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Electronic Cigarette Harms: Aggregate Evidence Shows Damage to Biological Systems

Author

Listed:
  • Stephen L. Hamann

    (Tobacco Control Research and Knowledge Management Center, Bangkok 10400, Thailand)

  • Nipapun Kungskulniti

    (Faculty of Public Health, Mahidol University, Bangkok 10400, Thailand
    Thailand Health Promotion Institute, Bangkok 10330, Thailand)

  • Naowarut Charoenca

    (Faculty of Public Health, Mahidol University, Bangkok 10400, Thailand
    Thailand Health Promotion Institute, Bangkok 10330, Thailand)

  • Vijj Kasemsup

    (Tobacco Control Research and Knowledge Management Center, Bangkok 10400, Thailand)

  • Suwanna Ruangkanchanasetr

    (Tobacco Control Research and Knowledge Management Center, Bangkok 10400, Thailand)

  • Passara Jongkhajornpong

    (Tobacco Control Research and Knowledge Management Center, Bangkok 10400, Thailand
    Department of Ophthalmology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand)

Abstract

Evidence of the harms of e-cigarettes has been unfolding slowly and has been documented in many reviews and reports worldwide. A narrative review of new evidence is presented since, as research has continued, newly aggregated evidence of the dangers of electronic cigarettes on the brain, heart, and lungs is vital to inform decisions on restricting the use of e-cigarettes. Several biomedical research databases were searched for electronic cigarette health effects, emphasizing reviews, systematic reviews, and meta-analyses. Over 50 review studies, primarily in 2022 and 2023, illustrate some of the latest information on e-cigarette harms. Results show studies of respiratory, neurological, and cardiovascular effects. Researchers call for expanding studies through new methods to elaborate on initial findings of multiple harms emerging in clinical investigations. Since the use of electronic cigarettes for adult cessation is not sanctioned in most countries, it is clear that health authorities see significant costs to the health of the general population if the promotion and use of electronic cigarettes occur worldwide. Regulatory action to control electronic cigarettes should consider the substantial evidence of electronic cigarette harm.

Suggested Citation

  • Stephen L. Hamann & Nipapun Kungskulniti & Naowarut Charoenca & Vijj Kasemsup & Suwanna Ruangkanchanasetr & Passara Jongkhajornpong, 2023. "Electronic Cigarette Harms: Aggregate Evidence Shows Damage to Biological Systems," IJERPH, MDPI, vol. 20(19), pages 1-19, September.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:19:p:6808-:d:1245765
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    References listed on IDEAS

    as
    1. Charlotta Pisinger & Sofie K. Bergman Rasmussen, 2022. "The Health Effects of Real-World Dual Use of Electronic and Conventional Cigarettes versus the Health Effects of Exclusive Smoking of Conventional Cigarettes: A Systematic Review," IJERPH, MDPI, vol. 19(20), pages 1-23, October.
    2. Kuijpers, Thomas G. & Willemsen, Marc C. & Kunst, Anton E., 2018. "Public support for tobacco control policies: The role of the protection of children against tobacco," Health Policy, Elsevier, vol. 122(8), pages 929-935.
    3. Nargiz Travis & Marie Knoll & Christopher J. Cadham & Steven Cook & Kenneth E. Warner & Nancy L. Fleischer & Clifford E. Douglas & Luz María Sánchez-Romero & Ritesh Mistry & Rafael Meza & Jana L. Hirs, 2022. "Health Effects of Electronic Cigarettes: An Umbrella Review and Methodological Considerations," IJERPH, MDPI, vol. 19(15), pages 1-23, July.
    Full references (including those not matched with items on IDEAS)

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