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https://s3.us-west-1.wasabisys.com/virusreports/2020/05/cropped-virus-favicon-32x32.png smoking Archives - Virus Reports https://virusreports.net/tag/smoking/ 32 32 Smoking habits double number of young people vulnerable to severe COVID-19: study | TheHill https://virusreports.net/smoking-habits-double-number-of-young-people-vulnerable-to-severe-covid-19-study-thehill/ https://virusreports.net/smoking-habits-double-number-of-young-people-vulnerable-to-severe-covid-19-study-thehill/#respond Mon, 13 Jul 2020 23:21:08 +0000 https://virusreports.net/smoking-habits-double-number-of-young-people-vulnerable-to-severe-covid-19-study-thehill/ A new study finds that smoking is doubling the number of young adults at high risk of severe COVID-19.Researchers at the University of California, San Francisco (UCSF) examined 8,405 respondents to the National Health Interview Survey aged 18 to 25 for the severe COVID-19 risk factors identified by the Centers for Disease Control and Prevention…

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A new study finds that smoking is doubling the number of young adults at high risk of severe COVID-19.

Researchers at the University of California, San Francisco (UCSF) examined 8,405 respondents to the National Health Interview Survey aged 18 to 25 for the severe COVID-19 risk factors identified by the Centers for Disease Control and Prevention (CDC).

They found that 32 percent of respondents had at least one of the risk factors, but half of those were in the vulnerable group because of a single risk factor: smoking within the last 30 days, according to the peer-reviewed study published Monday in the Journal of Adolescent Health.

When that risk factor was removed, the percentage of medically vulnerable young people dropped to 16 percent.

“Recent evidence indicates that smoking is associated with a higher likelihood of COVID-19 progression, including increased illness severity, ICU admission or death,” Sally Adams, the UCSF professor who led the study, said in a statement. “Smoking may have significant effects in young adults, who typically have low rates for most chronic diseases.”

The study comes as cases in young adults are largely driving a nationwide spike in COVID-19, which has been attributed to failing to comply with social distancing regulations.

While people over 65 are still being hospitalized and dying from the disease at much higher rates than young adults, hospitalization rates for young people also appear to be increasing. According to CDC data, the hospitalization rate for 18- to 29-year-olds tripled from May 2 to July 4, while the rate for those over 65 only doubled.

The study discovered the risk factor placing the second-highest number of young people at risk for severe COVID-19 was asthma, which affected 9 percent of survey respondents. Roughly 20 percent reported smoking within the last 30 days.

While the CDC includes smoking tobacco or cigars within the last 30 days as a risk factor, the researchers also included e-cigarette use because of its damaging effects on the respiratory system.

The study also found that fewer young women are in the high-risk group, at 30 percent, compared with 33 percent for young men, largely because of lower rates of smoking among women.

Despite nationwide racial disparities in overall case and death rates, white young people were more likely than Black, Hispanic and Asian young people to be in the medically vulnerable group — an “unexpected” finding the researchers primarily attributed to higher smoking rates among whites.

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Does Smoking Make COVID-19 Worse? Better? Here’s What We Actually Know. https://virusreports.net/does-smoking-make-covid-19-worse-better-heres-what-we-actually-know/ https://virusreports.net/does-smoking-make-covid-19-worse-better-heres-what-we-actually-know/#respond Tue, 28 Apr 2020 17:21:19 +0000 https://virusreports.net/does-smoking-make-covid-19-worse-better-heres-what-we-actually-know/ The research on the relationship is all extremely preliminary and should change little of how we think about cigarettes or vaping. Photo illustration by Slate. Images via Prakasit Khuansuwan/EyeEm via Getty Images Plus and Elena Mozhvilo/Unsplash. Slate is making its coronavirus coverage free for all readers. Subscribe to support our journalism. Start your free trial.…

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The research on the relationship is all extremely preliminary and should change little of how we think about cigarettes or vaping.

A single burned cigarette on a backdrop of coronavirus cells

Photo illustration by Slate. Images via Prakasit Khuansuwan/EyeEm via Getty Images Plus and Elena Mozhvilo/Unsplash.

Slate is making its coronavirus coverage free for all readers. Subscribe to support our journalism. Start your free trial.

Are smokers and vapers more likely to die of COVID-19? To judge by news coverage of the topic, the answer is an unequivocal yes. The New York Times, Wired, CNN, Bloomberg, and numerous other publications have run stories warning that smokers and vapers are at higher risk. Anti-tobacco groups are using the pandemic as an opportunity to push for new restrictions on nicotine, ranging from bans on vapor products to the complete prohibition of cigarettes. At least one senator, Richard Blumenthal of Connecticut, is citing the disease as justification for a national ban on flavored e-cigarettes, while House Democrats are urging the FDA to temporarily ban e-cigarettes entirely. Amid all this alarm, one complication has received relatively little notice: Emerging evidence on the risk factors for COVID-19 is ambiguous with regard to smoking and virtually nonexistent for its relationship to vaping.

Few would doubt that, absent compelling evidence to the contrary, smoking is a plausible risk factor for COVID-19. Smoking is known to generally suppress the immune system’s capacity to fight infection, and one would expect smokers to be particularly susceptible to a novel respiratory disease. An evidence review published on March 20, drawing on studies that analyzed hospitalizations in China, concluded that the data, although limited, indicated that “smoking is most likely associated with the negative progression and adverse outcomes of COVID-19.” Smoking is also associated with other conditions that may worsen COVID-19 outcomes, including diabetes. Thus, initially there was a reasonable expectation that smoking may be a significant risk factor.

A month later, the picture is less clear. On April 3, scientists at the Centers for Disease Control and Prevention published an analysis of more than 7,000 COVID-19 cases in the United States, of which strikingly few consisted of smokers. Current smokers comprised only 1.3 percent of the cases and former smokers another 2.3 percent; by comparison, smokers make up about 14 percent of the general American population and about 8 percent of the population over 65. A more detailed multivariate analysis of more than 4,000 cases in New York, published as a pre-print by researchers at New York University on April 11, yielded similarly unexpected results: “Surprisingly, though some have speculated that high rates of smoking in China explained some of the morbidity in those patients, we did not find smoking status to be associated with hospitalization or critical illness.” A third study from a hospital in Paris found that current smokers were underrepresented in symptomatic and hospitalized cases. A fourth study from northern France, published as a pre-print on Thursday, also found smokers to be significantly less likely to test positive for infection. The authors note in the discussion section of the paper that the “protection associated with smoking in our study was very substantial (75% decrease in risk of infection), and deserves full attention.”

There’s a scene in the 1973 film Sleeper in which the protagonist, waking up 200 years in the future, is given a cigarette by a doctor who exhorts him: “It’s tobacco. It’s one of the healthiest things for your body.” A few people are taking the low prevalence of smokers among COVID-19 cases as evidence that that future has come to pass. David Hockney, an inveterate smoker and brilliant artist (though not, it should be noted, an epidemiologist), wrote the Daily Mail to suggest that smoking has a protective effect: “Could it not be that smokers have developed an immune system to this virus? With all these figures coming out, it’s beginning to look like that to me.”

So, time to break out the smokes? Well, not so fast. Given prior expectations about the effects of smoking on the immune system, it’s best to view the emerging data as intriguingly suggestive while keeping in mind the difficulty of conducting studies in the fog of a pandemic. Other researchers have cautioned that samples may be skewed by underreporting, and attempting to control for multiple variables is difficult; contradictory data could appear at any time. It’s also unclear by what mechanism smoking would reduce risk. Speculation has focused on interactions between nicotine and the ACE2 receptor, where the virus enters the body’s cells, but no one knows for sure what that implies for the progression of COVID-19 or modulation of the body’s immune response. (The Daily Mail article offers an unexpectedly detailed summary of the issue, though.) More evidence is needed before conclusions can be reached with certainty, but there’s enough ambiguity in the data to spur further investigation: Researchers in France are planning to test whether nicotine patches affect outcomes among patients and health care workers.

More to the point, smoking is a destructive habit regardless of its relationship to COVID-19. Sara Watle of the Norwegian Institute of Public Health, which recently removed smoking from its list of likely risk factors for COVID-19, is quick to add that “it is well established that smoking is unhealthy and contributes to serious health outcomes, so it is always a good idea to stop smoking!” Similarly, a pre-print by researchers in Greece and the United States concludes that although the interaction of smoking and the pandemic is currently unknown, “the generalized advice to quit smoking as a measure to improve health risk remains valid.” Regardless of how ongoing investigations into nicotine’s effects on COVID-19 turn out, they’re not going to overturn decades of research establishing smoking as extremely detrimental to health. Returning to the Mad Men–era ubiquity of smoking isn’t an advisable path toward fighting the virus. (If nicotine does turn out to provide some protective effect, ideally it will hold when delivered by means safer than inhaling carcinogenic smoke.)

The question of whether vaping increases the risks of COVID-19 has received nearly as much attention as the effects of smoking but has not, in fact, been specifically studied. Nonetheless, warnings that vaping will worsen the pandemic have been given substantial press and are lending further motivation to political efforts to ban e-cigarettes. These fears are highly speculative. The Food and Drug Administration initially joined other groups warning that vapers may be at higher risk, but a spokesperson for the agency revised its advice two weeks ago to acknowledge that the relationship is currently unknown. Similarly, an advisory from the American Cancer Society notes that there “is currently no evidence supporting a direct connection between e-cigarette use and getting COVID-19” and there is “very little direct evidence that e-cigarette use affects COVID-19 outcomes.”

Returning to the Mad Men–era ubiquity of smoking isn’t an advisable path toward fighting the virus.

Messaging on vaping is complicated by the fact that millions of vapers are former smokers. In a letter to the FDA signed by 13 experts in the field of tobacco harm reduction, the authors urge that any advice on vaping and COVID-19 should be “based on recognition of the pronounced difference in risk between smoking and vaping, the difficulty that many face in quitting nicotine use completely, the risks of harmful unintended consequences, and the strong association of smoking with poverty and various forms of disadvantage.” In other words, they worry that the promotion of unfounded fears in relation to COVID-19 may drive vapers back to smoking, with destructive consequences for their health.

Recent experience suggests that this concern is well founded. In a different outbreak, the mysterious lung illnesses that began last year and hospitalized nearly 3,000 Americans, statements by the CDC, campaigns by anti-smoking advocacy groups, and reports by mainstream press all blamed nicotine e-cigarettes for the disease. It was later established that contaminants in primarily black-market cannabis products were overwhelmingly behind the outbreak, but the damage was done: Public opinion turned decisively against e-cigarettes, flavor bans proliferated, and misperceptions about the risks of vaping have persisted in spite of the newer information.

Less than a year later, both the media and anti-smoking groups seem poised to repeat the mistake. It’s possible that vaping may marginally increase the risks of COVID-19; it’s also possible that exaggerating fears will harden public attitudes against vaping, discourage smokers from switching, and lead to even more restrictions on e-cigarette products. These possibilities highlight the danger of politicizing science and taking advantage of a frightening illness to promote a preexisting agenda. Policies put into place during a once-in-a-lifetime pandemic are unlikely to be accurately informed by long-run considerations, but their effects will last beyond the current crisis. Congressional Democrats’ request to ban e-cigarettes while leaving conventional cigarettes on the market, for example, was exceptionally ill-advised, and the FDA wisely declined to take action.

More research is clearly needed on the relationship between smoking, vaping, and COVID-19, but the findings probably shouldn’t much influence our opinions of those practices. Smoking remains detrimental to health, and vaping remains a viable off-ramp to quitting. Investigations into nicotine’s effects on the virus may well come to nothing. However, we also shouldn’t allow demonization of the drug to prevent us from being open to potentially useful discoveries. If the tobacco plant turns out to play a beneficial role in this pandemic after centuries of blame for so many ills, it will be yet another unexpected plot twist in an already very unusual year.


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Should I stop smoking pot during the coronavirus pandemic? What about vaping? https://virusreports.net/should-i-stop-smoking-pot-during-the-coronavirus-pandemic-what-about-vaping/ https://virusreports.net/should-i-stop-smoking-pot-during-the-coronavirus-pandemic-what-about-vaping/#respond Thu, 16 Apr 2020 19:51:26 +0000 http://virusreports.net/should-i-stop-smoking-pot-during-the-coronavirus-pandemic-what-about-vaping/ If you smoke marijuana, or vape e-cigarettes, you could end up with the kind of damage to your lungs and airways that could put you at risk of real harm from COVID-19, medical experts said. Inhaling smoke and vapors brings foreign substances into the body, puts acute stress on the lungs, creates long-term damage to…

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If you smoke cannabis, or vape e-cigarettes, you might wind up with the kind of damage to your lungs and airways that might put you at risk of real harm from COVID-19, medical specialists stated.

Breathing in smoke and vapors brings foreign compounds into the body, puts severe tension on the lungs, develops long-term damage to the body, and can harm the body immune system– a bad mix at any time, and especially throughout a worldwide pandemic of a breathing disease.

” What we fret about suffers function and the danger of infection,” said Brenda Douglass, the director of Drexel University’s Physician of Nursing Practice program and a professor in its College of Nursing and Health Professions. “We do actually worry about someone who smokes cigarettes or vapes … exists a greater tendency with smoking cigarettes and with vaping for COVID-19? I would believe so.”

From the beginning of the crisis, there was the worry from physician that cigarette smokers with impaired lung function might be more at danger of issues with COVID-19, however there were still questions. People asked us: Why? Does cannabis usage count? What about vaping, since there’s no combustion? How severe is the risk? And is it too late if I’ve been smoking or vaping for many years?

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However responding to the concerns isn’t simple. The reason, Douglass and other professionals stated, is that the coronavirus is so new that we simply don’t have a strong body of research. And given the way scientific understanding is constructed over years, even vaping doesn’t have a lot of research study around it compared to the decades of research study on tobacco use. Still, their recommendations around cigarette smoking tobacco cigarettes generally also uses to smoking cigarettes cannabis, they stated, due to the fact that of comparable issues around lung damage, in addition to vaping.

(Note: While we talked with a number of medical professionals for this post, this is not particular medical advice, which need to originate from your health-care company. And this refers to social and recreational smoking and vaping, not medical usages of marijuana.)

For instance, specialists concurred with the World Health Company that simply the act of smoking can increase the risk of infection.

“Cigarette smokers are most likely to be more susceptible to COVID-19 as the act of cigarette smoking indicates that fingers (and potentially contaminated cigarettes) are in contact with lips which increases the possibility of transmission of virus from hand to mouth,” the organization says.

Another reason: Smoking marijuana is often a social activity, which is likewise, certainly, risky, said Andrew Berman, a teacher at Rutgers University’s New Jersey Medical School and director of its division of lung and critical care medicine, which is integrated with allergy and rheumatology.

“What that does is promote recurrent connections with your hands to your mouth, other people’s germs from them to you,” he said. “And so the whole sort of neighborhood behavioral element of cigarette smoking marijuana is potentially damaging with COVID-19”

However even if you smoke alone, specialists stated, smoking cigarettes and vaping can harm the lungs and respiratory tracts in ways that can make you more vulnerable if you do end up being infected. Even if you are just smoking a little to help you unwind, it’s probably a better concept to find some other way to eliminate tension right now, professionals concurred.

“Cigarette smokers might also already have lung disease or decreased lung capability which would considerably increase threat of severe disease,” the WHO says.

Breathing in smoke is harming to the lungs and cardiovascular system, and can decrease your lungs’ capability to exchange oxygen, stated Andrew Strasser, a professor at University of Pennsylvania’s Perelman School of Medication and director of its Penn Tobacco Center of Regulatory Science.

That’s why cigarette smokers tend to develop shortness of breath and persistent obstructive pulmonary disease, he said.

“After years of smoking cigarettes you currently have damage. Now you’re presenting this whole additional challenge to your system with a viral [disease],” said Strasser.

Smoking cigarettes and vaping may likewise affect your immune system, Berman said.

And today, we desire our body’s defenses in peak condition.

“We’re handling this virus that is putting so much mayhem into the world that any little thing we can do to take control is what we should do,” he said. “And certainly doing anything to protect your lungs’ immune system must be quite high up there.

Fortunately, the experts stated: Quitting now can help.

First and foremost, stopping cigarette smoking and vaping avoids further damage. The harm done to the body can compound in time, so stopping at any time can have considerable benefits.

And while some damage will take a very long time to repair, if ever, other changes start to happen instantly, said Larider Ruffin, a nursing professor at Stockton University who teaches about smoking cigarettes and marijuana.

“It’s going to take some time for the lungs to completely repair, but if you are smoking today, I would inform you to stay away,” Ruffin stated. It’s not easy, and people who trying to break an addiction should contact their healthcare service provider, he said, however it will help both now and in the long run.

“Any little time it takes you that you are not [smoking], you are not vaping, that will include some levels of security,” he stated. “Bottom line is, attempt your best to stay away from smoking.”

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