Nicotine in the e-cigarettes is often described as merely addictive but otherwise not really harmful. That is not the case. Nicotine is not just addictive, it is bad for the heart and blood vessels. It can also block the release of insulin. Nicotine is a toxic substance and simply unhealthy, consuming large amounts can result in serious health problems.”
Nicotine should absolutely be avoided by pregnant women as the baby receives this harmful substance directly through the placenta. Nicotine gives increases heart rate, constricts blood vessels leading to increased blood pressure and respiratory rate. Due to decreased blood flow in the capillaries, temperatures in the body extremities are lowered.
Nicotine is vasoconstriction and masks the haemorrhages effect on gums which can lead periodontitis being diagnosed too late.
Research on the Internet will give an enormous range of views and opinions on nicotine and the e-cigarette, making it difficult to form your own conclusion. The following quotes indicate the differences in opinion, all the words of ‘scientists’.
Toxicologist Professor Dr. Martin van den Berg stated in a television programme the following:
Through evaporation, there is a much more effective absorption by the body of nicotine than with incineration (regular cigarette) with the result of a substantial higher risk that the user can become more dependent to nicotine. Why? Because it is easier, in a short period of time, to inhale the same quantity of nicotine as from a large number of regular cigarettes, all in a pleasant and acceptable social setting. Further it is also easy to overdose with a number of e-liquid bottles. Especially dangerous for young people while they are more sensitive to nicotine.
On the website electronischesigaret.be we find the following, contradictory conclusion:
The nicotine that is effectively taken in the body using an electronic cigarette is significantly lower than for a conventional (analogue) cigarette. Particles of the vapour are larger than the particles of the smoke of regular cigarettes. So there is less nicotine absorbed through the lungs. In addition, the molecules PG (Propylene Glycol), or VG (Vegetable Glycerine) tend to connect chemically with the nicotine. For the body it is therefore harder to exhale these particles from e-vapour compared to nicotine by regular smoking.
Confusing? Investigations into the current research findings are essential both for you and Freesmoker.co.uk; monitoring up to date scientific reports on the subject is critical for our mutual success. However Freesmoker’s prime objective is, by the use of proper e-cigarettes and safe e-liquid to gradually reduce dependence on nicotine, eventually to smoke nicotine free… and even to stop smoking altogether!
100 medical specialists including pulmonologists , cardiologists, addiction specialists and tabakologen plead for the e- cigarette!
Doctor Jean- Michel Klein: “One must stop to say all kinds of stupid things about the electronic cigarette. We, as doctors, note that our sick patients are doing much better thanks to the E- cigarette. “
Doctor Philippe Presles ; ” This invention will be responsible for saving a record number of lives in the 21st century .”
Published in Le Parisien ;
Published in The Financial Times 1-12-2013, a letter signed by eminent Independent European Public Health Experts
Sir, Smoking is the leading cause of preventable death and disease in the EU: 29 per cent of adults smoke, with 700,000 premature deaths each year. While conventional stop-smoking approaches have lingered, e-cigarettes are helping smokers move to a safer alternative with an estimated 7m-12m users in the EU.
The positive story of the e-cigarette could soon come to an abrupt end. The EU Tobacco Products Directive proposed to regulate e-cigarettes as medicines. Medicines regulation is costly, lengthy, anti-competitive and stifles innovation. It would drive most current products off the market. The European parliament turned down this proposal, favouring consumer regulation. The European Commission now proposes an amendment that defines e-cigarettes as tobacco-related products (which they are not) and includes: bans on flavourings (an important part of the user experience); arbitrary low limits on strength and content of nicotine allowed; bans on refillable products (which many consumers prefer); and advertising bans the same as for tobacco cigarettes. These proposals would limit the market and consumer appeal.
Regulating e-cigarettes in this way would make it easier to market tobacco cigarettes than the much safer e-cigarettes. We urge the European parliament to resist this attempt to introduce medicines regulation by the back door.
Professor Gerry Stimson, Emeritus Professor, Imperial College Londen, UK
Professor Peter Hajek, Wolfson Institute of Preventive Medicine, Barts and Queen Mary University, Londen, UK
Dr Lynne E Dawkins, University of East London, Londen, UK
Dr Miroslaw Dworniczak, Poznan, Polen
Dr Konstantinos Farsalinos, Onassis Cardiac Surgery Center, Griekenland en Universitair Ziekenhuis Leuven/Gasthuisberg, België
Professor Riccardo Polosa, Director of the Institute for Internal Medicine and Clinical Immunology, University of Catania, Italië
Dr Michal Kozlowski, eSmoking Institute, Poznan, Polen
Professor Demetrios Kouretas, School of Health Sciences and Vice Rector of University of Thessaly, Griekenland
Dr Jacques Le Houezec, Consultant in Public Health, Rennes, Frankrijk
Dr Gérard Mathern, Saint-Chamond, Frankrijk
Dr Philippe Presles, Institut Moncey, Parijs, Frankrijk
Professor Andrzej Sobczak, Medical University of Silesia, Katowice, Polen
Professor Aristides Tsatsakis, University of Crete, Griekenland
A recent Italian study about the electronic cigarettes worked with a large group of people that did NOT want to quit smoking. A striking result was that 13% did quit smoking. If this is compared with to the 6% who manage to quit yearly with or without the aid of nicotine patches, medicine, books and expensive anti-smoking campaigns, indicates that the e-cigarette could be an unexpected but important tool to help people to quit smoking. And even if smokers keep on smoking the e-cigarette is a lot less dangerous to their health than smoking tobacco!
The concern electronic cigarettes are a gateway to smoking might be unfounded, the first official UK figures suggest.
Data from the Office for National Statistics indicate those who use e-cigarettes, are almost entirely current or former smokers.
E-cigarettes were mainly used to help smokers quit and because users saw them as being less harmful than cigarettes, the ONS said. And the proportion of adults who smoked cigarettes had fallen to 19%. Most of the figures from the ONS are for the year 2013, so it is possible that the picture is still changing. The proportion of smokers had plummeted from 46% in 1974 to 19% in 2013, the ONS said.
Not only had fewer people taken up smoking, but more smokers had quit.
Source: 25 November 2014
Politicians and anti-smoking organizations declared immediately upon the appearance of the e-cigarette, without any knowledge of it. Fanatical opponent’s goods and / or research, They sowed thus fear and doubt about the e-cigarette. It was immediately searched for all kinds of rules and constraints while there has been no or too little serious study has been done. Thus ignoring the opportunities that the e-cigarette can offer to stop smoking as an instrument. Despite the list of “possible” harmful substances “perhaps” may occur in the e–smoking, these bear no relation to the many thousands of toxic substances released when smoking tobacco.
Globally, and there is still a lot of research into the effects of “regular” cigarettes. One of the leading research groups in this field in the Netherlands, the Trimbos Institute.
On their website it is stated that in tobacco and tobacco smoke at least 4,000 different chemicals of which more than 40 (!) Is a proven carcinogenic (cancer-causing) effects have. The effects of electronic smoking is done only occasionally and small-scale study at this time.
It is certain that the e-cigarette is much less harmful than regular cigarettes and there are promising signs that the e-cigarette can be to quit smoking. Effective, perhaps even pioneering tool
FREE SMOKING thinks the e-cigarette to date is the best way to help you stop smoking. Smoking and especially heavy smokers To this follows to show investigates and analyzes and FREE SMOKING the experiences of the participants in this program.
All scientists agree on one point: it freely using nicotine – it’s still an addictive and harmful substance – is not a good thing.
Overdose is lurking because the e–cigarette can be than regular cigarettes and e-cigarette smoker can decide how much nicotine he / she smokes. Smoked in many more places
There is no control on the production of liquids and e-cigarettes.
In the (limited) number of scientific publications on the e-cigarette several potential benefits of the e-cigarette to be appointed. Over the next one is agreed:
Includes an e-cigarette, nicotine addition, none of the ca.4300 present in tobacco toxins.
The exhaled air without affecting the environment (eg no longer passive smoking).
The nicotine content of an e-cigarette is in contrast to the ordinary cigarette can be metered, so that the e-cigarette can be used. Instrument as outfitting
It is surprising that so much political turmoil and indecision about the e-cigarette has emerged. Consumers therefore remain in limbo and see so often still on the use of the electronic cigarette. In our opinion and our many scientists, a missed opportunity!
A leading researcher in the field of e-cigarette is the American Prof. Dr. Michael Siegel of the Department of Public Health at Boston University in the United States. He surveys closely all developments in the field of e-cigarette. He is a strong supporter of the e-cigarette as a means to quit smoking, if under proper supervision.
Professor Siegel among other specialists, annoy openly to the attitude of the publicly funded anti-smoking organizations since they have, from day one, without proper research, opposed to the electronic cigarette and thereby mist promising opportunities to really do something against smoking.
Here are some quotes from the interview with Professor Siegel by Lisa Chedekel, under the title: Alarm bells about E-Cigarettes:
“the negative effects of electronic cigarettes have been wildly overblown, clouding the important benefits of e-cigarettes as devices to help people quit smoking. With only about 6 percent of cigarette smokers successful in quitting the habit, and the tobacco industry free to continue its marketing despite tobacco’s known health effects, I am concerned that the government’s focus on the potential harms from e-cigarettes will detract from their benefits to those who want to stop smoking.It is certainly reasonable to carefully scrutinize any consumer product like this. However, what I have a problem with is the fact that the FDA has given its seal of approval to the irredeemably toxic regular tobacco cigarettes—while they are doing everything they can to discourage people from switching to the much safer fake ones. That makes no sense from a public health perspective.Rather than embracing these products as a potential way to get thousands of smokers to quit smoking, antismoking groups have attacked these products and discouraged smokers from quitting by using them. This is so contrary to the principles of public health that it caught my attention—and I continue to be puzzled by this inane public-health response.”.
Published on the website of the Boston University, Fall 2013
“The electronic cigarette is up to 1,400 times safer than the leading brand of cigarettes”
-Prof. Michael Siegel, MD, Boston University-
Michael Siegel, professor of community health sciences at the Boston University School of Public Health
According to Michael Siegel, professor of community health sciences at the BU School of Public Health, the negative effects of electronic cigarettes have been wildly overblown, clouding the important benefits of e-cigarettes as quit-smoking devices.
“With only about 6 percent of cigarette smokers successful in quitting the habit, and the tobacco industry free to continue its marketing despite known health effects, Siegel worries that the government’s focus on the potential harms from e-cigarettes will detract from their quit-smoking benefits
It is essential that we continue to carefully monitor this. It is also important that the FDA promulgate regulations that will help prevent the use of electronic cigarettes by youth.”
“We do know that the predominant reason why so many people are using e-cigarettes is that they want to quit smoking in order to improve their health. While we don’t have a lot of quantitative studies about the effectiveness of e-cigarettes in smoking cessation, a clinical trial published recently found that e-cigarettes are just as effective as the nicotine patch for smoking cessation. Unfortunately, the e-cigarettes tested were a first-generation product that did not deliver nicotine very well. It is possible that more advanced products could actually surpass the nicotine patch in their effectiveness.”
“It is certainly reasonable to carefully scrutinize any consumer product like this.”
“Rather than embracing these products as a potential way to get thousands of smokers to quit smoking, anti-smoking groups have attacked these products and discouraged smokers from quitting by using them. This is so contrary to the principles of public health that it caught my attention — and I continue to be puzzled by this inane public-health response
By Andrew M. Seaman
NEW YORK | Mon Jun 24, 2013 10:05pm BST
(Reuters Health) – In a trial of e-cigarettes among Italian smokers with no desire to quit using tobacco at the outset, up to 13 percent of participants were not smoking regular cigarettes at all a year later.
Though the study was not billed as a smoking-cessation test, more than half of participants cut down on tobacco soon after they started using the e-cigarettes. And the percentage who quit smoking entirely by the end rivals results achieved with medications, the authors note in the journal PLOS ONE.
“I think the main message of the study is that we can use these products as an extraordinary tobacco control tool,” Dr. Riccardo Polosa, the new study’s senior author from the University of Catania, told Reuters Health.
“This really is the first clinical trial that’s ever been reported on electronic cigarettes. There has been survey evidence and anecdotal reports, but this is the first serious study,” said Dr. Michael Siegel, who studies e-cigarettes but wasn’t involved in the new research.
E-cigarettes were first introduced in China in 2004. The battery-powered devices let users inhale nicotine-infused vapors, which don’t contain the harmful tar and carbon monoxide in tobacco smoke.
While past studies have looked at the use of e-cigarettes, the new study is the first to follow hundreds of smokers for an entire year. It did not, however, compare the devices to traditional nicotine replacement therapies, such as gum or patches.
To see how many e-cigarette users would cut down or quit smoking cigarettes without any encouragement, the researchers recruited 300 people between June 2010 and February 2011. All were current smokers who stated they had no intention of quitting in the near future. Each participant was then randomized into one of three groups.
One group received e-cigarettes along with cartridges containing 7.2 milligram (mg) of nicotine. Another group also received the devices and 7.2 mg nicotine cartridges, but later in the study they were switched to 5.4 mg nicotine cartridges. And a third group got e-cigarettes and cartridges containing only tobacco flavor but no nicotine.
Each participant received enough supplies to last three months and went to regular checkups throughout the year.
At the end of the study, 13 percent of the group that first received the highest-dose nicotine cartridges was no longer smoking. That compared to 9 percent of those who were in the reduced-nicotine group and 4 percent in the group without nicotine.
Since there was no control group of smokers who got no e-cigarettes at all, it’s hard to know how many would have quit smoking on their own by the end of a year, experts noted.
Siegel, a professor at the Boston University School of Public Health, said he would expect about 2 percent of the participants to quit within a year if they weren’t involved in a study.
However, Polosa’s team also found that between 9 and 12 percent of people in each of the nicotine-cartridge groups had reduced the amount they smoked by at least half.
“The study is very positive in that it shows if you smoke even a low- or medium-strength e-cigarette, you can get some increased quitting and decreased smoking,” Dr. Murray Laugesen, a tobacco and nicotine researcher who was not involved with the new study, told Reuters Health.
“It also has to be acknowledged that these are good results in people who had no intention of quitting,” said Laugesen, a public health medicine specialist at Health New Zealand Ltd in Christchurch. He is also involved in an e-cigarette clinical trial and hopes to present the results in September.
October 21, 2013
Michael is a physician who completed his residency in Preventive Medicine at the UC Berkeley School of Public Health and trained in epidemiology for two years at the Centers for Disease Control and Prevention in Atlanta before coming to Boston. His primary research interest is in the area of tobacco control, focusing on secondhand smoke health effects, exposure, and policies, cigarette advertising and marketing practices and their effects on youths, and evaluation of tobacco control policies and their impact on youth and adult smoking behavior. Follow Michael’s blog at http://tobaccoanalysis.blogspot.com
Finding the best electronic cigarette may not matter if global governments legislate against the industry. Professor Michael Siegel, from the Department of Community Health Sciences at Boston University School of Public Health, tells us more about this crucial debate.
Powersmoke: Is regulation going to develop or damage the global vaping industry?
Michael Siegel: It all depends on the nature of that regulation. If electronic cigarettes are regulated as alternative tobacco products, rather than as drugs, and if they are treated differently than actual tobacco products, then regulation could be a great boon for the industry. On the other hand, if electronic cigarettes are regulated as drugs, or if they are treated similarly to real tobacco products, it could be a disaster for the industry. So it all depends on what public health agencies and policy makers decide, including the decisions of the EU and the FDA which we will hear about over the next few weeks and months.
Powersmoke: What real life evidence is there that vaping is an effective anti-smoking solution?
Michael Siegel: There are literally thousands of smokers who have quit smoking successfully using electronic cigarettes. We know this from a combination of evidence; including testimonials from individual users, survey evidence, sales data, focus group data, and most recently, clinical trial results. We don’t yet know exactly the proportion of smokers who are able to quit successfully using electronic cigarettes, but at a minimum, the use of these products appears to be at least as effective as traditional nicotine replacement therapy.
Powersmoke: What rights should vapers demand, on things like ingredients listings?
Michael Siegel: There need to be uniform standards that all companies must follow. With more than 250 brands on the market, consumers need to know that whatever brand they purchase, there are certain standards that have been adhered to, both in the manufacturing of the device and the preparation of the liquid. For example, listed nicotine levels need to be accurate, batteries must be safe without risk of overcharging and exploding, there should not be loose metal joints. These are all issues which I am hoping the FDA will address in its proposed regulations.
Powersmoke: What one step would ease the transition into a wider global vaping community?
Michael Siegel: The one step that would do the most to facilitate the marketing of electronic cigarettes would be for regulatory agencies to explicitly allow companies to tell the truth about the intended use of these products: namely, that they are intended to be used to quit smoking. Unlike every other consumer product on the market, electronic cigarettes are the only ones for which companies are presently not able to tell consumers what the products are actually for. This is because of the fear that if companies make smoking cessation claims, their products will fall under the Food, Drug, and Cosmetic Act or similar pharmaceutical/medicinal laws internationally. My hope is that in its regulations, the FDA will make it clear that a simple statement that these devices are intended to be used for smoking cessation will not be considered to be a therapeutic claim.
Powersmoke: Is vaping a healthy alternative, a profit making alternative for companies, or both?
Michael Siegel: I wouldn’t call vaping ‘healthy,’ but it is clearly a much ‘healthier’ alternative to cigarette smoking. It is true that the major tobacco companies have purchased or developed electronic cigarettes but people need to understand that these products developed not as a ploy by Big Tobacco to make it harder for customers to quit smoking. Instead, they developed as a bona fide attempt to provide an alternative to cigarette smoking for smokers who are concerned about their health yet haven’t been able to quit using available methods. Tobacco companies got into the act simply because they saw that they could create an additional niche on the other side of the smoking equation. But I see no evidence that the tobacco companies are not serious about marketing these products for smoking cessation.
Powersmoke: Can vaping ever be truly healthy?
Michael Siegel: It is theoretically possible that someone could come up with an excipient that is both absolutely safe and which produces enough of a throat hit so that it satisfies the smoker. If such a product did not deliver nicotine, then yes, it might be a truly ‘healthy’ vaping product. However, it’s doubtful that such technology is going to be available in the near future. Nevertheless, I do think that a search for alternative excipients would be a worthwhile research endeavour.
Powersmoke: Are bans on vaping in public places in any way reasonable or effective?
Michael Siegel: At the present time, there is no evidence that ‘secondhand’ vapour poses any public health hazard. For this reason, I do not support banning vaping in public places. My view is that in order to ban a behaviour in public such as smoking or vaping, one has to show evidence that the behaviour is actually causing harm to bystanders. With smoking, we have solid evidence. With vaping, we have no evidence at the current time.
Powersmoke: What is the motivation behind the mistruths and the attacks on e cigarettes?
Michael Siegel: There are two primary motivations, I believe. First, there is a strong ideology among many in the tobacco control movement that the act of smoking is bad. Even just the motions of going through what looks like smoking are frowned upon. Thus, even though vapers are greatly reducing their risks and perhaps saving their lives, anti-smoking advocates look down upon them because they are through going through an act that looks like smoking. The second motivation is money. There are strong financial ties between many of the anti-smoking groups that oppose electronic cigarettes and pharmaceutical companies that manufacture competing products. This is a conflict of interest that is often hidden in the public statements made by these anti-smoking groups.
Powersmoke: Is there a conspiracy against the electronic cigarette and other safe alternatives to smoking, and if so who is behind it and why?
Michael Siegel: I don’t believe it is a conspiracy, but simply, the result of strong ideology combined with pharmaceutical financial ties. These factors are combining to generate tremendous opposition to electronic cigarettes, despite the scientific evidence that these products are having a tremendous public health benefit.
Powersmoke: Do a lot of the government issues towards vaping have to do with fear of the unknown?
Michael Siegel: Fear of the unknown is certainly part of the picture, but it makes no sense. Why would we rather that people use cigarettes, which have known risks, than electronic cigarettes, which are much safer but for which the precise risks have not been articulated? Do these groups really prefer that people smoke because at least we know how terrible cigarettes are for you, rather than vape because although it’s much safer, we don’t know the exact risk? This is ludicrous.
Powersmoke: Where do you see electronic cigarettes going in the future?
Michael Siegel: It all depends on how these products are regulated. With the ‘wrong’ approach, regulation could literally destroy the industry, or at very least, put a huge obstacle in its way. With the ‘right’ approach, I truly believe that electronic cigarettes could transform the tobacco epidemic in a way that we have never seen before. Let’s hope that the FDA, the EU, and other public health agencies and policy makers will make the right decisions.
Below you find two articles related to the electronic cigarette. Published in the Dutch newspaper ‘Trouw’ 03/12/13 .
Don’t listen to the RIVM (Dutch National Institute for Public Health and the Environment), take an e-cigarette if you want to quit smoking!
It must have been a coincidence but the night before the RIVM published its negative report on the e-cigarette, I visited someone in the pulmonary department of the hospital. I walked down the hallway as the conditional punished facing the final penalty.
Through all these open doors I saw a lot of suffering and few expectations. Also many tubes in noses and infusions in bodies. The next day I didn’t let myself be discouraged by the RIVM and bought a disposable e-cigarette. 500 puffs, 18 mg nicotine, 10 euro, made in China, after use to be deposited in the waste container at the DIY.
In its report the RIVM was so negative about this tobacco-free cigarette that it seemed that the Secretary of State Van Rijn subsequently must have had a panic attack. Without waiting for the European Governments new directives, he already announced “additional measures” for the security of the e-user and potentially passive vaping bystanders.
In its report the RIVM mentioned highly toxic and carcinogenic substances. Risks for pregnant women. Addiction and dry cough. Side effects as mouth and throat irritation, dizziness and nausea.I decided to dump all my lighters, rolling papers, ashtrays and tobacco leftovers in the litter bin in my office. Thereafter I carefully began to suck on my new Chinese girlfriend. Not really tasty but easeful, all those odorless vapors.
The report by the RIVM, I admit, is cleverly made: nice layout, nice pictures, characters in four different colours.It has a total of eight pages.And in those eight pages are a grand total of 76 words about the e-cigarette as therapy to quit smoking.Yes, yes, grinds the report reluctantly: ‘Some smokers can quit or reduce smoking by e-cigarettes.’
And: “Even e-cigarettes without nicotine reduce the urge to smoke and lead to fewer withdrawal symptoms.” Who really wants to know more but looks across the border.In France there are more than one million users and numerous e-stores.At the same time, only this year the market for tobacco cigarettes plummeted 9.6 percent.(Price increases also had their influences).
This month a group of hundred French doctors publicly appealed to use the e-cigarette as therapy to counter tobacco consumption. Doctor Jean-Michel Klein: ‘One must stop to say all sorts of stupid things about the e-cigarette. We, doctors ascertain that our patients are doing much better thanks to the e-cigarette.’ Doctor Philippe Presles, who recently published a book on the e-cigarette as therapy: ‘This invention will be responsible for saving a record number of lives in the 21st century.’
The trend is: ‘the revolution is imminent and tobacco is probably doomed’ And I? Today is the fifth day of my new smoke free life.No dry e-cough, e-nausea or e-irritation. Never before stop smoking was so easy. No urge, no stress and already a decreasing use of my steaming girlfriend. So for all sakes don’t listen to the RIVM: start vaping if you want to quit smoking!
Sylvain Ephimenco 02 januari 2014 published in the Dutch newspaper ‘Trouw’
A strange New Years Eve it was. Every thirty minutes I saw my best friends leave the room to enter Mariano’s garden. Sometimes holding a half-full glass of prosecco in their hands.
In the fresh air their discussions continued.I did hear their cheerful voices but I was not part of them anymore.What had I done wrong to be shut out by my old friends while I was still in the house? Caught between four walls, surrounded by noisy guests all with a fresh breath.
Through the door I could almost hear the sucking lungs of my old buddies, see their steaming and slightly yellowed fingers and imagine that elegant rotation of their feet as they had to extinguish their cigarette.
The first cigarette I inhaled, I remember as if it was yesterday. The French Provencal sun was shining and I walked past the local cemetery.( In those days I did not believe in cheap symbolism and still had a whole life ahead of me.) That Gauloise cigarette without filter I nicked from my four year older brother.The smoke descended in my chest,filled my lungs and my head suddenly felt a kilo lighter.I took another draft. And then I saw how the world around me turned, staggered and how my body began to float. I dropped the Gauloise, thought I was dying and could barely cling to the fence of the cemetery.The daze of that Spring afternoon I have never experienced again. Terrifying and liberating at the same time. As if your body had discovered a new reality.
Stopped smokers are usually unbearable. As the repentis that you see at UCB, still dripping of sins, resurrected from their ashes.I saw the light, put my fag out, praise the Lord! You won’t see me spit on my sins retroactively. It was four fabulous decades. How many beautiful phrases haven’t been composed in a cloud of nicotine? How many friendships, love nights, new thoughts weren’t born in blue fogs?
“One day the time will come when I am done with it all,” wrote the Dutch singer Boudewijn de Groot. Let’s stick to that. There are about 2.7 million smokers in the Netherlands.A quarter of them want to quit. Yesterday, the first of january, a large part of those repenting has started a new attempt. Many will not reach the finish line. I am now working on my fifth week. A record. I am absolutely not proud as it has never been easier. Let me emphasize what I wrote four weeks ago: the e-cigarette will be the death blow to tobacco and tobacco manufacturers. that is my conviction. Who really wants to quit should not combine the regular cigarette and the e-cigarette. Lighters, ashtrays and tobacco leftovers should be thrown out. Do not buy disposable e-cigarette (too expensive) but a refillable (about thirty euros). The bottle e-liquid with nicotine that I bought lasted four weeks. It costs five euro fifty instead of eighty euros monthly on tobacco. Good luck and a Happy New Year to you all!