Assessing toxicant emissions from e-liquids with DIY additives used in response to a potential flavour ban in e-cigarettes

Author:

El-Hellani AhmadORCID,Soule Eric KORCID,Daoud Mohammad,Salman Rola,El Hage Rachel,Ardati Ola,El-Kaassamani Malak,Yassine AmiraORCID,Karaoghlanian Nareg,Talih SohaORCID,Saliba NajatORCID,Shihadeh AlanORCID

Abstract

SignificanceElectronic cigarettes (e-cigarettes) aerosolise liquids that contain nicotine, propylene glycol, glycerol and appealing flavours. In the USA, regulations have limited the availability of flavoured e-cigarettes in pod-based systems, and further tightening is expected. In response, some e-cigarette users may attempt to make their e-liquids (do-it-yourself, DIY). This study examined toxicant emissions from several aerosolised DIY e-liquids.MethodsDIY additives were identified by reviewing users’ responses to a hypothetical flavour ban, e-cigarette internet forums and DIY mixing internet websites. They include essential oils, cannabidiol, sucralose and ethyl maltol. E-liquids with varying concentrations and combinations of additives and tobacco and menthol flavours were prepared and were used to assess reactive oxygen species (ROS), carbonyl and phenol emissions in machine-generated aerosols.ResultsData showed that adding DIY additives to unflavoured, menthol-flavoured or tobacco-flavoured e-liquids increases toxicant emissions to levels comparable with those from commercial flavoured e-liquids. Varying additive concentrations in e-liquids did not have a consistently significant effect on the tested emissions, yet increasing power yielded significantly higher ROS, carbonyl and phenol emissions for the same additive concentration. Adding nicotine to DIY e-liquids with sucralose yielded increase in some emissions and decrease in others, with freebase nicotine-containing e-liquid giving higher ROS emissions than that with nicotine salt.ConclusionThis study showed that DIY additives can impact aerosol toxicant emissions from e-cigarettes and should be considered by policymakers when restricting commercially available flavoured e-liquids.

Funder

Center for Tobacco Products (CTP) of the U.S. Food and Drug Administration

National Institute on Drug Abuse of the NIH

National Cancer Institute of the National Institutes of Health

Publisher

BMJ

Subject

Public Health, Environmental and Occupational Health,Health (social science)

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