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Comparative Indoor Pollution from Glo, Iqos, and Juul, Using Traditional Combustion Cigarettes as Benchmark: Evidence from the Randomized SUR-VAPES AIR Trial

Author

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  • Mariangela Peruzzi

    (Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Corso della Repubblica 74, 04100 Latina, Italy
    Mediterranea Cardiocentro, 80122 Naples, Italy
    These authors contributed equally to this work.)

  • Elena Cavarretta

    (Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Corso della Repubblica 74, 04100 Latina, Italy
    Mediterranea Cardiocentro, 80122 Naples, Italy
    These authors contributed equally to this work.)

  • Giacomo Frati

    (Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Corso della Repubblica 74, 04100 Latina, Italy
    IRCCS NEUROMED, 86077 Pozzilli, Italy)

  • Roberto Carnevale

    (Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Corso della Repubblica 74, 04100 Latina, Italy
    Mediterranea Cardiocentro, 80122 Naples, Italy)

  • Fabio Miraldi

    (Department of Clinical, Internal Medicine, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Viale Del Policlinico 155, 00161 Rome, Italy)

  • Giuseppe Biondi-Zoccai

    (Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Corso della Repubblica 74, 04100 Latina, Italy
    Mediterranea Cardiocentro, 80122 Naples, Italy)

  • Sebastiano Sciarretta

    (Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Corso della Repubblica 74, 04100 Latina, Italy
    IRCCS NEUROMED, 86077 Pozzilli, Italy)

  • Francesco Versaci

    (UOC UTIC Emodinamica e Cardiologia, Ospedale Santa Maria Goretti, Via Antonio Canova, 04100 Latina, Italy)

  • Vittoria Cammalleri

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy)

  • Pasquale Avino

    (Department of Agricultural, Environmental and Food Sciences (DiAAA), University of Molise, via De Sanctis, 86100 Campobasso, Italy)

  • Carmela Protano

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy)

  • Matteo Vitali

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185 Rome, Italy)

Abstract

Modified risk products (MRP) such as electronic vaping cigarettes (EVC) and heat-not-burn cigarettes (HNBC) are appealing alternatives to combustion cigarettes. Limited between- and within-device comparative data are available on MRP. We aimed at comparing indoor particulate matter (PM) emissions measured in a randomized trial enforcing standardized smoking sessions, testing different devices and flavors of MRP, using traditional combustion cigarettes (TCC) as benchmark. Overall, MRP yielded significantly lower levels of indoor PM in comparison to TCC (with median PM levels during smoking for MRP < 100 μg/m 3 , and for TCC > 1000 μg/m 3 ). Despite this, significant differences among MRP were found, with Iqos appearing associated with a significantly lower burden of emissions for all the monitored fractions of PM, including total PM (all p < 0.05). Precisely, during use, PM ≤1 µm (PM 1 ) emissions were 28 (16; 28) μg/m 3 for Glo, 25 (15; 57) μg/m 3 for Iqos, and 73 (15; 559) μg/m 3 for Juul ( p < 0.001 for Glo vs. Iqos, p < 0.001 for Glo vs. Juul, and p = 0.045 for Iqos vs. Juul). Exploratory within-MRP analyses suggested significant differences between flavors, favoring, for instance, Ultramarine for Glo, Bronze for Iqos, and Mango for Juul, even if results varied substantially according to individual smoker. In conclusion, leading MRP have significantly less intense and persistent effects on indoor pollution in comparison to TCC. Yet, when focusing solely on MRP, between-product and between-flavor differences appear, with quantitative estimates suggesting lower polluting effects with Iqos. These results, if confirmed externally, could be used to individualize product and flavor choice to minimize the untoward effects of EVC and HNBC on indoor pollution.

Suggested Citation

  • Mariangela Peruzzi & Elena Cavarretta & Giacomo Frati & Roberto Carnevale & Fabio Miraldi & Giuseppe Biondi-Zoccai & Sebastiano Sciarretta & Francesco Versaci & Vittoria Cammalleri & Pasquale Avino & , 2020. "Comparative Indoor Pollution from Glo, Iqos, and Juul, Using Traditional Combustion Cigarettes as Benchmark: Evidence from the Randomized SUR-VAPES AIR Trial," IJERPH, MDPI, vol. 17(17), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6029-:d:400978
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    References listed on IDEAS

    as
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