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E-cigarette use has become increasingly popular, especially among the young. Its long-term influence upon health is unknown. Aim of this review has been to present the current state of knowledge about the impact of e-cigarette use on health, with an emphasis on Central and Eastern Europe. During the preparation of this narrative review, the literature on e-cigarettes available within the network PubMed was retrieved and examined. In the final review, 64 research papers were included. We specifically assessed the construction and operation of the e-cigarette as well as the chemical composition of the e-liquid; the impact that vapor arising from the use of e-cigarette explored in experimental models in vitro; and short-term effects of use of e-cigarettes on users’ health. Among the substances inhaled by the e-smoker, there are several harmful products, such as: formaldehyde, acetaldehyde, acroleine, propanal, nicotine, acetone, o-methyl-benzaldehyde, carcinogenic nitrosamines. Results from experimental animal studies indicate the negative impact of e-cigarette exposure on test models, such as ascytotoxicity, oxidative stress, inflammation, airway hyper reactivity, airway remodeling, mucin production, apoptosis, and emphysematous changes. The short-term impact of e-cigarettes on human health has been studied mostly in experimental setting. Available evidence shows that the use of e-cigarettes may result in acute lung function responses (e.g., increase in impedance, peripheral airway flow resistance) and induce oxidative stress. Based on the current available evidence, e-cigarette use is associated with harmful biologic responses, although it may be less harmful than traditional cigarettes. Int J Occup Med Environ Health 2017;30(3):329–344
EN
The rapidly growing market of e-cigarettes and innovative products has been regulated just recently. Easy accessibility and the low price of electronic cigarettes make smoking a common phenomenon, especially among young people. All kinds of tobacco products that contain a high dose of nicotine are very harmful to health – they cause serious illnesses, significantly increasing the cost of subsequent treatment. Changes related to the health policy introduced by the government regarding the mandatory excise tax on e-liquids and the so-called innovative products are aimed at limiting the availability of this type of stimulant. Taxation of these products will increase their price, and as a result, it will cause a decrease in the interest of the consumer. Additionally – in principle – it should result in a significant impact on the state budget revenues.
PL
Dynamicznie rozwijający się rynek papierosów elektronicznych i wyrobów nowatorskich niedawno został uregulowany. Łatwa dostępność i niska cena papierosów elektronicznych sprawiają, że ich palenie jest zjawiskiem powszechnym, zwłaszcza wśród młodzieży. Wszelkiego rodzaju wyroby tytoniowe, które zawierają wysoką dawkę nikotyny, są bardzo szkodliwe dla zdrowia – powodują poważne choroby, znacząco wpływające na wzrost kosztów leczenia. Wprowadzane przez rząd zmiany związane z polityką prozdrowotną, dotyczące obowiązkowego podatku akcyzowego na płyn do e-papierosów i tzw. wyrobów nowatorskich, mają na celu ograniczenie dostępności tego rodzaju używek. Albowiem opodatkowanie tych wyrobów, spowoduje wzrost ceny, a tym samym spadek zainteresowania nimi. Dodatkowo, przynajmniej w założeniu, powinny spowodować znaczny wpływ dochodów do budżetu państwa.
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