Its the middle of New York Fashion Week and the stylish crowd of celebs, designers and wannabes are filing into the front row. As the models sashay down the runway, a puff of what looks like white smoke rises from the crowd, but no one seems to mind.

Its not a carcinogen cloud, but vapor from Njoy, an electronic-cigarette brand that looks just like the real thing.

The e-cigs were a popular freebie at this months style summit, with fashionistas stuffing packs of the reusable, smokeless products into their Fendi bags, allowing them to get their nicotine fix anywhere, smoking bans be damned.

It was great because you are in a space where you would be obnoxious to smoke or you wouldnt be allowed to, says stylist Kathleen Clements, a 32-year-old social smoker from Williamsburg. Youve been drinking, youve been working really hard. What pairs really well with that is a cigarette in your hand.

But just as e-cigs are catching on citywide with new specialty shops opening on the Lower East Side and in Williamsburg theyre facing a big backlash among public health advocates. Should the devices be treated like real cigarettes or viewed as a socially acceptable alternative for those looking to kick the habit?

Instead of burning tobacco, e-cigs use battery power to heat up an oil containing nicotine and often a flavor, from menthol to pineapple. The resulting puff is as harmless as flavored water at least according to proponents. Users dont call it smoking because there is no smoke; they vape it.

Whether e-cigs pose any major health risks is still unclear: Some studies say the nicotine isnt particularly harmful to the user; some health officials say more research needs to be done to find out what exactly is in the oil, and what is being inhaled.

And the rules and etiquette about where and when to use them are equally murky.

The City Council is considering legislation that would ban flavored-nicotine products what vapers call a backdoor ban on e-cigs, since flavors can be part of their appeal. It could also prohibit the display of e-cigs in retail shops, and could limit some brands to tobacco bars.

A City Council staffer who declined to be named said the bills didnt directly target e-cigarette users, who attended public hearings earlier this year to voice their concerns. (The council is considering that input before bringing the bill back for discussion in the next few months.)

Meanwhile, New Jersey already bans the use of e-cigarettes in indoor public spaces throughout the state, and other cities around the country are considering doing the same.

Its a ploy. [The tobacco companies] know what theyre doing, says New Jersey state Sen. Joseph Vitale (D-Middlesex), one of the sponsors of the 2009 bill to ban indoor e-cigarette use in a bid to keep kids from taking up the habit.

Its addictive still, its harmful still. And were trying to not create another generation of addicted smokers.

The market currently is unregulated, but the US Food and Drug Administration is expected to finally issue rules next month that could affect how the devices are sold and how theyre advertised.

Metro-North and the Long Island Rail Road have both banned e-cigarettes on trains and platforms. (An LIRR spokesman says chewing tobacco is permitted, while spitting is not.) The Metropolitan Transportation Authority hasnt issued an official ban for subways yet, but use of the devices there is discouraged. And while a Transportation Security Administration spokesman says you can bring e-cigs through airport security, many airlines have enacted bans on using them in planes.

Meanwhile, across the city, restaurant and bar owners are scratching their heads with some spots encouraging their use, and others, such as Williamsburgs Brooklyn Bowl, outright banning them. (A Brooklyn Bowl bouncer says its too hard to tell the difference between nicotine vapor and whats produced by hand-held marijuana vaporizers, which are illegal to use.)
But ex-cigarette smokers who now vape say such bans are as good as handing them back their pack of Camels. Cut down on e-cig use indoors, they say, and youll just go back to encouraging smokers to form that annoying gauntlet of carcinogens that blocks the entrance to every bar and club in the city.

The more you restrict this product from being used, the less smokers will find out about it, the more barriers to [vaping] there are, says Russ Wishtart, 36, who smoked for about 20 years before switching to e-cigs three years ago.

Another vaper, Antoinette Lanza, 33, of Hoboken, says she worries about falling back into her old pack-a-day habit if shes forced to share the same sidewalk space with smokers: When everyone is smoking, you almost want to pick up a cigarette again. All it provides is temptation. It really shows that were going away from the cigarettes and to a better alternative.

So far, early research supports this.

According to a study released this summer by the School of Public Health at Drexel University, By the standards of occupational hygiene, current data do not indicate that exposures to vapers from contaminants in electronic cigarettes warrant a concern. Still, researchers did note more study was needed to look at long-term secondhand effects.

And while the nicotine in e-cigarettes is addictive, it doesnt contain harmful additives such as cyanide and formaldehyde found in regular cigarettes.

[Nicotine is] not harmful in and of itself, says Patricia Folan, director of the Center for Tobacco Control at the North Shore-LIJ Health System in Great Neck, LI. Except that its the chemical that keeps people addicted to smoking. Its not the one that causes all the heart disease.

Vapor can, however, contain a scent, so a room full of e-cig users can smell like vanilla, blueberry or mango. It stays on your skin a bit if youre in a vape-heavy setting, and can tickle your throat a bit, too (at least it did for this reporter).

But vapers, such as Spike Babaian, who opened Vape NY, Manhattans first e-cig store, on Rivington Street this summer, say the scent is comparable to any other urban odor.

The lady that sits next to me on the subway is wearing perfume that smells like lavender, and I hate the smell of lavender, she says.

The American Cancer Society calls the spread of e-cig use intriguing, but isnt quite ready to endorse its use until the FDA weighs in.

Were certainly keeping our eyes on it, says Thomas Glynn, director of international cancer control for the American Cancer Society. Wed welcome anything that would continue to help people stop smoking.

Thats a sentiment shared by some local business owners, who view vapers as preferable to traditional tobacco smokers.

You want to yell at them, but then you realize what it is, says Aaron Allietta, manager of the bar and restaurant inoteca on Rivington Street. If you have an e-cig, we have no problem with that.

Employees at two nearby spots, Spitzers Corner and the Cake Shop, both said they allow customers to vape indoors, as did a bouncer at Union Hall in Park Slope.

But detractors say that after decades of forcing nicotine users into the margins of society, e-cigs could welcome them back to the dinner table.

Weve kind of denormalized smoking, says Folan, citing measures such as high tobacco taxes and bans in NYC parks.

Its pushed people who are smokers to actually quit or think about it, at least. It may make it seem normal again if we see all these people using [e-cigs] indoors.

For the first time in decades, ads in print and TV (featuring celebs such as Stephen Dorff and Jenny McCarthy) hawk nicotine via e-cigs in a way not seen since tobacco companies tried to make cigarettes look stylish in the 1960s.

Shops offer a wide selection from the cig-a-like kinds that you can find at bodegas citywide, to more complicated digital vaporizers.

Users are also known to bling out their devices with interchangeable plastic tips or jewels.

And nicotine refills are available in flavors such as watermelon candy, root beer and juicy fruit.

That has some parents concerned that kids will be sucked into the allure of the new trend. A Centers for Disease Control and Prevention study released earlier this month found that the percentage of high-school and middle-school students who have tried an e-cig more than doubled in the past two years. Some of them had never tried a traditional cigarette.

Many local shop owners say they self-regulate and wont sell to minors, but since the FDA has yet to weigh in, anyone can buy them online or elsewhere.
Talk to e-cig users, and theyll almost universally praise how switching to the devices helped them quit puffing all the carcinogens and tar in regular cigarettes.

But quitting seems like a stretch for a habit that still has them sucking in nicotine often more frequently than they would walking outside to have a cigarette. Are they kidding themselves?

I say its a bad move because theyre going to get the same physiologic pattern that tobacco cigarette smoking is giving them, says Dr. Len Horovitz, an internist and pulmonary specialist at Lenox Hill Hospital, referring to the resulting nicotine spike in the bloodstream.

It may not be as dangerous as smoking, but that doesnt mean its without danger.

Article Credit: www.nypost.com