If the definition of insanity is doing the same thing over and over, expecting a different result, then Ong’s advice to smokers is “act insane.” The first survey of electronic cigarette (e-cigarette) users (n=303) found that 91% had attempted to stop smoking before trying e-cigarettes, 65% had tried and failed to quit 4 or more times, and 21% had tried more than 10 times. Of those who tried pharmaceutical products, only 1% reported they were able to stop smoking permanently. In contrast, 79% of the participants reported they were using e-cigarettes as a complete replacement for all their smoked cigarettes, and 91% felt their health had improved.
The largest survey to-date with 3587 responses, published in Addiction, showed similar success rates, with 70% of participants reporting they no longer smoke. Another survey of 222 first time purchasers of a particular brand of e-cigarettes found a success rate of 31%. A 6-month pilot clinical trial conducted by Italian researchers explored whether e-cigarettes could help 40 smokers unwilling to quit to reduce the number of cigarettes smoked. There was an overall 88% fall in cigarettes per day. To the surprise of the researchers, 22% of these inveterate smokers quit altogether.
Ong admits that over 40% of smokers have an active psychiatric or substance abuse disorder. It borders on impossible for people in this group to quit by becoming abstinent from nicotine, because nicotine is a self-medication that keeps their symptoms under control. This is where e-cigarettes shine. They provide the required nicotine and eliminate exposure to all the elements in smoke that cause lung disease, cardiovascular disease, and cancers.
Are e-cigarettes 100% safe? Of course not. Neither are any of the pharmaceutical treatments Ong recommends. The big question is, “How safe is it to continue smoking for several more years?”