Electronic Cigarettes

Question 1

What are e-cigarettes a term for?

Answer 1

• Term for a family of non tobacco, non medicinal nicotine delivery systems

Question 2

What was the first generation of e-cigarettes?

Answer 2

• Cigalikes (looked like cigarettes

Question 3

What was the second generation of e-cigarettes?

Answer 3

• Tank (refillable)

Question 4

What was the second generation of e-cigarettes?

Answer 4

• Big tank (customisable) - can change how you use them

Question 5

What are the components of an e-cigarette? (5)

Answer 5

Ecigs have a mouthpiece, battery, cartridge, atomiser or cartomiser (modern combination of an atomiser and cartridge)

Question 6

How does an e-cig work?

Answer 6

• Current passes through a resistance coil that is in contact with a fluid
• Heat generates an aerosol, the vapour

Question 7

What is the newest addition to the e-cig range?

Answer 7

Juul systems (this is a pod system)

Question 8

What are the components of the liquid for an e-cig? (4)

Answer 8

• Propylene glycol
• Vegetable glycerine
• Natural/artificial flavourings
• Nicotine level (mg/ml)

Question 9

What are the characteristic of propylene glycol?

Answer 9

• Thinner, more flavour, throat hit

Question 10

What are the characteristics of vegetable glycerine?

Answer 10

• Thicker, big clouds, smooth

Question 11

What are the possible levels of nicotine in the liquid for an e-cig?

Answer 11

• 0%, 1.5%/0.15%, 3, 6, 12, 18 mg/ml

Question 12

What nicotine level would be in the liquid for a heavy smoker using an e-cigarette?

Answer 12

12-18mg/ml

Question 13

What nicotine level would be in the liquid for a light smoker using an e-cigarette?

Answer 13

• No higher than 6mg/ml

Question 14

What is vaping?

Answer 14

• Vaping is the act of inhaling and exhaling the water vapour produced by an electronic device

Question 15

What form is an e-liquid in when using an e-cigarette?

Answer 15

• It is in its gaseous form

Question 16

What is the addictive element in an e-cigarette?

Answer 16

• Nicotine

Question 17

What is the max nicotine level in an e-cigarette?

Answer 17

Liquid nicotine level, max strength 20mg/ml, and many liquids are below that strength

Question 18

Liquids are now legally sold only in smaller sizes. What is the size?

Answer 18

• 10mls, though can be purchased in multipacks

Question 19

What is the tank size of an e-cigarette limited to?

Answer 19

• Limited to 2mls

Question 20

What is the particular target group for e-cigarettes?

Answer 20

Ex-current smokers

Question 21

Under what age are e-cigarettes banned?

Answer 21

• Banned for under 18s

Question 22

Who do we strongly advice against buying e-cigarettes?

Answer 22

• Non-smokers

Question 23

What are reasons that people may use e-cigarettes? (9)

Answer 23

• Aid to quitting
• Less toxic alternative
• Cheaper alternative
• Harm reduction/reduce smoking
• Alternative to cigs when cigs are banned
• Hand to mouth habit maintained
• Psychological aspect of addiction maintained
• Recreation and socialisation
• Vaping community

Question 24

What are the pros for the public health aspects of e-cigs? (2)

Answer 24

• Public health costs of smoking are vast

- Consideration must be given to harm reduction argument, because tobacco so lethal

Question 25

What are the cons for the public health aspects of e-cigs? (4)

Answer 25

- Renormalisation of smoking? - Gateway or pathway? - Evidence base? - Involvement of big tobacco

Question 26

How much less harmful are e-cigarettes than cigarettes?

Answer 26

- E-cigarettes are 95% less harmful than tobacco. So its not saying that they're harm free it is saying that they're much less harmful

Question 27

What are possible oral side effects of e-cigarettes? (6)

Answer 27

- Largely unknown. Surprisingly little attention considering the relationship between e-cigarette aerosols will contact oral mucosa when they are at their hottest - Mouth and throat dryness - Oral cancer? - Periodontal disease? - Benign mucosal lesions? - Lichenoid eruptions associated with use of an e-cigarette

Question 28

When talking to patients we would give advice to smokers who want to quit. What would this include? (2)

Answer 28

- Ask, advise, refer | - Ask advise assist

Question 29

When talking to patients we would give advice to patients who are co-users. What would this include? (2)

Answer 29

- Encouragement that they are reducing their exposure to tobacco by using e-cigs - While it is likely they are safer, evidence base is still developing, particularly with regard to oral health

Question 30

When talking to patients we would give advice to e-cig users (ex smokers). What would this include? (2)

Answer 30

- Strong encouragement that they have quit tobacco | - Evidence base still developing, with regards to e-cigs

Question 31

Are there any circumstances in which it is safer to smoke than to use e-cigarettes?

Answer 31

- NO

Question 32

Don't do drugs!

Answer 32

Do life! It's a natural HIGH! https://www.youtube.com/watch?v=9UAOhMvOtQY