Electronic Cigarette Harms: Aggregate Evidence Shows Damage to Biological Systems

Author:

Hamann Stephen L.1,Kungskulniti Nipapun23,Charoenca Naowarut23,Kasemsup Vijj1,Ruangkanchanasetr Suwanna1,Jongkhajornpong Passara14

Affiliation:

1. Tobacco Control Research and Knowledge Management Center, Bangkok 10400, Thailand

2. Faculty of Public Health, Mahidol University, Bangkok 10400, Thailand

3. Thailand Health Promotion Institute, Bangkok 10330, Thailand

4. 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.

Funder

Tobacco Control Research and Knowledge Management Center

Thailand Health Promotion Institute

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health

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