Conditions,Oncology/Hematology,Pulmonology “Grasping the Effects of Three Eras of Nicotine Dependency”

“Grasping the Effects of Three Eras of Nicotine Dependency”

"Grasping the Effects of Three Eras of Nicotine Dependency"


**The Generational Cycle of Nicotine Dependence**

Outside a bustling pub on a chilly evening, amidst the laughter of friends, my friend’s words resonated with unexpected sorrow: “Almost everyone I know has either quit…” she hesitated, “…or passed away.” Her weary tone reflected years of struggles lost—not merely her own, but those of many who succumbed to the seemingly unbreakable hold of nicotine dependence.

What used to be a typical social interaction—a pack of cigarettes shared among peers—now seems like a distinct remnant of a perilous past, though not completely banished from existence. Indeed, the reaches of nicotine addiction appear to adapt and transform with each new generation. Although conventional smoking rates have declined in various regions due to years of advocacy and stringent laws, new avenues for nicotine use have emerged, posing a risk to the public health advancements achieved.

### A Personal Insight into the Legacy of Smoking

For those of us who came of age in the ’80s or earlier, smoking was as integral as the very air we inhaled. It wasn’t frowned upon—it was ubiquitous. My foray into smoking began, predictably, during my teenage years. Growing up in a household of smokers, surrounded by friends who indulged, I was immersed in a culture where second-hand smoke was a commonplace occurrence rather than a health threat.

However, smoking, as appealing as it seemed at the time, swiftly lost its charm. By the time I wrapped up university, I had successfully quit—not without its challenges. Reflecting on it now, what I had perceived as enjoyment was merely masking discomfort, a telltale sign of addiction.

Currently, my role at Heart & Stroke provides me access to a wealth of sobering insights about the effects of smoking, but my personal ties to this issue run deeper. My father, a firefighter who faced the dual threats of dangerous chemicals and years of smoking, lost his life at 61 due to lung cancer. He had stopped smoking in his 40s after heart disease began to take its toll, but the harm was already inflicted.

My mother’s story is equally distressing. A smoker for over six decades, she spent the last eight years of her 83 battling the gradual suffocation of chronic obstructive pulmonary disease (COPD), later exacerbated by lung cancer. Even amidst clear suffering, the grasp of addiction remained until her deteriorating health rendered smoking impossible.

The experiences of both my parents epitomized the prolonged devastation caused by tobacco—a legacy I fervently wished would end with their generation.

### Transitioning from One Addiction to Another: The Emergence of Vaping

By the time my own children entered their teenage years, a cultural transformation was unmistakably in motion. Smoking had been largely de-normalized due to public health initiatives, laws limiting smoking in public areas, and a rising stigma against cigarettes. For a brief moment, it appeared that a smoke-free generation was genuinely within reach.

However, just as hope began to solidify, the tobacco industry sought new pathways to perpetuate this cycle of dependence: vaping.

Marketed as a less hazardous alternative for adults or even as a means to quit, vaping products quickly infiltrated youth culture, bolstered by aggressive marketing strategies. Flavors like “cotton candy” and “mango peach” are clearly intentional; they serve as bait specifically crafted to attract a new cohort of users. For my son, now in his early 20s, vaping became a social norm during his adolescent years—stubbornly reminiscent of how smoking became a fixture in my own youth.

The statistics present a stark reality of how vaping fills the gap left by traditional cigarettes. **One in four Canadian students in grades 10-12 report regular vaping**, and research indicates that teens who vape are **four times more likely to transition to tobacco use later in life**.

This is no mere coincidence. It’s a calculated approach by Big Tobacco, which has shifted its focus from cigarettes to e-cigarettes, vaping products, and nicotine pouches with the same relentless pursuit of profit, disregarding the human impact.

### The Continual Tactics of Big Tobacco

Even as legal action against Big Tobacco reaches significant milestones—including the landmark $32.5 billion draft settlement in Canada—it feels insufficient given the scale of damage inflicted by these companies. Tobacco remains the **primary cause of preventable premature death in Canada**, claiming approximately **46,000 lives each year**.

What these legal actions have accomplished to some degree is public accountability, as provincial governments and class-action plaintiffs finally secure some financial reparation. Yet, the allocation of settlement funds reveals a concerning miscalculation: only a nominal portion—$1 billion—is earmarked for research into tobacco-related diseases. There is a glaring lack of emphasis on prevention initiatives or support for quitting, efforts that could effectively disrupt the ongoing cycle of nicotine dependence.

As governments and public health organizations balance policy implementation and health awareness initiatives, the tobacco industry continues to innovate and embed itself further into society.