Researchers from AIIMS-Delhi have raised concerns about India’s strict ban on e-cigarettes, arguing that these devices could play a crucial role in helping smokers quit. Known as electronic nicotine delivery systems (ENDS), e-cigarettes are viewed by oncologists as potential cessation tools that should not be dismissed without careful consideration.
According to Dr. Abhishek Shankar and Dr. Vaibhav Sahni, who shared their views in JCO Global Oncology, e-cigarettes may offer a safer alternative for those struggling to give up traditional smoking. They caution that the existing ban could unintentionally encourage the use of unregulated products from illegal markets, heightening public health risks instead of reducing them.
The researchers compared India’s prohibition to the United Kingdom’s harm-reduction strategy. In the UK, regulated e-cigarette use is allowed and promoted as a less harmful option than smoking tobacco. This approach, the doctors argue, might be more effective in reducing smoking-related illnesses.
In India, however, the ban could have unintended consequences. Without legal access to safer alternatives, many smokers may turn to black-market products, which lack safety checks and quality controls. Punjab and Chandigarh, where tobacco use is already widespread, face particular challenges. High smoking rates in these regions underscore the need for accessible and effective cessation tools.
The researchers urge the government to adopt evidence-based policies guided by scientific research. They argue that public health laws should provide smokers with safe, legal choices rather than restricting them. Allowing regulated e-cigarette sales, they suggest, could reduce dependence on unsafe, illegal markets while supporting those who wish to quit.
While smoking remains a leading cause of serious health problems, research indicates that e-cigarettes pose fewer risks than traditional tobacco. Misconceptions equating the two, the doctors warn, may deprive smokers of a valuable tool for quitting. By clarifying these differences and expanding safe access, policymakers can help protect public health.
The AIIMS-Delhi researchers conclude that reconsidering India’s e-cigarette ban is essential. Drawing on international examples like the UK, they argue that sensible, evidence-driven policies could improve health outcomes. For smokers in Punjab, Chandigarh, and across the country, regulated access to e-cigarettes may provide a safer path away from tobacco addiction.
