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Electronic cigarettes in the indoor environment

  • Cheryl L. Marcham ORCID logo EMAIL logo und John P. Springston
Veröffentlicht/Copyright: 21. Mai 2019

Abstract

The use of electronic cigarettes (e-cigarettes or “vaping”) has seen an unprecedented increase worldwide. Vaping has been promoted as a beneficial smoking cessation tool and an alternative nicotine delivery device that contains no combustion by-products. However, nicotine is highly addictive, and the increased use of nicotine-containing e-cigarettes among teens and individuals who are not in need of smoking cessation may lead to overall greater nicotine dependence in the population. Furthermore, available research indicates that vaping solutions and their emissions may contain much more than just nicotine, including aerosolized flavorings, propylene glycol (PG), and other intentional and unintentional contaminants. These materials could present undefined potential health hazards to both e-cigarette users and bystanders, the full extent of which is not well understood at this time. Whereas e-cigarette usage and exposures may lower some or most of the risks associated with conventional cigarette use, the health effects of nicotine and aerosol exposures from e-cigarettes are not well understood. Research indicates that vaping aerosols are not benign, especially for nearby people in areas with limited ventilation and people with compromised health conditions. In addition, e-juice liquids have already been responsible for an increase in accidental poisonings in children. Because the magnitude of health and safety hazards that vaping may present to nonusers remains unclear, it is prudent to manage and control vaping in indoor locations where smoking is currently restricted. Based on a review of current scientific information, the American Industrial Hygiene Association (AIHA) recommends that e-cigarettes should be considered a source of aerosols, volatile organic compounds (VOCs), and particulates in the indoor environment that have not been thoroughly characterized or evaluated for health risk or safety.

Acknowledgments

The following are team members who participated in either the original development of the 2014 AIHA White Paper on Electronic Cigarettes in the Indoor Environment or the 2019 update: Alan Rossner, PhD, CIH, CSP, FAIHA, Clarkson University, Pottsdam, NY, USA; Mitch Bergner, CIH, Connestoga-Rovers & Associates, St. Paul, MN, USA; J. David Krause, PhD, MSPH, CIH, Forensic Analytical, Tallahassee, FL, USA; Timothy Froehlig, CIH, Amtrak, Washington, DC, USA; Mary O’Reilly, PhD, CIH, CPE, FAIHA, School of Public Health, SUNY at Albany, Manilius, NY, USA; Ralph A. Froehlich, CIH, CSP, QEP, FAIHA, Helix Environmental Inc., Dayton, OJ, USA; Dora Gosen, CSP, California Institute of Technology, Pasadena, CA, USA; Pamela Williams, MS, ScD, CIH, E Risk Sciences, LLP, Lafayette, CO, USA; Veronica Stanley, Hygiene Health and Safety Consulting LLC, Brookville, MD, USA; Ellen Gunderson, CIH, CSP, University of Washington, Bainbridge Island, WA, USA; Patrick Breysse, PhD, CIH, Bloomberg School of Public Health/National Center for Environmental Health/Agency for Toxic Substances and Disease Registry, Atlanta, GA, USA; Warren Friedman, PhD, CIH, FAIHA, HUD Office of Lead Hazard Control and Healthy Homes,Washington, DC, USA. Evan L. Floyd, PhD, CIH, Department of Occupational and Environmental Health, The University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.

  1. Research funding: None declared.

  2. Conflict of interest: Authors state no conflict of interest.

  3. Informed consent: Not applicable.

  4. Ethical approval: Not applicable.

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Article note

The copyright owner, the American Industrial Hygiene Association, granted permission to re-print this White Paper in Reviews on Environmental Health.


Received: 2019-02-21
Accepted: 2019-03-05
Published Online: 2019-05-21
Published in Print: 2019-06-26

©2019 Walter de Gruyter GmbH, Berlin/Boston

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