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The potential dangers of disposable e-cigarettes

Many e-cigarette products have been removed from the U.S. market, but disposable e-cigarettes are still available. Disposable e-cigarettes are not meant to be refilled or recharged, but they can be easily opened using instructions found on the internet. Exposure to the liquid contents of e-cigarettes can result in vomiting, tremors, and even death.

What are e-cigarettes?

Electronic cigarettes (e-cigarettes) are devices that heat and aerosolize mixtures of nicotine, flavorings, and other ingredients. Inhalation of e-cigarette vapor is known as “vaping.” E-cigarettes were initially intended to help people stop smoking traditional cigarettes, but the introduction of flavored e-cigarettes has led to the expanded use of these products by adolescents. Over the last decade, flavored e-cigarettes have become very popular among young people, even though e-cigarette sales are supposed to be limited to those at least 21 years of age. A 2021 study found that e-cigarettes were the most used tobacco product among middle- and high-school students. Since the adolescent brain is still growing and is quite sensitive to the pleasant effects of sweet-tasting items, the use of flavored e-cigarettes might result in increased dependence on these products in adolescents, as well as nicotine addiction.

Aren’t e-cigarettes banned?

In response to the increased use of e-cigarettes by minors, in January 2020, the U.S. Food and Drug Administration (FDA) restricted the sale of most flavored, cartridge-based e-cigarettes. This ban meant that major e-cigarette companies like JUUL were no longer able to sell most of their flavored e-cigarette devices. As of October 2021, the only JUUL products that remain available for purchase are the Menthol and Virginia Tobacco pods. A rule prohibiting the use of menthol as a flavoring in cigarettes is currently under consideration. Those who support the 2020 FDA ban argue that the legislation should reduce the use of e-cigarettes by children and adolescents.

What about disposable e-cigarettes?

While the 2020 FDA ban restricted the sale of most JUUL and other cartridge-based e-cigarettes, it did not prohibit the sale of disposable e-cigarettes. Unlike cartridge-based products, disposable e-cigarettes (sold under the brand names Puff Bar, EonSmoke, Posh, and others) are not meant to be refilled. They are battery-powered and do not require external charging. Many disposable e-cigarettes are brightly colored and feature flavors (including cotton candy, watermelon, and sour gummy) that are appealing to children and adolescents. These products are currently legal and can be purchased online as well as at tobacco retailers and are now increasingly popular among adolescents. There are many videos on TikTok that feature the use of disposable e-cigarettes; some of those videos have had millions of views.

Although disposable e-cigarettes are not meant to be refilled and have finite battery lives, there are multiple websites and social media posts that provide detailed instructions for refilling and recharging them. Because these products can be manipulated, opened, and refilled, the potential for exposure to liquid nicotine remains a concern. Some disposable e-cigarettes contain up to 7% nicotine, which is higher than the amount typically found in JUUL pods. Swallowing the liquid contents of a disposable e-cigarette can be very dangerous, especially for young children. Symptoms of nicotine poisoning can include nausea, vomiting, tremors, and heart palpitations. In severe cases, seizures and death can occur.

For now, flavored disposable e-cigarettes remain legal in the US, and these products will likely continue to be used by adolescents and other vulnerable populations. Until additional laws are passed to restrict the use of these products, the potential for toxic effects from them (as well as nicotine addiction) remains a concern.

Kelly Johnson-Arbor, MD,
Medical Toxicologist

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Do Vitamin C Serums Boost Sun Protection?


S
unscreen does two important jobs. It is largely used for its UVB protection benefits – blocking the rays that cause sunburn and are a major contributor to the development of skin cancer. But it also blocks UVA radiation, filtering out the rays that lead to signs of ageing.

Vitamin C does neither of these things, says Rosalind Simpson, a professor of dermatology at the University of Nottingham. That said, it is thought to help prevent sun damage in a different way.

“Antioxidants such as vitamin C have become a hot topic,” Simpson says. “People are really interested in whether they can improve skin appearance by neutralising free radicals created by UV exposure and pollution. Those free radicals contribute to the breakdown of collagen and loss of skin firmness.”

Whereas sunscreen acts as a kind of UV filter, antioxidants are thought to provide an additional line of defence. UVA exposure generates unstable free radicals in the skin, which can damage cells by disrupting their structures, and Vitamin C is believed to stop them doing this.

1996 study examined the effectiveness of antioxidants, including vitamins C and E, with and without sunscreen, in protecting against UV-induced skin damage. It found that vitamin C appeared to enhance protection against UVA-induced skin damage, but only when used alongside sunscreen. The researchers concluded that antioxidants may provide additional protection when combined with established sun-protection products.

“Nothing is a substitute for a good quality, broad-spectrum sunscreen with UVA and UVB protection and sensible habits when in the sunshine,” says Simpson.

That means wearing sunscreen, reapplying it regularly, and limiting direct sun exposure during the hottest parts of the day.

The Guardian

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Five-second rule is a myth


Y
ou drop a piece of cucumber on the floor. Do you immediately throw it in the bin or reassure yourself of the age-old “five-second rule” and reckon it’s fine to pop it in your mouth after a quick rinse?

If you fall into the latter camp, John Tregoning, professor of vaccine immunology at Imperial College London, has some bad news. He refers to three studies into bacteria transfer that all point towards the rule being false.

In the first, scientists looked at what happens when a range of foods (bread, buttered bread, watermelon and gummy bears) were dropped on a range of surfaces (tile, steel, wood, and carpet) that had been coated with bacteria. “They transferred almost immediately,” he says, adding that the worst combination for transfer happened when wet food hit a solid surface (watermelon on tile or steel).

Another study – where cooked sausage was dropped on to surfaces – showed that bacteria transferred on to the meat even if they had been applied to the surface hours earlier. It showed that “if you put a piece of contaminated chicken on to a work surface and then, two hours later, drop your piece of bread on to it, you can still pick up bacteria from it. It’ll be there for about 24 hours,” he says.

The final paper looked at the “five-second rule” for medical objects in the operating room. Perhaps unsurprisingly, it found that if surgeons drop something on the floor, they need to wash that instrument with detergent for it to be safe to use again.

What does all this mean for your fallen cucumber? “I think you have to accept it’s gone,” says Tregoning. Rinsing it with water won’t be enough to guarantee it’s clean. That’s especially the case if you’re particularly susceptible to infections, or if your dog might have walked something terrible through the house (even hours earlier).

THE GUARDIAN

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Saudi Arabia’s Tawakkalna app offers Hajj services in 19 languages

Saudi Arabia’s national digital platform Tawakkalna is providing Hajj-related government services in 19 languages for pilgrims and workers during the 1447H Hajj season, as part of wider efforts to improve the pilgrimage experience through advanced digital solutions.

The initiative comes within the efforts of the Saudi Data and Artificial Intelligence Authority to strengthen integration between government service entities during Hajj and support pilgrims throughout their journey, from arrival in the Kingdom and entry into Mecca and the holy sites to visits to the Prophet’s Mosque in Madinah and departure back to their home countries.

The app supports Arabic, English, Indonesian, Hindi, Urdu, Turkish, French, Bengali, Persian, Malay, Russian, Chinese, Filipino, German, Dutch, Japanese, Italian, Spanish and Portuguese.

Pilgrims can access a range of services through the platform, including Hajj permits linked to the unified digital Hajj permit platform “Tasreeh”, as well as permits related to entering Mecca, work authorisations, volunteer permits and vehicle permits issued by various government entities.

According to officials, Tawakkalna is designed to serve as a trusted digital companion for pilgrims by supporting daily movement and offering a smoother and safer digital experience during Hajj and visits to Madinah after the pilgrimage.

The app also allows users to book visits to Al Rawdah Al Sharifah through the Nusuk gateway service integrated into the platform.

Additional services available during Hajj include multilingual access to the Arafah sermon, an emergency assistance service called “Assefni”, live weather updates for the holy sites, Qibla direction, prayer times and digital Quran services.

Saudi authorities said the services are part of broader efforts aligned with the Pilgrim Experience Programme under Saudi Vision 2030, which prioritises improving services for pilgrims and Umrah performers through smart technology solutions.

The Tawakkalna platform currently offers more than 1,300 services in cooperation with over 350 government entities across sectors including health, education, justice, tourism and professional services, with more than 35 million users registered on the app.

GN

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