In a previous blog entry, I mentioned knowing what is in your E-Juice, as some substances in your E-Juice could prove to be devastating to your health. Recently there has been quite a stir in the electronic cigarette community regarding the chemical known as diacetyl in E-Juices. Diacetyl is an FDA approved substance that gives a buttery and creamy taste to substances. When ingested it is safe, in fact many of the foods you buy at the grocery store (especially the ones with artificial flavoring) most likely has diacetyl in it. However, when copious amounts of diacetyl is inhaled, it can severely damage your lungs. Long term exposure to diacetyl via inhalation can cause something called obliterative bronchiolitis (also known as popcorn lung) which is a rare syndrome that hinders respiratory function. Obliterative bronchiolitis is when the bronchioles in the lungs are being compressed and narrowed by scar tissue and/or inflammation. Symptoms include severe shortness of breath, wheezing, and coughing. What is so scary about this disease is it is irreversible, and the worst cases of obliterative bronchiolitis would result in lung transplant.

It is worth noting that the conclusions which Dr. Glantz is disseminating are destructive because they undermine decades of public education about the severe hazards of smoking. If the public thinks that smoking is only as risky as vaping, then it is likely that many smokers will decide to continue smoking rather than quitting using electronic cigarettes. And many ex-smokers who have quit with electronic cigarettes may return to smoking, thinking that they might as well since they are not getting any definite health benefit from having made the switch.

"If the FDA had been willing to agree in 2009 that they were tobacco products and not medical products, the agency would have had vast authority over e-cigarettes. For the past five years, the FDA could have acted against adulterated or misbranded products, required manufacturer registration and ingredient-reporting, and inspected manufacturers, among other actions. It’s impossible to know how much ground was lost because of the FDA’s overreaching position that e-cigarettes were possibly medical products."

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