The following is an extract taken from our forthcoming book titled The Real Truth about Smoking, Vaping and Tobacco.
The tobacco epidemic is one of the biggest public health threats the world has ever faced. (1)
7 million people die from tobacco use every year
8 million predicted by 2030 (2)
Six trillion – 6,000,000,000,000 cigarettes are smoked every year (3)
Over 1 billion smokers in the world (1)
$1,000,000,000,000 – one trillion US dollars
Tobacco industry’s annual revenues (4)
Nicotine is a toxic poison and is highly addictive (5)
We could actually leave it at that because the above stats speaks volumes to all of us.
Anyway we choose to look at Tobacco and what it is doing to us tells us it is harmfull.
We cannot get away from that immutable fact.
WORLD No Tobacco Day 2018: Tobacco and Heart Disease
31 May 2018
WNTD focus for 2018 is Tobacco and Heart Disease.
Cardiovascular diseases (CVD), including stroke, are the world’s leading causes of death.
Tobacco use is the second leading cause of CVDs after High Blood Pressure.
12% all heart disease deaths are from Tobacco use and second hand smoke exposure.
50% all deaths in WHO European region is CVDs
28% – highest overall prevalence for smoking in 2017 estimated in the European region.
The campaign for World No Tobacco Day aims to increase awareness on feasible actions and measure that key audiences, including governments and the public, can take to reduce the risks to heart health posed by Tobacco. (6)
If we keep it Simple and just join the dots here, we know that Tobacco hurts our heart and causes damage.
What if we stopped coming up with the next campaign or Solution and instead put all our efforts and focus onto finding out the following –
What is hurting the hearts of our children and teenagers that leads them to taking up smoking?
Would this be the game changer for us in the world as these kids are our future adult population?
Do we need to put our attention on education so we can warn them up front at a very young age that any form of smoking is bad for us?
Kids like things simple and they want to learn so why not give them an understanding as to WHY smoking affects our heart?
Next – it’s been well over a century that we have known cigarettes kill us and we all have this awareness. Let’s stop pretending and let’s stop thinking we don’t know.
Ask a young child and they will tell us it is bad – they just know.
So, with due respect to all those who are in positions of power and can make changes at a country and global level, let’s Get Real – is reducing the risks to heart health posed by Tobacco the answer?
Is this a form of reductionism?
In other words, are we looking for ways to band-aid our biggest killer that comes from a lifestyle choice?
Are we with our yearly No Tobacco day actually getting on the front foot and can we be Absolutely Honest and say things are not great and things are not working and could there be Another Way?
Can we admit that our soft and nice approach is doing nothing?
Can we admit that banning smoking means most find another way to continue?
Can we admit that our policymakers have not really stopped those who want to smoke?
Can we admit that we are so creative we will find alternatives like electronic cigarettes?
Can we admit we are nowhere near getting to the root cause of WHY anyone smokes?
Can we admit that we simply demand more and more research to tell us the same thing?
Can we admit we are really into reading the same thing circulating over and over again?
Can we admit that we need to stop judging those who smoke and find out why they do?
Can we admit that there are no articles out there on Smoking that give us what Simple Living Global is presenting to us?
In other words, all the facts and the possibility that there could be another way.
Electronic cigarettes have grown rapidly among youth and are the fastest growing part of the Tobacco market. (7)
What are Electronic Cigarettes?
Also known as –
- Electronic nicotine delivery systems
- Hookah pens
- Mods (customizable, more powerful vaporizers)
- Tank systems (8)
- Vape pens
Electronic cigarettes are battery operated devices that are used to inhale an aerosol which contains nicotine, flavourings and other chemicals.
They resemble traditional Tobacco cigarettes (cig-a-likes), cigars or pipes and items like pens or USB memory sticks.
Other devices with fillable tanks may look different.
Generally, they operate in a similar manner regardless of design and appearance. (8)
How E-Cigarettes Work
Most e-cigarettes consist of four different components –
- Cartridge or reservoir, which holds a liquid solution containing varying amounts of nicotine, flavourings and other chemicals.
- Heating element – atomiser
- Power source – battery
- Mouthpiece – used to inhale
Puffing activates the battery-powered heating device, which vaporises the liquid in the cartridge.
The smoker then inhales the resulting aerosol or vapour (called vaping). (8)
First Generation E-Cigarettes
2004 – development of first electronic cigarette generally attributed to a company in China.
Electronic cigarettes consist of battery, vaporising chamber and electronic cigarette liquid.
First generation were typically designed to look like a cigarette and use cartomisers that combine both the vaporising system and e-cigarette liquid in a single unit.
When the user takes a puff or presses a button, depending on the model, a heating coil is activated and subsequently vaporises the electronic cigarette liquid creating a mist or vapour that can be inhaled.
Many first generation models have LED on the end of the device that glows when puff is taken. (9)
Second Generation E-Cigarettes
Look less like a regular cigarette and contain a ‘tank’ which user fills with electronic cigarette liquid. They choose the flavours and strength (nicotine concentration ranging up to 24mg/ml).
There appears to be a trend towards more experienced electronic cigarette users (vapers) preferring newer generation electronic cigarettes (often called personal vaporisers).
They bear little resemblance to cigarettes and can be used with a range of atomisers, cartomisers and tank systems giving the user a greater range of choice.
These systems typically use larger batteries with adjustable power settings and replaceable coils and wicks.
Third Generation E-Cigarettes
These devices allow user to adjust the voltage applied to the atomiser using a control unit that can be set to different modes. The atomisers sit in the fluid and use different types of coils or wicks that can be replaced. Some come with ‘puff counters’ or downloadable software so the user can program their own voltage level and monitor their patterns of use. (9)
Electronic cigarettes have been developed as a ‘lifestyle’ or consumer product and not as a medicine.
Think about how creative we are and where we choose to put our so-called Intelligence?
While the world continues to Sit on the Fence, waiting for more and more research, there are people out there coming up with another way to use the lethal substance called Nicotine and because that is foul they add the fancy flavours that hook us in and bingo we buy it?
ADD to that they know there is an untapped market who are not keen on that puffing smoke business, we call cigarettes that is so last century. So, they create these devices that are so smart, slick and sophisticated that youngsters like to own one.
ADD to that the older generation, who want bespoke because they have the bling and money to do so, there are fancy places to hang out and buy and try these devices.
If not, there is always the Internet to search for the latest, unusual, must have top of the range so it will guarantee we get noticed.
We want it and it is there.
We call that demand and supply.
Let’s stop Blaming the inventors, producers, retailers, manufacturers, dodgy dealers, the government, the boredom at school, our mates and our parents with bad habits.
Let’s just take the RESPONSIBILITY that we make the choices and it is us who can change those choices.
E-Cigarette Use in Teenagers
E-cigarettes are popular among teens.
Now the most commonly used form of Tobacco among youth.
- Easy availability
- Alluring advertisements
- Various e-liquid flavours
- Belief they are safer than cigarettes
All the above make them appealing to this age group.
1 in 4 teenagers reported using e-cigarettes for dripping – practice where people produce and inhale vapours by placing e-liquid drops directly onto heated atomiser coils.
- 5% used dripping to create a thicker vapour
- 7% to improve flavours
- 7% to produce a stronger throat hit – a pleasurable feeling the vapour creates
More research is needed on the risks of this practice. (8)
E-liquids reach higher temperatures when dripped directly onto the coil. This also creates a bigger vapour cloud and provides a bigger throat hit.
A new study now raises special concerns for teenagers who drip.
Allowing the liquid to get superhot can transform harmless chemicals in the e-liquid into toxic ones.
One study showed the hotter the vaped liquid, the more likely it is to undergo toxic transformation. (10)
Vaping hobbyists that do smoke tricks may have popularised dripping.
Suchitra Krishnan-Sarin – Psychiatrist
Yale University, New Haven, Connecticut
1,080 high school students said they vaped
1 in 4 teenagers who vaped had tried dripping
This is the first study reporting on the popularity of dripping in teenagers.
Researchers do not yet know how common dripping is among adults. (11)
In addition to the unknown health effects, early evidence suggests that e-cigarettes may serve as an introductory product for preteens and teens who then go on to use other Tobacco products, including cigarettes, which are known to cause disease and premature death.
Study showed students who used e-cigarettes before 9th grade – more likely to start smoking cigarettes and other smokable Tobacco products within the next year.
Leventhal AM, Strong DR, Kirkpartrick MG et al.,
Association of Electronic Cigarette Use with Initiation of Combustible Tobacco Product Smoking in Early Adolescence. JAMA. 2015; 314(7): 700-707. doi:10.1001/jama.2015.8950 (8)
Another study showing high school students who used e-cigarettes, 7 times more likely to report that they smoked cigarettes 6 months later, compared to student that did not use e-cigarettes.
These results suggest teens using e-cigarettes are at greater risk for smoking cigarettes in the future.
Bold Kw, Kong G, Camenga DR et al.
Trajectories of E-Cigarette and Conventional Cigarette Use Among Youth. Pediatrics. December 2017: e20171832. doi: 10.542/peds.2017-1832 (8)
However, more research is still needed to understand if experimenting with e-cigarettes lead to regular use of smokable Tobacco.
WHY is it that we need more research to understand something that is a no brainer staring us in the face? In other words, we are all capable of joining the dots here and coming to our own conclusion.
If in any doubt, could this forensic article and part 1 Tobacco that Simple Living Global are presenting be enough evidence to bring us all a deeper understanding of the harm of Tobacco, whichever way we want to look at it?
2016 – FDA established a rule for e-cigarettes and their liquid solutions.
Because e-cigarettes contain nicotine derived from Tobacco, they are now subject to government regulation as Tobacco products, including the requirement that both in-store and online purchasers be at least 18 years of age.
Can we just stop here and re-read the whole section on e-cigarettes?
Can we join the dots and work this out without another study telling us?
Do we really need more research to suggest that any form of Tobacco is bad for us?
Is this the best way to fund our research knowing what we already know about Tobacco?
Do we really need to now find out more about dripping and if we do what is it that we are asking?
Do we need to wait any longer to find out the ‘unknown health effects’ when we all know Tobacco has nicotine in it and that means it is the same in cigarettes and e-cigarettes? The End.
What is it about science and all the evidence-based thinking, that we seem to demand above common sense?
What if good old fashion back to basics knowledge that some of us call innate wisdom is available on tap to all of us and we go with that?
Would that cut it?
Are we bonkers thinking the age thing is going to stop our kids finding a way to get what they want on or off line?
Let’s get real, our kids are up to stuff that we would not dare even think about, yet it is going on.
Burying our head in the sand and hoping it will pass is no longer going to help them or us.
Blaming the creators of this new device or the government or x y and z will not change anything.
Next – who on earth comes up with these creations?
What makes someone create something – be it a substance, device or practice that is going to pull in the masses and get them hooked and create ill health, not only to their body but to society as a whole?
What is behind the people who keep coming up with whatever they think will sell?
What is it about us that goes for it without any responsibility to the short and long-term consequences?
WHY are we all not uniting on the fact that education is the way forward if we are ever going to stop the rise of Tobacco products in all their forms?
WHY are we not asking serious Questions, so we get to find out why our children are even thinking about lighting up and before we know it are addicted to a lethal legal substance?
WHY are we going to wait for more research into e-cigarettes before they tell us it is just as harmfull as traditional cigarettes and we cannot get away from that immutable fact?
Have we ever stopped long enough to think that e-cigarettes may just be another version of the same stuff?
In other words, it is still ice-cream but a different flavour?
Is this making sense?
Does any of the blue commentary on this forensic blog make sense to us on the street?
Are we ready to look at this serious topic from all sides and open up conversations and discussions so more of us become aware of the killer that Tobacco really is?
We will report more next year on World No Tobacco Day – 31 May 2019
(1) (March 9, 2018). Tobacco. World Health Organization. Retrieved May 27, 2018 from
(2) (2017). World No Tobacco Day, 31 May 2017. World Health Organization. Retrieved May 27, 2018 from
(3) Proctor, R.N. (2011). Golden Holocaust: Origins of the Cigarette Catastrophe and the Case for Abolition. California, CA: University of California Press. (p.3)
(4) Eriksen, M., Mackay, J., Islami Gomeshtapeh, F., & Drope, J. (2015). The Tobacco Atlas, 5th Edition (p.7). Retrieved May 25, 2018 from
(5) Martin, T. (2018, February 13). Important Facts About Nicotine. Very Well Mind. Retrieved May 27, 2018 from
(6) (2018). World No Tobacco Day 2018: Tobacco and Heart Disease. World Health Organization. Retrieved May 27, 2018 from
(7) Tressler, C. (2018, May 1). Nicotine is Not a Child’s Food. Federal Trade Commission. Retrieved May 27, 2018 from
(8) (2018, March). Electronic Cigarettes (E-cigarettes). National Institute on Drug Abuse; National Institutes of Health; U.S. Department of Health and Human Services. Retrieved May 27, 2018 from
(9) Mc Robbie, H. (2014). Electronic Cigarettes. National Centre for Smoking Cessation and Training (NCSCT). pp. 4 – 6. Retrieved May 27, 2018 from
(10) Raloff, J. (2016, July 28). E-Cigs Create Toxic Vapours from Harmless E-Liquids. Science News for Students. Retrieved May 27, 2018 from