- Apr 2, 2009
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At next week's Society of Toxicology national meeting in San Antonio, e-cigarette prohibitionist and junk scientist Prue Talbot (and/or her research colleagues) will be presenting the following. Highlighted in red is her assertion that a "significant proportion of the data (from ECF) showed . . . adverse health effects."
A second study to be presented by Talbot et al claims that particles of several metals were found in at least one unspecified e-cigarette sample measuring several microns and several hundred nanometers, that she claims "are often above minimal risk levels".
141
Health-Related Effects Reported by Electronic Cigarette Users in Online Forums. M. Hua, M. Alfi and P. Talbot. Cell Biology and Neuroscience, University of California. Riverside, Riverside, CA. Electronic cigarettes (e-cigarettes) are battery-operated devices that deliver aerosolized nicotine to users without burning tobacco. Because little data exists on their health effects, we explored the symptoms that e-cigarette use has on humans by analyzing online user posts from three e-cigarette forums with health and safety sections. Basic information (location, age, and gender) and health (symptoms and doctor diagnosed signs) information were collected. A total of 405 symptoms (78 positive, 326 negative and 1 neutral) were reported in three forums. Most data analysis was performed on Electronic Cigarette Forum (ECF) posts. A total of 12 systems/anatomical regions were affected in e-cigarette users. Systems most often affected include: mouth and throat, respiratory, neurological, sensory, and digestive. The majority of negative health effects occurred in the respiratory system. We further consolidated reported symptoms into categories to determine which anatomical regions/physiological processes were most affected for each system. For consolidated data, symptoms were most frequently reported for: bronchi/lungs (e.g., wheezing, shortness of breath, difficulty breathing), throat; neurological (headaches), intestine/digestion, and sight. To analyze interactions between systems, interactions were created with Cytoscape software. Interactions were most frequently seen between circulatory/neurological; respiratory/mouth and throat; respiratory/chest, and digestive/neurological systems. Increased blood pressure was the most frequently reported sign diagnosed by physicians treating e-cigarette users. While some positive health effects were reported, a significant proportion of the data showed a correlation with e-cigarette use and onset of adverse health effects. This study is the first to compile and quantitatively assess health data associated with e-cigarette use from online forums.
1753
Identification of Metal and Silicate Particles Including Nanoparticles in Electronic Cigarette Fluid and Aerosol. M. T. Williams1, A. Villarreal1, K. Bozhilov2, S. Lin1 and P. Talbot1. 1Cell Biology and Neuroscience, University of California, Riverside, Riverside, CA; 2Central Facility for Advanced Microscopy, University of California Riverside, Riverside, CA. Electronic cigarettes (EC) deliver aerosol by heating fluid containing nicotine, flavorings, and a humectant. EC cartomizers combine the fluid chamber and heating element in a single unit. Because EC do not burn tobacco, they may be safer than conventional cigarettes. Their use is rapidly increasing worldwide with little prior testing of their aerosol. We hypothesized that EC aerosol contains metals derived from the various components. Cartomizer contents and aerosols were analyzed using microscopy, cytotoxicity testing, x-ray microanalysis, particle counting, and inductively coupled plasma optical emission spectrometry. A nickel-chromium filament was coupled to a thicker silver coated copper wire. The silver coating was sometimes missing. Four tin solder joints attached the wires to each other and coupled the copper/silver wire to the air tube and mouthpiece. All cartomizers had evidence of use before packaging (burn spots on the fibers and electrophoretic movement of fluid in the fibers). Fibers in two cartomizers had green deposits that contained copper. Centrifugation of the fibers produced large pellets containing tin. Tin particles and tin whiskers were identified in cartridge fluid and outer fibers. Cartomizer fluid with tin particles was cytotoxic in assays using human pulmonary fibroblasts. The aerosol contained particles >1μm comprised of tin, silver, iron, nickel, aluminum, and silicate and nanoparticles (< 100 nm) of tin, chromium, and nickel. Of 22 elements identified, 12 were present in concentrations higher than the minimum risk level. Many of the elements identified in EC aerosol are known to cause respiratory distress and disease. The presence of metal and silicate particles in cartomizer aerosol, often above minimal risk levels, demonstrates the need for improved quality control in EC design and manufacture and studies on how EC aerosol impacts the health of users and bystanders.
A second study to be presented by Talbot et al claims that particles of several metals were found in at least one unspecified e-cigarette sample measuring several microns and several hundred nanometers, that she claims "are often above minimal risk levels".
141
Health-Related Effects Reported by Electronic Cigarette Users in Online Forums. M. Hua, M. Alfi and P. Talbot. Cell Biology and Neuroscience, University of California. Riverside, Riverside, CA. Electronic cigarettes (e-cigarettes) are battery-operated devices that deliver aerosolized nicotine to users without burning tobacco. Because little data exists on their health effects, we explored the symptoms that e-cigarette use has on humans by analyzing online user posts from three e-cigarette forums with health and safety sections. Basic information (location, age, and gender) and health (symptoms and doctor diagnosed signs) information were collected. A total of 405 symptoms (78 positive, 326 negative and 1 neutral) were reported in three forums. Most data analysis was performed on Electronic Cigarette Forum (ECF) posts. A total of 12 systems/anatomical regions were affected in e-cigarette users. Systems most often affected include: mouth and throat, respiratory, neurological, sensory, and digestive. The majority of negative health effects occurred in the respiratory system. We further consolidated reported symptoms into categories to determine which anatomical regions/physiological processes were most affected for each system. For consolidated data, symptoms were most frequently reported for: bronchi/lungs (e.g., wheezing, shortness of breath, difficulty breathing), throat; neurological (headaches), intestine/digestion, and sight. To analyze interactions between systems, interactions were created with Cytoscape software. Interactions were most frequently seen between circulatory/neurological; respiratory/mouth and throat; respiratory/chest, and digestive/neurological systems. Increased blood pressure was the most frequently reported sign diagnosed by physicians treating e-cigarette users. While some positive health effects were reported, a significant proportion of the data showed a correlation with e-cigarette use and onset of adverse health effects. This study is the first to compile and quantitatively assess health data associated with e-cigarette use from online forums.
1753
Identification of Metal and Silicate Particles Including Nanoparticles in Electronic Cigarette Fluid and Aerosol. M. T. Williams1, A. Villarreal1, K. Bozhilov2, S. Lin1 and P. Talbot1. 1Cell Biology and Neuroscience, University of California, Riverside, Riverside, CA; 2Central Facility for Advanced Microscopy, University of California Riverside, Riverside, CA. Electronic cigarettes (EC) deliver aerosol by heating fluid containing nicotine, flavorings, and a humectant. EC cartomizers combine the fluid chamber and heating element in a single unit. Because EC do not burn tobacco, they may be safer than conventional cigarettes. Their use is rapidly increasing worldwide with little prior testing of their aerosol. We hypothesized that EC aerosol contains metals derived from the various components. Cartomizer contents and aerosols were analyzed using microscopy, cytotoxicity testing, x-ray microanalysis, particle counting, and inductively coupled plasma optical emission spectrometry. A nickel-chromium filament was coupled to a thicker silver coated copper wire. The silver coating was sometimes missing. Four tin solder joints attached the wires to each other and coupled the copper/silver wire to the air tube and mouthpiece. All cartomizers had evidence of use before packaging (burn spots on the fibers and electrophoretic movement of fluid in the fibers). Fibers in two cartomizers had green deposits that contained copper. Centrifugation of the fibers produced large pellets containing tin. Tin particles and tin whiskers were identified in cartridge fluid and outer fibers. Cartomizer fluid with tin particles was cytotoxic in assays using human pulmonary fibroblasts. The aerosol contained particles >1μm comprised of tin, silver, iron, nickel, aluminum, and silicate and nanoparticles (< 100 nm) of tin, chromium, and nickel. Of 22 elements identified, 12 were present in concentrations higher than the minimum risk level. Many of the elements identified in EC aerosol are known to cause respiratory distress and disease. The presence of metal and silicate particles in cartomizer aerosol, often above minimal risk levels, demonstrates the need for improved quality control in EC design and manufacture and studies on how EC aerosol impacts the health of users and bystanders.