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Adverse Effects of e-Cigarette Exposures

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Abstract

In 2007, a new source of nicotine exposure was introduced to the United States market, the electronic cigarette (ECIG) or “e-cigarette”. Since then, the USA ECIG market has been doubling annually. Despite their widespread popularity, there is a paucity of existing data regarding ECIG toxicity. We report the experience of a statewide poison system. The database of a statewide poison system was queried for human ECIG exposures from 2010 (when Poisindex code first generated)through 2012. Year, age, manner and route of exposure, estimate exposure amount, product concentration, if evaluated at healthcare facility and symptoms were recorded. A total of 35 cases were identified—4 in 2010, 12 in 2011, 19 in 2012. Age range 8 months–60 years. Reported symptoms were mild and transient. Five patient swere evaluated in an emergency department and none were admitted. Product concentrations ranged from 4 to 30 mg of nicotine per ml. Poison centers are likely to see an increase in exposures to ECIG given their growing popularity. Our modest results suggest that adverse effects and accidental exposures to ECIG cartridges are unlikely to result in serious toxicity.

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References

  1. Appleton, S. (2011). Frequency and outcomes of accidental ingestion of tobacco products in young children. Regulatory Toxicology and Pharmacology, 61(2), 210–214.

    Article  PubMed  Google Scholar 

  2. Bullen, C., Howe, C., Laugesen, M., McRobbie, H., Parag, V., Williman, J., & Walker, N. (2013). Electronic cigarettes for smoking cessation. A randomised controlled trial. Lancet. Sep 9.

  3. Cahn, Z., & Siegel, M. (2011). Electronic cigarettes as a harm reduction strategy for tobacco control. A step forward or a repeat of past mistakes?J Public Health Policy., 32(1), 16–31.

    Article  PubMed  Google Scholar 

  4. Ayers, J. W., Ribisl, K. M., & Brownstein, J. S. (2011 Apr). Tracking the rise in popularity of electronic nicotine delivery systems (electronic cigarettes) using search query surveillance. American Journal of Preventive Medicine, 40(4), 448–453.

    Article  PubMed  Google Scholar 

  5. Centers for Disease Control and Prevention. (2013). Notes from the field: electronic cigarette use among middle and high school students—United States, 2011–2012 MMWR. Morbidity and Mortality Weekly Report, 62, 729–730.

    Google Scholar 

  6. Trehy, M., Ye, W., Hadwiger, M. E., Moore, T. W., Allgire, J. F., Woodruff, J. T., et al. (2011). Analysis of electronic cigarette cartridges, refill solutions, and smoke for nicotine and nicotine related impurities. Journal of Liquid Chromatography & Related Technologies., 34(14), 1442–1458.

    Article  CAS  Google Scholar 

  7. Westenberger, B.J. (2009). Evaluation of e-cigarettes. Rockville, MD: US Food and Drug Administration, Center for drug evaluation and research, division of pharmaceutical analysis.

  8. Mayer, B. (2013 Oct 4). How much nicotine kills a human? Tracing back the generally accepted lethal dose to dubious self-experiments in the nineteenth century.archiv- archiv-toxicology.

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Correspondence to F. Lee Cantrell.

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Cantrell, F.L. Adverse Effects of e-Cigarette Exposures. J Community Health 39, 614–616 (2014). https://doi.org/10.1007/s10900-013-9807-5

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