- Questions About Smoking, Tobacco, and Health
- Is smoking tobacco really addictive?
- Why do people start smoking?
- How many people use tobacco?
- What in tobacco smoke is harmful?
- Is secondhand (environmental) tobacco smoke dangerous?
- How does tobacco use affect the economy?
- What’s being done to protect people from the hazards of smoking?
- Are spit tobacco and snuff safe alternatives to smoking?
- What are the health risks of smoking pipes or cigars?
- What about electronic cigarettes? Aren’t they safe?
- Is dissolvable tobacco safe?
- What about more exotic forms of smoking tobacco, such as clove cigarettes, bidis, and hookahs?
- What can I do to help with any damage that may have been caused by smoking?
- Can quitting really help a lifelong smoker?
- How do people quit tobacco?
- To learn more
What about electronic cigarettes? Aren’t they safe?
Electronic cigarettes are designed to look like cigarettes, right down to the glowing tip. When the smoker puffs on it, the system delivers a mist of liquid, flavorings, and nicotine that looks something like smoke. The smoker inhales it like cigarette smoke, and the nicotine is absorbed into the lungs. The e-cigarette is usually sold as a way for a smoker to get nicotine in places where smoking is not allowed.
The makers of e-cigarettes say that the ingredients are “safe,” but inhaling a substance is not the same as swallowing it. There are questions about how safe it is to inhale some substances in the e-cigarette vapor into the lungs. E-cigarettes are not labeled with their ingredients, so the user doesn’t know what’s in them. The amounts of nicotine and other substances a person gets from each cartridge are also unclear.
A study done by the FDA found cancer-causing substances in half the e-cigarette samples tested. Other impurities were also found, including one sample with diethylene glycol, a toxic ingredient found in antifreeze.
Studies have shown that e-cigarettes can cause short-term lung changes that are much like those caused by regular cigarettes. But long-term health effects are still unclear. This is an active area of research, and the safety of these products is currently unknown.
Electronic cigarettes are designed to deliver nicotine, and nicotine is an addictive substance. This strongly suggests that e-cigarette use will lead to dependence, unless the user weans him or herself from them.
At this time, the American Cancer Society has not taken a position on whether electronic cigarettes should be banned from the US market.
Last Medical Review: 11/08/2012
Last Revised: 07/08/2013