Can e-cigarettes quit smoking? Can smokers switch to e-cigarettes to reduce the harm? It has always been the focus of attention and controversy in the e-cigarette industry from all walks of life. The World Health Organization (WHO) has already given answers to these controversies in the e-cigarette theme report released in 2020: There is conclusive evidence that the conversion of cigarettes to e-cigarettes can reduce harm.

In the report, the WHO cited the evaluation of e-cigarettes by the National Academy of Sciences and the School of Medicine (hereinafter referred to as NASEM). Among them, there is conclusive evidence: "The complete use of e-cigarettes instead of cigarettes can reduce the user's chances of exposure to a variety of toxic and carcinogenic substances produced by the burning of cigarettes."

There is a large amount of evidence that: “The use of e-cigarettes can lead to nicotine dependence, but the degree of dependence is lower than that of cigarettes; e-cigarette smoke may increase the risk of some diseases in the long-term, but the risk is lower than that of cigarettes; completely switching from cigarettes to e-cigarettes can improve the body. The health of the organs.” The WHO specifically pointed out that the latest research shows that the simultaneous use of cigarettes and e-cigarettes can lead to higher levels of oxidative stress and increase the risk of cardiorespiratory health. Therefore, dual use is not recommended.

The report concluded that WHO, NASEM, and CDC (Centers for Disease Control) have all realized the potential of e-cigarettes to improve the public health environment. At the same time, the WHO also made some recommendations in the report for countries that plan to regulate e-cigarettes: including requiring e-cigarette companies to regulate sales channels (including online sales), strictly enforce laws on the minimum purchase age, and pass standardized regulations to minimize Health risks for e-cigarette users; it is forbidden to add carcinogens, mutagens and other harmful substances.

Take the United Kingdom as an example. The United Kingdom has been pursuing a smoke-free plan: by 2030, phasing out combustible cigarettes, allowing smokers to quit smoking completely or switch to lower-risk nicotine delivery systems, such as e-cigarettes. Although the current smoking rate among the Chinese population is showing a downward trend, it still remains at a relatively high level.

Ma Liang, a researcher at the National Institute of Development and Strategy at Renmin University of China, once commented that the absolute harmlessness brought about by smoke-free is the best choice, but when harmlessness cannot be achieved in the short-term, instead of high-profile advocacy in the short-term For the difficult-to-achieve smoke-free ideal, it is better to start from smoke reduction and harm reduction, and to promote smokers to reduce the health hazards caused by smoking and secondhand smoke exposure by replacing and reducing smoke.

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