Medicine

Arizona needs to do more to prevent, reduce tobacco use

Arizona needs to do more to prevent, reduce tobacco use

Those who used e-cigarettes to quit smoking succeeded at almost double the rate of those using methods like nicotine patches and gum, according to a report in the New England Journal of Medicine.

E-cigarettes also provided higher satisfaction and were rated as more helpful than nicotine-replacement treatment. Throat or mouth irritation was reported more frequently in the e-cigarette group and nausea was reported more often in the NRT group, but the effects were mostly mild.

But he added: 'Given that ecigs may cause some harm when used over many years I would encourage users to think of them as a stop-gap, but they are far better than smoking - ex-smokers should not stop using them if they are anxious they may go back to cigarettes'. "However, particularly in the USA, smokers are not, in general, using e-cigarettes under such conditions".

In the trial, just under 900 participants who were already using UK NHS stop-smoking services were randomly assigned to either a NRT product of their choice, including combination treatments, or an e-cigarette starter pack. The researchers said this might be due to the inclusion of smokers seeking help, the provision of face-to-face support, and allowing the e-cigarette users to choose their own liquids. Nevertheless, even though those studies used primitive vaping devices, the results showed cessation success on par with nicotine replacement therapy (NRT) products.

The report, published Friday in the Journal of the American Medical Association, used data from three yearly intervals of the Population Assessment of Tobacco Health Study between 2013 and 2016 of youths aged 12 to 15 years who had never used cigarettes, e-cigarettes or other tobacco products at the beginning of the time period.

"Although a large number of smokers report that they have quit smoking successfully with the help of e-cigarettes, health professionals have been reluctant to recommend their use because of the lack of clear evidence from randomised controlled trials", said lead researcher Peter Hajek, from Queen Mary University of London. "There is substantial evidence that they are less harmful than traditional cigarettes, but that doesn't mean they are not harmful".

The startling numbers prompted the U.S. Surgeon General to declare e-cigarette use among young people an epidemic in an advisory issued in December 2018.

Writing in an editorial to accompany the New England Journal of Medicine research, Boston professors Belinda Borrelli and George O'Connor said: 'While e-cigarettes are "safer" than traditional cigarettes, they are not without risks.

"Another "side effect" of e-cigarettes is the potential for "renormalization" of addiction", Borelli said.

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Richard Miech from the University of MI, who was not involved in the study, told Reuters, "This is great news for cigarette smokers who want to quit".

All participants received weekly one-on-one behavioural support for at least four weeks, with expired air carbon monoxide monitoring.

Myth #1: E-cigarettes give you popcorn lung.

No vaping company has announced plans to seek FDA approval of their products as a quit-smoking aid.

What's more, 80% of those in the study's e-cig group were still using e-cigs at the one-year mark. "E-cigs have numerous same toxicants of traditional cigs but at lower levels".

Juul Labs Inc., the vaping market leader whose devices are wildly popular with teens, says on its website that "our development and manufacturing process does not add diacetyl and acetylproprionyl (or 2,3-pentanedione) as flavor ingredients".

Myers' group is one of several anti-smoking organizations suing the FDA to immediately begin reviewing e-cigarettes.

"It's a concern. But the people who switch, they're still likely to have lower health risks", said Levy.