Indian Journal of Occupational and Environmental Medicine   Official publication of Indian Association of  0ccupational  Health  
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  Table of Contents 
Year : 2014  |  Volume : 18  |  Issue : 2  |  Page : 101

Serious health concerns about the electronic (e)-cigarettes

Department of Dentistry, Government Taluk Head Quarters Hospital, Malappuram, India

Date of Web Publication12-Dec-2014

Correspondence Address:
Thorakkal Shamim
"Shangrila" Parappanangadi - 676 303
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5278.146902

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How to cite this article:
Shamim T. Serious health concerns about the electronic (e)-cigarettes. Indian J Occup Environ Med 2014;18:101

How to cite this URL:
Shamim T. Serious health concerns about the electronic (e)-cigarettes. Indian J Occup Environ Med [serial online] 2014 [cited 2022 Jul 1];18:101. Available from:

Dear Sir,

The electronic (e) - cigarette's use is made legal and its use is in boom and it was marketed as an aid to smoking cessation in India. [1] The role of dental surgeon in the control of smokeless tobacco use in pediatric population was ascertained. [2] There is little information about serious health concerns about the electronic (e) cigarettes as an aid in smoking cessation. E-cigarette aerosols may contain propylene glycol, glycerol, flavorings, nicotine, and other chemicals. [3] Aerosolized propylene glycol and glycerol may produce mouth and throat irritation and dry cough. [3]

The environmental impacts of e-cigarette manufacturing will depend on factory size and the nicotine extracting method used. [4] It may lead to chemical and aerosol exposure in the indoor environment and residual nicotine and disposal of e-cigarettes, which contain batteries, will represent another environmental concern. [4]

The usual e-cigarette components include an aerosol generator, a flow sensor, a battery, and a nicotine-containing solution storage area. [5] The aerosols may contain harmful constituents. Battery explosions and the risks of exposure to the e-liquid are serious concerns of e-cigarettes. [5]

Initially, it was postulated that the e-cigarettes will deliver less nicotine per puff than traditional cigarettes, and recent clinical studies indicate that the current e-cigarette smokers will achieve systemic nicotine concentrations similar to those produced from traditional cigarettes. This may be attributed to the fact that the user experience is critically important for nicotine exposure, and may contribute to the products' ability to support and maintain nicotine dependence. [6] The levels of nicotine, tobacco-specific nitrosamines, aldehydes, metals, volatile organic compounds, flavors, solvent carriers, and tobacco alkaloids in e-cigarette refill solutions, cartridges, aerosols, and environmental emissions will vary considerably. [7]

Nicotine is also considered as a risk factor in the onset and progression of periodontal disease and it is wise to take the history of the patient if he is an (e)-cigarette user to rule out nicotine use. [8] More research is hence needed to reveal the serious health concerns about the electronic (e) cigarettes as an aid in smoking cessation.

  References Top

Savant S, Shetty D, Phansopkar S, Jamkhande A. Electronic cigarettes: Ambiguity and controversies of usage. J Coll Physicians Surg Pak 2014;24:279-81.  Back to cited text no. 1
Shamim T. Smokeless tobacco use in pediatric population: What is the role of a Dental Surgeon in India? Lung India 2012;29:305-6.  Back to cited text no. 2
[PUBMED]  Medknow Journal  
Callahan-Lyon P. Electronic cigarettes: Human health effects. Tob Control 2014;23:ii36-40.  Back to cited text no. 3
Chang H. Research gaps related to the environmental impacts of electronic cigarettes. Tob Control 2014;23:ii54-8.  Back to cited text no. 4
Brown CJ, Cheng JM. Electronic cigarettes: Product characterisation and design considerations. Tob Control 2014;23 ii4-10.  Back to cited text no. 5
Schroeder MJ, Hoffman AC.Electronic cigarettes and nicotine clinical pharmacology. Tob Control 2014;23:ii30-5.  Back to cited text no. 6
Cheng T. Chemical evaluation of electronic cigarettes. Tob Control 2014;23:ii11-7.  Back to cited text no. 7
Kempton JE. Cigarette use and patient health implications. J Mich Dent Assoc 2014;96:34-5.  Back to cited text no. 8


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