The electronic cigarette: an emerging public health problem
Since 2004, the electronic cigarette (EC) is available, a device that heats nicotine and administers it as part of a vapor. We present a narrative review of the EC and its effect on health. Its use is to stop smoking, in which the evidence is low, and ends up being used at the same time as the cigar...
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Instituto Nacional de Salud
2020-03-01
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Online Access: | https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/4780 |
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doaj-7570ce7e671c4b97a0058a6ec17ce3ac2020-11-25T03:48:28ZspaInstituto Nacional de SaludRevista Peruana de Medicina Experimental y Salud Pública1726-46341726-46422020-03-01371122810.17843/rpmesp.2020.371.47802312The electronic cigarette: an emerging public health problemRoberto A. Accinelli0Jorge Lam1Karla B. Tafur2Hospital Cayetano Heredia, Lima, Perú. Instituto de Investigaciones de la Altura, Universidad Peruana Cayetano Heredia, Lima, Perú. Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Perú. Médico neumólogo; magíster en Salud PúblicaInstituto de Investigaciones de la Altura, Universidad Peruana Cayetano Heredia, Lima, Perú. estudiante de medicina humanaHospital Cayetano Heredia, Lima, Perú. Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Perú. Médico neumólogoSince 2004, the electronic cigarette (EC) is available, a device that heats nicotine and administers it as part of a vapor. We present a narrative review of the EC and its effect on health. Its use is to stop smoking, in which the evidence is low, and ends up being used at the same time as the cigarette they could not quit. In addition, those who never smoked, mainly teenagers and young people, begin consumption. Its use raises the levels of nicotine, particles, volatile organic compounds, polycyclic aromatic hydrocarbons, carbonyls and metals such as aluminum. In vitro, the EC causes inflammation, oxidative stress and is toxic to multiple cell types, including lung, endothelial and stem cells. Produces increased susceptibility to viral and bacterial infections. Compared to cigarettes, the EC produces a larger and more intense number of deleted genes. At bronchoscopy the airways are friable and erythematous, and the bronchial epithelium with a differentiated protein expression. It has been associated with cough, bronchitis symptoms and the respiratory failure by pneumonitis epidemic that has led several dozen people to death. Because of its harmful effects, the EC should only be used by medical prescription, as a measure to help quit tobacco, and its use in indoor and public environments be prohibited. As the EC components responsible for the associated deaths have not been determined, their use should be banned until these factors are known.https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/4780cigarrillo electróniconicotinasaborizantesneumonitis |
collection |
DOAJ |
language |
Spanish |
format |
Article |
sources |
DOAJ |
author |
Roberto A. Accinelli Jorge Lam Karla B. Tafur |
spellingShingle |
Roberto A. Accinelli Jorge Lam Karla B. Tafur The electronic cigarette: an emerging public health problem Revista Peruana de Medicina Experimental y Salud Pública cigarrillo electrónico nicotina saborizantes neumonitis |
author_facet |
Roberto A. Accinelli Jorge Lam Karla B. Tafur |
author_sort |
Roberto A. Accinelli |
title |
The electronic cigarette: an emerging public health problem |
title_short |
The electronic cigarette: an emerging public health problem |
title_full |
The electronic cigarette: an emerging public health problem |
title_fullStr |
The electronic cigarette: an emerging public health problem |
title_full_unstemmed |
The electronic cigarette: an emerging public health problem |
title_sort |
electronic cigarette: an emerging public health problem |
publisher |
Instituto Nacional de Salud |
series |
Revista Peruana de Medicina Experimental y Salud Pública |
issn |
1726-4634 1726-4642 |
publishDate |
2020-03-01 |
description |
Since 2004, the electronic cigarette (EC) is available, a device that heats nicotine and administers it as part of a vapor. We present a narrative review of the EC and its effect on health. Its use is to stop smoking, in which the evidence is low, and ends up being used at the same time as the cigarette they could not quit. In addition, those who never smoked, mainly teenagers and young people, begin consumption. Its use raises the levels of nicotine, particles, volatile organic compounds, polycyclic aromatic hydrocarbons, carbonyls and metals such as aluminum. In vitro, the EC causes inflammation, oxidative stress and is toxic to multiple cell types, including lung, endothelial and stem cells. Produces increased susceptibility to viral and bacterial infections. Compared to cigarettes, the EC produces a larger and more intense number of deleted genes. At bronchoscopy the airways are friable and erythematous, and the bronchial epithelium with a differentiated protein expression. It has been associated with cough, bronchitis symptoms and the respiratory failure by pneumonitis epidemic that has led several dozen people to death. Because of its harmful effects, the EC should only be used by medical prescription, as a measure to help quit tobacco, and its use in indoor and public environments be prohibited. As the EC components responsible for the associated deaths have not been determined, their use should be banned until these factors are known. |
topic |
cigarrillo electrónico nicotina saborizantes neumonitis |
url |
https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/4780 |
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