Introduction to Vaping

1Where did vaping come from? 

The modern e-cigarette was invented in 2003 by Chinese Pharmacist Hon Lik as a safer alternative to smoking. In 2007, these devices had started to become more popular worldwide and were sparking concerns about nicotine addiction within younger populations and non-smokers.  

How Vaping Works

At its core, vaping involves the inhalation of aerosolized substances. The typical e-cigarette consists of a battery, a heating element, and a liquid (e-liquid) containing nicotine, flavourings, and other chemicals. When the user activates the device, the heating element vaporizes the liquid, creating an aerosol (commonly misnamed “vapor”) that is inhaled into the lungs.

Vaping in Australia

The use of disposable vapes over 2% are illegal in Australia.

There was a huge problem of importation of illegal vapes into Australia, meaning that there was no control of the contents and strength of nicotine in these vapes. There was no regulation for these types of vapes. Prescription vapes as used in smoking cessation are regulated and are deemed safer as a smoking cessation tool.  

Governments worldwide are increasingly regulating the sale and marketing of e-cigarettes. This includes restrictions on flavours, which are particularly appealing to young people, and the implementation of stricter age verification processes. 

Here are the facts: 

  • There’s 1.5 million illicit vapers in Australia alone 
  • 54% of teen vapers have never smoked 
  • There are 2.8 million smokers in Australia as of 2022

What the Australian Tobacco Harm Reduction Association Have to Say

According to the Australian Tobacco Harm Reduction Association (ATHRA), ‘Under Australian law, it is illegal to buy, possess or use liquid nicotine for vaping without a prescription from a registered Australian medical practitioner.

In Australia, medicines and poisons are listed in the Poisons Standard and are classified into categories called Schedules, which determine how they are regulated. Nicotine is classified as a Schedule 7 ’dangerous poison’, along with arsenic and strychnine. The exceptions to this classification are nicotine in tobacco for smoking and medicinal nicotine replacement products.

However, importation, use and possession of liquid nicotine for a ‘therapeutic use’ (eg to quit or reduce smoking or to prevent relapse) are legal if the user has a prescription from an Australian medical practitioner. It is then classified as a Schedule 4 product (prescription only) and it is permissible to possess or use it for personal use. It is legal for the doctor to write the prescription.

In January 2020, the Royal Australian College of General Practitioners approved the use of nicotine for vaping for smokers have tried other methods and failed to quit.’

Understanding the Landscape

With the changes in law over the last 1-2 years regarding selling nicotine vapes by tobacconist and nicotine vape available as purchase over the counter at Pharmacy (S3) at a lower strength, it leaves many vulnerable nicotine dependent people to access moderate to higher strength either illicitly and/or revert to cigarette smoking. Both of which will result in much shorter and longer term lung injuries. 

 It is our position at We Can Quit not to endorse/support nicotine vaping, however, we have an epidemic with nicotine/vaping dependence and it is our mission to help you quit by mitigating harm with prescribed, regulated nicotine replacement therapy.

Risks Associated with Vaping

EVALI (E-cigarette and vaping associated lung injury): The Vaping Crisis In 2019, the U.S. witnessed a sudden outbreak of a severe lung illness linked to vaping, termed EVALI (E-cigarette or Vaping product use-Associated Lung Injury). The CDC identified over 2,800 cases and 68 deaths by early 2020. From The Royal Australian College of General Practitioners: ‘Associate Professor Irving is talking about E-cigarette or Vaping-Associated Lung Injury (EVALI), a flu-like illness that was first identified in the US in early 2019. More than 2800 cases of EVALI have since been reported to the US Centers for Disease Control and Prevention (CDC) and at least 68 people have died from the condition.’

According to the ATHRA Website

‘Vaporisers (vapes or e-cigarettes) are battery-powered devices that heat a liquid (usually containing nicotine) into an aerosol for inhalation. Vaping is used mainly as a less harmful substitute for smoking. Users should try to stop vaping if possible, but long-term use is likely to be far safer than relapsing to smoking. Vaping is not recommended for non-smokers or young people under 18 years of age.

Vaping is popular because it:

  • Delivers nicotine and relieves the urge to smoke, and
  • Provides a ‘smoking-like experience’ – it addresses the behavioural (hand-to-mouth action), sensory (‘throat hit’, taste, inhaling and exhaling a visible ‘smoke’) and social aspects of the smoking ritual – but without most of the harmful toxins in smoke.’
 
Find out more here.
 

‘There is growing evidence that vaping has helped many smokers to quit. Millions of smokers have quit overseas with vaping and personal vaporisers are the most popular quitting aid in the UK, US and EU.

However, where conventional treatments are not effective, vaping is a legitimate harm reduction tool. Vaping is a safer substitute for smoking which provides the nicotine that smokers are addicted to but without the smoke that causes almost all of the harm to health.’

 

There are three smoke-free nicotine products which have been used by millions of smokers to quit globally. These are:

Electronic cigarettes
Swedish snus
Heated tobacco products (also known as heat-not-burn or HnB)

All these products deliver nicotine to satisfy nicotine cravings. Electronic cigarettes and HnB products have the added advantage of replicating the familiar hand-to-mouth ritual and sensations of smoking which smokers can find very hard to stop.

While not risk-free, the overwhelming scientific consensus is that these products deliver far lower levels of toxic and harmful compounds than combustible cigarettes. If a smoker switches completely from smoking he/she is likely to have substantial improvements in health.

Supporters of Tobacco Harm Reduction

  • Health & Medical Organisations
  • Royal Australasian and New Zealand College of Psychiatrists
  • Royal College of Physicians, UK
  • Public Health England
  • British Lung Foundation
  • British Heart Foundation
  • British Medical Association
  • New Zealand Medical Association
  • Canadian Institute for Substance Use Research
Health & Medical Organisations
Royal Australasian and New Zealand College of Psychiatrists
Royal College of Physicians, UK
Public Health England
British Lung Foundation
British Heart Foundation
British Medical Association
New Zealand Medical Association
Canadian Institute for Substance Use Research

Services to Help you Quit

The NSW Quitline – 13 78 48 (13 QUIT)

Patient resources

Patient Resources

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clinical resources

Useful Links

ACRE LogoThe Australian Centre for Cannabinoid Clinical and Research Excellence

Australian Government TGA Logo

TGA – Medicinal cannabis: Information for consumers

Health Direct Logo

Health Direct Medicinal cannabis

Centre for Medicinal Cannabis Research and Innovation Logo

Centre for Medicinal Cannabis Research and Innovation