Search

What is known and objective Electronic nicotine delivery systems (ENDS) are battery-powered devices that allow nicotine and/or other substances to be inhaled in aerosolized form. e-Cigarettes (electronic cigarettes), the most commonly used ENDS, have been proposed to be smoking cessation aids. However, despite the rapid surge in their popularity, little is known about long-term health consequences of e-cigarette usage. We assess published data to see if they deliver what they promise. Comment e-Cigarettes may contain uncertain quantities of various ingredients, and evidence of adulteration has been identified. Flavouring agents can alter the pharmacokinetics of nicotine and have uncertain impact on the nature of e-cigarette use (eg ab initio use vs smoking cessation). What is new and conclusion Although e-cigarettes have been proposed to be a safe approach to encouraging smoking cessation, there are inconsistencies in available data. And further data are needed regarding long-term implications of primary and secondary exposure to e-cigarette products.

Aims: This study aimed to evaluate pharmacists’ and physicians’ perception and knowledge of e-cigarettes, including comfort level in counselling patients on these products. The study also assessed if, and to what extent, patient e-cigarette usage is collected as a marker of tobacco use status.Methods: Surveys were distributed to community pharmacists and family practice physicians for 3 months, and responses were analysed utilising descriptive and inferential statistics.Results: The majority of respondents reported not feeling fully confident on counselling patients about e-cigarettes, and responses revealed gaps in knowledge in both groups. Mixed results were obtained on the inclusion of e-cigarettes in assessment of patient smoking status.Conclusions: Pharmacists and physicians would benefit from further information on e-cigarettes. Due to the increasing popularity, healthcare professionals will be called upon to serve as, care providers and informational resources to patients who use these products. This survey provided a consensus that further steps should be taken to increase product training and information dissemination.