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stonecold  
#1 Posted : 22 January 2015 11:33:36(UTC)
Rank: Super forum user
stonecold

Xavier123  
#2 Posted : 22 January 2015 13:56:32(UTC)
Rank: Super forum user
Xavier123

I'll do my bit to add to the debate... There's research and there's research. http://www.nejm.org/doi/...query=featured_home& This is the original article in the New England Journal of Medicine. It's essentially a letter - not a published study and so therefore not peer reviewed. In fact, it isn't much different in terms of weighting from Dr Andrew Wakefield's letter from 10 years ago concerning MMR and vaccines - which is a salutory lesson in why you shouldn't jump to any big conclusions over it. Which is not to say that it should be ignored...but equally is not to say that it has immediate merit. It certainly highlights the possibility that e-cigs may have negative effects which cannot be immediately foreseen. I'm not sure that many people would disagree with that idea though. But, y'know, even cigarettes aren't safe. Everyone knows that by this point, yet it doesn't stop some. But the h&s practitioner side of me really pushes the precautionary principle on this one. So, if you wanna smoke em' then go ahead, but just be aware that there may be unforeseen consequences that will or won't become apparent with time and more research....but as is ever the case, I don't think you get a right to take that choice out of my hands by smoking it next to me - which would bring us around and back to the ever-feisty workplace policy debate!
stonecold  
#3 Posted : 22 January 2015 14:00:07(UTC)
Rank: Super forum user
stonecold

I really dont have much of a view on the subject, but saw the news and thought id post as lots of people talk about it. Im sure eventually they will probably be treated the same as any other tobacco product. e.g banned from workplaces legally. Inhaling anything other than fresh air really isnt a good idea in my book.
safetyamateur  
#4 Posted : 23 January 2015 10:55:31(UTC)
Rank: Super forum user
safetyamateur

I love it when there's a bit at the end of an article which pretty much says "everything you just read is meaningless"
jumponthebandwagon  
#5 Posted : 26 January 2015 13:17:55(UTC)
Rank: Forum user
jumponthebandwagon

After looking through the study it appears it is a research project designed to come up with a predefined headline. For those not familiar with the operation of an e-cig, vapour is produced by heating a solution of 1-2% nicotine in propylene glycol. If the heating coil is starved of liquid it can overheat causing an acrid and very unpleasant taste to develop. E-cig users do not inhale or continue to use their device in these situations. A good analogy to this study would be the cooking of a nice steak, I could burn it to a black crisp which is full of a variety of different carcinogens at high concentration, does this mean that all steaks should now be considered as dangerously full of carcinogens?. No, of course not, this study also showed that zero formaldehyde was produced during typical vaping conditions, the study should have been headlined "Vaping produces no carcinogens in normal use". Vaping is at least 95% safer than smoking, this is not a health claim or opinion, this is simply a fact. If your employee health policies persuaded every smoker in your company to switch it is probably about the most effective employee health initiative you could ever implement.
chris.packham  
#6 Posted : 26 January 2015 14:36:09(UTC)
Rank: Super forum user
chris.packham

safetyamateur Many, many years ago, when I purchased my first sailing boat, because of the job I was doing at the time I was able to get a Lloyds insurance policy for the boat. This was the same document as would be provided to a major ship, i.e. contained statements referring to: "boats, armament and ammunition..."! The opening statement read: "Anything herein to the contrary notwithstanding..." I still haven't full worked out what this means! Chris
stevedm  
#7 Posted : 26 January 2015 14:48:42(UTC)
Rank: Super forum user
stevedm

jumponthebandwagon wrote:
Vaping is at least 95% safer than smoking, this is not a health claim or opinion, this is simply a fact. If your employee health policies persuaded every smoker in your company to switch it is probably about the most effective employee health initiative you could ever implement.
So you are saying because of this putting a less concentrated carcinogen in your mouth is ok...? And your facts are what? there is only 2% nicotine generally in this unregulated device...DOH! ...a proper cessation of smoking course should be encouraged under the guidance of a medical professional not 'Bill from the pub or the corner shop'...
jwk  
#8 Posted : 26 January 2015 15:01:35(UTC)
Rank: Super forum user
jwk

The research is dodgy, granted, but I suspect jumponthebandwagon to have some direct personal interest in e-cigs. He/she posts only on this topic, and seems purely concerned with encouraging us to get our employers to actively promote e-cigs. A lost cause really, but probably not really in keeping with forum rules, John
jumponthebandwagon  
#9 Posted : 26 January 2015 15:13:55(UTC)
Rank: Forum user
jumponthebandwagon

SteveDM Nicotine is not a carcinogen, inhaling a 2% nicotine solution in PG is orders of magnitude safer than inhaling of a cloud of burning particles and carcinogenic tars, this is basic toxicology and 95% is on the very pessimistic side. The "proper" cessation courses have a failure rate of about 95%, for smokers who have tried to quit and failed many times, traditional NRT therapy is rarely effective. Many in the public health profession have a "quit or die" attitude to smokers, it disappoints me that many in the health & safety profession who should be experts on relative risk also appear to share this attitude. I think you have also been misinformed regarding their "unregulated" status, they are not regulated as medicines, well because, they are not medicines... doh. They are however governed by trading standards regulations as well as CHIP. Clive Bates ( former director of ASH, the anti smoking organisation ) has put together a good summary on the risks & benefits of e-cigs along with the danger of over regulation on his blog, essential reading for anyone prepared to approach the subject of e-cigs with an open mind. - http://www.clivebates.com/?p=2309
jumponthebandwagon  
#10 Posted : 26 January 2015 15:21:44(UTC)
Rank: Forum user
jumponthebandwagon

jwk how can disagreeing with the general consensus of opinion be "not really in keeping with forum rules". I thought that was a central part of an open forum?. "If all the smokers in Britain stopped smoking cigarettes and started smoking e-cigarettes we would save 5 million deaths in people who are alive today. It’s a massive potential public health prize." - Prof John Britton Chair, Tobacco Advisory Group, Royal College of Physicians All I am saying is that as EHS professionals we should be doing our best to help realise that massive public health prize, not exaggerating relatively minor risks and making it even harder for the smokers in our organisations to switch. For the record, I have no financial or other links to the e-cig industry. I am simply an ex smoking ehs professional who quit tobacco by switching to e-cigs.
stevedm  
#11 Posted : 27 January 2015 05:55:15(UTC)
Rank: Super forum user
stevedm

http://www.medicalnewsto....com/articles/278265.php It is totally irresponsible of safety professionals to endorse a CANCER CAUSING, UNREGULATED product... That last guys who did this said Asbestos was safe...
RayRapp  
#12 Posted : 27 January 2015 08:16:53(UTC)
Rank: Super forum user
RayRapp

SteveDM wrote:
http://www.medicalnewstoday.com/articles/278265.php It is totally irresponsible of safety professionals to endorse a CANCER CAUSING, UNREGULATED product... That last guys who did this said Asbestos was safe...
Bit strong for a discussion forum. A few years back we were discussing the risks associated with the 'microwave' effect of mobile phones with some very spurious evidence. That died a death (no pun intended) and I suspect the same will happen with e-cigs in time. Moreover, we appear to be living in a risk averse society, where anything that has a risk is seen as taboo, despite it merits and benefits. We as H&S Practitioners should recognise there is no such thing as zero risk.
stevedm  
#13 Posted : 27 January 2015 10:29:48(UTC)
Rank: Super forum user
stevedm

I'm sorry but the risks of nicotine addiction and the resultant health effects are well documented. Just saying switch to a lower concentration doesn't get rid of the health effects. That isn't strong for any forum..
grim72  
#14 Posted : 27 January 2015 10:52:49(UTC)
Rank: Super forum user
grim72

It does surprise me a little that people are so strongly against e-cigarettes. personally I can see the pros & cons from both sides but in general if it is an improvement on the current option (of smoking a standard cigarette) then it has to be a step forward (even if it doesnt completely eradicate the danger). This is pretty much what most H&S is based upon - rarely can you eradicate a danger completely so we manage the danger as best as possible using the tools available to us? Personally I've never smoked a cigarette in my life and have no desire to. I am also fully aware of the risks of alcohol to my body but I am partial to the occasional tipple or two on a weekend. I know that non-alcoholic versions are on the market but I don't tend to drink them ;-) Purely from a devils advocate point of view.
RayRapp  
#15 Posted : 27 January 2015 11:05:03(UTC)
Rank: Super forum user
RayRapp

SteveDM wrote:
I'm sorry but the risks of nicotine addiction and the resultant health effects are well documented. Just saying switch to a lower concentration doesn't get rid of the health effects. That isn't strong for any forum..
Agreed, but that is not what you wrote in your previous posting.
stevedm  
#16 Posted : 27 January 2015 11:08:31(UTC)
Rank: Super forum user
stevedm

Maybe reading it and before critising it would be good..
hilary  
#17 Posted : 27 January 2015 11:29:14(UTC)
Rank: Super forum user
hilary

Attached is a study showing that nicotine is responsible for hairloss and tumours in mice http://whyquit.com/pr/041812.html However, when one takes into account that the amount of nicotine absorbed by the body from one cigarette is approximately 1mg, the scientists have been injecting the mice with the average human (11st) equivalent of 210 cigarettes a day, 5 days a week for 24 months - that's the equivalent of an 11 stone person who smokes 10 cigarettes a day smoking for 29.9 years! No wonder some of the mice are ill and what a rubbish study that proves diddly-squat! There are no conclusive, repeatable studies that nicotine causes cancer as the prevalence of cancers amongst those who chew tobacco is no higher than someone who has never touched a tobacco product. The problem lies with the tar in the cigarettes which coats and kills the lung tissues and is well documented to cause lung cancer, throat cancer, bowel and oesophageal cancer among others. Tar is made up of 4000 chemicals, 60 of which are known carcinogens, including such products as formaldehyde, cyanide, benzene. I'm not a fan of e-cigarettes, I think the studies so far are not far reaching enough to be able to draw any firm conclusions and one study does not a fact make. However, I think we would all agree that the first thing should be to eliminate the tar aspect of smoking and then work to eliminate the nicotine element. Anything that helps with this is a good thing.
walker  
#18 Posted : 27 January 2015 11:39:46(UTC)
Rank: Super forum user
walker

quote=RayRapp] A few years back we were discussing the risks associated with the 'microwave' effect of mobile phones with some very spurious evidence. That died a death (no pun intended)
And mobile phones igniting petrol stations. And suspension trauma. And Leukemia clusters around nuclear sites ditto power lines year 2000 IT meltdown Thus are the dangers of leaping onto bandwaggons
jumponthebandwagon  
#19 Posted : 27 January 2015 11:44:42(UTC)
Rank: Forum user
jumponthebandwagon

SteveDM wrote:
I'm sorry but the risks of nicotine addiction and the resultant health effects are well documented. Just saying switch to a lower concentration doesn't get rid of the health effects. That isn't strong for any forum..
Nicotine addiction is a risk, but for smokers who are already addicted, the long term effects of nicotine addiction are insignificant against the health effects of the other ~4000 chemicals found in tobacco smoke. Recent studies have also shown that many other chemicals in tobacco smoke increase the addictiveness of nicotine. Professor Michael Russell - "People smoke for nicotine but they die from the tar" The risk profile for nicotine use is very similar to the risk profile from caffeine, all NRT products regulated as medicines contain nicotine, nobody has ever developed cancer from any of these products. The nicotine in e-cigs is from the same GMP sources. Are e-cigs "safe", compared to breathing in clean mountain air - no, compared to inhaling tobacco smoke- YES, they are orders of magnitude less harmful. If smokers can not quit nicotine, switching to e-cigs is the next best thing. We don't live in a perfect world, when it comes to e-cigs don't let perfect be the enemy of good.
jumponthebandwagon  
#20 Posted : 27 January 2015 11:51:39(UTC)
Rank: Forum user
jumponthebandwagon

grim72 wrote:
It does surprise me a little that people are so strongly against e-cigarettes. personally I can see the pros & cons from both sides but in general if it is an improvement on the current option (of smoking a standard cigarette) then it has to be a step forward (even if it doesnt completely eradicate the danger). This is pretty much what most H&S is based upon - rarely can you eradicate a danger completely so we manage the danger as best as possible using the tools available to us? Personally I've never smoked a cigarette in my life and have no desire to. I am also fully aware of the risks of alcohol to my body but I am partial to the occasional tipple or two on a weekend. I know that non-alcoholic versions are on the market but I don't tend to drink them ;-) Purely from a devils advocate point of view.
It has also surprised myself, here we have a consumer product that could destroy the tobacco industry ( who incidentally are amongst the most vocal in calling for strict e-cig regulation ). I would have expected anybody involved in health to see these products as the massive public health prize which they are, instead many in the safety and public health profession who for very different reasons want the exact same thing as the tobacco industry, strange bed fellows indeed. I think the main problem is the name, people see the name "cigarette" and do not look any further, apart from the nicotine content the only similarity between traditional cigarettes and the electronic variety is the name.
walker  
#21 Posted : 27 January 2015 11:53:34(UTC)
Rank: Super forum user
walker

jumponthebandwagon wrote:
SteveDM wrote:
I'm sorry but the risks of nicotine addiction and the resultant health effects are well documented. Just saying switch to a lower concentration doesn't get rid of the health effects. That isn't strong for any forum..
Nicotine addiction is a risk, but for smokers who are already addicted, the long term effects of nicotine addiction are insignificant against the health effects of the other ~4000 chemicals found in tobacco smoke. Recent studies have also shown that many other chemicals in tobacco smoke increase the addictiveness of nicotine. Professor Michael Russell - "People smoke for nicotine but they die from the tar" The risk profile for nicotine use is very similar to the risk profile from caffeine, all NRT products regulated as medicines contain nicotine, nobody has ever developed cancer from any of these products. The nicotine in e-cigs is from the same GMP sources. Are e-cigs "safe", compared to breathing in clean mountain air - no, compared to inhaling tobacco smoke- YES, they are orders of magnitude less harmful. If smokers can not quit nicotine, switching to e-cigs is the next best thing. We don't live in a perfect world, when it comes to e-cigs don't let perfect be the enemy of good.
You sum up my feelings nicely
Xavier123  
#22 Posted : 27 January 2015 12:09:47(UTC)
Rank: Super forum user
Xavier123

Just to be cheeky, the tobacco industry are not so vocal about regulation anymore....many are now investing in and selling e-cigs. Why wouldn't they? ;) http://www.tobaccotactic...nvesting_in_E-cigarettes (I haven't fact checked this website - seems likely to have a bias! I just did a quick google search but can't see that explicit financial investments would be particularly controversial or challenged) My personal feelings are similar to the larger view here...that e-cigs currently appear to be less harmful than cigs and therefore are preferable. However, we have to acknowledge that long term potential harm and risks remain largely unassessed and that there are often unintended consequences. E-cigs have been postulated as a way for younger children to start smoking...and the nicotine hit you can get from an e-cig is possibly higher than from a normal cigarette. Again, no significant evidence to support a position one way or the other. Public health outcomes can sometimes be counter-intuitive which is why these devices have NOT YET been deemed to be a cessation tool. They might work for some...but then again so does gum, patches, cold turkey etc.
RayRapp  
#23 Posted : 27 January 2015 12:25:26(UTC)
Rank: Super forum user
RayRapp

SteveDM wrote:
Maybe reading it and before critising it would be good..
No need for a spat...just a little less contentious and provactive remarks will suffice.
jwk  
#24 Posted : 27 January 2015 13:52:58(UTC)
Rank: Super forum user
jwk

Jumponthebandwagon; it's not disagreeing with the consensus which may not be in keeping with the rules of the forum; if it was there would be no forum! It's your apparent advocacy of a cause in a way which I feel is less than disinterested. You contribute only to posts on e-cigs, and your approach is dangerously close to commercial promotion, John
stonecold  
#25 Posted : 27 January 2015 14:50:01(UTC)
Rank: Super forum user
stonecold

jwk wrote:
Jumponthebandwagon; it's not disagreeing with the consensus which may not be in keeping with the rules of the forum; if it was there would be no forum! It's your apparent advocacy of a cause in a way which I feel is less than disinterested. You contribute only to posts on e-cigs, and your approach is dangerously close to commercial promotion, John
Agree, think its pretty obvious that he works for or has interests in the e-cig industry...reminds me of that other poster on here who only ever posted on electrical stuff....
stonecold  
#26 Posted : 27 January 2015 14:52:26(UTC)
Rank: Super forum user
stonecold

No serious EHS person would describe e-cigs, which are unregulated and contain harmful substances as a massive Health prize as he does in post 20...crazy really
jumponthebandwagon  
#27 Posted : 27 January 2015 15:12:12(UTC)
Rank: Forum user
jumponthebandwagon

stonecold wrote:
No serious EHS person would describe e-cigs, which are unregulated and contain harmful substances as a massive Health prize as he does in post 20...crazy really
It was a direct quote from professor John Britton, Director of the UK Centre for Tobacco Control Studies. In the realms of public health you will struggle to find anyone with a higher academic standing than him. A product with the potential to save 5 million lives in the UK alone is a massive potential public health prize, however crazy you seem to consider it.
jumponthebandwagon  
#28 Posted : 27 January 2015 15:16:26(UTC)
Rank: Forum user
jumponthebandwagon

stonecold wrote:
jwk wrote:
Jumponthebandwagon; it's not disagreeing with the consensus which may not be in keeping with the rules of the forum; if it was there would be no forum! It's your apparent advocacy of a cause in a way which I feel is less than disinterested. You contribute only to posts on e-cigs, and your approach is dangerously close to commercial promotion, John
Agree, think its pretty obvious that he works for or has interests in the e-cig industry...reminds me of that other poster on here who only ever posted on electrical stuff....
As I have said in a previous post, I have no financial or other links with the e-cig industry, I just don't like people dying needlessly from smoking when a far less harmful alternative is available. It's all a bit "play the man, not the ball"
stonecold  
#29 Posted : 27 January 2015 15:35:19(UTC)
Rank: Super forum user
stonecold

John
Agree, think its pretty obvious that he works for or has interests in the e-cig industry...reminds me of that other poster on here who only ever posted on electrical stuff....
As I have said in a previous post, I have no financial or other links with the e-cig industry, I just don't like people dying needlessly from smoking when a far less harmful alternative is available. It's all a bit "play the man, not the ball" Just find it hard to believe someone in the EHS would only ever respond to one single subject on a forum they obviously frequent quite regulary. I have my opinion on the matter and that wont change, I definately want born yesterday you know :)... Anyways non of my business I guess.
bob youel  
#30 Posted : 28 January 2015 09:26:27(UTC)
Rank: Super forum user
bob youel

There is no doubt that taking a few highly dangerous drugs as found in an e-cig must be better than taking 1000's of highly dangerous drugs as found in a cigarette but two wrongs cannot make a right because as long as we encourage highly dangerous drugs to be used, even only one such drug e.g. nicotine, we are encouraging people to take highly dangerous drugs! Additionally independent research to date has not included the effect the vapour given off by an e-cig has on none drug users who are sitting next to drug users and until such research has been undertaken we should err to caution As for stopping smoking; I have taken lots of advice from ex-smokers and all those that I have talked to say the same thing - "go cold-turkey" as there is no other way and they are the experts so we should listen to them I do feel that we should strongly support people who want to stop using drugs e.g. nicotine but not at the expense of those who have never taken such drugs
stevedm  
#31 Posted : 28 January 2015 09:42:49(UTC)
Rank: Super forum user
stevedm

RayRapp wrote:
SteveDM wrote:
Maybe reading it and before critising it would be good..
No need for a spat...just a little less contentious and provactive remarks will suffice.
right back at you...
jwk  
#32 Posted : 29 January 2015 09:44:14(UTC)
Rank: Super forum user
jwk

As I have said in a previous post, I have no financial or other links with the e-cig industry, I just don't like people dying needlessly from smoking when a far less harmful alternative is available. It's all a bit "play the man, not the ball"
Surely the best way to stop people dying needlessly is to encourage people to stop completely, rather than actively promote substitution? Every year people stop, and young people's take-up is reducing. This has to be the best way forward. Using e-cigs = unknown risks; stopping all use of tobacco and nicotine products = zero risk from tobacco and nicotine products, John
boblewis  
#33 Posted : 29 January 2015 12:13:43(UTC)
Rank: Super forum user
boblewis

Of course if we did stop all smokers then many thousands of nurses doctors and other workers may become redundant as the health care needs shrink. The standards of care would however increase.
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