M.O.V.E. – Medical Organizations supporting Vaping & Electronic cigarettes



As physicians and health professionals we see everyday patients who are severely affected by tobacco smoking, many of whom will eventually die or have their health severely affected despite our help and advice. Tobacco smoking remains the most serious public health issue in the world.
People smoke for the nicotine but die from the chemicals produced when tobacco is burned.i Unfortunately, currently available smoking cessation medications have limited efficacy and acceptability for the majority of smokers. However, we believe that there is a solution: the use of electronic cigarettes clearly has huge potential to help many smokers turn their backs on tobacco.
To this end, we strongly believe that ethically and scientifically speaking it is our responsibility to draw attention to the following:
  • It is the combustion of tobacco and the 4000 chemical substances that are produced when smoking cigarettes that are harmful to health of smokers, not the nicotine.
  • The dangers of electronic cigarettes are considerably lower than those of tobacco. From analysis of the constituents of e-cigarette vapour, e-cigarettes can be expected to be at least 95 to 99% safer than smoking tobacco cigarettes in terms of long-term health risks.ii
  • The vapour exhaled from e-cigarette users is highly unlikely to be harmful to bystanders; nicotine concentrations in exhaled vapour are too low to have pharmacological effects on bystanders.iii
  • Randomised controlled trials show that e-cigarettes are effective in smoking cessationiv and studies of the use of e-cigarettes in real world settings show that they are more effective than other means for stopping smoking including Nicotine Replacement Therapy.v
  • It is estimated that for every one million people who switch from smoking to electronic cigarettes, some 6000 premature deaths a year would be averted.vi
E-cigarettes do not ‘renormalise smoking’ – ‘vaping’ is not smoking.  In many countries the rise in e-cigarette use has been accompanied by a continued decline in tobacco sales and prevalence of smoking.vii
The characteristics of electronic cigarettes should always be compared to those of conventional cigarettes, and discussion about the absolute long-term safety of electronic cigarettes must be contrasted ethically and scientifically with the absolute certainty of the harmfulness of smoked tobacco.
Already estimated 29m consumers in Europe use e-cigarettes.viii But we believe that the individual and public health gains associated with electronic cigarette use are held back by misconceptions about the product.
In light of the numerous studies undertaken to date we – as health professionals – cannot remain passive in the face of the clear public health benefits of electronic cigarettes.
We therefore recommend that our colleagues actively learn more about electronic cigarettes as a new public health tool in the ongoing global health campaign against tobacco-related diseases.
We call on our colleagues to sign this declaration in support of the merits of electronic cigarettes based on scientific evidence and ethical debate.
Yours faithfully,
Group of professionals who support this statement.
If  you  agree  with  the  M.O.V.E  statement  please  click  on  the  image  below  to  add  your  support.

i Russell, M. A. Low-tar medium-nicotine cigarettes: a new approach to safer smoking (1976) BMJ  1 (6023) 1430-1433

ii Farsalinos, K. E., & Polosa, R. (2014). Safety evaluation and risk assessment of electronic cigarettes as tobacco cigarette substitutes: a systematic review. Therapeutic Advances in Drug Safety, 5(2), 67–86. doi:10.1177/2042098614524430

iii Hajek P, Etter J-F, Benowitz N, McRobbie H (2014) Electronic cigarettes: review of use, content, safety, effects on smokers, and potential for harm and benefit. Addiction.

iv McRobbie, H., Bullen, C., Hartmann-Boyce, J., & Hajek, P. (2014). Electronic cigarettes for smoking cessation and reduction. The Cochrane Database of Systematic Reviews, 12, CD010216. doi:10.1002/14651858.CD010216.pub2

v Brown, J. et al (2014).  Real-world effectiveness of e-cigarettes when used to aid smoking cessation: a cross-sectional population study. Addiction doi:10.1111/add.12623

vi West, R. B. J. (2014). Electronic cigarettes : fact and fiction. British Journal of General Practice, (September), 442–443.doi:10.3399/bjgp14X681253

vii West R, Brown J, Beard E. Trends in electronic cigarette use in England. Smoking Toolkit Study 140122. 2014.www.smokinginengland.info/latest-statistics

viii Vardavas, C.et al (2014). Determinants and prevalence of e-cigarette use throughout the  European Union: a secondary analysis of 26 566 youth and adults from 27 Countries.  Tobacco Control, 1–7. doi:10.1136/tobaccocontrol-2013-051394

As seen here:



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How Vaping Saved my Life: A Firsthand Account



Of all people, I will be the first to testify to the destruction that tobacco cigarettes can cause. Some of my first memories were of my father sitting in our red recliner in the living room, chain-smoking his Pall Mall full flavor cigarettes. Up until I was a teenager, this is where I saw my father most times at home. He always seemed fine. It seemed as though cigarettes had no real impact on who he was or his health.



Once I reached my teen years, drugs and alcohol began to enter the picture, as they do for almost any sociable teenager. I saw my friend smoking a cigarette at the age of 15, and I felt compelled to try it myself. Almost everyone I knew was doing it; so why not? I asked for a cigarette and was enthusiastically handed one by another young, naïve friend. I lit the cigarette, and by the time I had finished it, I felt sick to my stomach. Trying to remain cool, I attempted to cover my sickness up by telling everyone I had to use the restroom. I vomited in the lavatory and spent the rest of the day feeling terrible. This should have been a sign the moment where I decided that smoking just wasn’t for me.

I became a regular smoker by the age of 17 once I had passed the phase of smoking socially with my friends (and occasionally feeling sick from doing so). Smoking cigarettes still didn’t seem harmful to me; the only side effects I noticed were the occasional smoker’s cough and that I had to spend more time caring for my teeth.


As the years wore on, I continued to smoke and developed a nasty, chronic smoker’s cough and an ease for getting winded. In my 40’s, I became worried for my health when I found it very difficult to catch my breath in various situations. Even at times when I was merely resting, I would find myself suddenly short of breath. I knew it was time to visit the doctor and find out what was going on with my body.

A series of doctor’s appointments, lab results, and blood work revealed that I was dealing with precancerous cells in my lungs. Distraught with this news, I knew it was time to make a change. I had attempted and failed to quit smoking many times before that, but when my own mortality had been sized up before me in a doctor’s office, it suddenly became very real.


Around the time of quitting cigarettes after discovering the precancerous cells in my body, electronic cigarettes had just made their way onto the scene. I’d heard of smoking e-cigarettes (or “vaping”), but never gave them any thought because I was too pre-occupied with tobacco cigarettes.

I quickly bought my first electronic cigarette kit, and never looked back. Because my electronic cigarette disperses nicotine without the harmful toxins and chemicals that tobacco cigarettes emit, I never thought twice about switching back from vaping to tobacco cigarettes. I get the nicotine fix that my body craves, without the negative side effects associated with traditional cigarettes.

Now that I am an official vaper, I think about what would have happened if I had kept going on my journey to destruction with tobacco cigarettes. Vaping is a very viable alternative to smoking real cigarettes, and in some cases, it can be the difference between life and death for you. I’d recommend that anyone begin vaping; it can be the best decision you ever made for your health and body.


– A Proud Vaper

E-Cigarettes: A $1.5 Billion Industry Braces for FDA Regulation


Behind this week’s cover

Photo illustration by Justin Metz;Cowboy: Mark Lisk/AlamyBehind this week’s cover

The first time J. Andries Verleur tried an e-cigarette in 2008, he burned his lip and accidentally inhaled the nicotine fluid. “It was one of the worst products I ever tried,” he recalls, “but the idea was amazing.”

Verleur, a heavy smoker, was living in Prague and happened to spot the strange new product in a Vietnamese grocery store. The crude early version obviously didn’t work very well, but Verleur, a serial entrepreneur, immediately realized that if it did work, it could upend the tobacco industry. That was worth looking into: Cigarettes are a global business that generates more than half a trillion dollars every year, according to data from Euromonitor International.

In its simplest form, an e-cigarette is a cartridge filled with a nicotine solution and a battery powering a coil that heats the solution into vapor, which one sucks in and exhales like smoke. Typically, it looks like a regular cigarette, except the tip, embedded with an LED, often glows blue instead of red. The active ingredient in e-cigarettes is the same nicotine found in cigarettes and nicotine patches.

The effects of inhaling nicotine vapor are not totally understood, but there is no evidence to date that it causes cancer. Experts and logic seem to agree that it’s a lot better than setting chopped-up tobacco leaves on fire and inhaling the nicotine along with thousands of combustion byproducts, some of which are definitely carcinogenic. Because cancer is the main drawback of smoking for a lot of people, the delivery of nicotine without lighting a cigarette is very attractive. And because it produces a wispy vapor instead of acrid smoke, an e-cigarette lets you bring your smoking back indoors, where lighting up in an enclosed space is no longer socially, or legally, acceptable.

Verleur saw right away that if e-cigarettes could be made as convenient and satisfying as a pack of smokes, he’d make a killing. He enlisted the help of his brother, an engineer working for an Agilent Technologies (A) spinoff; booked a trip to China; and began meeting with manufacturers. In 2009 he formed his company, V2Cigs, with four employees working out of an apartment.

Five years later, V2Cigs has six manufacturing facilities in Shenzhen, China, a Miami headquarters, 250 employees, and 5 million customers worldwide. Verleur says more than a million of those are in the U.S., where Bloomberg Industries projects total e-cigarette sales could reach $1.5 billion this year. Other competitors now include NJoy, Vapor (VPCO), and Victory Electronic Cigarettes (ECIG), as well as the major tobacco manufacturers and hundreds of others.

It all still represents a tiny fraction of what Americans spend on tobacco, but it’s pretty solid for an industry that barely existed five years ago. A projection by Bloomberg Industries shows e-cigarette sales could surpass that of the traditional tobacco product by as early as 2023. Who will dominate the market is a different question, and one that may be answered not by the markets, but by the government.

A primitive, battery-operated “smokeless non-tobacco cigarette” was patented as early as 1963 and described in Popular Mechanics in 1965. Thomas Schelling, a Nobel prize-winning economist who helped start the Institute for the Study of Smoking Behavior and Policy at Harvard University’s Kennedy School in the 1980s, recalls that people in the 1960s were talking about a charcoal-based vaporizer that would heat some sort of nicotine solution. While those early versions might have been safer than a regular cigarette, they were too expensive and cumbersome to become a substitute for a pack of Camels in a country where, as Schelling notes, “you’re never more than 5 or 10 minutes away from a smoke.”

In a way, electronic cigarettes were made possible by cell phones. The drive to make phones smaller and lengthen their battery life led to the development of batteries and equipment small enough to fit in a container the size and shape of a cigarette. There’s some dispute over who invented the modern e-cigarette, but the first commercially marketed device was created by a Chinese pharmacist, Hon Lik, and introduced to the Chinese market as a smoking cessation device in 2004. From there, e-cigarettes made their way to small shops such as that of the Vietnamese grocer who sold Verleur his first one four years later.

E-cigarettes beat the traditional kind in one big way: You can legally have them shipped to you in the comfort and privacy of your home. (It’s not legal to send traditional cigarettes through the U.S. mail.) Blu, made by Greensboro (N.C.)-based Lorillard (LO), one of the biggest producers of tobacco cigarettes, makes a starter pack that comes with a charger that doubles as a storage container, and it looks just like a pack of cigarettes. It also comes with two batteries and five nicotine cartridges good for about 150 puffs apiece. The pack costs about $80 before shipping, which is roughly equal to the price of 8 to 16 packs of cigarettes. (Disposable e-cigarettes are cheaper to start, but in the long run they’re much less economical.) Because nicotine cartridges are exempt from tobacco taxes, which now make up much of the retail cost of a cigarette, a pack of cartridges is competitive with old-fashioned smokes, especially if you live in an expensive jurisdiction such as New York.

E-cigarette cartridges come in classic tobacco and menthol flavors—Verleur’s company even offers V2 Red, Sahara, and Congress, clearly aimed at loyal smokers of Marlboros, Camels, and Parliaments. But most companies also have less conventional flavors. Blu offers Peach Schnapps, Java Jolt, Vivid Vanilla, Cherry Crush, and Piña Colada, presumably for people who don’t just like a drink with a cigarette, but in one.

Click to enlargeClick to enlarge

Jeff Ky is a salesman at My Vapez in Arlington, Va., where you can buy a variety of e-cigarettes and larger vaporizers that look like cigars. The array of flavors is astonishing, and he says the fruity flavors, not the traditional tobacco styles, are the most popular. Potential customers come into his store looking to quit and usually buy the classic tobacco flavor. Once they’ve kicked traditional cigarettes, they often start wanting something sweeter tasting, which Lorillard says is also its experience with Blu. Ky’s best-selling flavor is cantaloupe-kiwi, and he uses a mixture that’s supposed to taste like Strawberry Nesquik. Cartridges also come in varying strengths, ranging from high concentrations of nicotine to low concentrations to no nicotine at all for smokers trying to quit.

To find out how they tasted and if they were anything like a real cigarette, I ordered online a starter pack of Blu in menthol with a high concentration of nicotine. When the pack arrived, I had to read the directions carefully just to figure out how to charge the battery, which looked like the white part of a traditional cigarette, and then connect it to the nicotine cartridge, which looked like a filter.

After I’d put it together, I had something surprisingly close to one of the cigarettes I used to smoke. The mentholated tobacco flavor rolled sinuously over my tongue, hit the back of my throat in an unctuously familiar cloud, and rushed through my capillaries, buzzing along my dormant nicotine receptors. The only thing missing was the unpleasant clawing feeling in my chest as my lungs begged me not to pollute them with tar and soot.

I couldn’t wait to try them in a bar, so I met a friend for a drink at a local Washington watering hole. I hadn’t had a cigarette in a bar since sometime in the late 1990s, and I felt self-conscious, maybe a little bit lonely: There’s no social aspect, or even the hint of an invitation, in an e-cigarette. You don’t pass the pack around, and no one is going to bum an e-cigarette off of you. “It becomes more like a hobby,” says Ky of his customers, with users showing off their newest gear. But yes, an e-cigarette still tastes good with a drink.

In fact, it tastes almost too good. Like most smokers, I quit cigarettes several times before succeeding, and each time I quit, I had reached a point where I was basically glad to put down the cigarettes because they made me feel terrible. E-cigarettes don’t hurt and don’t offer the same incentive to quit. You could use one on the treadmill if you were so inclined.

Nicotine helps regulate your mood, and it is an appetite suppressant, too, which is why smokers who quit generally gain weight. It’s a cognitive enhancer, and there’s some hotly contested evidence that it may slow the onset of Alzheimer’s disease. For a sedentary knowledge worker facing the declines of middle age, that’s an attractive combination. Indeed, one academic who does research in this area confided that he’s thinking of taking up e-cigarettes because of the advantages of nicotine, even though he’s never smoked. (He is not prepared to go on the record recommending that people add nicotine to their diets.)

The professor and I are exactly why some public-health experts want e-cigarettes treated like regular cigarettes: plastered with warnings, laden with taxes, and definitely not sold in flavors such as piña colada. “If e-cigarettes were regulated so that they became a way to get people off cigarettes, we would lead the cheer. But the issues are complicated,” says Matt Myers, president of Campaign for Tobacco-Free Kids. “E-cigarettes are not harmless. You want to discourage people who do not currently use e-cigarettes from taking up the habit. Our concern is that it will re-glamorize smoking and lead people to switch to cigarettes, or experiment with cigarettes.”

In October the European Parliament rejected a proposal to regulate e-cigarettes as medical devices. The U.S. Food and Drug Administration, which is in the process of drafting rules, is expected by observers to follow suit. The decision is important to pharmaceutical companies such as GlaxoSmithKline (GSK) and Pfizer (PFE), which sell nicotine patches and gums that are regulated as medical tools and may not want unregulated competition.

The proposed regulations could be anything from basic rules ensuring that the nicotine cartridges contain what they’re supposed to and that the devices are safe to a scheme of the kind that Myers wants, with restrictions on flavored products and sexy marketing campaigns. Tight regulation would make the market much more complicated for upstarts such as V2Cigs, which don’t have the marketing or lobbying muscle of Big Tobacco.

Some local government officials and regulators in other countries have already made a decision. Under former Mayor Michael Bloomberg (who owns Bloomberg LP, parent of Bloomberg Businessweek), New York in December expanded the ban on smoking in public places to include electronic cigarettes. In Chicago, Mayor Rahm Emanuel pushed for the same restrictions, and they have been adopted. Brazil has banned e-cigarettes outright.

As nothing but a replacement product for existing smokers, e-cigarettes seem like a public-health win. Widespread adoption by current smokers “could potentially reduce smoking deaths by more than 90 percent,” says Joel Nitzkin, a public-health physician who is a senior fellow at free-market think tank R Street in Washington.

But what if current smokers aren’t the only people who use them? What if e-cigarettes lure back people who used to smoke or attract new smokers? What if people who otherwise would have quit keep using nicotine? And perhaps the No. 1 argument: What if e-cigarettes make smoking normal again in public places, with the attendant annoyance of a neighbor or officemate blowing nicotine-laced steam everywhere?

Since the Office of the Surgeon General warned of its dangers in the 1960s, smoking has declined dramatically and is quite rare among the U.S. middle class. That’s because of its health risks, but also because of the social stigma and inconvenience associated with smoking. With the exception of some hipsters, smoking is largely a lower-income phenomenon. “You may be establishing something you want to establish in your group, but it’s a pretty downscale group,” says Mark Kleiman, a professor of public policy at the University of California at Los Angeles.

But if the stigma is undone, “we could go back to 50 percent of the population routinely using nicotine,” Kleiman says. That doesn’t mean he thinks we should ban e-cigarettes. “Given the certain gain from switching current smokers to e-cigs and the uncertain signs of the effects of adding new users, it seems to me that we should get public policy out of the way for now while watching to see how many of today’s happy e-cig users become unhappy users three years from now.”

A 2011 study published in the Journal of Public Health Policy concluded that “a preponderance of the available evidence shows [e-cigarettes] to be much safer than tobacco cigarettes and comparable in toxicity to conventional nicotine replacement products.” It also said there’s “reason to believe that they offer an advantage over traditional nicotine delivery devices.” The other main ingredients in e-cigarettes are what the FDA calls “generally recognized as safe”: glycerine, found in many foods, and propylene glycol, the main ingredient in theatrical fog.

E-cigarettes don’t only assuage the desire for nicotine but also the desire to have a cigarette, which isn’t exactly the same thing: One study found that even an e-cigarette rigged to deliver “minimal” nicotine could reduce cravings in a substantial minority of smokers. V2Cigs’ Verleur estimates that while half of his customers use his product to replace cigarettes, either completely or in places where they aren’t allowed to smoke, about one-quarter start at the highest concentration and work their way down toward the no-nicotine version, at which point some stop entirely, while others keep buying the nicotine-free ones.

Even without the combustion, nicotine is a vasoconstrictor that narrows blood vessels and drives up blood pressure. Doing that a dozen times a day is less bad than getting lung cancer, but it’s still not great. Besides, there is no study on what inhaling those “generally recognized as safe” compounds might do to your lungs if you inhale them daily for a few decades. It’s hard to imagine that the health effects could be worse than setting something on fire and deliberately breathing the smoke. But they’re probably not as good as quitting. “The antismokers think we’re going to win—that we can get to zero tobacco,” says Kleiman. If that’s what you believe, then you’re likely to endorse stiff restrictions on e-cigarettes. On the other hand, if you think U.S. tobacco consumption will stay stubbornly stuck between 10 percent and 20 percent of the population for the foreseeable future—which means tobacco deaths will remain in the hundreds of thousands annually—you’re more likely to be agitating for the federal government to take a light hand, even if it means opening the door to the possibility of a renewed national mania for nicotine.

Among the FDA’s most difficult decisions will be determining whether e-cigarettes will be a gateway product, encouraging young smokers to develop a nicotine habit that might lead to tobacco use. After all, many of the things that make e-cigarettes attractive to smokers make them even more attractive to minors. It’s actually pretty unpleasant to start smoking—it causes dizziness, it causes coughing, and it usually takes kids a while to learn to inhale—but anyone can inhale e-cigarette vapor on the first puff. And since e-cigarettes don’t have much odor, they’re harder for parents to detect. During the debate over New York’s policy, a September report from the Centers for Disease Control and Prevention showing e-cigarette use on the rise among teenagers was prominently discussed. Spokesmen for Altria Group (MO), Reynolds American (RAI), and Lorillard—the Big Three of tobacco—are in agreement that children should be prevented from buying e-cigarettes, just as they are prevented from buying the regular kind.

Small e-cigarette manufacturers who exploited the power of the Internet have had the nascent market largely to themselves, but that’s changing. “A year and a half ago, there were over 450 e-cigarette companies in the U.S. market, many of them mom-and-pop operations,” Verleur says. There are still a few hundred companies out there, most of them tiny. According to Verleur, “over 70 percent of U.S. market share is held by about 10 companies.”

Lorillard, which makes Kent and Newport cigarettes, has joined the e-cigarette market aggressively. It almost has to, according to Kenneth Shea of Bloomberg Industries, not only because cigarette sales have plateaued, but because 90 percent of the company’s sales come from menthol cigarettes, which the FDA is under pressure to ban, as it banned other flavored tobacco products that public-health advocates argued were especially appealing to children. In 2012, Lorillard bought Blu for $135 million in cash and has boosted its distribution to more than 125,000 stores. The brand is the market leader.

Big Tobacco’s advantages will probably strengthen once the FDA releases its proposed rules. Analysts expect some restrictions on Internet sales because it’s too easy for minors to get the devices online. But while it’s relatively easy for a small company to become established on the Internet, it’s much harder to secure scarce shelf space behind a drugstore counter. The tighter the FDA regulation, the more valuable distribution networks and marketing power become. And of course, the more lobbyists a company can afford, the more likely it is to get regulations it likes.

Altria and Reynolds, which are the market leaders in sales of regular cigarettes, are entering the market as well. On Feb. 3, Altria announced it was buying e-cigarette company Green Smoke for $110 million. They have also created their own products, MarkTen (Altria) and Vuse (Reynolds). Their e-cigarettes look sleek, but like traditional cigarettes come in only two flavors: regular and menthol. They’re rolled out exclusively through retailers. Altria has launched its MarkTen in only two test markets, as Reynolds has with its Vuse. In November the Wall Street Journal reported that in Colorado, where Vuse was introduced in July, the product gained 55 percent of the e-cigarette market in a few months.

For all the taxes and regulations that have been slapped on the companies, their profit margins are healthy: Demand for their product is inelastic, consumers are loyal, and most of the market is controlled by Altria, Reynolds, and Lorillard. Tobacco is a business they would clearly rather not endanger with a misstep in the e-cigarette market—either by enraging the government or by cannibalizing their own sales.

The tobacco companies are also entering the market without any of their iconic brands, which tend to lose customers only when smokers quit or die. There’s no Camel or Marlboro e-cigarette. The Tobacco Master Settlement Agreement reached with state attorneys general in 1998 makes it tricky to use cigarette brands on other merchandise. Although some company will probably test that in the future, clearly no one’s feeling so bold yet. Doing without a major brand is a big handicap, particularly because the small companies have already spent years establishing a brand. Verleur points out that he and his competitors have experience working out technical issues with the electronics and the nicotine solution, neither of which are likely to be core strengths at a company that specializes in burning leaves. He waits for the government’s decision on which the fate of his business rests. The more lightly the area is regulated, the better chance the upstarts will have of taking on Big Tobacco and winning. “It’s our sincere hope,” he says, “that regulators and legislators take a responsible approach towards our category.”

E-cigarettes: Healthy tool or gateway device?



(CNN) — If the tiny sample of smokers in a new study in the British journal Lancet are any indication, electronic cigarettes might be slightly more effective than nicotine patches in helping people quit smoking.

Great, right? Except another new study from the Centers for Disease Control and Prevention suggests more children and teens are trying them.

The implications of both these studies means electronic cigarettes have been getting a lot of attention lately. Just what e-cigarettes are and what role they should play in helping people quit smoking depends very much on who you speak with about this topic.

Smoking is still the leading cause of avoidable death in the United States. The devices are not one of the FDA-approved methods to help people quit, but many people are using them this way. A growing number of scientists are studying them to see whether they may be a way to end an epidemic.

The topic, though, remains as polarizing a health issue as sex education or diet sodas.

An e-what?

The e-cigarette was actually developed by a pharmacist in China.

The pharmacist, Hon Lik, was a three-pack-a-day smoker. That was nothing unusual — more than 300 million people in China are regular smokers. But when Lik’s father, who was also a heavy smoker, died of lung cancer, Lik decided he had to come up with an alternative that wouldn’t kill him.

Most scientists believe nicotine itself, while highly addictive, is not what causes cancer for smokers or for the people around them who breathe their second-hand smoke. Instead, it’s the toxic chemicals that are created when tobacco and filler products burn that are dangerous.

If there was a way to get nicotine addicts their fix without the burn, you just might avoid the health problems. Nicotine then becomes as harmless as any other addictive substance, such as caffeine, some experts say.

So Lik developed an e-cigarette — a device that uses a small battery to atomize a pure liquid solution of nicotine. Nothing is burned. There is no ash. There is no smoke. There is nicotine, and then there is flavoring added for taste.

Essentially the person using these inhales a kind of vapor that looks like fog from a fog machine. A recent review of all the scientific research done on e-cigarettes by Drexel University professor Igor Burstyn concludes “current data do not indicate that exposures to vapors from contaminants in electronic cigarettes warrant a concern.”

In plain language, Burstyn concludes: “It’s about as harmless as you can get.”

“I wouldn’t worry at all if someone was smoking one of these by my kids,” Burstyn said. “From a pure health perspective, these are not as bad as a cigarette.”

E-cigarettes came to the U.S. market around 2009. The CDC now estimates about one in five Americans have tried smoking an e-cigarette — that’s about 6% of adults who smoke.

There are e-cigarette stores, but now you can also buy them online or in convenience stores. Some look like regular cigarettes; some look like pens or thumb drives.

First you buy a starter kit, which costs between $40 and $130. In the kit is the e-cigarette, a charger and a few cartridges. The cartridges typically last as long as a 20-pack of cigarettes and sell for around $10. You can also buy a bottle of e-liquid to refile the cartridge yourself.

The anti-e-cigarette camp

Critics point out e-cigarettes come in kid-friendly flavors such as gummy bear, atomic fireball candy and cookies and cream. It makes them worry that e-cigarettes will become a gateway to encourage kids to develop a lifelong nicotine addiction — or worse, try the real thing.

Only about 20 states specifically forbid the sale of e-cigarettes to children.

Tobacco use has been on the decline with kids; it’s about half what it was in the mid-1990s. But the latest CDC study shows a growing number of middle and high school students have tried e-cigarettes.

One in 10 high school students surveyed said they had tried e-cigarettes last year. That’s double the number from 2011. One high school in Connecticut banned them after the principal said administrators dealt with at least one incident involving e-cigarettes every day.

CDC director Tom Frieden characterized this trend as “deeply troubling.”

But as far as risky behavior goes, it’s still a tiny fraction of students. The survey showed about 3% of these kids said they had used one in the last 30 days. By contrast, 39% of students said they drank some amount of alcohol in the past 30 days, 22% binge drank and 24% rode with a driver who had been drinking.

The real problem is that 88% of adult smokers who smoke daily said they started when they were kids, according to the CDC. Kids who start down the path to using e-cigarettes may stick with them for life.

“So much is unknown about them and what the long-term complications could be with their use,” said the American Lung Association’s Erika Sward. “Bottom line, we don’t know what the consequences of using them are, and we are very troubled that kids would find them attractive.”

E-cigarettes are unregulated in the United States; no laws make manufacturers tell you what you are actually inhaling. The unknown is one of the many qualities of e-cigarettes that the American Lung Association doesn’t like.

It’s “a complete unregulated Wild West,” Sward said. She wants the FDA to move quickly with regulatory oversight, which she says would make manufacturers disclose what the actual ingredients are in each of the 250 or so brands available.

In 2009, a FDA test on a small number of e-cigarette samples found “detectable levels of known carcinogens and toxic chemicals to which users could potentially be exposed.” They found diethylene glycol in one cartridge at a 1% level; this is an ingredient used in antifreeze and can be toxic to humans in large quantities. Diethylene glycol is also found in some dental products and in some pharmaceuticals.

After that study, the FDA banned the sale of e-cigarettes. They warned e-cigarette smokers that they were inhaling “toxic” and “harmful” chemicals. However, in 2010, a court ruled that “the FDA had cited no evidence to show that electronic cigarettes harmed anyone,” and stores could go on selling them.

The early e-adopters

On the other side of the debate are the passionate supporters of e-cigarettes. Many who use them say it is the first thing that has helped them stop using cigarettes — something more than 90% of smokers fail to do with any of the existing FDA-approved methods. There are blogs and message boards dedicated to them. And there are countless impassioned testimonials from the people who use them.

Florida resident Craig Lashley says they’ve changed his life.

“I got tired of being like that little kid in ‘Peanuts’ who had the cloud of smoke following him all the time,” Lashley said. “I didn’t like the way I smelled when I smoked, and I didn’t like what smoking said about me, especially to kids.”

He discovered the e-cigarette about a year ago and hasn’t smoked a regular cigarette since.

He says he smells better, feels better and spends a lot less — about $10 a week on e-cigarettes. He used to spend about $45 a week on regular cigarettes.

“I like the feel of blowing smoke,” Lashley said. “It seems to me like (e-cigarettes are) a healthier alternative.”

A growing number of respected physicians and scientists agree, and they say these products could end a major health problem.

“Electronic cigarettes and other nicotine-containing devices offer massive potential to improve public health, by providing smokers with a much safer alternative to tobacco,” the Royal College of Physicians says. “They need to be widely available and affordable to smokers.”

The latest study, published in the British journal the Lancet, examined whether people who used them as an alternative to smoking would abstain from using regular cigarettes.

The New Zealand authors studied the behavior of 657 people who were trying to quit. One group got nicotine patches, another got nicotine e-cigarettes and others got placebo e-cigarettes without the nicotine.

Over a period of six months, only a tiny fraction of the people in the study actually quit smoking.

People using the nicotine e-cigarettes quit at a slightly better rate compared with those using the patch, though. Some 7.3% using the e-cigarettes abstained from smoking traditional cigarettes compared with the 5.8% who stopped with the patch. About 4.1% stopped with just the placebo e-cigarettes.

It was such a small number of people who quit that the authors concluded “more research is urgently needed to clearly establish their overall benefits and harms at both individual and population levels.”

Dr. Michael Siegel, a physician who has spent the past couple decades working on tobacco control initiatives, has been surprised by the negative reaction to e-cigarettes from so many people in the public health sector. Siegel says the studies he’s done have shown e-cigarettes are a help.

“True we don’t know the long-term health effect of e-cigarettes, but there’s a very good likelihood that smokers are going to get lung cancer if they don’t quit smoking,” he said. “If they can switch to these and quit smoking traditional cigarettes, why condemn them?”

Siegel theorizes the e-cigarettes might look too much like smoking.

“It’s ironic the very thing that makes them so effective … drives the anti-smoking groups crazy. But what makes them so effective is it mimics the physical behaviors smokers have, which is something the patch can’t do.”

Siegel does believe there is an urgent need for more regulations.

Ray Story, founder of the Tobacco Vapor Electronic Cigarette Association, agrees. He says his association has also pushed for age verification legislation.

“When you have these companies trying to promote these as something they are not, and you have stores that sell them in the candy aisle, you are going to have a problem,” Story said. “If they are officially categorized as a tobacco product, you get an automatic age verification put in place.

“Nicotine is addictive, and we want the federal government to create guidelines and a structure that will confine these to being sold as adult products.”

Lashley says no matter what the debate, he will continue to spread the e-cigarette gospel to his fellow adults.

So far, his co-workers have been receptive to the idea. He used to be the only one with an e-cigarette on smoke breaks. Now he says he’s got more than a dozen colleagues doing the same.

One colleague, though, complained about it.

“He said ‘I’m sick of all these people smoking electronic cigarettes,” Lashley said. “When I asked him why he said. ‘Simple, now I can’t bum any off of them.’ “



In order for someone to switch brands or consider alternatives, they need to clearly see the benefits of the new approach. E-cigarettes are no different.

Many, if not the vast majority of those interested in electronic smoking, are current smokers. Chances are you’re one of them – searching for an alternative but wanting to understand the benefits of switching from your current brand.

E-cigarettes are indeed an alternative to traditional cigarettes. They’re a suitable alternative for many because of the benefits they have over “smoking.”

We invite you to continue reading for 5 of the leading benefits electronic smoking has over traditional cigarettes…these benefits were discovered from customer feedback as well as numerous scientific studies examining both traditional and e-cigarettes.

Reason #1 – E-cigarettes do NOT have that distinctive odor

Just about anyone knows – cigarettes smell!! It’s their hallmark.

Scent from cigarette smoke gets into, and clings, to just about anything it comes in contact with – hair, clothes, your car – anything. Not only does the odor cling, many consider cigarette smell offensive and avoid close contact. If you’re a smoker, you don’t notice it so much since you’re immersed in it all of the time. To non-smokers, and especially ex-smokers, this smell is very noticeable.

One reason cigarette smoke smells so bad is because you’re burning tar and chemicals in addition to the tobacco itself. Properties from burning these substances make them cling to clothing, hair, walls, furniture, etc.

E-cigarettes on the other hand do not have this ominous odor because instead of exhaling smoke, you’re exhaling a vapor that evaporates almost immediately. Customers and non-smokers/vapers report the smell from an e-cigarette to be either nonexistent or reminiscent of cotton candy or even pop tarts!!

Whatever it is, e-cigarettes certainly smell a whole lot better than traditional cigarettes.

Reason #2 – Electronic smoking is MUCH cheaper than traditional cigarettes

If you’re a smoker reading this, you can certainly relate to this point – cigarettes are expensive these days.

In 1980, you could buy a good quality pack of cigarettes for $1. By the 90s, the cost had risen to $2, on average. Today, a good quality pack of cigarettes will cost you anywhere from $7 to $12 depending on which state you’re in.

Some of this increase in cost can be attributed to regular inflation or rising prices of production (tobacco) and even distribution (fuel).

Taxes however play a big role too. In 2009 for example, the federal tax was raised from $0.39 to $1.01 per pack. Add state taxes, which vary, and taxes end being around 20% of the cost of a pack of traditional cigarettes.

Between all of this, a pack-a-day smoker can spend upwards of $300 each month! And this doesn’t include the cost of other incidentals such as lighters, ash trays and much more.

E-cigarettes do not share this dilemma. While some of the entry costs of a starter kit may be a little bit higher, the month-to-month cost of electronic smoking is typically about half when compared to traditional cigarettes. Cartomizers and batteries constitute the bulk of this expense, which can range anywhere between $20 and $40 depending on how much you vape.

Currently, e-cigarettes are not subject to any sort of taxes like traditional smokes are. Also, as the technology develops and becomes more mainstream, the cost will continue to decline (…think cell phones, DVD players, etc.).

Reason #3 – E-cigarettes are much safer

Since you’re “burning” tobacco, not to mention using an open flame to light it, traditional cigarettes by default pose serious fire hazards. Cigarettes are in fact the #1 cause of fire-related death in the United States and 7 other countries. Worldwide, fires started by lit cigarettes constitute 10% of all fire-related deaths.

With e-cigarettes, you’re not burning an open flame and don’t have a hot cherry that can burn you, your clothes, your furniture, and so on.

There was an incident where an e-cigarette exploded in the user’s face in early 2012. It was determined though that the particular unit the person was using was a “mod,” which is a way vapers can alter their devices for more power that involves stacking the batteries. When used as intended, there have been no reports of an e-cigarette exploding.

Reason #4 – Health

While we can’t make the claim that e-cigarettes are healthier, we can point out how traditional cigarettes are harmful to your health.

You don’t have to take our word for it – there are countless studies out there showing how smoking traditional cigarettes can put you at a higher risk of a whole host of conditions, including (but not limited to) – stroke, heart attack, lung cancer, throat cancer, pneumonia, osteoporosis, Alzheimer’s, and countless others.

Traditional cigarettes contain a litany of chemicals as well, many of which are considered carcinogenic, or cancer causing.

Many of our customers have reported feeling better physically after switching to electronic smoking.

Reason #5 – Social

Last but not least are the social impacts of traditional cigarettes, which is in a way related to reasons one through four. Over the years, smoking has increasingly been viewed negatively by society at-large for a variety of reasons.

The smell, the health consequences, and even the healthcare costs all combine to give traditional cigarettes a bad name these days. If you’re a smoker, you’ve certainly noticed an increasing amount of restrictions around where you can light up, even at private parties where the host is a nonsmoker.

Also, traditional cigarettes can have impacts on your social life, literally. Take dating for an example – it’s pretty rare for a nonsmoker to be with a smoker. Also, smoking can also impact job prospects since more employers are taking a more critical eye toward traditional cigarettes.

As you can see, e-cigarettes and electronic smoking carry many benefits over traditional smoking. Many have discovered how they can still enjoy smoking and get the nicotine they crave without using methods that are increasingly seen as intrusive and irresponsible.

E-cigarettes from Eversmoke provide this alternative in a cost-effective, easy way. If you’re searching for that alternative, consider trying Paradise Vape. http://www.paradisevapeusa.com