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Electronic cigarettes are associated with more harm than benefit on a population level

More Harms Than Benefits for E-Cigarettes at Population Level

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Estimated 168,000 never-smoking young people could become daily smokers after starting e-cigs
Adolescents smoking electronic-cigarettes only have significantly higher excretion of volatile organic chemical compounds than non-smokers

Excretion of Volatile Organic Compounds Up in Teen E-Smokers

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Excretion of metabolites of acrylonitrile, acrolein, propylene oxide, acrylamide, crotonaldehyde up
Toxic metals

Lead, Other Toxic Metals Found in E-Cigarette Vapors

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Study finds metals, including lead, leak from e-cigarette heating coils into inhaled aerosols
Greater perceived harm from e-cigarettes lessens the likelihood that teens will use them

Greater Fear of Harm From E-Cigarettes Cuts Teens’ Use

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Perceived harm from secondhand e-cigarette vapor showed similar patterns
About one in five U.S. adults currently uses any tobacco product

About 20 Percent of U.S. Adults Currently Use Tobacco Products

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Overall, 15.1 percent use cigarettes, with higher use among males, older adults, those with lower incomes
Overall

More Than One in Five U.S. Working Adults Uses Tobacco

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4.6 percent report current use of two or more products; highest use for construction workers
E-cigarette use changes the profile of innate defense proteins in airway secretions

E-Cigarettes Alter Defense Proteins in Airway Secretions

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Levels of innate defense proteins associated with COPD found to be elevated in e-cigarette users
Replacement of cigarettes with electronic cigarettes is projected to result in fewer premature deaths

Fewer Deaths Projected With Switch to Electronic Cigarettes

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Under pessimistic model, 1.6 million premature deaths prevented, 20.8 million fewer life-years lost
Significant increases are seen in blood pressure

BP, Heart Rate, Arterial Stiffness Up With E-Cigarettes

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Significant increases seen in first 30 minutes after smoking electronic-cigarette containing nicotine
Electronic cigarette smoking has the same deleterious effect on weight and metabolic parameters as traditional cigarettes

Comparable Metabolic Effects for E-Cigarettes, Smoking

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Even without nicotine exposure, similar deleterious effects for e-cigarettes, traditional tobacco cigarettes