Category Archives: smoking

Vaping, E-Cigarettes and Schizophrenia

by Marvin Ross

A number of times over the past few years, I’ve written about the need for people with schizophrenia to smoke. Yes, it is dangerous to their physical health but it does help calm their brains. I’ve also written about the cruelty of hospitals that do not accommodate smokers with serious mental illness. It would not be that difficult but they refuse and, in one case, patients cannot even possess tobacco.

As a healthier alternative, I’ve suggested e-cigarettes that provide the needed nicotine but by the safer alternative of vaping. E-cigarettes enables  smokers to get their nicotine fix without the dangerous chemical byproducts of burning tobacco. Now, thanks to the FDA and the CDC, that option appears to be on the way out. Fortunately, Health Canada is reserving judgment and I hope that good sense and science will prevail.

At issue is the increase in the number of young people vaping who are developing serious lung problems resulting in seven cases, at time of writing, of death. We are now looking at a ban on e-cigarettes which would be throwing the baby out with the bathwater.

Vaping nicotine should not be done by young people who do not smoke cigarettes nor should they be vaping coloured, flavoured products as it can lead to smoking. But, vaping nicotine may either help people who want to quit or be a healthier substitute for smoking cigarettes. An English study from 2018 found that “e-cigarettes may be a unique harm reduction innovation for smoking relapse prevention. E-cigarettes meet the needs of some ex-smokers by substituting physical, psychological, social, cultural and identity-related aspects of tobacco addiction.”

The National Health Service (NHS) in the UK found “E-cigarettes are 95% less harmful than tobacco and could be prescribed on the NHS in future to help smokers quit,” But what about the lung damage and deaths? According to Alex Bezerow, vice president of scientific affairs for the American Council on Science and Health (ACSH), the damages and deaths caused by vaping were the result of people vaping THC infused oil that they got from the street. “THC is not soluble in water, so it has to be dissolved in oil. The oil of choice is vitamin E acetate” and “Inhaled oil can trigger lipoid pneumonia.”

As these products are purchased from the black market, they may contain other impurities. The FDA and the CDC, he suggests, are allowing myths and fear-mongering to govern their policies. If you are interested in the chemistry of how this damage and deaths is coming about, then Dr Josh Bloom with ACSH provides a simple explanation of the process. If nothing else, Bloom explains how PEZ was initially developed as a means to help people quit smoking.

Why ban e-cigarettes after 6 people died from using the device improperly according to the evidence available now when so many in the US are dying from gun attacks? Guns have killed far more than 6 people and yet the US refuses to do what every other civilized country has done.

Where is the logic?