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What We Know – Rolling Stone

When Vaping became mainstream just over a decade ago, it was initially marketed as a healthier alternative to smoking cigarettes or as a means of gradually cessing nicotine. But in reality it is much more complicated.

On Friday, August 23, the Centers for Disease Control and Prevention confirmed the first death after the onset of severe lung disease in individuals using e-cigarettes or steam appliances. According to CDC director Dr. Robert R. Redfield reinforces the serious health risks associated with e-cigarette products ̵

1; and how much is still unknown.

"Vaping exposes users to many different substances about which we have little information about related damages – including flavors, nicotine, cannabinoids, and solvents," said Redfield in a statement . The CDC is currently working with state and local health authorities and the FDA to investigate the cause of this ongoing outbreak.

Considering the long American history of cigarettes and other tobacco products, steaming is relatively new. Learn even more about the effects on the body, both in the long run and in the short term. We know so far:

Vaping 101
The first electronic cigarette was patented in 1965 and consisted of a battery-powered element that would heat the tobacco flavor without burning. A similar smokeless non-tobacco product called the Flavor Cigarette was introduced in 1986 but never declined. The modern e-cigarette as we know it was developed in China in 2003 and transferred to the United States a few years later.

According to the National Institute on Drug Abuse "e-cigarettes" or "vape pens" describe battery-powered nicotine delivery systems that are activated when a person puffs while vaporizing the liquid in the cartridge. The person then inhales the resulting aerosol or vapor – known as "vaping". In addition to nicotine, it is also possible to vaporize other substances such as tetrahydrocannabinol (THC), which are contained in marijuana and have the feeling of being high.

Early Warning
In 2008 the World Health Organization turned against Vaping and stated that it is not a legitimate therapy for smokers trying to quit, contrary to what some marketers of e-cigarettes suggest in their advertisements. At that time, WHO pointed to the lack of research into the effects of vapors and urged sellers to conduct clinical trials and toxicity analyzes.

The following year, the Food and Drug Administration tested two popular brands of e-cigarettes – NJOY and Smoking Everywhere – and found that users of harmful chemical ingredients such as diethylene glycol, a toxic chemical used in antifreeze, and carcinogens such as nitrosamines. As a result, in July 2009, the FDA issued a warning about the health risks of fumes and, like the WHO, called for clinical studies to determine whether e-cigarettes are safe for the intended use.

An Alternative to Smoking
The first wave of studies linking smoking to lung cancer was published in the 1940s and 1950s . However, it took several decades for the large-scale national public health campaigns to become known, saying that "smoking is bad" was really taken seriously. Going hand in hand with abstaining from smoking also meant that they should stop smoking when they were smoking – and there were many products that helped them to do so. The FDA approved 1984 nicotine gum as a weaning aid, followed by the transdermal nicotine patch in 1991, but none of these compounds mimicked the physical sensation of holding and smoking a cigarette. When e-cigarettes hit the market in the mid-2000s, they were immediately marketed as a healthier alternative to smoking and something that could help people quit smoking.

But as article from 2018 published in the journal Current Drug Safety points out that vaping as an alternative – and solution – to smoking without clinical trials has its long-term effects on the Health was proposed. However, there are some short-term data showing the effects of vapors on our lung health – and that's not good news. In January 2018, the National Academies of Science, Engineering and Medicine published a consensus report reviewing over 800 different studies, stating that inhaling harmful chemicals from e-cigarettes can cause irreversible lung damage and disease. In particular, the two main constituents of e-cigarettes – propylene glycol and vegetable glycerin – are toxic and produce several hazardous chemicals during evaporation, including acetaldehyde, acrolein and formaldehyde, which may cause lung and cardiovascular disease , And steaming is not exactly a solution to the harmful effects of secondhand smoke . A 2016 general surgeon's report found that passive emissions from vapors contain volatile organic compounds such as benzene – found in car exhaust fumes – and heavy metals such as nickel, tin, and lead. The conclusion is that vapors, even if they are not as harmful as the smoking of traditional cigarettes, are still harmful to health .

Recent cases of lung disease
However, there are no long-term studies A series of respiratory diseases this summer has given an insight into the effects of e-cigarettes on our health. As of last week, there were 193 cases of severe lung disease related to the consumption of e-cigarette products reported by 22 states between June 28 and August 20 according to CDC .

At this time, the CDC has not yet identified a single cause for these diseases, although the individuals have reported the use of e-cigarettes and THC-containing steam products. So far, there is no evidence that it is an infectious disease or that a particular product is related to the disease. In many cases, people with the disease reported on the gradual onset of symptoms including shortness of breath, shortness of breath, gastrointestinal problems, and fatigue. The most seriously ill individuals reported extensive lung damage – some of which are likely to be permanent – and required treatment with a ventilator, as reported by the New York Times .

"Even if the cases look similar, it is not clear if these cases have a common cause or if they are different diseases with similar representations." Ileana Arias, scientific advisor and deputy director of non-infectious diseases at the CDC said in a telephone briefing on Friday. "State health departments are investigating the possible cause of the disease by also testing patient samples and e-cigarette products."

During the CDC briefing According to Jennifer Layden of the Illinois Department of Public Health there has been a confirmed death of an adult with unexplained disease after vaping or e-cigarette consumption – one in 22 reported cases of people hospitalized in the state for the same reason Most of them are men. Although there was not a specific product in all cases, Layden noted that all patients had evaporated in the last few months.

And even though it looks as though this condition had suddenly occurred, Dr. Brian King of the CDC's Office of Smoking and Health noted that "it is possible that the reported cases occurred before this investigation was even initiated", but health officials in different states did not necessarily link the issues between cases. Now, states in which the disease was reported are conducting investigations and exchanging information with federal health authorities. In particular, the CDC is actively working to develop a way to collect, aggregate and analyze this data at a national level in order to identify the disease and its possible causes. Josh Schier from the Department of Accidental Prevention of CDC Injuries during the Telebriefing.

Under the ongoing investigation, the FDA will analyze samples of various e-cigarette and steam products containing nicotine and THC to identify chemicals or substances that may have contributed to the widespread lung disease. According to Mitch Zeller of the FDA, the tests "do not necessarily answer all questions about causality, but it is a starting point and an important piece of the puzzle."

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