Unfriendly Fire: How the Tobacco Industry is Destroying the Future of Our Children

Tobacco has long been known to be one of the greatest causes of morbidity and mortality in the adults, but the effects on the foetus and young children, which are lifelong, have been less well appreciated. Developing from this are electronic nicotine delivery systems or vapes, promulgated as being l...

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Main Authors: Andrew Bush, Thomas Ferkol, Algirdas Valiulis, Artur Mazur, Ivane Chkhaidze, Tamaz Maglakelidze, Sergey Sargsyan, Gevorg Boyajyan, Olga Cirstea, Svitlana Doan, Oleksandr Katilov, Valeriy Pokhylko, Leonid Dubey, Edita Poluziorovienė, Nina Prokopčiuk, Vaida Taminskienė, Arūnas Valiulis
Format: Article
Language:English
Published: Vilnius University Press 2021-02-01
Series:Acta Medica Lituanica
Subjects:
Online Access:https://www.journals.vu.lt/AML/article/view/22511
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author Andrew Bush
Thomas Ferkol
Algirdas Valiulis
Artur Mazur
Ivane Chkhaidze
Tamaz Maglakelidze
Sergey Sargsyan
Gevorg Boyajyan
Olga Cirstea
Svitlana Doan
Oleksandr Katilov
Valeriy Pokhylko
Leonid Dubey
Edita Poluziorovienė
Nina Prokopčiuk
Vaida Taminskienė
Arūnas Valiulis
author_facet Andrew Bush
Thomas Ferkol
Algirdas Valiulis
Artur Mazur
Ivane Chkhaidze
Tamaz Maglakelidze
Sergey Sargsyan
Gevorg Boyajyan
Olga Cirstea
Svitlana Doan
Oleksandr Katilov
Valeriy Pokhylko
Leonid Dubey
Edita Poluziorovienė
Nina Prokopčiuk
Vaida Taminskienė
Arūnas Valiulis
author_sort Andrew Bush
collection DOAJ
description Tobacco has long been known to be one of the greatest causes of morbidity and mortality in the adults, but the effects on the foetus and young children, which are lifelong, have been less well appreciated. Developing from this are electronic nicotine delivery systems or vapes, promulgated as being less harmful than tobacco. Nicotine itself is toxic to the foetus, with permanent effects on lung structure and function. Most vapes contain nicotine, but they also contain many other compounds which are inhaled and for which there are no toxicity studies. They also contain known toxic substances, whose use is banned by European Union legislation. Accelerating numbers of young people are vaping, and this does not reflect an exchange of vapes for cigarettes. The acute toxicity of e-cigarettes is greater than that of tobacco, and includes acute lung injury, pulmonary haemorrhage and eosinophilic and lipoid pneumonia. Given the worse acute toxicity, it should be impossible to be complacent about medium and long term effects of vaping. Laboratory studies have demonstrated changes in lung proteomics and the innate immune system with vaping, some but not all of which overlap with tobacco. It would be wrong to consider vapes as a weaker form of tobacco, they have their own toxicity. Children and young people are being targeted by the vaping industry (which is largely the same as the tobacco industry), including on-line, and unless an efficient legislative program is put in place, a whole new generation of nicotine addicts will result.
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spelling doaj.art-fbcbecbd3144420db3aab20af76a7f5f2022-12-22T02:50:48ZengVilnius University PressActa Medica Lituanica1392-01382029-41742021-02-0128110.15388/Amed.2020.28.1.6Unfriendly Fire: How the Tobacco Industry is Destroying the Future of Our ChildrenAndrew Bush0Thomas Ferkol1Algirdas Valiulis2Artur Mazur3Ivane Chkhaidze4Tamaz Maglakelidze5Sergey Sargsyan6Gevorg Boyajyan7Olga Cirstea8Svitlana Doan9Oleksandr Katilov10Valeriy Pokhylko11Leonid Dubey12Edita Poluziorovienė13Nina Prokopčiuk14Vaida Taminskienė15Arūnas Valiulis16Imperial College Centre for Paediatrics and Child Health, UKWashington University School of Medicine, St. Louis,Missouri, USAVilnius University Medical Faculty Institute of Health Sciences, LithuaniaMedical College of Rzeszow University, PolandTbilisi State Medical University, GeorgiaIvane Javakhishvili Tbilisi State University, GeorgiaArabkir Medical Centre, ArmeniaArabkir Medical Centre, ArmeniaUniversity of Medicine and Pharmacy “Nicolae Testemitanu”, Republic of MoldovaKyiv Medical University, UkraineNational Pirogov Memorial Medical University, UkraineUkrainian Medical Stomatological Academy, UkraineLviv National Medical University by Danylo Galytsky, UkraineVilnius University, LithuaniaVilnius University, LithuaniaVilnius University, LithuaniaVilnius University, LithuaniaTobacco has long been known to be one of the greatest causes of morbidity and mortality in the adults, but the effects on the foetus and young children, which are lifelong, have been less well appreciated. Developing from this are electronic nicotine delivery systems or vapes, promulgated as being less harmful than tobacco. Nicotine itself is toxic to the foetus, with permanent effects on lung structure and function. Most vapes contain nicotine, but they also contain many other compounds which are inhaled and for which there are no toxicity studies. They also contain known toxic substances, whose use is banned by European Union legislation. Accelerating numbers of young people are vaping, and this does not reflect an exchange of vapes for cigarettes. The acute toxicity of e-cigarettes is greater than that of tobacco, and includes acute lung injury, pulmonary haemorrhage and eosinophilic and lipoid pneumonia. Given the worse acute toxicity, it should be impossible to be complacent about medium and long term effects of vaping. Laboratory studies have demonstrated changes in lung proteomics and the innate immune system with vaping, some but not all of which overlap with tobacco. It would be wrong to consider vapes as a weaker form of tobacco, they have their own toxicity. Children and young people are being targeted by the vaping industry (which is largely the same as the tobacco industry), including on-line, and unless an efficient legislative program is put in place, a whole new generation of nicotine addicts will result.https://www.journals.vu.lt/AML/article/view/22511Acute lung injuryalveolar haemorrhageeosinophilic pneumonialipoid pneumoniainnate immune systemnicotine
spellingShingle Andrew Bush
Thomas Ferkol
Algirdas Valiulis
Artur Mazur
Ivane Chkhaidze
Tamaz Maglakelidze
Sergey Sargsyan
Gevorg Boyajyan
Olga Cirstea
Svitlana Doan
Oleksandr Katilov
Valeriy Pokhylko
Leonid Dubey
Edita Poluziorovienė
Nina Prokopčiuk
Vaida Taminskienė
Arūnas Valiulis
Unfriendly Fire: How the Tobacco Industry is Destroying the Future of Our Children
Acta Medica Lituanica
Acute lung injury
alveolar haemorrhage
eosinophilic pneumonia
lipoid pneumonia
innate immune system
nicotine
title Unfriendly Fire: How the Tobacco Industry is Destroying the Future of Our Children
title_full Unfriendly Fire: How the Tobacco Industry is Destroying the Future of Our Children
title_fullStr Unfriendly Fire: How the Tobacco Industry is Destroying the Future of Our Children
title_full_unstemmed Unfriendly Fire: How the Tobacco Industry is Destroying the Future of Our Children
title_short Unfriendly Fire: How the Tobacco Industry is Destroying the Future of Our Children
title_sort unfriendly fire how the tobacco industry is destroying the future of our children
topic Acute lung injury
alveolar haemorrhage
eosinophilic pneumonia
lipoid pneumonia
innate immune system
nicotine
url https://www.journals.vu.lt/AML/article/view/22511
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