The chemical evidence
that IQOS emissions fit the definition of
both an aerosol and smoke, and that IQOS and potentially other heated
tobacco products (HTPs) pose some harmful health threats from the
range of compounds released even at somewhat lower concentrations
is reviewed. Further, we address the yields of harmful and potentially
harmful compounds (HPHCs), including polycyclic aromatic hydrocarbons
(PAHs), and the constituents of IQOS emission that are diagnostic
of pyrolysis to provide information on the temperatures reached in
IQOS tobacco sticks. The HPHCs present in IQOS emissions are the same
as in conventional cigarette smoke (CCs), analogous to emissions from
earlier generation of HTPs classed as smoke. However, Philip Morris
International (PMI) studies have to some degree underestimated IQOS
aerosol HPHC yields, which are a factor of between 3.2 and 3.6 higher
when expressed on a tobacco rather than an IQOS stick basis compared
to the reference 3R4F cigarette. Further, IQOS emissions contain carbon
particles, which fit definition of both aerosol and smoke. Continual
reheating of deposited tar in the IQOS device will occur with real-life
use, likely leading to generation of even higher concentrations of
HPHCs and particulate matter. Despite IQOS not exceeding 350 °C,
local hot spots could exist, causing formation of species (phenol/cresols,
PAHs). It is recommended that the impact of repeated use to determine
the levels of black carbon (insoluble organic matter) in the particulate
matter, and the extent to which compounds in IQOS emissions are formed
by pyrolysis need to be assessed rigorously. To address whether uneven
temperature profiles in heat sticks can lead to potential hot spots
that could, for example, lead to PAH formation, it is recommended
that pyrolysis studies on tobacco and other constituents of HTPs are
required in conjunction with more effort on heating tobacco blends
under controlled temperature/time conditions.