Nicotine e-cigarettes are widely considered to be much less harmful than smoking. The study found that smokers who switched to e-cigarettes improved their overall health in the short term. Therefore, public health has a vested interest in promoting e-cigarettes as a harm-reduction option for smoking cessation.

An estimated 45,000 people die each year from smoking. These deaths account for about 18% of all deaths in Canada. More than 100 Canadians die every day from smoking, more than car crashes, unintentional injuries, self-harm and assaults combined.

According to Health Canada, in 2012, deaths from smoking caused nearly 600,000 years of potential loss of life, mainly due to malignancy, cardiovascular disease and respiratory disease.

Although smoking may be less obvious and appear to be largely eradicated, it is not. With an estimated 4.5 million smokers in Canada, smoking remains the leading cause of premature death and disease. Tobacco control must remain a priority. For these reasons, public health benefits should be the main goal of aggressive tobacco control, but there are also economic incentives to eliminate smoking. In addition to the obvious direct health care costs, smoking imposes many lesser-known indirect costs on society.

“The total cost of tobacco use was $16.2 billion, with indirect costs accounting for more than half (58.5%) of the total costs and direct costs the remainder (41.5%). Health care costs are the largest component of the direct costs of smoking, with approximately $6.5 billion. This includes costs associated with prescription drugs ($1.7 billion), physician care ($1 billion), and hospital care ($3.8 billion). Federal, provincial, and territorial governments also spent $1.22 billion on tobacco control and enforcement One hundred million U.S. dollars."

“Indirect costs associated with smoking were also estimated, reflecting lost production (i.e. lost income) due to morbidity and premature death from smoking. These lost production totaled $9.5 billion, of which nearly $2.5 billion was $7 billion is due to premature death and $7 billion is due to short- and long-term disability," Health Canada said.

Direct and indirect costs decrease over time as e-cigarette adoption increases. One study found that a fairly permissive regulatory environment can achieve net health benefits and cost savings. And, in a letter to the British Medical Journal, public health leaders wrote: "The government is right to want to make smoking obsolete. If this is achieved, it is estimated that 500,000 jobs will be created in the UK as smokers spend their money on other goods and services. For England alone, the net benefit to the public finances would be around £600 million.

“Over time, lost tobacco tax revenue is more than offset by health care savings and various indirect costs. When determining excise tax rates for vaping products, legislators should consider the health benefits of transitioning smokers, and the corresponding Canada has passed vaping regulations to achieve its goals of preventing teens.” Darryl Tempest, government relations advisor to the Canadian Vaping Council, said the government should not use disruptive draconian taxes and ensure that existing regulations are enforced .

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