{"id":148,"date":"2016-04-04T19:49:39","date_gmt":"2016-04-04T19:49:39","guid":{"rendered":"http:\/\/cusjc.ca\/healthycigs\/?page_id=148"},"modified":"2016-04-16T19:35:43","modified_gmt":"2016-04-16T19:35:43","slug":"health-matters","status":"publish","type":"page","link":"https:\/\/cusjc.ca\/healthycigs\/health-matters\/","title":{"rendered":"Health matters"},"content":{"rendered":"<p>[et_pb_section admin_label=&#8221;section&#8221; transparent_background=&#8221;off&#8221; background_color=&#8221;#000000&#8243; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221;][et_pb_row admin_label=&#8221;row&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_post_title admin_label=&#8221;Post Title&#8221; title=&#8221;on&#8221; meta=&#8221;off&#8221; author=&#8221;on&#8221; date=&#8221;on&#8221; categories=&#8221;on&#8221; comments=&#8221;on&#8221; featured_image=&#8221;on&#8221; featured_placement=&#8221;below&#8221; parallax_effect=&#8221;on&#8221; parallax_method=&#8221;on&#8221; text_orientation=&#8221;left&#8221; text_color=&#8221;dark&#8221; text_background=&#8221;off&#8221; text_bg_color=&#8221;rgba(255,255,255,0.9)&#8221; module_bg_color=&#8221;rgba(255,255,255,0)&#8221; title_text_color=&#8221;#fcfcfc&#8221; title_all_caps=&#8221;off&#8221; meta_text_color=&#8221;#f9f9f9&#8243; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; title_font_size=&#8221;36px&#8221;] [\/et_pb_post_title][et_pb_code admin_label=&#8221;Code&#8221;]&lt;iframe width=&#8221;1280&#8243; height=&#8221;720&#8243; src=&#8221;https:\/\/www.youtube.com\/embed\/PS_9BZ9lNiM?rel=0&amp;amp;controls=0&amp;amp;showinfo=0&#8243; frameborder=&#8221;0&#8243; allowfullscreen&gt;&lt;\/iframe&gt;[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section admin_label=&#8221;Section&#8221; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221;][et_pb_row admin_label=&#8221;row&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">\u201cYou just don\u2019t victimize smokers twice,\u201d said Gopal Bhatnagar, a practicing cardiac and thoracic surgeon in Toronto.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cYou don\u2019t make something that\u2019s hyper-addictive freely available to people and then you victimize them again by saying well you know there\u2019s a technology that has the ability to help you get off this&#8230; but we\u2019re going to restrict that,\u201d said Bhatnagar.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">From 2005 to 2013, he was the Chief of medical staff of the Trillium Health Centre\u2014a collection of three of hospitals in the Toronto area. After stepping down, Bhatnagar was looking for a hobby. He first came across the electronic cigarette in reading an article online. He found it intriguing, but was hesitant of anything that used the word \u201ccigarette\u201d.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Yet after repeatedly seeing the devastating effects smoking had on his patients, Bhatnagar started learning more about the automated gadgets that supposedly helped millions of smokers quit.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">He spent six months reading through scientific articles and calling other shop owners. The more he read on the topic the more certain he became of the effectiveness of the product. \u00a0<\/span><span style=\"font-weight: 400;\">He brought a group of young entrepreneurs together to start an online site that sold e-juice and e-cigarettes. The\u00a0group met would meet with\u00a0customers who were interested in quitting smoking, but wanted more information on the product, on an individual basis.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWe knew how shops ran, but wanted to emphasize the smoking cessation aspect, so [we] did not do lifestyle-oriented branding,\u201d said Bhatnagar.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The online site became such a success the doctor decided to open his own vape shop in Toronto in the fall of 2013.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_code admin_label=&#8221;Code&#8221;]&lt;iframe width=&#8221;1280&#8243; height=&#8221;720&#8243; src=&#8221;https:\/\/www.youtube.com\/embed\/1HLvnXXe0pM?rel=0&amp;amp;controls=0&amp;amp;showinfo=0&#8243; frameborder=&#8221;0&#8243; allowfullscreen&gt;&lt;\/iframe&gt;[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=&#8221;Row&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">In August 2015 Public Health England \u2013 an organization overseen by the UK Department of Health \u2013 published a<\/span><a href=\"https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/457102\/Ecigarettes_an_evidence_update_A_report_commissioned_by_Public_Health_England_FINAL.pdf\"> <span style=\"font-weight: 400;\">review<\/span><\/a><span style=\"font-weight: 400;\"> of the latest e-cigarette research and concluded electronic cigarettes were 95 per cent healthier than regular cigarettes. The validity of this review has been questioned by some, who believe that the main studies referenced by Public Health England may have been funded by<\/span><a href=\"http:\/\/www.theguardian.com\/society\/2015\/aug\/28\/public-health-england-under-fire-for-saying-e-cigarettes-are-95-safer\"> <span style=\"font-weight: 400;\">tobacco companies<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In a general survey, Public Health England found that more than 44 per cent of people believed e-cigarettes to be at least as harmful as regular tobacco cigarettes. The survey also found that the perception of electronic cigarettes is largely influenced by the stigma in media coverage of\u00a0electronic cigarettes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While there is a lack of research on e-cigarettes, there are many known facts about smoking which make vaping an attractive alternative. Smokers are two to four times more likely than non-smokers to develop heart disease or suffer a stroke. They are also 25 times more likely to develop lung cancer.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cEverybody who smokes wants to stop. The people that don\u2019t want to stop are basically the people that have given up, who really feel there\u2019s no hope in them stopping,\u201d said Gopal Bhatnagar.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But not everyone agrees with the cardiologist.<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<h2><b>Health fears<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">On the path to regulation of electronic cigarettes, the question researchers are trying to answer is what are the potential health risks for both the user and the public associated with vaping.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Licensed e-juices typically contain four ingredients: propylene glycol, glycerin, flavouring and occasionally nicotine, even though it is technically illegal in Canada.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Propylene glycol is an odourless, colourless chemical. It has very low toxicity in humans, and takes very large quantities to cause any noticeable harm. In fact, it is commonly used in food processing as an additive in frozen desserts, amongst other things. Propylene glycol poisoning does not usually occur unless it is being administered intravenously. It takes blood concentrations of five grams per litre or higher to cause poisoning, which can result in renal failure, seizure or even coma. The US Food and Drug Administration (FDA) sees propylene glycol as being<\/span><a href=\"http:\/\/www.fda.gov\/Food\/IngredientsPackagingLabeling\/GRAS\/SCOGS\/ucm261045.htm\"> <span style=\"font-weight: 400;\">safe<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Glycerin is also an odourless, colourless chemical, but it is completely non-toxic. As a liquid it is quite viscous, and very sweet. It is often used as a sweetener. Its consistency and sweetness make it ideal for e-cigarette use.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s still unclear how propylene glycol and glycerin react when heated and inhaled, but to date no evidence has shown these two substances to be harmful.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A 2015 Harvard University <\/span><a href=\"http:\/\/ehp.niehs.nih.gov\/wp-content\/uploads\/advpub\/2015\/12\/ehp.1510185.acco.pdf\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> found that some flavoured e-liquids contained known carcinogens. The chemical it was most concerned about was diacetyl, known to cause a rare disease called popcorn lung.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Popcorn lung\u2014medically termed <\/span><i><span style=\"font-weight: 400;\">brochiolits obliterans\u2014<\/span><\/i><span style=\"font-weight: 400;\">is an illness where the tiny air sacs in the lungs are scarred. This causes the patients to cough uncontrollably with overall shortness of breath. It is called popcorn lung because of an outbreak in a microwave popcorn plant in Missouri. \u00a0It was discovered that the popcorn used diacetyl to enhance the butter flavouring<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other reports, such as a 2015 University of North Carolina at Chapel Hill<\/span><a href=\"http:\/\/www.atsjournals.org\/doi\/abs\/10.1164\/ajrccm-conference.2015.191.1_MeetingAbstracts.A2896\"> <span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\">, found some types of electronic cigarette vapour had the potential to negatively affect lung cells.<\/span><\/p>\n<p><b><span style=\"font-weight: 400;\">All of these studies have one thing in common: individual results have never been replicated or substantiated because the e-cigarette is still a relatively new product.<\/span><br \/>\n<\/b><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=&#8221;Row&#8221;][et_pb_column type=&#8221;1_2&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<h2><b>Second hand smoke versus vapour<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A common concern relates to the risk of particulate matter in an e-cigarette&#8217;s vapour.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Particulate matter is a combination of small particles that are easily inhaled. Examples would include dust, smoke, or aerosols.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When e-cigarette users vape, they end up inhaling aerosols, which can cause particulate matter to collect deep in their lungs and sometimes in the bloodstream. Health risks associated with this are mostly cardiovascular, including heart and lung disease.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Concerns over particulate matter are not unique to e-cigarettes. In fact, cigarette smokers inhale a much higher amount of particulate matter than e-cigarette smokers. Particulate matter is also a major component of second-hand smoke.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In Canada, second-hand smoke is known to cause devastating effects in innocent bystanders, which is primarily why it is forbidden to smoke in public spaces. One of the major reasons for that is the high concentration of particulate matter in second-hand smoke. But a December 2015 study done by researchers at the University of Southern California indicated that second-hand vapour contains<\/span><a href=\"https:\/\/www.sciencedaily.com\/releases\/2014\/08\/140828142809.htm\"> <span style=\"font-weight: 400;\">10 times less<\/span><\/a><span style=\"font-weight: 400;\"> particulate matter than tobacco smoke.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aside from the reduced amount of particulate matter, other effects of second-hand vapour are still largely unknown, including the possible effect of harmful metals, which the same<\/span>\u00a0study<span style=\"font-weight: 400;\">\u00a0found in second-hand vapour.<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<h2><b>Nicotine addiction<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Some have criticized e-cigarettes because they contain nicotine. In fact, one of the only stipulations in e-cigarette regulation proposed by <\/span><span style=\"font-weight: 400;\">Health Canada is that the device cannot contain nicotine\u2014though it is generally unenforced.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The<\/span><a href=\"http:\/\/www.who.int\/mediacentre\/factsheets\/fs339\/en\/\"> <span style=\"font-weight: 400;\">World Health Organization<\/span><\/a><span style=\"font-weight: 400;\"> says there are more than 4,000 chemicals in a tobacco cigarette, more than 250 of them are toxic and at least 50 of them are known to cause cancer.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When smokers light up, the chemical they crave most is nicotine.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nicotine is a stimulant and highly addictive drug that can be dangerous and even deadly when consumed in large quantities.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Different health organizations like the Heart and Stroke Foundation have called for a ban on electronic cigarettes containing nicotine. In a<\/span><a href=\"http:\/\/www.heartandstroke.com\/site\/c.ikIQLcMWJtE\/b.9207931\/k.D09C\/Heart_and_Stroke_Foundation_Ecigarettes_in_Canada.htm\"> <span style=\"font-weight: 400;\">statement<\/span><\/a><span style=\"font-weight: 400;\"> it wrote<\/span><span style=\"font-weight: 400;\"> \u201cknowledge about the long-term effects of e-cigarette nicotine addiction is also limited however; nicotine is classified as a poison.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bhatnagar felt it was \u201cunbelievable\u201d that groups like the Heart and Stroke Foundation, criticize electronic cigarettes because of their nicotine content, because, he explained, replacement has been a common smoking cessation therapy for the last twenty years.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In adolescents, though, it has been <\/span><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3543069\/\"><span style=\"font-weight: 400;\">speculated<\/span><\/a><span style=\"font-weight: 400;\"> that nicotine may negatively affect brain developments. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">E-liquids have varying concentrations of nicotine. So smokers looking to quit by smoking e-cigarettes have the option to slowly decrease the amount of nicotine they are inhaling, eventually reducing it to zero by using a nicotine-free e-liquid.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Also, by recreating the motion of smoking regular cigarettes, e-cigarettes help smokers deal with the hand-to-mouth habit.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243;][et_pb_image admin_label=&#8221;Image&#8221; src=&#8221;http:\/\/cusjc.ca\/healthycigs\/wp-content\/uploads\/2016\/04\/Kalkhoran-and-Glantz.jpg&#8221; show_in_lightbox=&#8221;off&#8221; url_new_window=&#8221;off&#8221; use_overlay=&#8221;off&#8221; animation=&#8221;left&#8221; sticky=&#8221;off&#8221; align=&#8221;left&#8221; force_fullwidth=&#8221;off&#8221; always_center_on_mobile=&#8221;on&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; url=&#8221;http:\/\/www.documentcloud.org\/documents\/2783583-2016-Sara-Kalkhoran.html&#8221;] [\/et_pb_image][et_pb_code admin_label=&#8221;Code&#8221;]&lt;iframe width=&#8221;1280&#8243; height=&#8221;720&#8243; src=&#8221;https:\/\/www.youtube.com\/embed\/lv9Ah1IulSs?rel=0&amp;amp;controls=0&amp;amp;showinfo=0&#8243; frameborder=&#8221;0&#8243; allowfullscreen&gt;&lt;\/iframe&gt;[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=&#8221;Row&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<h2><b>Smoking cessation<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Health Canada does not permit electronic cigarette companies to make health claims about its products. Specifically, e-cigarettes are disqualified from being marketed as smoking cessation devices.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If a company does advertise its product as a smoking cessation tool, the devices must be evaluated by Health Canada to test the assertion about the product\u2019s efficiency.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to the 2015 study Public Health England, smokers who used electronic cigarettes were 60 per cent more likely to quit than those who tried patches, gums or nothing at all.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The subjects in the study used the products independently \u2014i.e. without the help of a doctor or life coach.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Yet recent studies suggest e-cigarettes may not be as effective as the industry is claiming.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A January 2016 study out the University of California San Francisco used meta-data from more than 38 studies on e-cigarettes. It found that smokers who use electronic cigarettes are 28 per cent less likely to quit smoking compared to people who did not use the product.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cE-cigarettes make it harder to quit smoking,\u201d said Stanton Glantz, professor of medicine and director of the UCSF Center for Tobacco Control Research and Education.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section admin_label=&#8221;Section&#8221; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221; transparent_background=&#8221;off&#8221; background_color=&#8221;#303030&#8243; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221;][et_pb_row admin_label=&#8221;Row&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; use_custom_gutter=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; background_color=&#8221;#303030&#8243; allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; make_equal=&#8221;off&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; column_padding_mobile=&#8221;on&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_code admin_label=&#8221;Code&#8221;]&lt;iframe width=&#8221;1280&#8243; height=&#8221;720&#8243; src=&#8221;https:\/\/www.youtube.com\/embed\/ryFo3phbykI?rel=0&amp;amp;controls=0&amp;amp;showinfo=0&#8243; frameborder=&#8221;0&#8243; allowfullscreen&gt;&lt;\/iframe&gt;[\/et_pb_code][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;dark&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; text_text_color=&#8221;#ffffff&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">\u201cI can\u2019t make a blanket statement for everyone, but I am living proof that it works,\u201d said Adey Bailey.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ottawa native Adey Bailey started smoking in University. She laughed as she remembered hiding her cigarettes from her parents. She is convinced to this day that they did not know she was a smoker.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cMy boss was actually the one who said hey you know you should really try vaping. I was like um okay. I didn\u2019t really know what to expect,\u201d said Bailey.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Adey wasn\u2019t sold at first. It took her about a week of vaping before deciding e-cigarettes were the answer she was looking for.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=&#8221;Row&#8221;][et_pb_column type=&#8221;1_2&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; text_text_color=&#8221;#ffffff&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Bhatnagar criticized Glantz\u2019s article saying the statistical principles by which that study was put together were \u201cflawed.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIt is totally unscientific. They put a bunch of studies together that can really not be put together. It\u2019s garbage in, garbage out, essentially,\u201d said Bhatnagar.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThere\u2019s a lot less to those criticisms than meets the eye,&#8221; said Glantz, in response to being criticized by the vaping community.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8220;There are many theoretical problems a study can have but just because you say the problem might exist doesn\u2019t really mean it does, \u201c he said.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sweanor felt that even if Health Canada did not want to accept this as a smoking cessation tool, it could view it as a playing a role in harm reduction.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243;][et_pb_code admin_label=&#8221;Code&#8221;]&lt;iframe width=&#8221;100%&#8221; height=&#8221;166&#8243; scrolling=&#8221;no&#8221; frameborder=&#8221;no&#8221; src=&#8221;https:\/\/w.soundcloud.com\/player\/?url=https%3A\/\/api.soundcloud.com\/tracks\/258858728&amp;amp;color=ff9900&amp;amp;auto_play=false&amp;amp;hide_related=false&amp;amp;show_comments=true&amp;amp;show_user=true&amp;amp;show_reposts=false&#8221;&gt;&lt;\/iframe&gt;[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section admin_label=&#8221;Section&#8221; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221;][et_pb_row admin_label=&#8221;Row&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; text_text_color=&#8221;#424242&#8243;]<\/p>\n<h2><b>Harm reduction<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">One of the biggest mistakes people make when talking about smoking cessation is that they judge or blame the smoker, said pulmonologist and director of the smoking cessation program at McGill University Health Centre, Sean Gilman.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cCigarette companies have deliberately made this addictive,\u201d he said.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Instead, he said, society should treat tobacco dependence as a condition.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIt\u2019s a chronic condition, just like diabetes or asthma,\u201d said Gilman.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"> Gilman said he had no official position on how officials should regulate the product. But he said, as a doctor, his priority and greatest concern was to help his patients\u2014and that means getting smokers off of tobacco cigarettes. E-cigarettes have helped several of his patients do that.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cAnd for that goal, it\u2019s an excellent tool,\u201d he said.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bhatnagar has a similar approach. \u201cI always tell people if you don\u2019t smoke don\u2019t start. If you do, do anything you can to stop,\u201d he said.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While there is discord as to whether electronic cigarettes should be officially classified as smoking cessation devices, they could potentially decrease the actual number of cigarettes a smoker smokes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It could, as Sweanor suggested, contribute to a form of harm reduction. Specifically, electronic cigarettes for smokers could be what clean needles are to heroin addicts.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section admin_label=&#8221;Section&#8221; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221; transparent_background=&#8221;off&#8221; background_color=&#8221;#303030&#8243; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221;][et_pb_row admin_label=&#8221;Row&#8221;][et_pb_column type=&#8221;1_2&#8243;][et_pb_code admin_label=&#8221;Code&#8221;]&lt;iframe width=&#8221;100%&#8221; height=&#8221;300&#8243; scrolling=&#8221;no&#8221; frameborder=&#8221;no&#8221; src=&#8221;https:\/\/w.soundcloud.com\/player\/?url=https%3A\/\/api.soundcloud.com\/tracks\/258859726&amp;amp;auto_play=false&amp;amp;hide_related=false&amp;amp;show_comments=true&amp;amp;show_user=true&amp;amp;show_reposts=false&amp;amp;visual=true&#8221;&gt;&lt;\/iframe&gt;[\/et_pb_code][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; text_text_color=&#8221;#ffffff&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Harm reduction is a policy that allows addicts to control their drug intake in a safer environment. The setting first emerged in Toronto in the 1980s when a controlled drinking program was set up to help alcoholics cope with their condition.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another milestone of harm reduction in Canada was the establishment of Insite, a safe injection site in Vancouver.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But harm reduction remains a divisive issue for politicians and the police force across Canada.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=&#8221;Row&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; text_text_color=&#8221;#ffffff&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Walter Cavalieri is the Vice Chair of the Canadian Harm Reduction Network. He has worked with people suffering with drug addiction for the last twenty years and has been a strong advocate for educating people about harm reduction programs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">He explained that under the Conservative government, it was very hard to implement other addiction aid programs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While efforts by advocacy groups like the Canadian Harm Reduction Network are increasingly recognized by politicians\u2014like mayor of Montreal Denis Coderre or <\/span><span style=\"font-weight: 400;\">Toronto\u2019s chief medical officer of health<\/span><span style=\"font-weight: 400;\">, Dr. David <\/span><span style=\"font-weight: 400;\">McKeown\u2014<\/span><span style=\"font-weight: 400;\">the stigma of harm reduction programs has not disappeared.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIt costs an awful lot of money to maintain the lives of people who are using drugs to excess. Hospital care, long-term care for HIV, repeated emergency visits, mental health issues and homelessness, these aren\u2019t productive,\u201d said Cavalieri.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The idea of electronic cigarettes as a harm reduction tool is more difficult to accept, because unlike drinking or injecting, exhaling vapour affects more than just the individual user.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This emphasizes the need for further studies into the second-hand effects of e-cigarette vapour.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThe one thing I want to comment on is the difficulty that researchers are having in studying anything related to nicotine, because it\u2019s so stigmatized now. And that\u2019s part of the campaign about the harms of nicotine, and that\u2019s great,\u201d said Cavalieri.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThe fallout is that the research has been stigmatized as well.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To remove the stigma would be to do as Gilman suggests: bring smokers into the conversation and be more supportive of overcoming addiction.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThe opposite of addiction is connection,\u201d said Cavalieri.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section admin_label=&#8221;section&#8221; transparent_background=&#8221;off&#8221; background_color=&#8221;#000000&#8243; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; 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