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Annual Review of Public Health

Volume 41, 2020

Effects of Electronic Cigarettes on Indoor Air Quality and Health

Abstract

With the rapid increase in electronic cigarette (e-cig) users worldwide, secondhand exposure to e-cig aerosols has become a serious public health concern. We summarize the evidence on the effects of e-cigs on indoor air quality, chemical compositions of mainstream and secondhand e-cig aerosols, and associated respiratory and cardiovascular effects. The use of e-cigs in indoor environments leads to high levels of fine and ultrafine particles similar to tobacco cigarettes (t-cigs). Concentrations of chemical compounds in e-cig aerosols are generally lower than those in t-cig smoke, but a substantial amount of vaporized propylene glycol, vegetable glycerin, nicotine, and toxic substances, such as aldehydes and heavy metals, has been reported. Exposures to mainstream e-cig aerosols have biologic effects but only limited evidence shows adverse respiratory and cardiovascular effects in humans. Long-term studies are needed to better understand the dosimetry and health effects of exposures to secondhand e-cig aerosols.

Keyword(s): nicotine, particulate matter, PM2.5, respiratory and cardiovascular effects, ultrafine particles
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/content/journals/10.1146/annurev-publhealth-040119-094043
2020-04-01
2024-04-20
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/content/journals/10.1146/annurev-publhealth-040119-094043
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Effects of Electronic Cigarettes on Indoor Air Quality and Health
Annual Review of Public Health 41, 363 (2020); https://doi.org/10.1146/annurev-publhealth-040119-094043
/content/journals/10.1146/annurev-publhealth-040119-094043
/content/journals/10.1146/annurev-publhealth-040119-094043
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