In Jordan, smoking is a prevalent and terrible habit. In
2016, Jordan was ranked 8th internationally for the highest
consumption of about 2,300 cigarettes per person per year. Based on a
Ministry of Health 2019 report, 70.3 percent of men between the ages of 18 and 44 and
18.6 percent of women within the same age demographic were smokers at the time.
اضافة اعلان
Of the smoking men, 89 percent smoked on average a little
over a pack a day. With advancements in technology, though, more people are
switching to alternative forms of smoking such as vaping and HEETS using an
IQOS device.
Traditional smoking
Nicotine is an “active ingredient” in cigarettes whose
effects are sought after. Unfortunately, manufactured and even raw forms of
tobacco contain a plethora of other chemicals. At least 70 of the known
chemicals found within cigarettes are carcinogens, chemicals that are known to
cause cancer.
One of the common and well-studied chemicals in cigarettes
is formaldehyde, a carcinogen that may be used as a pesticide, disinfectant or
preservative. A classic example of formaldehyde use is as the preservative
fluid in jars of frogs for biology classes.
Cigarettes can contain 2.3-6.1 ppm
(parts per million) of formaldehyde, whereas the air around us only contains
0.005-0.01 ppm. Other harmful chemicals and carcinogens include heavy metals,
such as lead and arsenic, as well as radioactive elements such as polonium-210.
At least 70 of the known chemicals found within cigarettes are carcinogens, chemicals that are known to cause cancer. (Photo: Envato Elements)
Cigarettes smoke contains other harmful chemicals. One such
chemical is carbon monoxide which is detrimental to the health as it displaces
oxygen in the blood stream. Tar, another produced when smoking, is a black
residue produced from plant-based materials; when inhaled, the droplets coat
the lung’s interior, damaging cells and causing many complications.
Vape
Vaping is a form of
electronic cigarette (e-cigarette) that
delivers nicotine through a hand-held device. e-cigarettes were commonly
disposable, but now most devices have a refillable pod that can be filled and
reused. The device itself has little bearing on the delivery of nicotine, which
depends on the formulation of the vape juice. The most common type of vape
juice is nicotine salt, often referred to as SaltNic, which is the natural form
of nicotine as found in the tobacco plant. Due to its chemistry, nicotine salt
only aerosolizes at extremely high temperatures, which are difficult for a
hand-held device to replicate.
A vape, which is a form of electronic cigarette that delivers nicotine through a hand-held device. (Photo: Unsplash)
In order to solve this issue, a weak acid (most
commonly benzoic acid) is added to lower the temperature nicotine salt needs to
vaporize, as well as to reduce the pH which helps reduce harshness and enhances
nicotine delivery. The juice itself comes in many different flavors and does
not produce a smell that lingers on the hands or clothing, making it an
appealing option for those considering switching. Furthermore, vaping tends to
be smoother, resulting in higher user satisfaction, and is a more cost-effective
option compared to other forms of smoking.
HEETS
IQOS is a device developed by
Philip Morris International,
which uses specialized cigarettes called HEETS. The device is a heating system
that heats the tobacco, as opposed to burning it, and does not produce fire,
ash or smoke. By heating the tobacco, a vapor is produced that contains
nicotine and lasts for six minutes or 14 puffs, which is comparable to a
traditional cigarette. The claim is that because there is no combustion, the
amount of harmful chemicals produced from tobacco is significantly lower
compared to cigarette smoke.
An IQOS device system which heats the tobacco, instead of burning it. (Photo: Wikipedia)
HEETS do produce a smell, but it does not linger or stick to
clothing. Additionally, the cost of switching is comparable to that of
cigarettes. HEETS maintains a similar taste and use to that of traditional
means, thus making switching feel more natural.
Health benefits of switching
At this point, it is important to note that there is no true
health benefit to switching because ultimately you are still smoking. In order
to actually gain health benefits, one must quit smoking entirely, in all of its
forms. It is this concept that makes it ever more imperative for those who
never smoked to never try either of these alternatives. These products are not
without risk and are especially toxic on developing brains. Those who switch to
an alternative method do so in hopes of reducing risks associated with smoking,
since they will not quit otherwise.
Research on smoking alternatives is still in its infancy. There
are few studies on the subject and no long-term studies yet. What few studies
do exist are largely done by the Philip Morris company and has the potential
for bias. Nevertheless, information is still available and it is up to the
consumer to make an informed decision.
One study evaluated the amount of free radicals and Nitric
oxide two vaping devices, HEETS and a reference cigarette. Free radicals are highly
unstable atoms that can damage cells, which can result in various illness. Nitric
oxide (NO) is a hazardous substance that can produce coughing, shortness of
breath, and burning in the throat and chest. When testing for free radicals, the
reference cigarette contained approximately 26 nmols (nano moles), HEETS
contained only 0.394 nmols, and, more interestingly, the two vaping products
contained 0.251 nmols and 0.193 nmols. Similarly, NO was found to be 13.7 micrograms
(mcg) in the reference cigarette.
In contrast, HEETS only contained 1.17 mcg,
whereas the vape products contained no detectable traces. Significance testing
was not performed on these values, but anecdotally, there is substance to
Phillip Morris’ claims.
Warning
Owing to the fact that these products are still relatively
new, researchers do not yet fully understand the possible ramifications, both
short term and long. Vaping may seem more appealing, but there have been
several reported deaths and pulmonary complications around the world. The
primary cause for these were counterfeit juices or juice containing some form
of a narcotic.
If you decide to switch, be sure to purchase original and
trusted brands. Additionally, it is important to note that ingredients, such as
benzoic acid, have not been all tested and the health effects are still
unknown.
In pregnant women, these alternatives are still prohibited as
nicotine is the main toxin and easily crosses through the placenta. Smoking
while pregnant may cause numerous diseases in the child and carries with it the
potential for miscarriage and preterm births.
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