Heat-not-burn and electronic cigarettes: Truths and untruths about harm reduction

Paumgartten, Francisco José Roma

doi:10.1590/1806-9282.64.02.104

Cited by 4 publications

(4 citation statements)

References 6 publications

(6 reference statements)

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“…Heat‐not‐burn devices (also called “heated tobacco” products) represent another type of ENDS (Figure 1). These battery‐powered devices also consist of a heating element but instead of an e‐liquid, they typically use a disposable tobacco stick, which is inserted into a holder and then heated to about 350°C (rather than combusted at around 800°C of a conventional cigarette) 30–33 . Examples of currently available products based on this technology are Philip Morris International's IQOS (“I Quit Ordinary Smoking”) and British American Tobacco's glo.…”

Section: Nature and Evolution Of E‐cigarettes And Heat‐not‐burn Devicesmentioning

confidence: 99%

Clinical Pharmacology of Electronic Nicotine Delivery Systems (ENDS): Implications for Benefits and Risks in the Promotion of the Combusted Tobacco Endgame

Benowitz

Helen

Liakoni

2021

The Journal of Clinical Pharma

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Electronic nicotine delivery systems (ENDS) such as e‐cigarettes and heated tobacco products are novel battery‐operated devices that deliver nicotine without combustion of tobacco. Because cigarette smoking is sustained by nicotine addiction and the toxic combustion products are mainly responsible for the harmful effects of smoking, ENDS could be used to promote smoking cessation while exposing users to lower levels of toxicants compared with conventional cigarettes. The currently available evidence from clinical and observational studies indicates a potential role of e‐cigarettes as smoking cessation aids, although many continue to use e‐cigarettes long after quitting smoking. Nicotine and toxicant delivery vary considerably by device and depend on the characteristics of the e‐liquid formulation. Because smokers tend to titrate their nicotine intake to maintain their desired pharmacologic effects, device and liquid characteristics need to be considered when using ENDS as an aid to quit smoking. Factors potentially limiting their use are the currently still unknown long‐term safety of these products and concerns regarding widespread use among youth. Implications of clinical pharmacology data on ENDS for the cigarette endgame and regulation by the U.S. Food and Drug administration are discussed.

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Section: Nature and Evolution Of E‐cigarettes And Heat‐not‐burn Devicesmentioning

confidence: 99%

Clinical Pharmacology of Electronic Nicotine Delivery Systems (ENDS): Implications for Benefits and Risks in the Promotion of the Combusted Tobacco Endgame

Benowitz

Helen

Liakoni

2021

The Journal of Clinical Pharma

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“…This systematic review included 15 studies on HnB tobacco product's public health impact of which 14 were independent. To compare, in this review Simonavicius et al [5] identified 31 studies. However, 20 out of 31 of them were affiliated with the tobacco industry.…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

“…The first heat-not-burn tobacco product (HnB) called Premier™ (R.J. Reynolds) was introduced in 1988, followed by Eclipse™ (R.J. Reynolds) and Accord™ (Philip Morris) in the 1990s, Heat Bar™ (Philip Morris) in 2007, and iQOS™ (Philip Morris International) which was released in 2014 in Japan, Italy, and Switzerland [4]. These products heat tobacco (up to 350 • C) to generate an inhaled nicotine aerosol instead of burning it at significantly higher temperatures (around 800 • C) [5]. Although HnB tobacco products differ slightly, all of them seem to be a safer alternative to combustible cigarettes, according to several studies [6,7].…”

Section: Introductionmentioning

confidence: 99%

Heat Not Burn Tobacco Product—A New Global Trend: Impact of Heat-Not-Burn Tobacco Products on Public Health, a Systematic Review

Ratajczak

Jankowski

Strus

et al. 2020

IJERPH

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Introduction: The use of heat-not-burn tobacco products (HnB) is being adopted increasingly as an alternative to smoking combusted products, primarily cigarettes. Substantial controversy has accompanied their marketing and use in the public health context. In this study, we aimed to consider the probable impacts of HnB tobacco products use on public health. Methods: In May 2019, we conducted a systematic review of 15 studies concerning awareness and use of IQOS (abbrv. I Quit Ordinary Smoking) selected from three databases: Cochrane, PubMed, and Embase regarding public health. Results: All key outcomes varied by smoking status: more young adults who were currently smoking reported being aware of, interested in trying, and prone to trying heat-not-burn tobacco products. Interest in trying HnB products was also present among non-smokers, which raises concerns regarding new smokers. Interestingly, susceptibility to trying IQOS (25.1%) was higher than for traditional cigarettes (19.3%), but lower than for e-cigarettes (29.1%). Conclusions: Present studies suggest that HnB tobacco products have the potential to be a reduced risk product for public health compared to conventional cigarettes, considering indirectly the potential effects on the chronic diseases which are traditionally linked to traditional cigarette use as well as second hand exposure, but further studies are needed to determine whether this potential is likely to be realized. The process of HnB tobacco products becoming increasingly popular is of a global scale. Only small differences between countries on different continents regarding popularity and use of HnB tobacco products have been reported.

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“…However, research not commissioned by tobacco manufacturers cautions that while HTPs may expose users to lower levels of some toxicants than cigarettes, they contain higher levels of other toxicants that may lead to increased risks of impaired vascular endothelial function, pulmonary effects, and liver toxicity [4,[6][7][8][9]. In addition, nicotine addiction is a chronic and relapsing illness characterized by compulsive seeking and use, despite user awareness about risks and desire to quit [10]. These facts raise health concerns specifically for youth and young adults who are more vulnerable to nicotine addictiveness [11].…”

Section: Introductionmentioning

confidence: 99%

An Investigation of Influential Users in the Promotion and Marketing of Heated Tobacco Products on Instagram: A Social Network Analysis

Abroms

Broniatowski

et al. 2022

IJERPH

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While an increasing body of the literature has documented the exposure to emerging tobacco products including heated tobacco products (HTPs) on social media, few studies have investigated the various stakeholders involved in the generation of promotional tobacco content. This study constructed a social network of Instagram users who posted IQOS content, a leading HTP brand, between 1 January and 5 April 2021 and identified users who positioned near the center of the network. We identified 4526 unique Instagram users who had created 19,951 IQOS-related posts during the study period. Nearly half of the users (42.1%) were business accounts authorized by Instagram, among which 59.0% belonged to Personal Goods and General Merchandise Stores and 18.1% belonged to Creators and Celebrities. For users with higher in-degree, out-degree, betweenness, and closeness centrality in the network, the majority of them were accounts directly associated with IQOS (e.g., containing “iqos” in username) or related to tobacco business as self-identified in the bio. Our findings further refine the social media marketing presence of tobacco products and suggest that the current self-regulatory efforts led by social media platforms are far from enough.

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Heat-not-burn and electronic cigarettes: Truths and untruths about harm reduction

Cited by 4 publications

References 6 publications

Clinical Pharmacology of Electronic Nicotine Delivery Systems (ENDS): Implications for Benefits and Risks in the Promotion of the Combusted Tobacco Endgame

Clinical Pharmacology of Electronic Nicotine Delivery Systems (ENDS): Implications for Benefits and Risks in the Promotion of the Combusted Tobacco Endgame

Heat Not Burn Tobacco Product—A New Global Trend: Impact of Heat-Not-Burn Tobacco Products on Public Health, a Systematic Review

An Investigation of Influential Users in the Promotion and Marketing of Heated Tobacco Products on Instagram: A Social Network Analysis

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