2018, Número 5
<< Anterior Siguiente >>
salud publica mex 2018; 60 (5)
Nuevos productos de tabaco, una amenaza para el control de tabaco y la salud pública de México
Reynales-Shigematsu LM, Barrientos-Gutiérrez I, Zavala-Arciniega L, Arillo-Santillán E
Idioma: Español
Referencias bibliográficas: 45
Paginas: 598-604
Archivo PDF: 233.88 Kb.
RESUMEN
Los nuevos productos de tabaco, entre los que se incluyen
los cigarros electrónicos (denominados “E Cigs”, “e-hookahs”,
“mods”, “vape-pens”), los sistemas electrónicos de administración
de nicotina (SEAN), los sistemas similares sin
nicotina (SSSN) y los sistemas alternativos de consumo de
nicotina (SACN), incursionan en el mercado global con un
discurso de reducción del daño y minimización del riesgo. Este
manuscrito resume la evidencia científica y una propuesta
regulatoria sobre esta innovación tecnológica, con el fin de
orientar la toma de decisiones de legisladores, instituciones
gubernamentales y la sociedad civil organizada. La evidencia
científica concluye que no existe un producto de tabaco
seguro para la salud; la naturaleza adictiva de la nicotina y los
daños a la salud causados en niños, adolescentes y mujeres
embarazadas constituyen el argumento fundamental. Estos
nuevos productos promueven la transición al consumo de
cigarros combustibles y no han demostrado eficacia para la
cesación tabáquica; por el contrario, promueven el uso dual.
Toda regulación debe formularse sin la intervención de los
fabricantes o instituciones con conflicto de interés y en el
marco de la implementación completa e integral del Convenio
Marco de la Organización Mundial de la Salud para el
Control del Tabaco.
REFERENCIAS (EN ESTE ARTÍCULO)
Zhu SH, Sun JY, Bonnevie E, Cummins S, Gamst A, Yin L, et al. Four hundred and sixty brands of e-cigarettes and counting: implications for product regulation. Tob Control. 2014;23(suppl 3):iii3-iii9. https://doi. org/10.1136/tobaccocontrol-2014-051670
Ayers JW, Althouse BM, Allem JP, Leas EC, Dredze M, Williams R. Revisiting the Rise of Electronic Nicotine Delivery Systems Using Search Query Surveillance. Am J Prev Med. 2016;50(6):e173-81. https://.doi.org/10.1016/j. amepre.2015.12.008
Caputi TL, Leas E, Dredze M, Cohen JE, Ayers JW. They’re heating up: Internet search query trends reveal significant public interest in heat-notburn tobacco products. PLoS ONE. 2017;12(10): e0185735. https://doi. org/10.1371/journal.pone.0185735
Conference of the Parties to the WHO Framework Convention on Tobacco Control. Electronic Nicotine Delivery Systems and Electronic Non-Nicotine Delivery Systems (ENDS/ENNDS) [citado abril 23, 2018]. Disponible en: https://www.who.int/fctc/cop/cop7/FCTC_COP_7_11_EN.pdf?ua=1
U. S. Public Health Services. E-cigarette use among youth and young adults: a report of the Surgeon General. Rockville: U. S. Department of Health and Human Services, 2016 [citado julio 2018]. Disponible en: https://e-cigarettes.surgeongeneral.gov/documents/2016_sgr_full_report_ non-508.pdf
Dutra LM, Grana R, Glantz SA. Philip Morris research on precursors to the modern e-cigarette since 1990. Tob Control. 2017;26(e2):e97-105. https://doi.org/10.1136/tobaccocontrol-2016-053406
Drope J, Cahn Z, Kennedy R, Liber AC, Stoklosa M, Henson R et al. Key issues surrounding the health impacts of electronic nicotine delivery systems (ENDS) and other sources of nicotine. CA Cancer J Clin. 2017;67(6):449-71. https://doi.org/10.3322/caac.21413
Allen JG, Flanigan SS, LeBlanc M, Vallarino J, MacNaughton P, Stewart JH et al. Flavoring Chemicals in E-Cigarettes: Diacetyl, 2,3-Pentanedione, and Acetoin in a Sample of 51 Products, Including Fruit-, Candy-, and Cocktail- Flavored E-Cigarettes. Environ Health Perspect. 2016;124(6):733-9. https:// doi.org/10.1289/ehp.1510185
Farsalinos KE, Kistler KA, Gillman G, Voudris V. Evaluation of electronic cigarette liquids and aerosol for the presence of selected inhalation toxins. Nicotine Tob Res. 2015;17(2):168-74. https://doi.org/10.1093/ntr/ntu176
Goniewicz ML, Knysak J, Gawron M, Kosmider L, Sobczak A, Kurek J, et al. Levels of selected carcinogens and toxicants in vapour from electronic cigarettes. Tob Control. 2014;23:133-9. https://doi.org/10.1136/tobaccocontrol- 2012-050859
Saffari A, Daher N, Ruprecht A, De Marco C, Pozzi P, Boffi R, et al. Particulate metals and organic compounds from electronic and tobaccocontaining cigarettes: comparison of emission rates and secondhand exposure. Environ Sci Process Impacts. 2014;16(10):2259-67. https://doi. org/10.1039/c4em00415a
Williams M, Bozhilov K, Ghai S, Talbot P. Elements including metals in the atomizer and aerosol of disposable electronic cigarettes and electronic hookahs. PLoS One. 2017;12(4):e0175430. https://doi.org/10.1371/ journal.pone.0175430
Williams M, Villarreal A, Bozhilov K, Lin S, Talbot P. Metal and silicate particles including nanoparticles are present in electronic cigarette cartomizer fluid and aerosol. PLoS One. 2013;8(3):e57987. https://doi. org/10.1371/journal.pone.0057987
Lerner CA, Rutagarama P, Ahmad T, Sundar IK, Elder A, Rahman I. Electronic cigarette aerosols and copper nanoparticles induce mitochondrial stress and promote DNA fragmentation in lung fibroblasts. Biochem Biophys Res Commun. 2016;477(4):620-5. https://doi.org/10.1016/j.bbrc.2016.06.109
Lerner CA, Sundar IK, Watson RM, Elder A, Jones R, Done D, et al. Environmental health hazards of e-cigarettes and their components: Oxidants and copper in e-cigarette aerosols. Environ Pollut. 2015;198:100-7. https://doi.org/10.1016/j.envpol.2014.12.033
Ogunwale MA, Li M, Ramakrishnam-Raju MV, Chen Y, Nantz MH, Conklin DJ,et al. Aldehyde Detection in Electronic Cigarette Aerosols. ACS Omega. 2017;2(3):1207-14. https://doi.org/10.1021/acsomega.6b00489
El-Hellani A, Salman R, El-Hage R, Talih S, Malek N, Baalbaki R et al. Nicotine and carbonyl emissions from popular electronic cigarette products: correlation to liquid composition and design characteristics. Nicotine Tob Res. 2018;20(2):215-23. https://doi.org/10.1093/ntr/ntw280
Han S, Chen H, Zhang X, Liu T, Fu Y. Levels of Selected Groups of Compounds in Refill Solutions for Electronic Cigarettes. Nicotine Tob Res. 2016;18(5):708-14. https://doi.org/10.1093/ntr/ntv189
Bekki K, Uchiyama S, Ohta K, Inaba Y, Nakagome H, Kunugita N. Carbonyl compounds generated from electronic cigarettes. Int J Environ Res Public Health. 2014;11(11):11192-200. https://doi.org/10.3390/ijerph111111192
Kosmider L, Sobczak A, Fik M, Knysak J, Zaciera M, Kurek J et al. Carbonyl compounds in electronic cigarette vapors: effects of nicotine solvent and battery output voltage. Nicotine Tob Res. 2014;16(10):1319- 26. https://doi.org/10.1093/ntr/ntu078
Wang P, Chen W, Liao J, Matsuo T, Ito K, Fowles J et al. A Device-independent evaluation of carbonyl emissions from heated electronic cigarette solvents. PLoS One. 2017;12(1):e0169811. https://doi.org/10.1371/journal. pone.0169811
Famele M, Ferranti C, Abenavoli C, Palleschi L, Mancinelli R, Draisci R. The chemical components of electronic cigarette cartridges and refill fluids: review of analytical methods. Nicotine Tob Res. 2015;17(3):271-9. https://doi.org/10.1093/ntr/ntu197
World Health Organization. Heated tobacco products (HTPs) information sheet. Geneva: who [citado abril 2018]. Disponible en: http://www.who. int/tobacco/publications/prod_regulation/heated-tobacco-products/en/
Barrington-Trimis JL, Berhane K, Unger JB, Cruz TB, Huh J, Leventhal AM, et al. Psychosocial factors associated with adolescent electronic cigarette and cigarette use. Pediatrics. 2015;136(2):308-17. https://doi. org/10.1542/peds.2015-0639
Leventhal AM, Strong DR, Kirkpatrick MG, Unger JB, Sussman S, Riggs NR, et al. Association of electronic cigarette use with initiation of combustible tobacco product smoking in early adolescence. JAMA. 2015;314(7):700-7. https://doi.org/10.1001/jama.2015.8950
Singh T, Arrazola RA, Corey CG, Husten CG, Neff LJ, Homa DM, King BA. Tobacco Use Among Middle and High School Students - United States, 2011-2015. MMWR Morb Mortal Wkly Rep. 2016;65(14):361-7. https//doi. org/10.15585/mmwr.mm6514a1
U. S. Department of Health and Human Services. The Health Consequences of Smoking - 50 years of progress: a report of the surgeon general. Rockville, MD: U. S. Department of Health and Human Services, 2014:1-1081 [citado julio 2018]. Disponible en: https://www.surgeongeneral. gov/library/reports/50-years-of-progress/full-report.pdf
Diario Oficial de la Federación. Ley General para el Control del Tabaco. [citado abril 2018] Disponible en: https://www.gob.mx/cms/uploads/ attachment/file/129568/Ley_General_para_el_Control_del_Tabaco.pdf
Blanco A, Sandoval R, Martínez-López L, Caixeta R. Diez años del Convenio Marco de la Organización Mundial de la Salud para el Control del Tabaco: avances en las Américas. Salud Publica Mex. 2017;59(supl 1):S117-25. https://doi.org/10.21149/8682
Reynales-Shigematsu LM, Zavala-Arciniega L, Paz-Ballesteros WC, Gutiérrez-Torres DS, García-Buendía JC, Rodríguez-Andrade MA, et al. Encuesta Nacional de Consumo de Drogas, Alcohol y Tabaco 2016-2017: reporte de tabaco. Ciudad de México: INPRFM, 2017.
Lozano P, Barrientos-Gutiérrez I, Arillo-Santillán E, Morello P, Mejia R, Sargent JD, et al. A longitudinal study of electronic cigarette use and onset of conventional cigarette smoking and marijuana use among Mexican adolescents. Drug Alcohol Depend. 2017;180:427-30. https://doi.org/10.1016/j. drugalcdep.2017.09.001
Thrasher JF, Abad-Vivero EN, Barrientos-Gutiérrez I, Pérez-Hernández R, Reynales-Shigematsu LM, Mejía R, et al. Prevalence and Correlates of E-Cigarette Perceptions and Trial Among Early Adolescents in Mexico. J Adolesc Health 2016;58:358-65. https://doi.org/10.1016/j.jadohealth. 2015.11.008
Hartmann-Boyce J, McRobbie H, Bullen C, Begh R, Stead LF, Hajek P. Electronic cigarettes for smoking cessation. Cochrane Database Syst Rev. 2016;9:CD010216. https://doi.org/10.1002/14651858.CD010216.pub3
McRobbie H, Bullen C, Hartmann-Boyce J, Hajek P. Electronic cigarettes for smoking cessation and reduction. Cochrane Database Syst Rev. 2014;12:CD010216. https://doi.org/10.1002/14651858.CD010216
Bullen C. Electronic cigarettes for smoking cessation. Curr Cardiol Rep. 2014;16(11):538. https://doi.org/10.1136/bmj.j3506
Caponnetto P, Campagna D, Cibella F, Morjaria JB, Caruso M, Russo C et al. Efficiency and safety of an electronic cigarette (ECLAT) as tobacco cigarettes substitute: a prospective 12-month randomized control design study. PLoS One. 2013;8(6):e66317. https://doi.org/10.1371/annotation/ e12c22d3-a42b-455d-9100-6c7ee45d58d0
Rigotti NA, Chang Y, Tindle HA, Kalkhoran SM, Levy DE, Regan S, et al. Association of e-cigarette use with smoking cessation among smokers who plan to quit after a hospitalization: a prospective study. Ann Intern Med. 2018;168(9):613-20. https://doi.org/10.7326/M17-2048
K Stratton, Kwan LY, David L. Eaton, eds. Public Health Consequences of E-Cigarettes. Consensus Study Report. The National Academie of Sciences, 2018. [citado abril 2018]. Disponible en: http://nationalacademies.org/ hmd/Reports/2018/public-health-consequences-of-e-cigarettes.aspx
Secretaría de Salud. NOM-028-SSA2-1999, Para la prevención, tratamiento y control de las adicciones. México: DOF, 12 de abril 2000.
Green LW, Fielding JE, Brownson RC. The debate about electronic cigarettes: harm minimization or the precautionary principle. Annu Rev Public Health. 2018;39:189-91. https://doi.org/10.1146/annurev-publhealth- 102417-124810
Organización Mundial de la Salud, WHO Framework Convention on Tobacco Control. Convenio Marco de la OMS para el Control del Tabaco. Ginebra: OMS, 2003 [citado abril 2018]. Disponible en: http://apps.who.int/ iris/bitstream/10665/42811/1/9241591013.pdf?ua=1
Bold KW, Sussman S, O’Malley SS, Grana R, Foulds J, Fishbein H et al. Measuring E-cigarette dependence: Initial guidance. Addict Behav. 2018;79:213-218. https://doi.org/10.1016/j.addbeh.2017.11.015
Global Tobacco Economics Consortium. The health, poverty, and financial consequences of a cigarette price increase among 500 million male smokers in 13 middle income countries: compartmental model study. BMJ. 2018;361:k1162. https://doi.org/10.1136/bmj.k1162
Chaffee B, Watkins S, Glantz S. Electronic Cigarette Use and Progression from Experimentation to Established Smoking. Pediatrics. 2018;141(4). https://doi.org/10.1542/peds.2017-3594
United Nations Treaty Collection, WHO Framework Convention on Tobacco Control. Status of treaties. Ginebra: WHO, 2003 [citado abril 2018]. Disponible en: https://treaties.un.org/pages/ViewDetails. aspx?src=TREATY&mtdsg_no=IX-4&chapter=9&lang=en