The electronic cigarette: an emerging public health problem

Authors

  • Roberto A. Accinelli Hospital 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 Pública http://orcid.org/0000-0002-9773-8778
  • Jorge Lam Instituto de Investigaciones de la Altura, Universidad Peruana Cayetano Heredia, Lima, Perú. estudiante de medicina humana
  • Karla B. Tafur Hospital Cayetano Heredia, Lima, Perú. Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Perú. Médico neumólogo

DOI:

https://doi.org/10.17843/rpmesp.2020.371.4780

Keywords:

Electronic cigarette, nicotine, flavorings, pneumonitis

Abstract

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.

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Author Biographies

  • Roberto A. Accinelli, Hospital 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 Pública

    Médico neumólogo del Hospital Cayetano Heredia. 
    Director del Instituto de Investigaciones de la Altura.

    Profesor principal de la Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia.

     

  • Jorge Lam, Instituto de Investigaciones de la Altura, Universidad Peruana Cayetano Heredia, Lima, Perú. estudiante de medicina humana
    Alumno de la Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia. Lima, Perú.
  • Karla B. Tafur, Hospital Cayetano Heredia, Lima, Perú. Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Perú. Médico neumólogo

    Médico neumóloga del Hospital Cayetano Heredia. 
    Profesora de la Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia.

Published

2020-03-19

Issue

Section

Review

How to Cite

1.
Accinelli RA, Lam J, Tafur KB. The electronic cigarette: an emerging public health problem. Rev Peru Med Exp Salud Publica [Internet]. 2020 Mar. 19 [cited 2024 Apr. 17];37(1):122-8. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/4780

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