Food and Drug Administration Archives

An Update on e-Cigarettes and Health

By Michael Fergenson, AJN senior editorial coordinator

Photo by Michael Dorausch, via Flickr

Last May, I wrote a post titled “E-Cigarettes: Positive Smoking Substitute or a New Problem Replacing the Old?” It explored the pros and cons of using e-cigarettes, then a relatively new and little-studied product, to aid in smoking cessation. The FDA has warned that little is known about how effective they are as smoking cessation aids and also warned that there is no way for consumers to know exactly how much nicotine and other potentially harmful chemicals are being inhaled during use. Concerns have also been raised that e-cigarettes could lead to children smoking real cigarettes. So, what have we learned since then?

One study says e-cigarettes are as effective as the patch

One study published in The Lancet, September 2013, recruited 584 smokers in Auckland, New Zealand, who wanted to quit. Half were given e-cigarettes and half got coupons for nicotine patches, and another 73 were given e-cigarettes without nicotine. The study found that smokers using the e-cigarette to help them quit were only slightly more successful than those using a nicotine patch: 7.3% of those using […]

Jacob Molyneux, senior editor/blog editor2017-01-04T14:39:34-05:00October 18th, 2013|Nursing|3 Comments

E-Cigarettes: Positive Smoking Substitute or a New Problem Replacing the Old?

Photo by Michael Dorausch, via Flickr

By Michael Fergenson, senior editorial coordinator

The dangers of smoking cigarettes are well documented, from the terrifying commercials about what smoking does to our bodies to the warnings right on the pack. Yet the Centers for Disease Control and Prevention estimates that 45.3 million people in the United States smoke.

Now, a new trend in tobacco products has become the center of much debate. I’m referring to the electronic cigarettes, or e-cigarettes, that are gaining popularity as a smoking alternative and, for many, as a tool to quit.

I personally know two people who are using this device in an attempt to stop smoking. An article published in the New York Times last November reports that the number of Americans trying e-cigarettes “quadrupled from 2009 to 2010.” The article also cites the results of a survey published in Tobacco Control last year, which found that 1.2% of adults, or close to 3 million people, had reported using these products in the previous month. But are e-cigarettes really a positive smoking substitute and aid to quitting?

How they work. Most e-cigarettes are shaped like a real cigarette, but some have a unique look. They work by heating up a liquid—purchased separately […]

Amy M. Collins, managing editor2017-03-10T16:53:37-05:00May 4th, 2012|Nursing|21 Comments

Friday Round-Up: When ‘Natural’ Isn’t ‘Safer,’ A Student Nurse Summit, a Walking Crisis, Chronicity

Please pardon the relative quiet of this blog this week. All our in-house and far-flung occasional correspondents are otherwise engaged, it seems. Blame the nice weather, if it’s nice where you are. Our editor-in-chief, Shawn Kennedy, is in Pittsburgh at the National Student Nurses Association (NSNA) convention. She’s presenting this afternoon (I think) on the new AJN iPad app, among other things (no, we don’t yet have one for the Kindle, but that may be on the way).

Shawn should have an update on her adventures with the next generation in nursing sometime early next week. So for now, almost entirely avoiding nursing news and health care reform, here are a few items of potential interest:

The Respectful Insolence blog, in reminding us that “natural” doesn’t always mean safer, points to an AFP article that highlights research drawing a connection between a widely used herbal remedy and the unusually high incidence of urinary tract cancer in Taiwan. Says the AFP article,

A toxic ingredient in a popular herbal remedy is linked to more than half of all cases of urinary tract cancer in Taiwan where use of traditional medicine is widespread, said a US study Monday.

Aristolochic acid (AA) is a potent human carcinogen that is found naturally in Aristolochia plants, an ingredient common in botanical Asian remedies for aiding weight loss, easing joint pain and improving stomach ailments.

While the FDA issued an alert about products containing this […]

Jacob Molyneux, senior editor/blog editor2016-11-21T13:10:19-05:00April 13th, 2012|students|2 Comments

Perspectives on Sebelius Overrule of FDA on Plan B

Women’s health advocates were quick to cry foul Wednesday when Health and Human Services Secretary Kathleen Sebelius overruled the opinion of the Food and Drug Administration that the popular “morning after” emergency contraceptive “Plan B One Step” should be allowed to be sold without a prescription — and without age restrictions.

That’s from an NPR story on the response of women’s groups to the ruling by HHS head Sebelius. Many others have weighed in via various forums since the ruling. What gives? Is the decision politically motivated? Or was it because Sebelius actually believed in the rightness of her objection enough that she should overrule the FDA, something that’s apparently not at all usual practice?

Here are some quotes from an MSNBC Vitals blog article about the issue, from a major ethicist and from a leader in pediatric care:

“In facing a tough call, HHS has put politics over science when it comes to sex,” said Art Caplan, director of the Center for Bioethics at the University of Pennsylvania and a frequent contributor to msnbc.com.

Dr. Robert Block, president of the American Academy of Pediatrics, called the decision “medically inexplicable,” saying that it defies strong data that shows emergency contraception is safe and effective for girls and women of all ages.

President Obama has […]

Jacob Molyneux, senior editor/blog editor2016-11-21T13:11:12-05:00December 8th, 2011|Nursing|3 Comments

Drunk on Water, Drug Shortages, Understanding Health Care News, Plus Nursing Blog Posts of Note

The water myth: A physician, writing in the British Medical Journal (abstract only), has looked at the evidence for drinking eight glasses of water a day and says the oft-recommended practice is “debunked nonsense,” a myth the bottled water companies have been only too happy to exploit and that many respected health care organizations and experts continue to support. Maybe common sense reasoning is also partly to blame—after all, the idea seems to make sense. And all that water certainly conjures images of purification, which is inevitably appealing in a world of pervasive toxins, chemicals, food additives, and the like, and in a time when fewer people in any given Western country practice the same or similar religious sacraments or rituals, practices that may—among other functions—have once served a similar “purifying” psychologic purpose.

Drug shortages: The Wall Street Journal Health Blog has reported on two surveys that suggest that “unprecedented” drug shortages are being experienced by most hospitals. The reasons are multiple: shortage rumors that prompt hoarding, FDA actions that halt production, lack of a crucial ingredient, poor inventory management, and others:

All treatment categories were affected, hospitals said, with 80% or more respondents experiencing shortages of surgery/anesthesia, emergency care, cardiovascular, gastrointestinal/nutrition, pain or infectious disease drugs. And 66% of hospitals reported shortages of cancer drugs. Some 47% […]

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Jacob Molyneux, senior editor/blog editor2016-11-21T13:12:26-05:00July 15th, 2011|healthcare social media, Nursing|5 Comments