E-cigarettes an evidence update A report commissioned by Public Health England

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Number of enquiriesNumber of enquiriesE-cigarettes: an evidence updateFigure 20: Number of telephone enquiries to National Poisons Information Service(NPIS) about e-cigarettes over time2502001501005002007/8 2008/9 2009/2010 2010/11 2011/12 2012/13 2013/14YearFigure 21: Number of enquiries about e-cigarettes to NPIS by age6050403020100< 5 years 5-9 10-19 20-29 30-39 40-49 50-59 60-69 70+ UnknownPatient age82
Number of enquiriesE-cigarettes: an evidence updateFigure 22: Age of poisoned patients overall reported in telephone enquiries to NPIS2013/41600014000120001000080006000400020000< 5 years 5-9 10-19 20-29 30-39 40-49 50-59 60-69 70+ UnknownPatient ageExposures to poisonous liquid among children are of concern; however they should betaken in context. The same report from the NPIS recorded 208 exposures to liquid inreed diffusers, 1,168 exposures to pesticides and more than 600 to paracetamol. E-liquids seem to contribute towards domestic poisoning incidents but regulations, suchas child safety caps, could limit this risk.The clinical outcomes of exposures to e-liquids, as detailed in the NPIS report, werepredominantly either ‘no toxicity’ or ‘mild toxicity’. There were two reported cases of‘moderate toxicity’ and one ‘severe’ case that required treatment in an intensive careunit. Toxicity symptoms included conjunctivitis, irritation of the oral cavity, anxiety,vomiting, hyperventilation and changes in heart rate.FireA number of news articles report the risk of fire and explosions from EC [147, 149, 152].These reports suggest that faulty or incompatible chargers are the main causes of ECrelated fires along with faults relating to lithium batteries [152]. In order to assess therisks of fire we used the two data sources below:1) In 2014, the BBC made Freedom of Information requests to UK fire services [153]and reported that there were 43 recorded call outs for fires related to EC in 2013 and 62between 1 January 2014 and 15 November 2014. They added that call outs to ECrelated fires were rising in frequency. This report was based on responses from 43 outof 46 fire services in the UK [153, 154]83
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E-cigarettes an evidence update A report commissioned by Public Health England

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