1 00:00:07,133 --> 00:00:10,453 Speaker 1: You're listening to the Saturday Morning with Jack team podcast 2 00:00:10,613 --> 00:00:11,453 Speaker 1: from News Talks. 3 00:00:11,453 --> 00:00:14,213 Speaker 2: That'd be well, it's obviously when you think about it. 4 00:00:14,213 --> 00:00:16,413 Speaker 2: Really one of the big problems with vaping is that 5 00:00:16,453 --> 00:00:19,213 Speaker 2: we don't understand the long term effects because vaping is 6 00:00:19,253 --> 00:00:22,213 Speaker 2: so new relatively, But there are some new research out 7 00:00:22,213 --> 00:00:24,813 Speaker 2: of Oxford University that is shining a bit of light 8 00:00:25,013 --> 00:00:27,133 Speaker 2: on the effects of vaping. Doctor Brian Betty is here 9 00:00:27,133 --> 00:00:28,133 Speaker 2: to talk us through it this morning. 10 00:00:28,173 --> 00:00:30,933 Speaker 3: Kelder Brian oh Cilra Jack. Nice to be here. 11 00:00:31,013 --> 00:00:32,733 Speaker 2: Yeah, nice to be chatting with you. So what's the 12 00:00:32,773 --> 00:00:33,853 Speaker 2: big problem with vaping? 13 00:00:35,493 --> 00:00:38,213 Speaker 3: Look, yeah, so we need to talk about vaping again. 14 00:00:38,293 --> 00:00:40,653 Speaker 3: I know we've talked about it before, but you know, 15 00:00:40,693 --> 00:00:43,613 Speaker 3: we know that vaping was introduced as a quick quit 16 00:00:43,853 --> 00:00:48,213 Speaker 3: smoking tool. Now it's accepted that it's less harmful than smoking, 17 00:00:48,253 --> 00:00:51,133 Speaker 3: so we know that's the case, and it is very 18 00:00:51,293 --> 00:00:54,213 Speaker 3: very useful as a quit smoking tool that is substituting 19 00:00:54,213 --> 00:00:57,573 Speaker 3: for cigarettes when you want to give up. However, we've 20 00:00:57,613 --> 00:01:00,693 Speaker 3: got this growing problem in New Zealand with young people 21 00:01:00,733 --> 00:01:04,093 Speaker 3: type taking up vaping who otherwise not smoke, and this 22 00:01:04,133 --> 00:01:06,213 Speaker 3: is a critical issue. So they wouldn't be doing this, 23 00:01:06,413 --> 00:01:08,253 Speaker 3: but they're now vaping. So look, if you look at 24 00:01:08,253 --> 00:01:12,053 Speaker 3: the surveys, eighteen to twenty four year olds, about a 25 00:01:12,173 --> 00:01:15,453 Speaker 3: quarter of them are vaping daily, and in fact, fourteen 26 00:01:15,493 --> 00:01:19,173 Speaker 3: to eighteen year olds about ten percent of vaping daily. Now, 27 00:01:19,213 --> 00:01:23,133 Speaker 3: the problem with this, up until this point, we don't 28 00:01:23,173 --> 00:01:26,653 Speaker 3: know what the long term effects of vaping potentially are, 29 00:01:27,373 --> 00:01:29,053 Speaker 3: and that is a problem. 30 00:01:29,213 --> 00:01:32,493 Speaker 2: Yeah, I mean, it is obviously addictive, and I mean, 31 00:01:32,653 --> 00:01:35,013 Speaker 2: you know, I think probably all know people, but I 32 00:01:35,013 --> 00:01:36,693 Speaker 2: mean I've got a lot of people my age, a 33 00:01:36,733 --> 00:01:39,133 Speaker 2: lot of friends and stuff who just started vaping a 34 00:01:39,133 --> 00:01:41,973 Speaker 2: little bit and then have found themselves properly addicted. 35 00:01:42,493 --> 00:01:45,613 Speaker 3: Oh look, look this has really emerged as an issue. 36 00:01:45,773 --> 00:01:48,853 Speaker 3: And look, most of the apes have nicotine in them, 37 00:01:49,333 --> 00:01:52,533 Speaker 3: and nicotine is one of the most addictive substances we know. 38 00:01:52,773 --> 00:01:55,933 Speaker 3: So yeah, we've got this problem where people are vaping 39 00:01:55,933 --> 00:01:58,013 Speaker 3: and suddenly find they can't get off it. They want 40 00:01:58,053 --> 00:02:01,173 Speaker 3: to stop it, but they can't. It's really really powerful, 41 00:02:01,853 --> 00:02:05,453 Speaker 3: and this is this growing issue that we've got. Now 42 00:02:05,453 --> 00:02:09,093 Speaker 3: we know that nict does cause addiction, but nickneen has 43 00:02:09,133 --> 00:02:13,053 Speaker 3: some harms. So in particular, there's concerns over brain development 44 00:02:13,093 --> 00:02:17,533 Speaker 3: and adolescents. It can affect that maybe increased anxiety, raised 45 00:02:17,573 --> 00:02:22,173 Speaker 3: blood pressure, and increases the heart rate. Now, the vapes themselves, 46 00:02:22,213 --> 00:02:24,373 Speaker 3: if you think about it, if you're on a daily basis, 47 00:02:24,453 --> 00:02:28,693 Speaker 3: putting moist are with chemicals into your lungs that is 48 00:02:29,373 --> 00:02:32,013 Speaker 3: intuitively has an effect. So we do know it can 49 00:02:32,013 --> 00:02:34,853 Speaker 3: cause cough. And there actually have been some concerns over 50 00:02:34,893 --> 00:02:38,853 Speaker 3: increased collapsed lungs from vaping, so that young adolescents said 51 00:02:38,853 --> 00:02:40,853 Speaker 3: that their lungs can collapse. So there has been some 52 00:02:40,893 --> 00:02:44,053 Speaker 3: stuff around about this, but no long term evidence is 53 00:02:44,053 --> 00:02:45,573 Speaker 3: to the harm it up until this point. 54 00:02:45,693 --> 00:02:45,853 Speaker 1: Yeah. 55 00:02:45,933 --> 00:02:48,293 Speaker 2: Yeah, So we've got this new study from Oxford University 56 00:02:48,413 --> 00:02:49,733 Speaker 2: shedding a bit more light on vaping. 57 00:02:50,333 --> 00:02:52,293 Speaker 3: Yeah. So, look, this is the first one and this 58 00:02:52,453 --> 00:02:54,933 Speaker 3: is really really important and it's out of Oxford, so 59 00:02:55,333 --> 00:02:59,693 Speaker 3: it's very reputable, and its first time that's identified long 60 00:02:59,773 --> 00:03:03,253 Speaker 3: term harm from vaping alone. So look at followed up 61 00:03:03,253 --> 00:03:06,733 Speaker 3: two hundred and fifty thousand patients who vape or people eate, 62 00:03:07,373 --> 00:03:09,933 Speaker 3: and it followed them up over four years and said, 63 00:03:09,973 --> 00:03:12,293 Speaker 3: well what happens if you vape over that period of time. 64 00:03:12,893 --> 00:03:15,173 Speaker 3: And look, the major finding was this that you were 65 00:03:15,253 --> 00:03:19,653 Speaker 3: two point twenty nine times more likely to start to 66 00:03:19,693 --> 00:03:22,853 Speaker 3: develop chronic obstructive airways disease. Now, this is what we 67 00:03:23,053 --> 00:03:28,853 Speaker 3: call inmphysema, colloquially called entphysema. So this is really really serious. 68 00:03:28,973 --> 00:03:31,053 Speaker 3: So this is where the lungs start to what we 69 00:03:31,133 --> 00:03:34,653 Speaker 3: call fibros, They start to stiffen. There's lots of mucus 70 00:03:34,693 --> 00:03:38,773 Speaker 3: produced to get recurrent infections and over time reduced ability 71 00:03:38,773 --> 00:03:42,213 Speaker 3: to get oxygen into the bloodstream and it causes permanent 72 00:03:42,253 --> 00:03:45,533 Speaker 3: damage to the lungs. So two point twenty nine times 73 00:03:45,573 --> 00:03:47,933 Speaker 3: more likely to develop that. Now the other thing, in 74 00:03:48,013 --> 00:03:50,173 Speaker 3: thirty to seventy year olds, you were one point thirty 75 00:03:50,213 --> 00:03:53,613 Speaker 3: nine times more likely to develop high blood pressure. So 76 00:03:53,733 --> 00:03:56,653 Speaker 3: again this is a critical issue. And it was the 77 00:03:56,733 --> 00:04:01,333 Speaker 3: first time that long term harm outside of the short 78 00:04:01,413 --> 00:04:04,893 Speaker 3: term effects had really been identified. So this is very 79 00:04:05,133 --> 00:04:05,973 Speaker 3: very significant. 80 00:04:06,373 --> 00:04:07,533 Speaker 2: There are the implications. 81 00:04:08,653 --> 00:04:11,133 Speaker 3: Well, look, I think the main thing here is it's 82 00:04:11,653 --> 00:04:16,093 Speaker 3: really really an issue for the younger cohort of people 83 00:04:16,453 --> 00:04:20,613 Speaker 3: or patients who are taking up vaping, especially in that 84 00:04:20,613 --> 00:04:23,013 Speaker 3: that adolescent age group, and are getting addicted to it 85 00:04:23,053 --> 00:04:25,773 Speaker 3: and can't get off it because this emerging issue is 86 00:04:25,773 --> 00:04:29,693 Speaker 3: saying well, look there's potentially long term harm here. It's 87 00:04:30,013 --> 00:04:34,213 Speaker 3: not a benign thing. So absolutely for smoking sensation, no 88 00:04:34,293 --> 00:04:37,173 Speaker 3: problem with that. But you know the fact that you 89 00:04:37,213 --> 00:04:40,733 Speaker 3: wouldn't have otherwise smoked that there's an emerging issue. So 90 00:04:40,893 --> 00:04:43,253 Speaker 3: I think we still need to think very hard about 91 00:04:43,333 --> 00:04:45,573 Speaker 3: vaping and the access to vaping. We know it's been 92 00:04:45,893 --> 00:04:49,333 Speaker 3: you know, shops can't sell it under eighteen's but there's 93 00:04:49,373 --> 00:04:52,213 Speaker 3: now thousands of apes shops around New Zealand and it's 94 00:04:52,253 --> 00:04:55,293 Speaker 3: really interesting. I mean Australia have made vaping just recently 95 00:04:55,373 --> 00:04:58,813 Speaker 3: or last year, they've made it script only. You have 96 00:04:58,813 --> 00:05:00,773 Speaker 3: to get a script off your doctor to get a vape. 97 00:05:01,333 --> 00:05:04,533 Speaker 3: I personally think we should be moving into a space 98 00:05:04,653 --> 00:05:07,413 Speaker 3: where vaping is available in pharmas he's only, so you 99 00:05:07,453 --> 00:05:09,533 Speaker 3: can buy it across the counter and pharmacy and you 100 00:05:09,533 --> 00:05:11,653 Speaker 3: can get some education about vapes at that point and 101 00:05:12,133 --> 00:05:15,453 Speaker 3: take that middle sort of approach. I do seriously think 102 00:05:15,453 --> 00:05:17,893 Speaker 3: we need to do something or think harder about the 103 00:05:17,893 --> 00:05:19,013 Speaker 3: whole vaping situation. 104 00:05:19,493 --> 00:05:22,293 Speaker 2: Yeah, it's such a tricky one, isn't it, Because in 105 00:05:22,333 --> 00:05:24,853 Speaker 2: a way that the horse has kind of bolted and 106 00:05:24,893 --> 00:05:26,573 Speaker 2: that you have all of these people who are now 107 00:05:26,973 --> 00:05:29,813 Speaker 2: addicted to vaping who might not otherwise have been smoking 108 00:05:30,013 --> 00:05:33,173 Speaker 2: or vaping at all, you know, and then you know, 109 00:05:33,253 --> 00:05:36,293 Speaker 2: if you if you're making life more difficult for them 110 00:05:36,333 --> 00:05:38,973 Speaker 2: to get vapes, then that could have its own issues. 111 00:05:38,973 --> 00:05:40,213 Speaker 2: But then it's yeah, it's. 112 00:05:41,013 --> 00:05:42,933 Speaker 3: A complete two edged sword. And I look, I agree 113 00:05:42,933 --> 00:05:44,773 Speaker 3: with your comment. I think in many ways a horse 114 00:05:44,813 --> 00:05:48,213 Speaker 3: has bolted bolted in New Zealand and it's under unintended 115 00:05:48,293 --> 00:05:51,733 Speaker 3: consequence of something that was thought to be positive at 116 00:05:51,733 --> 00:05:52,173 Speaker 3: the start. 117 00:05:52,333 --> 00:05:55,053 Speaker 2: So I mean it is it is definitely better than smoking, 118 00:05:55,133 --> 00:05:56,013 Speaker 2: right like, yeah. 119 00:05:56,253 --> 00:05:59,413 Speaker 3: No, no, no doubt about it one. And as a 120 00:05:59,493 --> 00:06:02,813 Speaker 3: quit smoking tool, which is what it was was promoted for, 121 00:06:03,573 --> 00:06:05,453 Speaker 3: I don't have any problems with that, and I recommend 122 00:06:05,453 --> 00:06:08,093 Speaker 3: my patients switched to vaping, you know, the drop of 123 00:06:08,093 --> 00:06:08,453 Speaker 3: the hat. 124 00:06:08,613 --> 00:06:09,853 Speaker 2: But it's not going to be least. 125 00:06:10,173 --> 00:06:12,453 Speaker 3: But it's not harmless, it's not benign, and that's the 126 00:06:12,533 --> 00:06:16,373 Speaker 3: critical thing. And the fact these younger kids have taking it, 127 00:06:16,613 --> 00:06:20,013 Speaker 3: taking it up is the issue because they otherwise wouldn't 128 00:06:20,013 --> 00:06:20,413 Speaker 3: have smoked. 129 00:06:20,693 --> 00:06:22,933 Speaker 2: Yeah, hey, thanks so much, Brian, I appreciate it. 130 00:06:23,013 --> 00:06:23,533 Speaker 3: Good as God. 131 00:06:24,413 --> 00:06:27,493 Speaker 1: For more from Saturday Morning with Jack Tame, listen live 132 00:06:27,573 --> 00:06:30,773 Speaker 1: to News Talks' b from nine Am, saturday or follow 133 00:06:30,813 --> 00:06:32,373 Speaker 1: the podcast On, iHeartRadio