ReMed 2018 ReMed N°6 - Addiction | Page 20

Sciences de la Santé be the most enticing regarding the shape and taste of these devices that are more or less similar to con- ventional cigarettes. Moreover, the users declare their approval and attraction to e-cigs thanks to the hand- to-mouth ritual of smoking that they can still keep. A noticeable reduction of craving tobacoo smoke through a controllable habit was thus observed but only for people who intend to quit. Todays’ concerns However, the biggest concerns nowadays are in one hand, the major risk for teenagers and young adults to develop a new addiction that they never had before only after being attracted to these electronic devices and in another hand, the hidden and presumed side effects of e-cigs that health experts seem to dread the most. Alarming effects were recorded in the case of non-smokers especially in teenagers and young adults who seem to develop new addictions for nicotine and other addictive substances such as cocaine. Previous smokers appear to fail at keeping their withdrawal by using only e-cigs for the first time, and the long yearn- ing for nicotine is once again triggered after vapor in- halation. In addition, many more available and health- ier methods were proven to be more compelling for smoking cessation. Conclusion As a conclusion, the overall studies and clinical evi- dence made about electronic cigarettes have created a considerable controversy in public health. Thanks to their contribution in avoiding the alarming diseases induced by tobacco, the concerned devices were re- ferred to as relatively convenient alternatives to con- 20 Été 2018 ventional cigarettes in the process of smoking cessa- tion, aside from vehement recommendations to avoid the major harmful effects especially to teenagers and pregnant women. However, it is still a major doubt, since it is considered as a dangerous gateway to de- velop new addictions, and seem to reveal more seri- ous side effects that could be deleterious for human health. Nascent resolutions were suggested to find less risky methods to defeat the dreadful act of smok- ing, that aim for as much reduced nicotine as possible. References 1 - Rigotti, Kalkhoran. E­cigarettes. (2018). J.A Melin (Ed.), Up- ToDate. Waltham, MA: UpToDate Inc. http://www.uptodate.com 2- Dinakar, C. & O’Connor, G. T. The health effects of electronic cigarettes. N Engl J Med. 375, 1372–1381 (2016). 3- https://www.medicalnewstoday.com/articles/216550.php 4- Harrell MB, Weaver SR, Loukas A, et al. Flavored e-cigarette use: Characterizing youth, young adult, and adult users. Pre- ventive Medicine Reports. 2017;5:33-40. 5- Farsalinos K. Electronic cigarettes: an aid in smoking cessa- tion, or a new health hazard? Therapeutic Advances in Respi- ratory Disease. 2018;12:1753465817744960. 6- Lee H-W, et al. (2018) E-cigarette smoke damages DNA and reduces repair activity in mouse lung, heart, and bladder as well as in human lung and bladder cells. Proc Natl Acad Sci USA115:E1560–E1569. 7- Mishra A, Chaturvedi P, Datta S, Sinukumar S, Joshi P, Garg A. Harmful effects of nicotine. Indian Journal of Medical and Pae- diatric Oncology : Official Journal of Indian Society of Medical & Paediatric Oncology. 2015;36(1):24-31. doi:10.4103/0971- 5851.151771. 8- https://www.pulmonologyadvisor.com/asthma/asthma-ex- acerbations-from-e-cigarette-use/article/713567/ Image : https://upload.wikimedia.org/wikipedia/commons/0/00/ Vaping.jpg