Public Health Consequences of E-Cigarettes
English
By (author): and Medicine Board on Population Health and Public Health Practice Committee on the Review of the Health Effects of Electronic Nicotine Delivery Systems Engineering Health and Medicine Division National Academies of Sciences
Millions of Americans use e-cigarettes. Despite their popularity, little is known about their health effects. Some suggest that e-cigarettes likely confer lower risk compared to combustible tobacco cigarettes, because they do not expose users to toxicants produced through combustion. Proponents of e-cigarette use also tout the potential benefits of e-cigarettes as devices that could help combustible tobacco cigarette smokers to quit and thereby reduce tobacco-related health risks. Others are concerned about the exposure to potentially toxic substances contained in e-cigarette emissions, especially in individuals who have never used tobacco products such as youth and young adults. Given their relatively recent introduction, there has been little time for a scientific body of evidence to develop on the health effects of e-cigarettes.
Public Health Consequences of E-Cigarettes reviews and critically assesses the state of the emerging evidence about e-cigarettes and health. This report makes recommendations for the improvement of this research and highlights gaps that are a priority for future research.
Table of Contents- Front Matter
- Summary
- Summary Annex Report Conclusions by Level of Evidence
- 1 Introduction
- 2 Committee Approach
- Section I: E-Cigarette Devices, Constituents, and Exposures
- 3 E-Cigarette Devices, Uses, and Exposures
- 4 Nicotine
- 5 Toxicology of E-Cigarette Constituents
- 6 Research Needs: E-Cigarette Devices, Constituents, and Exposures
- Section II: Effects of E-Cigarettes on Health
- 7 Modes of Action
- 8 Dependence and Abuse Liability
- 9 Cardiovascular Disease
- 10 Cancers
- 11 Respiratory Diseases
- 12 Oral Diseases
- 13 Developmental and Reproductive Effects
- 14 Injuries and Poisonings
- 15 Research Needs: Effects of E-Cigarettes on Health
- Section III: Public Health Implications of E-Cigarettes
- 16 Combustible Tobacco Cigarette Smoking Among Youth and Young Adults
- 17 Smoking Cessation Among Adults
- 18 Harm Reduction
- 19 Modeling of E-Cigarette Use
- 20 Research Needs: Public Health Implications of E-Cigarettes
- 21 Concluding Observations
- Appendix A: Questions from the Center for Tobacco Products of the Food and Drug Administration Submitted for the Committee's Consideration
- Appendix B: Search Strategy and Quality Assessment
- Appendix C: Glossary of Terms Related to E-Cigarettes
- Appendix D: Cytotoxicity Tables
- Appendix E: Public Meeting Agenda
- Appendix F: Committee Biosketches