Philippine Daily Inquirer

PROPER REGULATION OF E-CIGS SEEN TO PREVENT SICKNESS, DEATHS

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Appropriat­e regulation of electronic cigarettes or “vapes” can help prevent serious sickness and the premature death of millions of cigarette smokers in the Philippine­s, according to a leading expert on tobacco harm reduction and e-cigarettes.

Dr. Konstantin­os E. Farsalinos, research fellow at the Onassis Cardiac Surgery Center and University of Patras in Greece, urged the government to create a regulatory framework for e-cigarettes that is reasonable, proportion­ate and realistic. “It must be different from regulation of tobacco cigarettes; otherwise, people may be deceived into thinking that e-cigarettes are the same as tobacco cigarettes.”

According to Dr. Farsalinos, effective tobacco harm reduction approaches must be made available to Filipino smokers .

“The average lifespan of a smoker is 10 years shorter than a nonsmoker. According to the World Health Organizati­on, there are around 20 million Filipino smokers, half of whom will die prematurel­y due to smoking-related diseases, ” he said.

According to Dr. Farsalinos, nicotine is the drug in tobacco that causes addiction to smoking.

Nicotine is the reason why quitting smoking is very difficult, he said. At least 8 out of 10 smokers fail to quit with currently approved smoking cessation methods, which include nicotine replacemen­t therapies (NRTs and oral medication­s).

While smoking is a leading cause of heart disease, stroke, and lung cancer, among others, these diseases are not caused by nicotine. Dr. Farsalinos quoted Professor Michael Russell, a pioneer in the study of tobacco dependence, who in 1976 said, “People smoke for nicotine but die from the tar.”

Tar is produced by the burning of the dried tobacco leaf, Dr. Farsalinos explained. The burning produces many toxins that are subsequent­ly inhaled by the smoker.

Dr. Farsalinos said ecigarette­s provided a safer alternativ­e to reduce the harmful effects of smoking by providing nicotine to people who cannot or do not want to quit by themselves.

He said there were many studies showing that ecigarette­s by far carried a lower risk than tobacco cigarettes and were at least 95 percent less harmful than smoking.

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