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Also called as vaping, the use of e-cigarettes is on a sharp rise. A lot of people consider e-cigarettes as a safer alternative to smoking the conventional cigarettes. Here we discuss the differences between e-cigarettes and conventional cigarettes to understand what they are and how they can impact human health. How do conventional cigarettes and e-cigarettes compare with each other? As far as we talk of their commonness, cigarettes and e-cigarettes hardly have anything in common between them excepting their names carrying the word ‘cigarette’. Both cigarettes and e-cigarettes are habit forming and addictive in the first place. Both of them carry the risk of making people dependent on them. In a study undertaken by the Northwestern University, the head of the study Matthew Olonoff remarked, "Before we start making policy changes, such as controlling nicotine or flavor options in e-cigarettes, we need to better understand what role these unique characteristics have." The studies that compare conventional cigarettes and e-cigarettes view e-cigarettes as a unique kind of sophisticated nicotine delivery system. However, looking deeply, there are a number of key differences we can note between cigarettes and e-cigarettes. How do Cigarettes and e-cigarettes differ from each other? Nicotine intake The amount of nicotine contained in e-cigarettes vary significantly from product to product. We cannot expect any consistency in the devices used for vaping (e-cigarette). The amount of nicotine intake during vaping depends on the device used and the vaper’s behavior. Whereas, the nicotine contained in a conventional cigarette is already known and well-defined. How nicotine is taken in? While smoking, the smoker consumes the smoke containing nicotine. The user of an e-cigarette inhales (vapes) nicotine by taking in the e-liquid through the device used for vaping. Control over the usage E-Cigarettes allow more control over how they are used. It is possible to stop them and restart with them. This gives room for more variability in terms of the intermittent use and consequently how much nicotine is consumed by the vaper. The nicotine intake is completely predictable in case of conventional cigarettes. Legalities of using them Cigarettes are widely banned in a number of regions across the world. In some places where the conventional cigarettes are banned, e-cigarettes are permitted. Risk factor Teens are at a greater risk for becoming addicts to e-cigarettes more than the conventional cigarettes as e-cigarettes travel forward on the most alluring technological innovations to be able to attract the youth in a better way. Policy matters e-cigarettes found their debut in mid-2000s. Since those times, they are commercially available to the people. Since their advent, the vaping technology is continuously advancing in a rapid phase. Hence it becomes very difficult to set any up-to-date policy initiatives. They have very less things in common as per studies Commenting on the differences between the conventional cigarettes and e-cigarettes, Olonoff said, "From a research perspective, when we call it a 'cigarette,' we know how many puffs are typically in a cigarette, how people use it, the amount of nicotine in it. Even though it has the word 'cigarette' in it, e-cigarettes are not the same thing."

Difference between E-Cigarettes and Conventional Cigarettes

During recent years, the use of e-cigarettes has swelled exponentially. Today e-cigarettes have become the most sought after tobacco products by the youth. In terms of their volume sales, e-cigarettes have surpassed the cigars and conventional cigarettes. Given this background, now it is more appropriate and necessary than ever to understand how harmful e-cigarettes are. The government reports Recently, two government reports have cast more light on the effects of e-cigarettes on human health. Especially a lung specialist at Hendry Ford Hospital Geneva Tatem, M.D., has given more information on e-cigarettes and how they impact human health in order to help the patients make a better choice with regard to their smoking habits and health. Dr Tatem remarked, “We need to balance the current science and evidence we have with the advocacy, to figure out the right way we should proceed in counselling our patients.” E-cigarettes could be lesser harmful In 2018, the National Academies of Sciences, Engineering and Medicine (NASEM) published the findings of what was called a highly comprehensive analysis of the present studies in the field of e-cigarettes. The report said, “E-cigarettes are not without health risks, they are likely to be far less harmful than conventional cigarettes.” The study also observed that the use of e-cigarettes could eventually move users to smoke conventional cigarettes. The available knowledge on e-cigarettes is inadequate In the year 2016, the U.S. Surgeon General observed, “The use of e-cigarette is a “public health concern that warrants immediate and coordinated action. Many questions remain about e-cigarettes and their long-term impact, even as evidence on patterns of use and risks to health continue to emerge.” Overview of e-cigarettes and how they harm human health An e-cigarette can be understood as an electronic apparatus that works by heating a liquid. The heated liquid becomes vapour and is then inhaled by the person using it. The e-liquid used for vaping burns at a lower temperature than the conventional cigarette. Unlike the traditional cigarette, an e-cigarette does not contain tar. However, it does produce a list of other chemicals. Commenting on the harmful releases they make, Dr Tatem says, “What we do know is that e-cigarettes contain some products that are harmful, particularly hard or heavy metals. Things like cadmium and other metals.” Doctors advise not to get fooled The most common name of e-cigarettes is vape pens. E-cigarettes make use of vaping liquids or e-liquids that come in different flavors. There are a large number of flavors we come across in the world of e-liquids. This fact must not fool the user encouraging the notion that their health is not at risk. Dr Tatem says, “The products that are produced by an e-cigarette are much different than the products produced by a traditional tobacco cigarette. So, using it may still be harmful to the lungs. We don’t have enough research yet that tells us how much less harmful it is using an e-cigarette versus a traditional tobacco cigarette.” Concluding remarks Though e-cigarettes are in no way safe for human use, they only mark a technological shift in the way people consume tobacco and other drugs. In the NASEM report published sometime back, three potential effects of e-cigarettes have been highlighted. <ul><li>e-cigarettes are lesser harmful than the conventional cigarettes.</li><li>e-cigarettes contain lesser amounts of harmful substances than the conventional cigarettes.</li><li>e-cigarettes might help people aspiring to quit smoking to gradually escape their addiction. </li></ul>Commenting that e-cigarettes are not tob e resorted without any discretion, Dr Tatem says, “As a pulmonologist, I see lots of patients who have developed the disease as a result of tobacco and smoking products. Anything you can use to reduce the amount of tobacco you smoke is potentially a good thing. More research is needed to help us clarify the difference between e-cigarettes and vape pens, and how much less harmful they can be relative to tobacco cigarettes.”

How harmful are E-Cigarettes - Risks, Legalities, ingredients and case studies

<ul><li>Indian Finance Minister, <keyword id="129243" type="PERSON" weightage="20" keywordseo="Nirmala-Sitharaman">Nirmala Sitharaman</keyword>, has announced a ban on e-cigarettes in India. </li><li>She said e-cigarettes are being used as a 'style statement' rather than a tool to quit smoking.</li><li>The ban is subject to approval from the Indian parliament.</li></ul> Indian Finance Minister and cabinet member, Nirmala Sitharam, announced a total ban on every aspect of e-cigarettes in the country. "Production, manufacturing, import, export, transport, sale, distribution, storage and advertisements related to e-cigarettes are all banned in India. It is banned in all these nine forms," stated Sitharam during the cabinet briefing. She said that the decision is being taken in lieu of the seven deaths, which occurred in the US over the past week, directly linked to the use of e-cigarettes. <div type="twitter" handle="PIB_India" handlename="PIB India" image="http://pbs.twimg.com/profile_images/974552536408444928/TVZG_9jP_normal.jpg" favoritecount="104" retweetcount="38" status="#UnionCabinet approves the promulgation of the prohibition of E-Cigarettes Ordinance, 2019. The decision to prohib… https://t.co/DF4OUMqGGa" createdat="1568800703000" id="1174261375339827201"></div>

 "The cabinet, rightly, thought it's time to immediately take a decision so that the health of our youth and citizens is not risked," said Sitharam. E-cigarettes are a 'style statement' A large number of e-cigarette models are available in the market today. However, none of them are produced in India. The government believes that are currently over 400 brands of e-cigarettes in the country available in over 150 flavours. The varieties on offer tend to make people try them due to the 'cool' factor, rather than the devices being used for their original purpose, which is to help people quit smoking. "In India, ground reports say that e-cigs are being used as a 'style statement'," said Sitharaman. "Reports say many people are not using it to quit smoking but actually smoking cigarettes as well as e-cigarettes, if they're already smokers. Some are getting into the habit because it seems cool," she explained. Passive smoking E-cigarettes were banned as they are not only harmful to the user and those around them. The fact that're odourless makes even more dangerous, according to Sitharaman. "The smoke exhaled by a user of e-cigarettes, contains a high level of residual nicotine, which for people around standing as passive smokers — it will affect them too," she said. While the cabinet approved the ban, it is subject to approval from the government. The ordinance advises the government to analyse the impact of e-cigarettes on people and their health. The cabinet will take the matter forward during the next session of parliament.

Cabinet bans e-cigarettes which are 'harmful' and a 'style statement'

<div class="KonaFilter image-container display-table"><div><div class="image"></div></div></div><ul class="summary-list"><li>E-cigarette company Juul faces an <a href="https://www.businessinsider.com/juul-timeline-from-startup-to-tobacco-company-challenges-bans-2019-9">uncertain future</a> as it brings on a new CEO with a long track record in the tobacco industry.</li><li>In the US, Juul is confronting <a href="https://www.businessinsider.com/juul-timeline-from-startup-to-tobacco-company-challenges-bans-2019-9">challenges</a> that include warnings from national regulators, probes by members of Congress, bans, and questions about the health of vaping.</li><li>Juul has raised a lot of money to speed its success outside of the US in countries like China and India, the world's largest smoking markets.</li><li>But some of those countries appear to be closing their doors to Juul too.</li><li><a href="https://www.businessinsider.com/prime?module=article&amp;area=summary">Click here for more BI Prime stories</a>.</li></ul>Regulatory investigations. A criminal probe. A <a href="https://www.businessinsider.com/juul-timeline-from-startup-to-tobacco-company-challenges-bans-2019-9">warning</a> from the US Food and Drug Administration. And <a href="https://www.insider.com/trump-considers-vaping-ban-on-flavored-e-cigarettes-2019-9">reports</a> of a possible nationwide ban on some e-cigarettes.<a href="https://www.businessinsider.com/juul-timeline-from-startup-to-tobacco-company-challenges-bans-2019-9">Juul</a>, the dominant e-cigarette company, is increasingly in hot water in the US, as state and federal health officials crack down on vaping, citing skyrocketing rates of youth e-cig use and mysterious vaping-related lung illnesses. On Wednesday, Juul brought in a <a href="https://www.businessinsider.com/juul-timeline-from-startup-to-tobacco-company-challenges-bans-2019-9">new CEO</a> with a long track record in tobacco to turn things around.The company said it would halt advertising and some lobbying in the US, and the new CEO, K.C. Crosthwaite, acknowledged the need to address problems including underage use of e-cigarettes."We must strive to work with regulators, policymakers and other stakeholders, and earn the trust of the societies in which we operate," Crosthwaite, a longtime executive at tobacco giant Altria, said in a statement.Amid the US crackdown on vaping, Juul had been looking to expand in nearly two dozen countries, including China and India, according to a Business Insider review of job postings and other public information. The company has raised $14.5 billion to help fuel its growth, including $12.8 billion from tobacco giant Altria, and hit a valuation of $38 billion.China and India have the largest populations of smokers in the world, making them alluring potential markets.But Juul is likely to face challenges expanding internationally, as other countries seek to avoid a repeat of the youth epidemic that the company helped fuel in the US. Already, in China, Juul products have mysteriously vanished from store shelves, <a href="https://www.wsj.com/articles/juuls-sales-halted-in-china-days-after-launch-11568734509">according to the Wall Street Journal</a>. In India, vaping has been banned entirely, the country's Ministry of Health and Family Welfare <a href="https://pib.gov.in/PressReleasePage.aspx?PRID=1585438#">said in a statement</a>.In <a href="https://www.businessinsider.com/juul-timeline-from-startup-to-tobacco-company-challenges-bans-2019-9">banning vaping</a>, India's government cited the need to stop the "impact of e-cigarettes on the youth," <a href="https://www.buzzfeednews.com/article/pranavdixit/a-huge-market-with-millions-of-smokers-just-banned-vapes">according to BuzzFeed News</a>. Five other countries that Juul has targeted for expansion have also put limits on vaping.Juul didn't respond to a request for comment for this story.A recent spate of mysterious <a href="https://www.businessinsider.com/vaping-dangers-health-effects-impacts-e-cigs-2019-8">vaping-related lung illnesses</a> have also cast a shadow over the category, although it's not clear whether Juul is linked to those issues. Separately, <a href="https://www.bloomberg.com/news/articles/2019-08-29/juul-devices-cited-in-seizure-reports-that-triggered-fda-probe">Bloomberg News reported</a> that Juul devices were involved in three reports of seizures tied to vaping.The fresh challenges put Juul in a tough spot. On Tuesday, the <a href="https://www.wsj.com/articles/juul-prepares-staff-restructuring-amid-u-s-crackdown-11569354261">Wall Street Journal reported</a> that Juul may be preparing to restructure and aims to hire less aggressively in the near future as well as potentially cutting some jobs. <h2>Juul has expanded feverishly, and some investors remain confident</h2>In two years, Juul's employee base has ballooned from roughly 225 employees in 2017 to 3,900 today - a 1,633% increase. The company is currently hiring for more than 500 positions across 16 countries. Several investors told Business Insider they're confident that Juul will prevail amid the rising challenges.They believe the pushback against vaping is fueled by confusion and fear, and they expect the crackdowns and bans will disappear or be scaled back as more information emerges."I think Juul is a net public health benefit," said Gregg Smith, the founder and CEO of venture fund Evolution, which backed Juul in 2017. "I'm disappointed today that there are other issues clouding the mission of trying to get people off of cigarettes."Morgan Paxhia, a managing director and CEO of hedge fund Poseidon Asset Management, agreed. His firm first backed Juul when it was still part of vaporizer startup Pax Labs."We've been through hysterias with new categories before," Paxhia said.<h2>Juul may be slowing down as it faces closing doors</h2>Juul's growth spree may be starting to show signs of slowing. The <a href="https://www.wsj.com/articles/juul-prepares-staff-restructuring-amid-u-s-crackdown-11569354261">Wall Street Journal reported</a> this week that Juul is preparing to restructure and aims to hire less aggressively in the near future. Some jobs may be cut, according to the Journal.It is unclear if the moves are a response to the investigations and bans in the US, or to the barriers cropping up internationally.Earlier this month, the US Food and Drug Administration <a href="https://www.businessinsider.com/fda-warns-juul-marketing-ecigs-safe-schools-2019-9">said Juul wrongly painted its devices as safer</a> than cigarettes and marketed them intentionally to kids. The findings were the result of a nationwide investigation begun last spring. An investigation by the Federal Trade Commission into Juul's marketing is also ongoing, and federal prosecutors in California are also <a href="https://www.wsj.com/articles/federal-prosecutors-conducting-criminal-probe-of-juul-11569268759">reportedly</a> conducting a criminal probe.In China, where Juul's refillable nicotine cartridges are manufactured, the company's flavored products were removed from online marketplaces JD.com and Tmall about a week after they first went up for sale, the <a href="https://www.wsj.com/articles/juuls-sales-halted-in-china-days-after-launch-11568734509">Wall Street Journal reported</a>. Juul had long been planning to launch in the country, where more than 300 million people smoke.In this climate, Paxhia said he believes that if confirmed, Juul's decision to restructure is probably a good one. "They can take the time to kind of do a bit of a reset," he said. "If we start to see steps in that direction I'm confident in the long term that we can get through this."<a href="/intelligence/digital-health?IR=T&amp;itm_source=businessinsider&amp;itm_medium=ctgr_bii&amp;itm_term=ctgr_subscription&amp;itm_content=health&amp;itm_campaign=digital-health-3"></a>Featured Digital Health Articles: - <a href="/telehealth-industry-explained">Telehealth Industry: Benefits, Services &amp; Examples</a> - <a href="/value-based-care-pay-for-performance-healthcare-model">Value-Based Care Model: Pay-for-Performance Healthcare</a> - <a href="/senior-care-market-trends">Senior Care &amp; Assisted Living Market Trends</a> - <a href="/wearable-technology-healthcare-medical-devices">Smart Medical Devices: Wearable Tech in Healthcare</a> - <a href="/artificial-intelligence-healthcare">AI in Healthcare</a> - <a href="/remote-patient-monitoring-industry-explained">Remote Patient Monitoring Industry: Devices &amp; Market Trends</a>

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Difference between E-Cigarettes and Conventional Cigarettes

BI India Bureau

How harmful are E-Cigarettes - Risks, Legalities, ingredients and case studies

BI India Bureau

Cabinet bans e-cigarettes which are 'harmful' and a 'style statement'

Prabhjote Gill

E-cig company Juul raised billions to pursue global domination, but a rash of challenges is raising questions about its strategy

Erin Brodwin

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