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Electronic cigarettes are associated with more harm than benefit on a population level

More Harms Than Benefits for E-Cigarettes at Population Level

Estimated 168,000 never-smoking young people could become daily smokers after starting e-cigs
Adolescents smoking electronic-cigarettes only have significantly higher excretion of volatile organic chemical compounds than non-smokers

Excretion of Volatile Organic Compounds Up in Teen E-Smokers

Excretion of metabolites of acrylonitrile, acrolein, propylene oxide, acrylamide, crotonaldehyde up
Toxic metals

Lead, Other Toxic Metals Found in E-Cigarette Vapors

Study finds metals, including lead, leak from e-cigarette heating coils into inhaled aerosols
Greater perceived harm from e-cigarettes lessens the likelihood that teens will use them

Greater Fear of Harm From E-Cigarettes Cuts Teens’ Use

Perceived harm from secondhand e-cigarette vapor showed similar patterns
About one in five U.S. adults currently uses any tobacco product

About 20 Percent of U.S. Adults Currently Use Tobacco Products

Overall, 15.1 percent use cigarettes, with higher use among males, older adults, those with lower incomes
Overall

More Than One in Five U.S. Working Adults Uses Tobacco

4.6 percent report current use of two or more products; highest use for construction workers
E-cigarette use changes the profile of innate defense proteins in airway secretions

E-Cigarettes Alter Defense Proteins in Airway Secretions

Levels of innate defense proteins associated with COPD found to be elevated in e-cigarette users
Replacement of cigarettes with electronic cigarettes is projected to result in fewer premature deaths

Fewer Deaths Projected With Switch to Electronic Cigarettes

Under pessimistic model, 1.6 million premature deaths prevented, 20.8 million fewer life-years lost
Significant increases are seen in blood pressure

BP, Heart Rate, Arterial Stiffness Up With E-Cigarettes

Significant increases seen in first 30 minutes after smoking electronic-cigarette containing nicotine
Electronic cigarette smoking has the same deleterious effect on weight and metabolic parameters as traditional cigarettes

Comparable Metabolic Effects for E-Cigarettes, Smoking

Even without nicotine exposure, similar deleterious effects for e-cigarettes, traditional tobacco cigarettes