I think it was around Christmastime last year, while frantically traipsing through the mall in search of bargains, that an over-eager kiosk salesperson stepped into my path. Wonderful, I thought. Another person trying to sell me overpriced hand cream. I tried to go around her, hoping she’d get the hint—to no avail. Oddly, instead of launching into a speech about my unhealthy cuticles, she asked me if I was a smoker.
And that’s when I noticed she was selling e-cigarettes: plastic cigarettes that look almost exactly like the real deal. (They even puff out odorless vapor that looks strikingly like cigarette smoke.) She explained to me that these can be a great tool for quitting smoking, because they look and feel like cigarettes. “It’s just like smoking, but without the nasty health effects.”
What a cool idea, I thought. My father, a former (heavy) smoker, told me once that quitting smoking was a total nightmare for him. Why? Because he didn’t just crave the nicotine in the cigarettes; he craved the whole smoking ritual: taking that first puff of the day while sipping his coffee, taking breaks at work and chatting with his friends, etc, etc. Quitting smoking wasn’t just about omitting nicotine from his life; it was about changing his lifestyle.
From that perspective, e-cigarettes seem like a good way to ease the transition from smoker to non-smoker. They look like cigarettes, taste like cigarettes, and feel like cigarettes but the “smoker” is no longer exposed to 40+ human carcinogens multiple times a day. On top of that, e-cigarettes don’t produce that thick, noxious cloud of smoke that clings to your hair, skin, and clothing, and makes everyone around you cough. “I feel like this could save my life,” said one satisfied customer, who reported cutting her smoking from 3 packs a day to 1 ½ packs a day.(1)
But Katie Zezima of the New York Times astutely points out the dark side of these products—namely, that we don’t really know anything about how safe they are. In addition to delivering nicotine, which is obviously an addictive drug, e-cigarettes use propylene glycol to create the artificial smoke. Propylene glycol, also used in anti-freeze, is “generally recognized as safe” (GRAS) to consume, but is it safe to inhale? Says Dr. Richard D. Hurt, director of the Nicotine Dependence Center at the Mayo Clinic: “I don’t think so, but I’m not sure anyone knows for sure.”
Critics are also asking if these products could be a “gateway” through which children and teens become addicted to nicotine-containing products. E-cigarettes can be smoked without the nicotine, but there are no restrictions on purchasing them either way. Marketed as a safer way to “enjoy smoking” that provides users with the “freedom to smoke most everywhere,” e-cigarettes are easy to get online or in shopping malls. They also come in a variety of flavors. “There’s nothing that prevents youth from getting addicted to nicotine,” says Jonathan Winickoff, chairman of the American Academy of Pediatrics Tobacco Consortium.
But then, of course: there’s the obvious question:
Could they really be worse than smoking regular cigarettes?
It’s a good question. Smoking remains THE number one cause of preventable death in the United States, with 400,000 people dying each year from smoking-related causes. There are more than 4,000 chemicals in tobacco and tobacco smoke, 60 of which are known human carcinogens…. and the statistics go on and on…(2)
Still, there’s reason to be concerned. E-cigarettes are well-advertised, easy to purchase nicotine-delivery (AKA drug delivery) systems that no one is regulating. And because Congress is close to giving the FDA power to regulate tobacco, their producers are getting nervous. Already, their lawyers are coming out of the woodwork, ready to pounce. The Electronic Cigarette Association, an industry trade group, already has on its website a petition to the FDA wherein customers can “stand up for [their] rights.” The petition requests that “the FDA allow us to continue to use and purchase these nicotine delivery devices at our own discretion while further testing commences from the FDA.” It continues: “If you ban these devices millions will return to tobacco products which would be a guaranteed death sentence for many.”
Meanwhile, e-cigarette distributor Smoking Everywhere is pulling out the bigger guns and getting ready to challenge the authority FDA doesn’t yet have. “The FDA has the power to regulate Nicorette gum and the like because it is marketed as a smoking cessation product,” one of their lawyers told the New York Times. In contrast, e-cigarettes are “just a tar-free way to enjoy smoking.”(3)
And I thought they could be used to quit smoking. How naive of me!
All I can say right now is that we should keep our eyes open on this one. The more I read about this issue, the more intrigued I am. Even if e-cigarettes are a much healthier alternative to regular cigarettes, the way they are being marketed sets off my alarm bells. Like regular cigarettes, e-cigarettes deliver nicotine– a highly addictive drug. And manufacturers have a clear incentive to market their product as a cigarette “supplement” or cigarette “replacement” rather than as a tool for reducing nicotine dependence. Something tells me that the proponents for the “future of smoking” (4) aren’t as health-conscious as they claim they are.
Notes
(1) This quote from Katie Zezima’s NY Times article: “Cigarettes without Smoke, or Regulation.” June 1, 2009.
(2) See: CDC. Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses—United States, 2000-2004. JAMA. 2009;301(6):593-594 OR MMWR. 2008;57:1226-1228. See also “Fast Facts: Morbidity and Mortality Related to Tobacco Use.” Accessed June 1, 2009.
(3) Lawyer quote from Katie Zezima’s article, Ibid. “..tar-free way to enjoy smoking” quote from “What is an electronic cigarette?” FAQ page from Smoking Everywhere. Accessed June 4, 2009.
(4) Ibid.
The Pump Handle 
24 comments
Comments feed for this article
June 6, 2009 at 11:42 am
Liz
“Propylene glycol, also used in anti-freeze, is “generally recognized as safe” (GRAS) to consume, but is it safe to inhale?”
Diacetyl is also considered GRAS to consume, but we know now that it’s very dangerous to inhale. I hope the same doesn’t turn out to be true with propylene glycol, but it might.
June 9, 2009 at 12:40 pm
compcat
Propylene glycol has been used to produce smoke in the theatre and cleanroom testing industries for some time. It would be interesting to see if this population of occupationally exposed individuals has seen any problems.
June 12, 2009 at 2:14 am
sartre
Propylene glycol has is also used to produce smoke in night clubs. Maybe fda can regulate night clubs also. E-cigarettes are better than cigarettes. I have been a smoker for more than a decade, I moved to e-cigarettes 6 months ago and i can tell the difference.
This may be an academic topic for likes of yourself but this can be difference between life and death for a lot of folks. So do think carefully about the motivations behind attempts to ban e-cigarettes (loss of tax revenue and tobacco lobby groups come to mind).
June 26, 2009 at 10:58 pm
Smoking
How can Water Vapor (You breathe it all the time as it’s in the air… and especially when you shower), propylene glycol, and flavoring possibly be worse than the 4,000 plus chemicals in tobacco smoke? I don’t think anyone is saying that ecigarettes like you see at http://greensmoke.com/mycigarettes are “safe”… but it seems like a step forward. For years we have known that Tobacco Cigarettes are not safe and as of this month June 22, 2009 President Obama signed a bill that will grant the FDA regulatory powers over the Tobacco Industry. So whats needed is not the Pro’s and Con’s what is needed is testing and proof of how dangerous they are. You would think Big Tobacco would be making their own BRAND ecigs? Think about how much easier it would be for Phillip Morris to release and ecig that supposedly tasted just like their Marlboro Product? They would surly have plenty of customers.
August 19, 2009 at 12:02 pm
Electronic Cigarettes
Propylene Glycol is already found in tobacco cigarettes and is inhaled, along with thousands of other substances including 30 or 40 that are known to cause cancer. So, for the sake of argument, let’s say PG is bad for you. Would you rather have a product with 1 (or even 2, 3 or 4) bad compounds in it or one with 30 or 40 plus another few thousand that we aren’t sure about?
As for quitting smoking, the electronic cigarette continues the action of smoking and can still deliver nicotine, which is the addictive substance. This is one of the issues the public health organizations have with the product, that and the fact it is a competing product with smoking cessation products which their donors make. But in any case, smoking is a legal action. And if an action only effects those participating, then isn’t it a little fascist to be against the people who partake in that action?
Read more about the debate over the electronic cigarette at http://www.e-cig.org/2009/07/26/electronic-cigarettes-health-safety-and-quit-smoking-claims/
October 9, 2009 at 1:52 pm
Johnny Blaze
I got my own electronic cigarette a few months ago, and it really as an awesome little device. I am very skeptical of the E-liquid found in most e-cigarettes after the recent FDA findings. They said that the “Chinese Poison” contains the same chemicals found in Antifreeze…scary. Since then, I Started using only American Made Electronic Cigarette E-Liquid as the quality control is better here in the United States. I have been very happy thus far with Halo brand smoke juice, but there are a couple of others out there too including Johnson Creek and Cloud 9.
Johnny Blaze
October 2, 2012 at 6:26 am
Joe
oh brother. the fda will say anything they’d like. thats a skewed “finding” the people saying that e-cigs contain anti-freeze are the same idiots that would say tobacco contains dog feces just because the combustion of organic matter produces trace amounts of methylene. Ridiculous. I1 I’ve been an e-cig user for 3 years and I am a part of a community of millions and none of us are any worse off than we were smoking.. Our lungs feel less constricted, they don’t hurt, and we aren’t coughing and wheezing as much. Propylene Glycol is in EVERYTHING. Your shampoo IS propylene glycol.. The flavoring in your birthday cake frosting is propylene glycol… Its healthier than smoking. A recent study states that 1 out of every TWO male smokers in the us WILL DIE of lung cancer. 1 out of 2 smokers will die a horrible, painful death from smoking tobacco. 25% of americans are smokers. THATS ONE OUT OF EVERY 5 AMERICANS. I’m TEARING UP as I write this. I’m weeping. My father died when I was in 3rd grade from lung cancer I never got to know him. I was 14 when I decided I wanted to be like my dad and smoke. I vape now and I always will. Will 1 out of every 2 vaporers die? no. Will 50% of vaporers die of using e-cigarette products? NO. Youtube “Johnsons Creek Lab e juice” on youtube and see just how precise US made e-juice is. We aren’t going to stand for this mockery. YES a lot of us would like quality control implimentations, but that wont come until big tobacco gives in and manufactures its own e-cigs, and that wont happen until they see that we are healthy. In 25-40 years there WILL BE NO MORE SMOKERS. Only VAPORERS. END of story. Nicotine is a drug that activates the pleasure centers in the brain. The act of vaping is rewarding. As long as those 2 facts stand true, we will ALL stand TALL and FIGHT BIG TOBACCO TILL THE END! http://WWW.CASAA.ORG PLEASE watch the video.
October 15, 2009 at 4:11 pm
Sammy
A little sanity took place this week when California Governor Arnold Schwarzenager saved electronic cigarettes from being banned for everyone in the state with a Veto pen! Glad he showed some common sense…
October 28, 2009 at 12:25 am
Brian K
I did quite a bit of research on this prior to ordering my own, and my purposes for purchasing are directly related to quitting, which I haven’t seen other posts about. I’m currently taking Chantix to quit smoking, and have quit (with the exception of one cig) for the last 16 days. As this article mentions, there is a major lifestyle change, for me especially after specific activities or in social situations, so I did my research and purchased an e cig starter kit from crown7, which is US-based and has a strong position on quality. Now the thing most people aren’t mentioning is you CAN buy these without nicotine, like I did…
When you’re quitting, regardless of what method, you’ll get cravings and for a long time after you quit. If a non-nicotine fake cig prevents me from picking up a real one, and gets rid of that knot in the center of my chest, then for me that helped…
Personally, I really enjoyed smoking… I didn’t like what I was doing to my body, the smell, or how much I had been spending on an addiction… Whether someone uses this device as a healthier replacement for smoking or a non-nicotine helper for during their quitting process, people should have the choice.
Now, with the news hype about propylene glycol, the problem with those stats is the quantity used. OK, so if there is 50% or more concentration of it, then it’s considered bad, so why don’t any of the neh-sayers say that esmokes are no where near that… Furthermore, there was a study in the 40’s that Propylene Glycol actually has benefits in the air, jem.rupress.org/cgi/content/abstract/75/6/593 but there is nothing (and I mean nothing) to support allegations about it having any negative effects in small amounts. http://toxnet.nlm.nih.gov states it takes 1qt of PG to be fatal, and the liver filters it and your body relieves it, so it’s not the big deal they’ve made it out to be. Plus, with that antifreeze thing the news likes to bring up, the news forgot to mention that PG is in antifreeze only as a replacement to the toxic additive that was killing pets who were lapping up the antifreeze due to it’s sweet taste.
Now on the flip-side, there are people that are allergic to Propylene glycol, but the esmoke companies aren’t trying to hide PG is in the cartridges, so they are giving proper disclosure. If you’re highly allergic, you’d know it, because it’s in hair products and other items used day to day, and someone strongly allergic would avoid these, just as they would avoid esmokes (if that were the case). Even so, the manufactures are trying to produce the cartridges with another substance that is less controversial, but then again, there isn’t long term studies on that being inhaled either, so chances are it’ll be the same problem (with the right-wings).
December 15, 2009 at 8:05 pm
Patty
I’m a 35 year smoker. I’ve been “quitting” most of that time….and actually, I thought, sometimes successfully, for a few months, etc., etc. I’ve used everything over the counter and prescription… It’s a tiring subject for myself, and many others, I’m sure. So…I ordered and rec’d my first e-cigarette starter kit this past week. In researching this device on the Internet, I discovered there a whole communities/forums online devoted to just the e-cig, known also as “vaping.” I even joined a couple of these forums to ask “newbie” questions. I was a bit bewildered that there is a whole vocabulary/jargon in these forums, and the goal of the communities is the enhancement of e-cigarette smoking…not “quitting.”
They all say they are “smoke-free” for x amount of days, but the reality is that the e-cigarette is a nicotine delivery device, no matter how you FLAVOR it. We’ve smoked and couldn’t quit smoking because we’re ADDICTED to nicotine…plain and simple.
I purchased my kit with the intention of using it as a true quit-smoking aid, by gradually cutting down the amount of nicotine, which is possible by ordering cartridges or bottled juice in decreasing amts. of nicotine, till reaching zero nic. That said, this is NOT what most people using the e-cigarette mean by “quitting.” And in my smoker’s mind, one has not quit smoking by trading one nicotine delivery system for another. The reality is…that nicotine is so highly addictive. The e-cigarette will likely become the preferred means of receiving nicotine, because it is so much more pleasant, cleaner-feeling upon inhaling and much better tasting in the mouth, leaving no bad smoke aftertaste.
One thing I’ve noticed, in trying to find objective opinions and research about the e-cigarette, is that the Internet is FLOODED with articles which are “disguised” as medical opinions or scientific findings in favor of the e-cig, which are, in fact, produced by e-cigarette companies selling one or more brands of the devices.
I could go on and on…debating with myself over the e-cig. I’ll just say I still intend to use it as a valid quit-smoking device.
January 10, 2010 at 3:33 am
Penn Mason
Electronic cigarettes have the potential to be a life-saving intervention for millions of smokers. The FDA and the anti-smoking groups need to embrace this product and support the appropriate testing, not remove it abruptly from the market and sentence over a million e-cigarette users to disease and even death by a return to conventional cigarettes.Smoke Power Electronic Cigarettes have amazing quality and value. Read Our Press Release You will see that Smoke Power has excellent products. Electronic Cigarette E-Liquids to!
January 22, 2010 at 12:58 pm
Joseph Phillips
I sell this product, and it is important as an industry that none of the vendors ever make false claims that this is a healthy alternative. A electronic cigarette is a “healthier” alternative to smoking tobacco. The only harmful substance it contains is nicotine. They do not bother people around you, and you save money. They reduce the amount of cigarettes that you smoke, and hopefully lead to the consumer to stop smoking! Make sure you are not over charged for your electronic cigarette starter kit. A lot of retailers are extremely overpriced. My site >eCigarettes4less gives you a lot more, for a lot less. See for yourself,and most importantly get off Tobacco!
February 14, 2010 at 6:10 am
Victor Battles
Unless use of the device is limited to a short-term, you’re simply substituting one nicotine addiction with another.
Some carcinogenic chemicals have been found in the few brands and which limited testing has been done.
The products are manufactured in China so purchasing them is really supporting the Chinese economy.
February 18, 2010 at 12:13 pm
Jack
I’ve seen E-Cigs that don’t even carry propylene glycol. Propylene glycol is used in cars, it’s a chemical in the coolant. There are special anti-freeze mixtures you can buy that do not contain propylene glycol and they must be used in things like boats and RV’s.
Chemists at R. J. Reynolds Tobacco Company conclude that cigarette smoke is 10,000 times more concentrated than the automobile pollution at rush hour on a freeway yet smoking tobacco is legal. There are thousands of chemicals found in regular tobacco, about 4,000. It is proven that smoking kills hundreds of thousands each year.
Here’s some of the chemicals in tobacco smoke:
Ammonia: Household cleaner
Angelica root extract: Known to cause cancer in animals
Arsenic: Used in rat poisons
Benzene: Used in making dyes, synthetic rubber
Butane: Gas; used in lighter fluid
Carbon monoxide: Poisonous gas
Cadmium: Used in batteries
Cyanide: Deadly poison
DDT: A banned insecticide
Polonium: Cancer-causing radioactive element
PROPYLENE GLYCOL: Used in anti-freeze to prevent freezing.
So now water vapor passing through a liquid nicotine soaked ball of cotton is going to do what? If you could grow a plant in your backyard that could be vaporized and then inhaled to cure your muscle aches or your stress and that plant came with historical proof that daily use of the plant doesn’t cause cancer or emphysema? Would that be illegal? Oh wait it is.
Testing doesn’t mean anything. If they ban E-Cigs because of the propylene glycol then they should ban the regular cigarettes that have 43 known cancer-causing (carcinogenic) compounds. They won’t. It’s proven that smoking takes people closer to death and makes them sick but it’s okay because there is a warning on the package.
February 19, 2010 at 6:05 pm
Patty
Two months have passed since I posted here after ordering the ecig kit. As I stated in my original post, I purchased this as a means of quitting. I have some things to share re/my experience so far.
First of all, this really CAN be a valid method of quitting smoking altogether, if one chooses to do so. I still take a puff on the ecig occasionally, but last week, I went all week without it …and without any type of withdrawal, and none of the adverse experience in previous attempts to quit regular cigs. This week, just because I wanted to, I’ve taken a few puffs daily, but this morning, for instance, I forgot all about it, and didn’t miss it while at work or driving home. This kind of thing was virtually impossible while I was smoking tobacco. I would wake up anticipating my morning “hit”. My conclusion from this is that tobacco cigarettes contain something more addictive than nicotine. I was smoking Marlboro lights for years, and simply could not quit. Now I know I can quit.
I have something to add here, though, about the ecig that is not so pleasant…. I had decided to try some of the “flavored” juice, which I ordered. This seems to be a popular selling point of the ecig, that you don’t just have to stick with tobacco flavor, but can go to fruity or dessert flavors. I ordered the “mocha mint” of my American juice manufacturer. I liked it, but I began experiencing severe shortness of breath. I researched this to find if anyone else was having similar problems, and there was a big discussion on one forum of this issue, with others having the same problems. The general concensus was that the flavorings cause this: as in “popcorn lung,” which is a condition found in people who work in popcorn factories around a lot of artificial flavorings. I stopped using the ecig altogether until shortness of breath abated. I think the highly flavored juices may be problematic.
May 28, 2010 at 4:51 am
e cigarette
electronic cigarette really helps to smokers to stop smoke you chosen nice topic to your article thanks for the post.
October 13, 2010 at 12:40 am
sDetectorLOL
I’ve been a 1 – 1.5 pack/day smoker of Marlboro Reds for about the past 20 years. Once FSC (fire safe cigarettes) were made standard (about 2 years ago or so), I noticed a horrible change in taste with the Marlboros and switched to American Spirit Blue.
I “considered” quitting numerous times, but could never go more than about 2 or 3 hours without a cigarette. People say alcohol and cigarettes go hand in hand, but the reality is that I associate cigarettes with anything and everything. Alcohol, coffee, meals, depression, excitement, tiredness, driving, etc., you can literally find a mental connection to smoking with everything you do. I’ve woken up in the middle of the night craving cigarettes in the past.
With that said, I was determined to give cold-turkey a shot again. Someone gave me the suggestion (that they claimed worked for them and ‘their friends’) of ecigs. I researched a bit that night and found out they sell a cheap version at 7-11 stores. Before making an investment of about $100 for these online, I figured I’d try the 7-11 $20 model to see if it was something I might consider buying a better model of.
Well, that was a week and 2 days ago, and I haven’t had a single cigarette since. I never bought any other model, I’m still using the $20 cheap ecig. Yes, it’s rough, and cravings are still there, but this really helps you cope. And yesterday, I started using zero-nicotine cartridges. Taste wise, I can’t tell the difference between the zero nicotine and the 16mg cartridge.
I realize I still have a long way to go, and have to just take it day by day, but if I had not had this I believe I would have failed miserably.
To be fair however, I should disclose the fact that I never used any other stop smoking device, never used the gum, patches, etc., so I can’t compare how well this works side by side with the other products.
But this does work, and I am now a believer.
February 18, 2011 at 2:34 pm
DuncanDisordely
popcorn lung is to do with the buttery tasting compound in many flavourings, if you use a site like Liberty-Flights you will see a warning and complete set of information on the reasons behind this and the quantities in their flavourings (which btw are well below anywhere near dangerous, read it) – its where I found out about it.
But anyway I am posting because this sort of information (not the popcorn stuff) really annoys me. These e-cigs are LIFE SAVING. They do not harm anyone, they do not have cancer causing compounds, they do not have tar, they do not have anything in them that is harmful in any way.
The media has slanted the information at every turn, and then you get people posting on threads like this as if that slanted information came out of their own skull, stuff such as the antifreeze comments – DEG is used in vapour producing machines worldwide, is perfectly safe, always has been, and in the quantities produced by e-cigs is completely ridiculous that it has even been brought up! That was just the FDA trying to divert attention.
Another stupid comment, the PG, PG is in thousands of products in the uk, can be safely consumed, why even bring it up? Why – because it can be used to scare the public if the article is nicely slanted.
Finally but most importantly, the nicotine.
YES nicotine is addictive, YES it is in e-cig juice (unless you use no nicotine) thats the point! We want a product that caters for the heavy addiction we have built up to nicotine from all the ‘legal’ cancersticks we’ve smoked at the governments pleasure! This product is completely harmless and is exactly what we want in terms of pleasure and experience.
The point is, don’t try to scaremonger with the N word, Nicotine is not harmful in these doses! It’s only because the word nicotine has become synonymous with cancer causing cigaretters due to it being our only source of nicotine for years, so people hear Nicotine and think Cancer! Nicotine is produced naturally and many of us eat it in our foods daily without even knowing, eggplant for instance. YES I know the quantity is what matters and that Nicotine is a poison at high levels, we’re not smoking anywhere near those levels, we didnt with cigarettes and we’re not with e-cigs so that is completely irrelevant.
Please stop bantering unless you are a smoker or directly affected by smoking and have a valid opinion and have a brain to work out what is slant and what is fact. Read and re-read the facts and make your own conclusion, please please don’t let the FDA and the government covertly make up your mind for you because these e-cigs have saved me from death and they will for thousands maybe milllions of people.
Finally, my dad died from emphysema aged 55, I grew up without him, I have smoked cancer sticks for 17 years and have tried every possible way of quitting without even lasting a week. This is not about selling products to new users, this is about saving the lifes of people who the government have happily allowed to die for tax profit. Read the sites that sell them (good sites like liberty flights, dont base your impression or opinion on scams and lies) – they explicitly state that these are for EXISTING SMOKERS and they DO NOT ENCOURAGE PEOPLE TO TAKE THEM UP. They will NOT sell to minors and do not market to new users.
People, wise up, look around, we’re dying in the millions from government and fda approved cigarrettes and these e-cigs have never, will never, kill a soul.
October 6, 2011 at 1:46 pm
Christian Kuboushek
This article does a great job discussing the many different features e cigs have. I’ve never been a smoker, however, I have a few friends that are. I’ve never enjoyed smelling like cigarettes after seeing them. Fortunately one of them bought a e cig starter kits and I haven’t had any problems with smelling bad. Ignore the health effects for a moment and realize how big of a victory that is!
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October 17, 2014 at 5:33 pm
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Nicotine in its pure substance is addictive but not really harmful as much as other chemicals produces by traditional cigarettes. I have been smoking for many years, and I must since smoking e-cigs ( buy a better one; i.e., more expensive one) my lungs are better (I can do heavy sports as before really!!). Don’t listen to haters, just try it and you will see. I have colleagues, smoking around 40 cigs a day and now (after 3 years of e-cigs) they are different. So just go for it!