In the United States, smoking is at its lowest, but do not thank it.



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In the United States, the number of cigarette smokers has reached the lowest levels ever recorded, the Centers for Disease Control and Prevention announced today. But even though e-cigarette manufacturers claim that cigarettes are an alternative to cigarettes, this dramatic decline in tobacco use is not necessarily due to an increase in vaping emissions. CDC report of more than 40% in 1965. The record number of cigarette smokers is good news: smoking kills nearly one million Americans each year, making it the leading cause of death and preventable disabilities in the United States. The bad news is that there are still populations where smoking is very common, especially among people in psychological distress, people under Medicaid or without health insurance, according to the results published in the weekly report Morbidity and Mortality Weekly.

The big question is why we see a drop in the number of smokers in the United States. Although electronic cigarette manufacturers pay attention not to say that their vows help people stop using nicotine, they market them as alternatives to smoking. In July, a Juul spokesman told The Verge that "Juul is intended only for adult smokers who wish to change fuel cigarettes". It is therefore tempting to conclude that the decline in smoking corresponds to the rise in vaping. But that's not necessarily the case.

It is true that some adults use [vampire] vows to take their cigarette. But there is still not enough rigorous long-term research to determine if e-cigarettes are effective at quitting smoking at the population level, according to Brian King, who works at the Office of Smoking and Human Health. CDC and who is the main author of the study today. . "The jury still has not determined the effectiveness of e-cigarettes to help people quit," he said. "Although we know anecdotally that many people stopped using e-cigarettes, the plural of anecdote is not a given."

King points out that if smokers pbaded mbadively from conventional cigarettes to electronic type, you're d Expect to see the number of electronic cigarette users increase in line with the number of smokers. But his team understood the opposite: in 2017, about 2.8% of adults used electronic cigarettes, compared to 3.4% in 2015. "We are seeing a gradual decline in overall consumption of electronic cigarettes among adults, which is very different from what we see in young people, "says King.

However, Nancy Rigotti, director of the Mbadachusetts General Hospital Center for Tobacco Research and Treatment, warns that this does not happen. is not the only way to interpret the data: "This badumes that people opt for the electronic cigarette and stay there, rather than using it for a short time, and then completely stop taking nicotine," says -she. "But I certainly agree that you can not attribute that to electronic cigarettes." Adam Leventhal, professor of preventive medicine at the University of Southern California, agrees. "I would not necessarily say that the results indicate in one way or another that vaping influences the prevalence of smoking," he says.

The other reason why he is skeptical that the cigarette is to The origin of this decline The majority of users of electronic cigarettes also are smoking conventional cigarettes, says King. "It is a public health problem because, if a smoker derives an individual advantage, he must leave completely ," he says. It is possible that people who use both e-cigarettes and e-cigarettes are about to stop smoking altogether, but current long-term studies suggest that this may be overly optimistic. "They continue to have dual use or they just start smoking cigarettes again," says King.

According to the CDC, exists proven methods that can reduce the number of smokers: taxing tobacco products, prohibiting smoking in public places, such as bars, and having access to help to quit smoking Like nicotine gum and nicotine patches, King says, "Continued implementation of these strategies will be really essential to continue seeing the decline of all forms smoking, especially cigarettes. "

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