FAQ – IBIZA CLUB KNOWLEDGE BASE

SWITCH TO QUIT – NHS STOP SMOKING SERVICES

Yes. The NHS fully support the use of E-Cigarettes as part of the cessation support services. They do not issue vaping equipment or e-liquids on prescription, but they have programmes in place that support using e-cigarettes to quit smoking.  For more information on NHS Stop Smoking Services visit www.nhs.uk/smokefree.

References

  1. McNeill, A. et al. Evidence review of e- cigarettes and heated tobacco products 2018. A report commissioned by Public Health England (2018).
  2. Andy McEwen and Hayden McRobbie, Electronic cigarettes: A briefing for stop smoking services, National Centre for Smoking Cessation and Training (NCSCT) in association with Public Health England (2016)
  3. Medical Editorial Content Board, American Cancer Society, ‘Harmful Chemicals in Tobacco’ (2015)
  4. Article: Clearing up some myths around e-cigarettes, Martin Dockrell, Public Health England, February 2018
  5. McNeill, A. et al. Evidence update. A report commissioned by Public Health England (2019).
  6. American, Centers for Disease Control and Prevention, Report Analysis of Lung Injury Deaths Associated with Use of E-cigarette, or Vaping Products. (2019)
  7. Benjamin W. Chaffee, DDS MPH PhD, Electronic Cigarettes: Trends, Health Effects and Advising Patients Amid Uncertainty, report published by California Dental Assoc. (2019)
  8. E-cigarettes: an evidence update, Public Health England, Aug 2015
  9. Dr Andy McEwen, executive director of the National Centre for Smoking Cessation and Training, interview for Cancer Research UK (2016)
  10. Long-term effects of inhaled Nicotine. Waldum HL (et al), study for Department of Medicine, University Hospital, Tronheim, Norway. (1996)
  11. Cancer Research UK, 2019
  12. Action on smoking and health (ASH). Use of e-cigarettes among adults in Great Britain (2018)

The NHS have a wide variety of prgrammes, medication and support services to help you quit smoking. Most towns across the UK have groups you can attend.  Consult your GP to learn more or visit www.nhs.uk/smokefree.

The use of e-cigarettes as a tool to help quit smoking is fully supported by the NHS. You cannot get vaping products on prescription, but the NHS will support your use of them in a bid to quit smoking.

References

  1. McNeill, A. et al. Evidence review of e- cigarettes and heated tobacco products 2018. A report commissioned by Public Health England (2018).
  2. Andy McEwen and Hayden McRobbie, Electronic cigarettes: A briefing for stop smoking services, National Centre for Smoking Cessation and Training (NCSCT) in association with Public Health England (2016)
  3. Medical Editorial Content Board, American Cancer Society, ‘Harmful Chemicals in Tobacco’ (2015)
  4. Article: Clearing up some myths around e-cigarettes, Martin Dockrell, Public Health England, February 2018
  5. McNeill, A. et al. Evidence update. A report commissioned by Public Health England (2019).
  6. American, Centers for Disease Control and Prevention, Report Analysis of Lung Injury Deaths Associated with Use of E-cigarette, or Vaping Products. (2019)
  7. Benjamin W. Chaffee, DDS MPH PhD, Electronic Cigarettes: Trends, Health Effects and Advising Patients Amid Uncertainty, report published by California Dental Assoc. (2019)
  8. E-cigarettes: an evidence update, Public Health England, Aug 2015
  9. Dr Andy McEwen, executive director of the National Centre for Smoking Cessation and Training, interview for Cancer Research UK (2016)
  10. Long-term effects of inhaled Nicotine. Waldum HL (et al), study for Department of Medicine, University Hospital, Tronheim, Norway. (1996)
  11. Cancer Research UK, 2019
  12. Action on smoking and health (ASH). Use of e-cigarettes among adults in Great Britain (2018)

Yes. Public Health England (PHE) conducted a major UK clinical trial, funded by the National Institute for Health Research (NIHR), which they published in February 2019. The research involved nearly 900 participants and found that in Local Stop Smoking Services, a standard e-cigarette was twice as effective at helping smokers to quit compared with the quitters’ choice of combination Nicotine replacement therapy (NRT).5

Both groups were provided with behavioural support and those in the e-cigarette group had significantly faster reductions in cough and phlegm and overall success.

References

  1. McNeill, A. et al. Evidence review of e- cigarettes and heated tobacco products 2018. A report commissioned by Public Health England (2018).
  2. Andy McEwen and Hayden McRobbie, Electronic cigarettes: A briefing for stop smoking services, National Centre for Smoking Cessation and Training (NCSCT) in association with Public Health England (2016)
  3. Medical Editorial Content Board, American Cancer Society, ‘Harmful Chemicals in Tobacco’ (2015)
  4. Article: Clearing up some myths around e-cigarettes, Martin Dockrell, Public Health England, February 2018
  5. McNeill, A. et al. Evidence update. A report commissioned by Public Health England (2019).
  6. American, Centers for Disease Control and Prevention, Report Analysis of Lung Injury Deaths Associated with Use of E-cigarette, or Vaping Products. (2019)
  7. Benjamin W. Chaffee, DDS MPH PhD, Electronic Cigarettes: Trends, Health Effects and Advising Patients Amid Uncertainty, report published by California Dental Assoc. (2019)
  8. E-cigarettes: an evidence update, Public Health England, Aug 2015
  9. Dr Andy McEwen, executive director of the National Centre for Smoking Cessation and Training, interview for Cancer Research UK (2016)
  10. Long-term effects of inhaled Nicotine. Waldum HL (et al), study for Department of Medicine, University Hospital, Tronheim, Norway. (1996)
  11. Cancer Research UK, 2019
  12. Action on smoking and health (ASH). Use of e-cigarettes among adults in Great Britain (2018)

Yes. It’s all about the toxins. There are approximately 600 ingredients in cigarettes. When burned, cigarettes create more than 7,000 chemicals. At least 69 of these chemicals are known to cause cancer, and many are toxic.

Public Health England (PHE) found that while vaping is not entirely risk free, it is 95% less harmful than smoking, due mostly to the absence of smoke as the chemicals in e-liquids are heated, not burned.1

Here are just a few of the ingredients found in combustible tobacco products, aka cigarettes:3

Acetone—found in nail polish remover

Acetic acid—an ingredient in hair dye

Ammonia—a common household cleaner

Arsenic—used in rat poison

Benzene—found in rubber cement and gasoline

Butane—used in lighter fluid

Cadmium—active component in battery acid

Carbon monoxide—released in car exhaust fumes

Formaldehyde—embalming fluid

Hexamine—found in barbecue lighter fluid

Lead—used in batteries

Naphthalene—an ingredient in mothballs

Methanol—a main component in rocket fuel

Tar—material for paving roads

Toluene—used to manufacture paint

Many smokers incorrectly believe that it is the Nicotine that causes the health issues, but this is a myth.4  In fact, it is the tobacco, or more specifically, it’s the burning of tobacco and the related toxins released into the body and environment via the smoke.

Not only is smoking traditional cigarettes disastrous for your health, it has a serious impact on those around you. Secondary smoking related illnesses are common and, like smoking related illnesses, are preventable.2

Nicotine is highly toxic when swallowed but is proven to have minimal impact on health when inhaled – other than it being highly addictive.9

References

  1. McNeill, A. et al. Evidence review of e- cigarettes and heated tobacco products 2018. A report commissioned by Public Health England (2018).
  2. Andy McEwen and Hayden McRobbie, Electronic cigarettes: A briefing for stop smoking services, National Centre for Smoking Cessation and Training (NCSCT) in association with Public Health England (2016)
  3. Medical Editorial Content Board, American Cancer Society, ‘Harmful Chemicals in Tobacco’ (2015)
  4. Article: Clearing up some myths around e-cigarettes, Martin Dockrell, Public Health England, February 2018
  5. McNeill, A. et al. Evidence update. A report commissioned by Public Health England (2019).
  6. American, Centers for Disease Control and Prevention, Report Analysis of Lung Injury Deaths Associated with Use of E-cigarette, or Vaping Products. (2019)
  7. Benjamin W. Chaffee, DDS MPH PhD, Electronic Cigarettes: Trends, Health Effects and Advising Patients Amid Uncertainty, report published by California Dental Assoc. (2019)
  8. E-cigarettes: an evidence update, Public Health England, Aug 2015
  9. Dr Andy McEwen, executive director of the National Centre for Smoking Cessation and Training, interview for Cancer Research UK (2016)
  10. Long-term effects of inhaled Nicotine. Waldum HL (et al), study for Department of Medicine, University Hospital, Tronheim, Norway. (1996)
  11. Cancer Research UK, 2019
  12. Action on smoking and health (ASH). Use of e-cigarettes among adults in Great Britain (2018)

To date there are no known instances of any issues caused by secondary vapour. The limited ingredients and the delivery method keep toxins to negligible amounts.5

References

  1. McNeill, A. et al. Evidence review of e- cigarettes and heated tobacco products 2018. A report commissioned by Public Health England (2018).
  2. Andy McEwen and Hayden McRobbie, Electronic cigarettes: A briefing for stop smoking services, National Centre for Smoking Cessation and Training (NCSCT) in association with Public Health England (2016)
  3. Medical Editorial Content Board, American Cancer Society, ‘Harmful Chemicals in Tobacco’ (2015)
  4. Article: Clearing up some myths around e-cigarettes, Martin Dockrell, Public Health England, February 2018
  5. McNeill, A. et al. Evidence update. A report commissioned by Public Health England (2019).
  6. American, Centers for Disease Control and Prevention, Report Analysis of Lung Injury Deaths Associated with Use of E-cigarette, or Vaping Products. (2019)
  7. Benjamin W. Chaffee, DDS MPH PhD, Electronic Cigarettes: Trends, Health Effects and Advising Patients Amid Uncertainty, report published by California Dental Assoc. (2019)
  8. E-cigarettes: an evidence update, Public Health England, Aug 2015
  9. Dr Andy McEwen, executive director of the National Centre for Smoking Cessation and Training, interview for Cancer Research UK (2016)
  10. Long-term effects of inhaled Nicotine. Waldum HL (et al), study for Department of Medicine, University Hospital, Tronheim, Norway. (1996)
  11. Cancer Research UK, 2019
  12. Action on smoking and health (ASH). Use of e-cigarettes among adults in Great Britain (2018)

Yes. Both in terms of ingredients and how they can be sold (size & strength).

Banned Ingredients in the UK:

  • Diacetyl has been linked to issues in the USA (popcorn lung). It is an organic compound with the chemical formula (CH₃CO)₂ and any e-liquid produced or sold in the UK should not contain Diacetyl.
  • Delta-9-tetrahydrocannabinol (THC) is the psychogenic element found in marijuana.
  • Vitamin E Acetate is used as a molecular binding agent (to increase potency/make the THC oil go further). Vitamin E Acetate leaves behind a honey type liquid in the lungs causing serious, often life threatening, lung damage.

UK Volume & Nicotine Strength Restrictions:

  • An e-liquid that contains Nicotine must be in a container no larger than 10ml in capacity.
  • Clearomizers, atomizers and pods must not have a capacity larger than 2ml.
  • The current legal Nicotine strength allowed in e-liquid in the UK is limited to 20mg/ml.

Nicotine is highly toxic when swallowed but is proven to have minimal impact on health when inhaled – other than it being highly addictive.9

References

  1. McNeill, A. et al. Evidence review of e- cigarettes and heated tobacco products 2018. A report commissioned by Public Health England (2018).
  2. Andy McEwen and Hayden McRobbie, Electronic cigarettes: A briefing for stop smoking services, National Centre for Smoking Cessation and Training (NCSCT) in association with Public Health England (2016)
  3. Medical Editorial Content Board, American Cancer Society, ‘Harmful Chemicals in Tobacco’ (2015)
  4. Article: Clearing up some myths around e-cigarettes, Martin Dockrell, Public Health England, February 2018
  5. McNeill, A. et al. Evidence update. A report commissioned by Public Health England (2019).
  6. American, Centers for Disease Control and Prevention, Report Analysis of Lung Injury Deaths Associated with Use of E-cigarette, or Vaping Products. (2019)
  7. Benjamin W. Chaffee, DDS MPH PhD, Electronic Cigarettes: Trends, Health Effects and Advising Patients Amid Uncertainty, report published by California Dental Assoc. (2019)
  8. E-cigarettes: an evidence update, Public Health England, Aug 2015
  9. Dr Andy McEwen, executive director of the National Centre for Smoking Cessation and Training, interview for Cancer Research UK (2016)
  10. Long-term effects of inhaled Nicotine. Waldum HL (et al), study for Department of Medicine, University Hospital, Tronheim, Norway. (1996)
  11. Cancer Research UK, 2019
  12. Action on smoking and health (ASH). Use of e-cigarettes among adults in Great Britain (2018)

Yes. It’s approximately 3.5 times cheaper than smoking.

When you first start vaping, you have to buy a vaping device and some supplies, but the ongoing cost per month is drastically smaller than when smoking. An average smoker spends around £540 every three months on cigarettes, compared to £150 for an average vaper.11

References

  1. McNeill, A. et al. Evidence review of e- cigarettes and heated tobacco products 2018. A report commissioned by Public Health England (2018).
  2. Andy McEwen and Hayden McRobbie, Electronic cigarettes: A briefing for stop smoking services, National Centre for Smoking Cessation and Training (NCSCT) in association with Public Health England (2016)
  3. Medical Editorial Content Board, American Cancer Society, ‘Harmful Chemicals in Tobacco’ (2015)
  4. Article: Clearing up some myths around e-cigarettes, Martin Dockrell, Public Health England, February 2018
  5. McNeill, A. et al. Evidence update. A report commissioned by Public Health England (2019).
  6. American, Centers for Disease Control and Prevention, Report Analysis of Lung Injury Deaths Associated with Use of E-cigarette, or Vaping Products. (2019)
  7. Benjamin W. Chaffee, DDS MPH PhD, Electronic Cigarettes: Trends, Health Effects and Advising Patients Amid Uncertainty, report published by California Dental Assoc. (2019)
  8. E-cigarettes: an evidence update, Public Health England, Aug 2015
  9. Dr Andy McEwen, executive director of the National Centre for Smoking Cessation and Training, interview for Cancer Research UK (2016)
  10. Long-term effects of inhaled Nicotine. Waldum HL (et al), study for Department of Medicine, University Hospital, Tronheim, Norway. (1996)
  11. Cancer Research UK, 2019
  12. Action on smoking and health (ASH). Use of e-cigarettes among adults in Great Britain (2018)

Obviously, the less you smoke, the better off you are, but mixing the two still exposes you to all the harmful toxins (and carcinogens) found in combustible tobacco. The best course of action to improve your health is to switch to vaping, which is proven to be 95% less harmful than smoking.1

There is no debate.  Smoking is disastrous for your health. If you smoke … vape.

References

  1. McNeill, A. et al. Evidence review of e- cigarettes and heated tobacco products 2018. A report commissioned by Public Health England (2018).
  2. Andy McEwen and Hayden McRobbie, Electronic cigarettes: A briefing for stop smoking services, National Centre for Smoking Cessation and Training (NCSCT) in association with Public Health England (2016)
  3. Medical Editorial Content Board, American Cancer Society, ‘Harmful Chemicals in Tobacco’ (2015)
  4. Article: Clearing up some myths around e-cigarettes, Martin Dockrell, Public Health England, February 2018
  5. McNeill, A. et al. Evidence update. A report commissioned by Public Health England (2019).
  6. American, Centers for Disease Control and Prevention, Report Analysis of Lung Injury Deaths Associated with Use of E-cigarette, or Vaping Products. (2019)
  7. Benjamin W. Chaffee, DDS MPH PhD, Electronic Cigarettes: Trends, Health Effects and Advising Patients Amid Uncertainty, report published by California Dental Assoc. (2019)
  8. E-cigarettes: an evidence update, Public Health England, Aug 2015
  9. Dr Andy McEwen, executive director of the National Centre for Smoking Cessation and Training, interview for Cancer Research UK (2016)
  10. Long-term effects of inhaled Nicotine. Waldum HL (et al), study for Department of Medicine, University Hospital, Tronheim, Norway. (1996)
  11. Cancer Research UK, 2019
  12. Action on smoking and health (ASH). Use of e-cigarettes among adults in Great Britain (2018)

Cutting Back – you smoke fewer combustible tobacco products.

Quitting Smoking – you stop smoking cigarettes, cigars, pipes, etc.

Switching – you have completely switched to vaping and you never smoke combustible tobacco.

Cutting Back on Nicotine – reducing the amount of Nicotine you inhale when vaping, but you have stopped smoking.

The most effective way to improve your health is to quit smoking.  If you smoke, vape.

References

  1. McNeill, A. et al. Evidence review of e- cigarettes and heated tobacco products 2018. A report commissioned by Public Health England (2018).
  2. Andy McEwen and Hayden McRobbie, Electronic cigarettes: A briefing for stop smoking services, National Centre for Smoking Cessation and Training (NCSCT) in association with Public Health England (2016)
  3. Medical Editorial Content Board, American Cancer Society, ‘Harmful Chemicals in Tobacco’ (2015)
  4. Article: Clearing up some myths around e-cigarettes, Martin Dockrell, Public Health England, February 2018
  5. McNeill, A. et al. Evidence update. A report commissioned by Public Health England (2019).
  6. American, Centers for Disease Control and Prevention, Report Analysis of Lung Injury Deaths Associated with Use of E-cigarette, or Vaping Products. (2019)
  7. Benjamin W. Chaffee, DDS MPH PhD, Electronic Cigarettes: Trends, Health Effects and Advising Patients Amid Uncertainty, report published by California Dental Assoc. (2019)
  8. E-cigarettes: an evidence update, Public Health England, Aug 2015
  9. Dr Andy McEwen, executive director of the National Centre for Smoking Cessation and Training, interview for Cancer Research UK (2016)
  10. Long-term effects of inhaled Nicotine. Waldum HL (et al), study for Department of Medicine, University Hospital, Tronheim, Norway. (1996)
  11. Cancer Research UK, 2019
  12. Action on smoking and health (ASH). Use of e-cigarettes among adults in Great Britain (2018)