It is now widely suggested that people who are dependent on nicotine should switch from ordinary tobacco smoking to alternative products, which at least reduce the overall harm from smoking. A number of alternatives are now popular, including electronic cigarettes and heatsticks. In this work comparative analysis of the smoke/aerosol emission from 3R4F standard cigarettes and iQOS heatsticks was undertaken. For this, gas chromatography-mass spectrometry (GC-MS) analysis was applied, to measure the non-volatile compounds of smoke/aerosol emission from individual samples, with the specific aim to determine their content of nicotine and selected other main components. All measurement data were collected under the Health Canada Intense (HCI) puffing regime. The most relevant findings of the present investigation can be summarized as follows. First, the number of measured aerosol components in the iQOS samples, with respect to those of 3R4F samples, was significantly lower (notably 37 versus 12 components). Second, the analysis of the iQOS and 3R4F GC-MS chromatographic fingerprints indicated a non-nicotine global component reduction (number and areas excluding nicotine) of larger than 80% for the iQOS samples in comparison to 3R4F samples. Third, the nicotine content of the iQOS aerosol was less than half that contained in the 3R4F smoke. The results from the present investigation indicate that—except for nicotine—smokers are exposed to a largely reduced number and amount of non-volatile, non-nicotine components in the iQOS heatstick aerosol, in comparison to those in the 3R4F cigarette smoke.
Tobacco Advisory Group of the Royal College of Physicians (2007) Harm Reduction in Nicotine Addiction. Royal College of Physicians, London. http://hams.cc/tobacco1/tobacco.pdf
Royal College of Physicians (2016) Nicotine without Smoke: Tobacco Harm Reduction. London.
Rodu, B. and Godshall, W.T. (2006) Tobacco Harm Reduction: An Alternative Cessation Strategy for Inveterate Smokers. Harm Reduction Journal, 3, 37. https://doi.org/10.1186/1477-7517-3-37
Bates, C., Fagerstrom, K., Jarvis, M.J., Kunze, M., McNeill, A. and Ramstrom, L. (2003) European Union Policy on Smokeless Tobacco: A Statement in Favour of Evidence-Based Regulation for Public Health. Tobacco Control, 12, 360-367. https://doi.org/10.1136/tc.12.4.360
Rodu, B. and Nitzkin, J.L. (2010) Update on the Scientific Status of Tobacco Harm Reduction 2008-2010. American Association of Public Health Physicians. https://www.aaphp.org/special/joelstobac/2010/harmredcnupdatejuly2010.html/
Breland, A., Soule, E., Lopez, A., Ramoa, C., El-Hellani, A. and Eissenberg, T. (2017) Electronic Cigarettes: What Are They and What Do They Do? Annals of the New York Academy of Sciences, 1394, 5-30. https://doi.org/10.1111/nyas.12977
Lopez, A.A. and Eissenberg, T. (2015) Science and the Evolving Electronic Cigarette. Preventive Medicine, 80, 101-106. https://doi.org/10.1016/j.ypmed.2015.07.006
Logue, J.M., Sleiman, M., Montesinos, V.N., Russell, M.L., Litter, M.I., Benowitz, N.L., Gundel, L.A. and Destaillats, H. (2017) Emissions from Electronic Cigarettes: Assessing Vapers’ Intake of Toxic Compounds, Second-Hand Exposures, and the Associated Health Impacts. Environmental Science & Technology, 51, 9271-9279. https://doi.org/10.1021/acs.est.7b00710
Gallart-Mateu, D., Elbal, L., Armenta, S. and de la Guardia, M. (2016) Passive Exposure to Nicotine from E-Cigarettes. Talanta, 152, 329-334. https://doi.org/10.1016/j.talanta.2016.02.014
Glasser, A.M., Collins, L. and Pearson, J.L. (2017) Overview of Electronic Nicotine Delivery Systems: A Systematic Review. American Journal of Preventive Medicine, 52, e33-e66. https://doi.org/10.1016/j.amepre.2016.10.036
Zulkifli, A., Abidin, E.Z., Abidin, N.Z., Amer Nordin, A.S., Praveena, S.M., Syed Ismail, S.N., Rasdi, I., Karuppiah, K. and Rahman, A.A. (2018) Electronic Cigarettes: A Systematic Review of Available Studies on Health Risk Assessment. Reviews on Environmental Health, 33, 43-52. https://doi.org/10.1515/reveh-2015-0075
Schaller, J.P., Keller, D., Poget, L., Pratte, P., Kaelin, E., McHugh, D., Cudazzo, G., Smart, D., Tricker, A.R., Gautier, L., Yerly, M., Pires, R.R., Le Bouhellec, S., Ghosh, D., Hofer, I., Garcia, E., Vanscheeuwijck, P. and Maeder, S. (2016) Evaluation of the Tobacco Heating System 2.2. Part 2: Chemical Composition, Genotoxicity, Cytotoxicity, and Physical Properties of the Aerosol. Regulatory Toxicology and Pharmacology, 81, S27-S47. https://doi.org/10.1016/j.yrtph.2016.10.001
Schaller, J.P., Pijnenburg, J.P., Ajithkumar, A. and Tricker, .AR. (2016) Evaluation of the Tobacco Heating System 2.2. Part 3: Influence of the Tobacco Blend on the Formation of Harmful and Potentially Harmful Constituents of the Tobacco Heating System 2.2 Aerosol. Regulatory Toxicology and Pharmacology, 81, S48-S58. https://doi.org/10.1016/j.yrtph.2016.10.016
Jaccard, G., Tafin Djoko, D., Moennikes, O., Jeannet, C., Kondylis, A. and Belushkin, M. (2017) Comparative Assessment of HPHC Yields in the Tobacco Heating System THS 2.2 and Commercial Cigarettes. Regulatory Toxicology and Pharmacology, 90, 1-8. https://doi.org/10.1016/j.yrtph.2017.08.006
Pratte, P., Cosandey, S. and Goujon Ginglinger, C. (2017) Investigation of Solid Particles in the Mainstream Aerosol of the Tobacco Heating System THS 2.2 and Mainstream Smoke of a 3R4F Reference Cigarette. Human & Experimental Toxicology, 36, 1115-1120. https://doi.org/10.1177/0960327116681653
Nordlund, M. and Kuczaj, A.K. (2016) Modeling Aerosol Formation in an Electrically Heated Tobacco Product. International Journal of Chemical, Molecular, Nuclear, Materials and Metallurgical Engineering, 10, 326-338.
Poget, L., Campelos, P., Jeannet, C. and Maeder, S. (2017) Development of Models for the Estimation of Mouth Level Exposure to Aerosol Constituents from a Heat-Not-Burn Tobacco Product Using Mouthpiece Analysis. Beiträge zur Tabakforschung International, 27, 42-64. https://doi.org/10.1515/cttr-2017-0005
Bekki, K., Inaba, Y., Uchiyama, S. and Kunugita, N. (2017) Comparison of Chemicals in Mainstream Smoke in Heat-Not-Burn Tobacco and Combustion Cigarettes. Journal of UOEH, 39, 201-207. https://doi.org/10.7888/juoeh.39.201
Forster, M., Fiebelkorn, S., Yurteri, C., Mariner, D., Liu, C., Wright, C., McAdam, K., Murphy, J. and Proctor, C. (2018) Assessment of Novel Tobacco Heating Product THP1.0. Part 3: Comprehensive Chemical Characterisation of Harmful and Potentially Harmful Aerosol Emissions. Regulatory Toxicology and Pharmacology, 93, 14-33. https://doi.org/10.1016/j.yrtph.2017.10.006
Li, X., Luo, Y., Jiang, X., Zhang, H., Zhu, F., Hu, S., Hou, H., Hu, Q. and Pang, Y. (2019) Chemical Analysis and Simulated Pyrolysis of Tobacco Heating System 2.2 Compared to Conventional Cigarettes. Nicotine & Tobacco Research, 21, 111-118. https://doi.org/10.1093/ntr/nty005
Veronese, C., Ruprecht, A.A., de Marco, C., Ogliari, A.C., Allegri, F., Munarini, E., Angellotti, G., Mazza, R. and Boffi, R. (2017) Fumo di sigaretta, vapore di e-cig e “fumo freddo”: Un confronto tra le emissioni di sostanze nocive [Cigarette Smoke, E-Cig Vapor and “Heat-Not-Burn”: A Comparison between the Emissions of Toxic Compounds]. Tabaccologia, 1, 17-23. http://www.tabaccologia.it/filedirectory/PDF/1_2017/06-tabaccologia1_2017.pdf
Ruprecht, A.A., De Marco, C., Saffari, A., Pozzi, P., Mazza, R., Veronese, C., Angellotti, G., Munarini, E., Ogliari, A.C., Westerdahl, D., Hasheminassab, S., Shafer, M.M., Schauer, J.J., Repace, J., Sioutas, C. and Boffi, R. (2017) Environmental Pollution and Emission Factors of Electronic Cigarettes, Heat-Not-Burn Tobacco Products and Conventional Cigarettes. Aerosol Science and Technology, 51, 674-684. https://doi.org/10.1080/02786826.2017.1300231
Farsalinos, K.E., Yannovits, N., Sarri, T., Voudris, V. and Poulas, K. (2018) Nicotine Delivery to the Aerosol of a Heat-Not-Burn Tobacco Product: Comparison with a Tobacco Cigarette and E-Cigarettes. Nicotine & Tobacco Research, 18, 1004-1009. https://doi.org/10.1093/ntr/ntx138
Protano, C., Manigrasso, M., Avino, P., Sernia, S. and Vitali, M. (2016) Second-Hand Smoke Exposure Generated by New Electronic Devices (iQOS® and E-Cigs) and Traditional Cigarettes: Submicron Particle Behaviour in Human Respiratory System. Ann Ig, 28, 109-112.
Protano, C., Manigrasso, M., Avino, P. and Vitali, M. (2017) Second-Hand Smoke Generated by Combustion and Electronic Smoking Devices Used in Real Scenarios: Ultrafine Particle Pollution and Age-Related Dose Assessment. Environment International, 107, 190-195. https://doi.org/10.1016/j.envint.2017.07.014
Miyashita, L. and Grigg, J. (2018) Effect of the iQOS Electronic Cigarette Device on Susceptibility to S. pneumoniae Infection. Journal of Allergy and Clinical Immunology, 141, AB28. https://doi.org/10.1016/j.jaci.2017.12.090
Caputi, T.L., Leas, E., Dredze, M., Cohen, J.E. and Ayers, J.W. (2017) They’re Heating Up: Internet Search Query Trends Reveal Significant Public Interest in Heat-Not-Burn Tobacco Products. PLoS ONE, 12, e0185735. https://doi.org/10.1371/journal.pone.0185735
Kim, M. (2018) Philip Morris International Introduces New Heat-Not-Burn Product, iQOS, in South Korea. Tobacco Control, 27, e76-e78. https://doi.org/10.1136/tobaccocontrol-2017-053965
Caruso, M. and Polosa, R. (2017) Perplexing Conclusions Concerning Heat-Not-Burn Tobacco Cigarettes. JAMA Internal Medicine, 177, 1699. https://doi.org/10.1001/jamainternmed.2017.5843
Davis, B., Williams, M. and Talbot, P. (2019) iQOS: Evidence of Pyrolysis and Release of a Toxicant from Plastic. Tobacco Control, 28, 34-41.
ISO/TR 19478-2:2015(en). ISO and Health Canada Intense Smoking Parameters Part 2: Examination of Factors Contributing to Variability in the Routine Measurement of TPM, Water and NFDPM Smoke Yields of Cigarettes. https://www.iso.org/obp/ui/#iso:std:iso:tr:19478:-2:ed-1:v1:en
Rodgman, A. and Perfetti, T.A. (2009) The Chemical Components of Tobacco and Tobacco Smoke. CRC Press, Boca Raton.