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Response to mr_lebowski (Reply #26)

Thu Aug 15, 2019, 03:41 AM

84. Puritanism has prevailed for decades in America's approach to addiction treatment so that the goal

has been total abstinence.

As more evidence-based approaches have been embraced, based on scientific research and studies, harm reduction is now a recognized treatment option, not only for drug addiction, but also alcohol and cigarettes. This approach does not discourage a patient from moving towards and finally reaching abstinence, if that is what the patient chooses and feels ready for.

Nicotine is not a benign substance. But as delivered in gum and inhalers, it seems less harmful than when in the form of tobacco, lit and inhaled as a cigarette, containing a number of other more toxic substances, and carbon monoxide, which cause the majority of long-term damage and disease.

Not to say e-cigarette use is benign.

However, after the many years that people have been vaping, using a wide variety of delivery systems and fill methods, I would think by now many more e-cigarette smokers would be showing serious damage as did people who smoked clove cigarettes under the mistaken idea these were safer than tobacco smokes,

E-cigarettes and their use need much more study, and then regulation. Like cigarettes, their advertisement and sales should be restricted. Once safety has been determined, prescribing them for smoking cessation seems a good way to go.

Yes, their effectiveness as a smoking substitute and in moving people off cigarettes would have to be determined. While we wait on their getting medical approval, several steps can be taken to keep them from teens, educate teens about misuse and dangers, and if flavored e-liquid causes health problems, ban its sale. As others have said, it was possible the teens spiked the e-liquid or cartridges, were vaping something else contaminated and laced; otherwise, what happened to them would be happening on a larger scale.



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