The Alleged Safety of Vaping E-liquids (part 2)

by: Mitchell Kilkenny

01/24/24

The notion that vaping e-liquids are inherently safe because they comprise ingredients found in everyday products is an oversimplification that ignores the complex realities of inhalation toxicology. Common constituents of e-liquids like vegetable glycerin, propylene glycol, nicotine, and flavorings are indeed part of many products we encounter daily. However, the implications of heating and inhaling these substances are far from benign and remain an active area of research. The transformation of these ingredients into vapor can generate new chemical compounds, the long-term health effects of which are not yet fully understood. Adding to the complexity, the vast array of flavorings in e-cigarettes often introduces additional chemicals, and the lack of stringent regulatory oversight and standardization in e-liquid production raises significant concerns. Studies have indicated that heating certain flavoring agents can produce unstable aldehydes, potentially harmful to users. Moreover, instances of adding vitamins or essential oils to e-liquids, substances typically safe for ingestion, pose severe risks when inhaled, as evidenced by the association of Vitamin E acetate with the life-threatening condition, Vaping Associated Lung Injury (VALI), which led to over 2,500 hospitalizations and 68 deaths.
 
When discussing the relative safety of vaping as asserted by the Royal College of Physicians, it's crucial to contextualize these claims. The suggestion that vaping is "95% safer" than smoking doesn't equate to being risk-free. The landscape of tobacco-related harm has taught us that the long-term health consequences of new products can take decades to fully manifest. The Surgeon General's landmark report in 1964, which officially acknowledged the carcinogenic nature of smoking, came after years of misleading marketing by tobacco companies. This historical lesson underscores the need for a preemptive and proactive stance on vaping, rather than a reactive one.
 
The historical parallel to the early days of cigarette marketing also serves as a stark reminder of the necessity for a prudent, evidence-based approach to emerging health products and trends. Public health entities are not outright dismissing the potential role of vaping in smoking cessation. Instead, they emphasize a balanced view, acknowledging the possible benefits while rigorously investigating and communicating the risks. This balanced, research-informed perspective is not just a scholarly ideal but a public health imperative to prevent repeating the costly mistakes of our past tobacco control experiences.
 
Our interactions with educators and students in Douglas County have provided us with anecdotal evidence of vaping's adverse health effects, including respiratory issues and reduced physical capacity. This local testimony, coupled with extensive research, underscores the urgent need for a comprehensive understanding of vaping's long-term implications, especially for youth.
 
Overlooking the Addictive Nature of Nicotine and Its Mental Health Impacts
 
The comparison of nicotine to caffeine, as mentioned in the article, trivializes the well-documented addictive properties of nicotine. This substance significantly affects brain development, particularly in individuals under the age of 25, heightening the risk of addiction and associated mental health issues, such as depression and anxiety. It's crucial to acknowledge the challenging nature of nicotine addiction, evident from the numerous quit attempts typically made by tobacco users.
 
Misinterpretation of Harm Reduction
 
In the discourse about the safety of vaping, it's not just the chemical composition of e-liquids or the evolving body of scientific research that paints a concerning picture; it's the tangible, distressing experiences of individuals, particularly our youth, that truly highlight the urgency of addressing this issue. Throughout my experience as the coordinator of the DCsmokeFree campaign, I have encountered numerous cases that vividly illustrate the detrimental effects of vaping on the physical and mental well-being of otherwise healthy young individuals.
 
One particularly disheartening narrative involves a student, an avid soccer player, with aspirations of making it to the varsity team. This student was introduced to vaping under the guise of it being a harmless, flavorful trend. However, the reality was starkly different. Over time, the student, once full of vigor and stamina, began experiencing shortness of breath, not just during matches or practice sessions, but in ordinary activities like climbing stairs. The dream of excelling in sports began to fade away as the physical toll of vaping became increasingly apparent.
 
Another instance involves a student known for their academic excellence and active participation in extracurricular activities. However, after falling into the vaping trend, primarily due to peer pressure and the allure of being part of the 'in-crowd', this student's life took a drastic turn. The immediate gratification of fitting in was soon overshadowed by a decline in athletic performance, an inability to keep up with rigorous activities, and a noticeable deterioration in mental health. Instances of worsening depression and anxiety became more frequent, turning the school environment, once a space of growth and learning, into a daily challenge.
 
These stories are not isolated incidents but are reflective of a broader, more systemic issue. The vaping trend, often marketed under the veil of safety and trendiness, carries with it not just the risk of physical health ailments but also profound mental health implications. The cases of bullying, intensified peer pressure, and the resultant social isolation further exacerbate the situation, creating a vicious cycle that is hard for the youth to break free from.
 
The narratives of these young individuals serve as a poignant reminder of the real-life consequences of vaping. They compel us to look beyond the advertised flavors and marketed glamour of e-cigarettes and confront the stark reality – the loss of physical vitality, the decline in mental health, and the shattering of dreams and potential. It is these stories, these lived experiences, that drive the mission of DCsmokeFree and underline the imperative need for stringent measures, comprehensive education, and a community-wide effort to steer our youth away from the deceptive allure of vaping.