A double-edged sword: E-cigarettes, and other electronic nicotine delivery systems (ENDS)

  • Kamal Kant SahuEmail author
  • Ajay Kumar Mishra
  • Amos Lal
  • George Abraham

Dear Editor,

With interest we read the article by Polosa et al. published in your esteemed journal [1]. While we congratulate them for the excellent writeup, we believe that discussion on the “ill-effects” of E-cigarettes and other vaporizers need more elaboration, so that readers are well aware of both the sides of the coin. Our letter aims to discuss the latest literature available on the impact of ENDS on mental and physical health of consumers.

Since the time vaporizers, E-cigarettes, and other electronic nicotine delivery systems (ENDS) came into existence, they always remained surrounded by the smoke of controversies with regard to their ill effects on physical health as well as the mental wellbeing of the E-consumers.

As also said by Polosa et al., ENDS were introduced to the market with the intent of reducing toxicants in population, reducing the ill effects of second‐hand smoke and also to assist the motivated smoke quitters during their craving period. With time, the usage of...




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Conflict of interest

Authors have no conflicts of interest to declare.

Ethical statement

The article does not contain participation of any human being and animal.

Informed consent

For this type of study, formal consent is not required.


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Copyright information

© Società Italiana di Medicina Interna (SIMI) 2019

Authors and Affiliations

  1. 1.Department of Internal MedicineSaint Vincent HospitalWorcesterUSA
  2. 2.Department of Pulmonary Medicine and Critical CareMayo ClinicRochesterUSA

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