- Dr. Madhulika Banerjee

Today, whenever and whatever starts with “E”, we think that it is something related to the internet like E-Book, E-newspaper, E-magazine, etc. But what about E-Cigars! Now see, E-Cigars does not mean you can smoke online!
E-Cigars or electronic cigars or e-cigarettes are the battery-operated devices that people use to inhale aerosol which contains nicotine (though not always), flavorings and other types of chemicals. They are also known as Electronic Nicotine Delivery Systems (ENDS) and this term includes various types of devices like :
- vapes,
- e-hookahs,
- e-pipes and
- e-cigars.
These devices work by heating the liquid so that it turns into a vapour for the smoker to inhale, or ‘vape’. E-cigarettes vary widely in design as well as appearance. There has been a dramatic rise in the use of e-cigarettes among youth and young adults.The availability and popularity of flavored e-cigarettes is one of the important concern regarding the potential public health implications of the products. The youth is excited and happy to know about the availability of e-cigarettes with sweet flavors, which will facilitate nicotine addiction and simulate smoking behavior. Flavors have been used for many years to attract the youth towards tobacco products to mask the flavor and harshness of tobacco.
So, do you know what does the vapor of an E-Cigar consist of? If “NO”, then let’s see:
- Propylene glycol
- Glycerin
- Nicotine
- Heavy metals
- Flavors
- Traces of toxicants
- Carcinogens
- Metal nanoparticles
E-CIGARETTE DEVICES
l First-generation e-cigarettes: These were mostly similar in size and shape to conventional cigarettes, with a design that also simulated a traditional cigarette in terms of the colors used (e.g., a white body with tan mouthpiece). These devices are also known as cigalikes, but there were also other products designed to simulate a cigar or pipe.
l Second-generation devices: These include products whose shapes are like pens, are comparatively larger and cylindrical, and are sometimes known as “tank systems” in a nod to the transparent reservoir that holds larger amounts of e-liquid than previous cartridge-containing models.
l Third and fourth generation devices consists of a diverse set of products and, esthetically, constitute the greatest departure from the traditional cigarette shape, as many are square or rectangular and feature customizable and rebuildable atomizers and batteries.
Unintentional exposure to and poisoning from e-cigarette solutions containing nicotine have increased dramatically in the United States since 2011. Although symptoms of acute nicotine toxicity are generally mild and resolve within 12 hours with no treatment, large exposure can be fatal.1 One child death caused by ingestion of liquid nicotine has been reported in the United States.2
The Child Nicotine Poisoning Prevention Act of 2015, which was enacted nationally in January 2016, requires containers of liquid nicotine to be in child-resistant packaging; nonetheless, there continue to be thousands of reports of exposure to e-cigarette liquid nicotine yearly to the National Poison Data System.3 In addition, the lithium-ion batteries used in e-cigarettes have exploded, leading to burns and fires.4
Effects of E-cigars on general and oral health
If you think that smoking via e-cigarettes is safe and is not going to affect your lungs, then for sure you are in a wrong path of your imagination. Have you ever imagined why more teenagers are getting into this smoking trend? The foremost reason is not the habit of their smoking, but the swag factor which they love to flaunt in front of their so called friends. These E-Cigars are the one which will judge your status in the society. And you just cannot always blame the smokers.So, now it’s the time to point out those who feel that smoking is a fashion in today’s era.
How cigars can affect your general health
- Lung Cancer
- Stomach Cancer
- Bladder Cancer
- Heart Disease
- Respiratory diseases which causes difficulty in breathing.
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