Health risk assessment of electronic cigarette use among adults in Klang Valley, Malaysia

Introduction: The electronic cigarette (EC) usage has raised public health concerns; whether its advantages to smokers as a potential smoking cessation aid have outweighed its negative health impacts among EC users. This study aims to estimate health risks associated with chemical exposures to nicot...

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Main Authors: Zulkifli, Aziemah, Zainal Abidin, Emilia, Zainol Abidin, Najihah, Praveena, Sarva Mangala, Mohd Ghazali, Hasanah, Amer Nordin, Amer Siddiq
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2019
Online Access:http://psasir.upm.edu.my/id/eprint/76433/
http://psasir.upm.edu.my/id/eprint/76433/1/2019121207342408_MJMHS_0271.pdf
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author Zulkifli, Aziemah
Zainal Abidin, Emilia
Zainol Abidin, Najihah
Praveena, Sarva Mangala
Mohd Ghazali, Hasanah
Amer Nordin, Amer Siddiq
author_facet Zulkifli, Aziemah
Zainal Abidin, Emilia
Zainol Abidin, Najihah
Praveena, Sarva Mangala
Mohd Ghazali, Hasanah
Amer Nordin, Amer Siddiq
author_sort Zulkifli, Aziemah
building UPM Institutional Repository
collection Online Access
description Introduction: The electronic cigarette (EC) usage has raised public health concerns; whether its advantages to smokers as a potential smoking cessation aid have outweighed its negative health impacts among EC users. This study aims to estimate health risks associated with chemical exposures to nicotine, propylene glycol (PG) and selected Tobacco-Specific Nitrosamines (TSNAs) namely 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) and N’-nitro-sonornicotine (NNN) in e-liquids locally-manufactured in Malaysia. Methods: The health risk assessment (HRA) was performed using established guideline by the Environmental Protection Agency (EPA). The average daily dose (ADD) and lifetime average daily dose (LADD) were calculated using previously published data on chemical concentration of selected compounds and local EC usage topography data. Next, the non-carcinogenic risk (nicotine and PG) and carcinogenic risk (NNK and NNN) were calculated and denoted as total hazard quotient (HQT) and total lifetime cancer risk (LCRT) value, respectively. Results: For non-carcinogenic risk, the mean of HQT was 78.9 which falls under “unacceptable” risk as demonstrated by HQT value of more than 1. While for carcinogenic risk, the mean of total LCRT value was 1.54E-04 which may place EC users at risk of developing cancer resulted from exposure to selected TSNAs. Conclusion: Comprehensive HRA using currently available data of local EC usage topography and chemical evaluation of Malaysian-made e-liquids have revealed that the exposure to nicotine, PG and selected TSNAs are expected to be a significant health concern for local EC users. This finding supports the local health authority to issue a stringent health policy in considering EC as a tool for smoking cessation among heavy smokers.
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spelling upm-764332020-02-04T04:52:38Z http://psasir.upm.edu.my/id/eprint/76433/ Health risk assessment of electronic cigarette use among adults in Klang Valley, Malaysia Zulkifli, Aziemah Zainal Abidin, Emilia Zainol Abidin, Najihah Praveena, Sarva Mangala Mohd Ghazali, Hasanah Amer Nordin, Amer Siddiq Introduction: The electronic cigarette (EC) usage has raised public health concerns; whether its advantages to smokers as a potential smoking cessation aid have outweighed its negative health impacts among EC users. This study aims to estimate health risks associated with chemical exposures to nicotine, propylene glycol (PG) and selected Tobacco-Specific Nitrosamines (TSNAs) namely 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) and N’-nitro-sonornicotine (NNN) in e-liquids locally-manufactured in Malaysia. Methods: The health risk assessment (HRA) was performed using established guideline by the Environmental Protection Agency (EPA). The average daily dose (ADD) and lifetime average daily dose (LADD) were calculated using previously published data on chemical concentration of selected compounds and local EC usage topography data. Next, the non-carcinogenic risk (nicotine and PG) and carcinogenic risk (NNK and NNN) were calculated and denoted as total hazard quotient (HQT) and total lifetime cancer risk (LCRT) value, respectively. Results: For non-carcinogenic risk, the mean of HQT was 78.9 which falls under “unacceptable” risk as demonstrated by HQT value of more than 1. While for carcinogenic risk, the mean of total LCRT value was 1.54E-04 which may place EC users at risk of developing cancer resulted from exposure to selected TSNAs. Conclusion: Comprehensive HRA using currently available data of local EC usage topography and chemical evaluation of Malaysian-made e-liquids have revealed that the exposure to nicotine, PG and selected TSNAs are expected to be a significant health concern for local EC users. This finding supports the local health authority to issue a stringent health policy in considering EC as a tool for smoking cessation among heavy smokers. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/76433/1/2019121207342408_MJMHS_0271.pdf Zulkifli, Aziemah and Zainal Abidin, Emilia and Zainol Abidin, Najihah and Praveena, Sarva Mangala and Mohd Ghazali, Hasanah and Amer Nordin, Amer Siddiq (2019) Health risk assessment of electronic cigarette use among adults in Klang Valley, Malaysia. Malaysian Journal of Medicine and Health Sciences, 15 (SP4). pp. 55-61. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2019121207342408_MJMHS_0271.pdf
spellingShingle Zulkifli, Aziemah
Zainal Abidin, Emilia
Zainol Abidin, Najihah
Praveena, Sarva Mangala
Mohd Ghazali, Hasanah
Amer Nordin, Amer Siddiq
Health risk assessment of electronic cigarette use among adults in Klang Valley, Malaysia
title Health risk assessment of electronic cigarette use among adults in Klang Valley, Malaysia
title_full Health risk assessment of electronic cigarette use among adults in Klang Valley, Malaysia
title_fullStr Health risk assessment of electronic cigarette use among adults in Klang Valley, Malaysia
title_full_unstemmed Health risk assessment of electronic cigarette use among adults in Klang Valley, Malaysia
title_short Health risk assessment of electronic cigarette use among adults in Klang Valley, Malaysia
title_sort health risk assessment of electronic cigarette use among adults in klang valley, malaysia
url http://psasir.upm.edu.my/id/eprint/76433/
http://psasir.upm.edu.my/id/eprint/76433/
http://psasir.upm.edu.my/id/eprint/76433/1/2019121207342408_MJMHS_0271.pdf