https://erj.ersjournals.com/content/57/3/2002144
Knowing the industry is secretly pushing favorable coverage, I’m treating claims like this with more skepticism.
Speaking as a smoker, respiratory illness hitting us less is definitely not generally the case ;)
It's a very odd disease in terms of spread, there's super high variance in transmissibility.
I remember Dr. Dean Edell always yacking about this.
(antidotally--I have know smokers, who didn't eat much, never seemed to get sick. My best friend of twenty years never got sick. I used to say, you smoke 4-5 packs/day. I don't get it. I even had him go in to check his Coronary arteries because I just assumed the worse. His arteries were clean. He practiced calorie restriction, but not on purpose. He just didn't eat much. And yes--at that much tobacco, how do you eat? He made it to 65. He died do to smoking. His lungs finally gave up one night. Now--smokers who ate a lot seemed like they were always sick.)
With cigarettes, I don't think the worst aspect is nicotine but everything else like tar, burning material, etc.
Nicotine itself is pretty similar to caffeine.
This is quite an interesting rabbit hole to jump into.
https://www.google.com/search?q=pubmed+polonium+tobacco
One of the more interesting ones: “Waking a Sleeping Giant: The Tobacco Industry’s Response to the Polonium-210 Issue“
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2509609/
My hot take: Tobacco seems like the most important product to consume from “organic” growers.
And a lot of this is made worse by using mined phosphate fertilizers which are formed geologically such that transuranic daughter elements are concentrated into the phosphate. Tobacco itself also concentrates them.
It's just nicotine and food-grade VG/PG/flavor.
The "vaping lung" illnesses seemed to center around THC vape oil made from Vitamin E acetate which caused the damage. Not nicotine vapes.
This is in the case of smoking/nicotine, I am unsure about any ACE2 binding interaction with regards to Covid-19.
The most dangerous aspect of vaping IMO is the content of the metals used to make the heating coils. Currently I'm not aware of any sort of assurance that manufacturers can give as to where they source coil wire, and if you make your own coils you should do it with wire that you know is inert when heated, which isn't as easy as it sounds. Two materials used for coils, Nickel Chromium alloy and Titanium, are known to release toxic oxides when heated too much, but these aren't very popular, and 2 other alloys that are common, Kanthal A1 and stainless steel are inert when heated so long as they're made of what they're supposed to be made of and have no impurities.
And Pareto -ranked risk analysis should be the ONLY way to decide such things.
The societal veto is "Yeah, we want cars despite being highly Pareto-ranked for death!" in which case NOTHING with lower rank should be worried about or allowed to be regulated more than what is spent on that particular risk!