What vaping really does to your body | BBC News — Transcript
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- 0:00Right now in the [music] UK, more people
- 0:01are searching online for info on vaping
- 0:04and for smoking. One of the most
- 0:06searched questions [music] is simply,
- 0:08"How do I stop?" Well, vaping has
- 0:10exploded in popularity, especially among
- 0:12younger people, [music] but there's
- 0:13still a lot we don't fully understand
- 0:16about the long-term effects. At the same
- 0:18time, governments are stepping in with
- 0:20new [music] rules, including bans on
- 0:22disposable vapes. So, what is vaping
- 0:24doing to your body, and should you be
- 0:26worried? Whether you vape or used to
- 0:28vape [music] or just wondering what all
- 0:30the fuss is about, here's what you need
- 0:31to know.
- 0:33So, vaping involves inhaling nicotine in
- 0:35what's referred to as an aerosol,
- 0:37basically a vapor, rather than the smoke
- 0:40caused by the burning of tobacco. It's
- 0:42essentially a delivery system for
- 0:44nicotine. Vapes work by heating a
- 0:47solution known as the e-liquid. Now,
- 0:50that typically contains propylene
- 0:52glycol, which is used in food
- 0:54production, cosmetics, and medicines,
- 0:56and another stuff called vegetable
- 0:57glycerin that's derived from plant oils,
- 1:00plus flavorings, sometimes sweeteners,
- 1:02and most importantly, nicotine. Now, the
- 1:04liquids come in different nicotine
- 1:06strengths, so you can control how much
- 1:08nicotine you need. Smoking, on the other
- 1:11hand, involves inhaling tobacco smoke,
- 1:14which the NHS says contains thousands of
- 1:17different chemicals. Many of these are
- 1:18poisonous, and up to 70 of them cause
- 1:21cancer. They also cause other serious
- 1:23illnesses, including lung disease, heart
- 1:26disease, and stroke. Crucially, most of
- 1:29the harmful chemicals in tobacco smoke,
- 1:31including tar and carbon monoxide,
- 1:34they're just not contained in vape
- 1:36aerosol.
- 1:37So, the liquid is held in a little tank
- 1:39or cartridge in a vape pen. There's also
- 1:41sort of a heating element to vaporize it
- 1:44and a rechargeable battery.
- 1:46Maybe the best way to answer this is to
- 1:49say that there's now good evidence that,
- 1:51in general, vaping is less harmful than
- 1:54smoking. That's because people who vape
- 1:57are exposed to fewer toxins and they are
- 1:59present at lower levels than smoking
- 2:02cigarettes. So, the NHS advises that
- 2:04switching to vaping reduces exposure to
- 2:07those toxins that can cause cancer, lung
- 2:09disease, heart and circulation problems
- 2:12like heart attack and stroke, but vaping
- 2:14isn't risk-free. The NHS advice is that
- 2:17non-smokers and young people under 18
- 2:19shouldn't take up vaping.
- 2:22Part of the problem is that vaping just
- 2:24hasn't really been around for long
- 2:26enough to know the risks of long-term
- 2:29use. Probably the best we can say is
- 2:32that while vaping is less harmful than
- 2:34smoking, it's unlikely to be totally
- 2:37harmless. That's why children and
- 2:40non-smokers are advised not to start
- 2:42vaping and if you are vaping to help you
- 2:44stop smoking, you should aim to
- 2:46eventually stop vaping, too. What we do
- 2:49know is that nicotine is highly
- 2:51addictive, but it doesn't contain the
- 2:54harmful toxins that are associated with
- 2:56that tobacco smoke. But, you also need
- 2:58to make sure you know what is in your
- 3:00vape. A few years ago, the BBC asked
- 3:03experts to analyze the contents of 18
- 3:06disposable vapes, which are now illegal
- 3:08in the UK, that had been taken off
- 3:10school pupils. Most of those vapes were
- 3:13illegal and unregulated and the results
- 3:16showed that pupils using them could be
- 3:18inhaling more than twice the daily safe
- 3:21amount of lead and nine times the safe
- 3:23amount of nickel. Now, the World Health
- 3:25Organization says that high levels of
- 3:28lead exposure in young people can affect
- 3:30the central nervous system and brain
- 3:32development, so it's really important to
- 3:34only use regulated, legal vapes.
- 3:38Well, the really big difference is the
- 3:40exposure to those 70 or so toxic
- 3:42chemicals that are linked to illnesses
- 3:44like cancer, lung disease, heart attack
- 3:47and stroke. So, experts say it's all
- 3:49those toxic chemicals contained in
- 3:51cigarettes, such as tar and tobacco that
- 3:54cause almost all the harm from smoking.
- 3:57So, while vaping may not be risk-free,
- 4:00it's much less harmful than smoking.
- 4:03This is really interesting. When you
- 4:05first inhale a vape, the heating element
- 4:08really quickly warms the liquid, turning
- 4:11it into vapor. Then, as you inhale, that
- 4:13vapor sort of cools down rapidly, it
- 4:16mixes with air to form a dense aerosol
- 4:19of microscopic droplets which you then
- 4:22draw into your mouth, your throat, and
- 4:24your lungs. When the vapor gets into the
- 4:26lungs, the nicotine is almost instantly
- 4:29absorbed into the bloodstream, gets
- 4:31pumped to your heart, and then to your
- 4:32head where it triggers an almost instant
- 4:34release of dopamine and adrenaline. Now,
- 4:37all that can happen in as little time as
- 4:4010 to 20 seconds. It's really, really
- 4:43fast.
- 4:45Even nicotine-free vaping is not
- 4:47harmless. Inhaling the liquids that
- 4:49carry the nicotine, plus the flavorings
- 4:52that many vapes use, can still cause
- 4:54throat and lung irritation. Now, one
- 4:56very recent, but pretty small study of
- 4:59young people who vape or smoke
- 5:01cigarettes, showed their breathing
- 5:03capacity was reduced compared to those
- 5:06who've never smoked or vaped. But, it's
- 5:08still really early days, and more
- 5:10research is needed.
- 5:12Vape calories are the idea that the
- 5:14carrier agents in the e-liquids, the
- 5:16propylene glycol and the vegetable
- 5:18glycerin, now they contain about 4
- 5:20calories per gram. So, is it possible
- 5:24that when you inhale these vaporized
- 5:26liquids, you're taking on these calories
- 5:29as well?
- 5:30So, a single puff of a vape uses about
- 5:320.05
- 5:34ml of e-liquid, a tiny amount, which
- 5:37equates to less than 1/4 of a
- 5:39theoretical calorie. So, that's next to
- 5:43nothing. You probably use that much
- 5:44energy just thinking about whether to
- 5:46vape or not, your brain uses loads of
- 5:49calories and then just picking up the
- 5:51vape and inhaling, our bodies are
- 5:53burning calories all the time, even as
- 5:55we sit around thinking. Not to mention
- 5:57that you can't really absorb calories
- 5:59through your lungs. They bypass your
- 6:02digestive system, so they aren't
- 6:04converted into fat. And the same applies
- 6:06to sweeteners that are contained in some
- 6:08vapes. They don't contain real sugar, so
- 6:11they don't add calories.
- 6:13Children, those who are 17 and under,
- 6:15and non-smokers are advised not to start
- 6:18vaping. It's really useful for those who
- 6:21are trying to give up smoking, but most
- 6:23of the concern is over young people who
- 6:25never smoked but have been using vapes
- 6:27anyway, particularly the now banned
- 6:30disposable vapes that were unregulated.
- 6:32Now, back in 2023,
- 6:35I met a 12-year-old girl who was vaping
- 6:38so much, she ended up in a coma after
- 6:41her lung collapsed. She already had
- 6:43asthma, and she was vaping a lot. It was
- 6:46like the first thing she did in the
- 6:47morning when she woke up. It was the
- 6:48last thing she did at night.
- 6:51But nonetheless, it was a really scary
- 6:53moment for both her and her mom.
- 6:55The NHS advice on this is that vaping is
- 6:58much less risky than smoking when you're
- 7:01pregnant. But again, it's relatively
- 7:03early days in vaping research. What we
- 7:05do know is that vapes don't produce tar
- 7:08or carbon monoxide, the two main toxins
- 7:10in cigarette smoke. Now, carbon monoxide
- 7:13is particularly harmful for developing
- 7:15babies. The vapor from an e-cigarette
- 7:18does contain some of the potentially
- 7:20harmful chemicals that are found in
- 7:22cigarette smoke, but they are at much
- 7:24lower levels. So, if vaping helps you to
- 7:27stop smoking, it's much safer for you
- 7:30and your baby than continuing to smoke.
- 7:33So, quitting vaping, so giving up the
- 7:35highly addictive nicotine. Now, that can
- 7:37be a real challenge. The expert advice
- 7:40is to gradually reduce the nicotine
- 7:43strength of the e-liquid in your vape,
- 7:45but you know, take it gently and pay
- 7:47attention to how much you're vaping.
- 7:50Then increase the time between vapes.
- 7:52So, if you normally vape every 20
- 7:54minutes, experts advise trying to extend
- 7:57that time and only vape every 40 minutes
- 8:00instead. Or, you can use nicotine
- 8:02replacement therapy like patches, for
- 8:04example, to help wean you off nicotine.
- 8:07Okay, so over 18s are the only people
- 8:10who can buy vapes, but there's no law on
- 8:14how old you have to be to use them. In
- 8:16other words, there's no specific law on
- 8:18possession or use of a vape, just a ban
- 8:20on sales.
- 8:22So, organizations like the RAC say that
- 8:24in the UK, vaping while driving is not
- 8:27illegal, but if you lose control of your
- 8:30car because you were vaping while you
- 8:32were driving the vehicle, or it
- 8:34distracts you from the road, or it
- 8:35obstructs your view, you could be fined
- 8:38or worse, but there are no laws that ban
- 8:41e-cigarettes or equivalents when you're
- 8:43driving.
- 8:44Okay, some workplaces ban vaping, as do
- 8:47pubs, but it's really down to the
- 8:50individual venue or workplace. I have to
- 8:52say, I've yet to be on a plane where
- 8:54they say, "Vape away." In the same way
- 8:57that smoking is banned. So, vaping isn't
- 9:00as simple as safe or dangerous.
- 9:02Kind of sits somewhere in the middle,
- 9:04and there's still a lot we're learning.
- 9:06If you're trying to quit, or just
- 9:08thinking about starting, the key is
- 9:11understanding the risks and making
- 9:13informed choices. The health experts'
- 9:15advice would be, "Vaping is far less
- 9:18risky than smoking, so if you're a
- 9:19smoker, try vaping to help you give up,
- 9:22but if you're a non-smoker, don't start
- 9:24vaping." And if there's a health topic
- 9:26you want us to tackle next, let us know
- 9:28in the comments.
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