The ENT system is affected by smoking almost immediately, as the ears, nose, and throat are the first to come into contact with toxic smoke with each breath
Policies to regulate products and limit the marketing so as not to appeal to children are important, but in tightening regulations we must not make reduced harm products harder for adult smokers to access, as this could unintentionally prolong or even increase levels of tobacco smoking. The e-cigarette lobby has adopted a similar message, with John Dunne, the director general of the U.K
Cigarette smoking and exposure to tobacco smoke cause about 480,000 premature deaths each year in the United States (1)
Rosanna O'Connor, director of drugs, alcohol and tobacco at PHE, said: "Vaping is not the same as smoking, second-hand smoke is harmful to health but there is no evidence that e-cigarette vapour carries the same harms