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Diverse smoking of cigarettes in the U.S. is actually a 20th century phenomenon. As we became aware of associated disease proliferation, consumption peaked at just over 4.3 thousands cigarettes per person in 1965 before declining.

Cigarette, meaning small cigar, is of French derivation. While cigars are typically composed entirely of whole-leaf tobacco, cigarettes are blends of cuts from multiple tobacco varieties. Tobacco is a very chemically rich plant. Moreover, local cultivation practices as well fermentation of cigar tobacco leaves contribute to the chemical potency of individual brands. As such, there are an estimated 4,000-plus chemicals generated by combustion of cigars and cigarettes, with numerous recognized adverse health effects.

Cigarettes are made from processed, blended-leaf tobacco wrapped in paper. In cigarettes, the tobacco is air cured to avoid production of some nitrogen-based carcinogens that are precipitated by fermentation. However, reconstituted tobacco (processed stems, tobacco dust, and chemical additives) is added to the majority of cigarettes manufactured, causing the nicotine to be more volatile and thereby respirable as the cigarette burns. Nearly 600 chemical additives have been approved by the FDA for use in cigarettes, leveling the ugly-chemical playing field when compared to the fermented leaf products.

Electronic smoking devices shaped as cigars, cigarettes or pipes are battery powered accessories that deliver vaporized nicotine and non-nicotine flavor/scent agents via solution containing cartridges. They are alternatives to traditional smoked tobacco products such as cigars, cigarettes and pipes. Along with the nicotine delivery, the vapor also provides flavor (as desired) and physical sensation similar to that of inhaling tobacco, while no smoke (combustion) is actually created. Most electronic cigarettes are reusable devices with replaceable and refillable parts. However, a number of disposable electronic cigarettes have also been developed.

In automatic models, when a user inhales through the device, air flow is detected by a sensor, which activates a heating element to vaporize the solution stored in the mouthpiece. On manual models, the user must depress a button to activate the heating element. On most models an LED light at the distal end of the device turns on during inhalation, serving as an indicator of use and, if red, simulating the lit tip of the cigarette.

Proponents of e-smoking devices note that smoking tobacco in cigars, cigarettes and pipes exposes the participant to approximately 4,000 chemicals; use of e-smoking accessories markedly lessens that exposure. However, electronic smoking is not a chemical exposure-free activity.

For persons who are not ready to give up the experience and social aspects of smoking and to those for whom traditional smoking cessation products have not worked, these electronic devices are very valuable for "healthier smoking". Additionally, for those potentially exposed to your side stream smoke, these accessories are significantly less toxic polluters.

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