIVM research shows that the composition of the many types of e-liquid and those of the resulting fumes differ greatly. Sometimes, the amounts of nicotine found in the fluid do not match the contents of the package. Some of the substances appear to be higher in the vapor than in the liquid; For example, some substances only occur when evaporated. Aldehydes, for example, arise when the liquids are warmed up and metals are released from the evaporator. Propylene glycol and glycerol are "carrier liquids" for nicotine and the flavors. These differences in composition show that producers of liquids have the ability to produce less harmful alternatives.
Users
The research shows that people smoke smoking e-cigarettes on the premise that it is less harmful to health than a regular cigarette and that helps to quit smoking. Of the many brands and models, refillable e-cigarettes are the most popular. Almost all users smoked tobacco before they started using the e-cigarette and most of them used tobacco next to their e-cigarette. The smokers differ greatly in their vapor behavior, for example in the number of pulls they take each day.
Quit smoking
When smoking e-cigarettes, less harmful substances and lower concentrations of harmful substances are released than smoking tobacco. The NVWA indicates that the risks remain limited with the occasional use of e-cigarettes, for example as an aid in smoking cessation. However, due to the lack of research into the effectiveness of the e-cigarette as an aid to stop, there is a risk that smoking addiction will continue and people will continue to use e-cigarettes or permanently combine smoking tobacco.
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