Harvard Analysis: Cannabis Smoking Not Linked To Increased Risk of Emphysema, Other Tobacco-Related Harms

June 14, 2025
A person is using a lighter to start smoking a joint.

Cannabis smoking poses fewer pulmonary risks than tobacco smoking and it is not positively associated with the development of emphysema, according to Harvard Medical School researchers.

Participants who smoked tobacco exhibited greater damage to their hearts and lungs than did those who exclusively smoked marijuana. Specifically, tobacco smokers were far more likely to demonstrate moderate to severe coronary artery calcifications and suffer from emphysema. “The findings of our study collectively highlight the distinct patterns of pulmonary and cardiovascular manifestations associated with smoking and marijuana use,” the study’s authors concluded. “It appears that, in general, marijuana users do not appear to develop emphysema or pulmonary hyperinflation.”

Their conclusion is consistent with several other studies finding that cannabis smoke and tobacco smoke are not equally carcinogenic and that marijuana smoke exposure is not linked to higher risks of either COPD, emphysema, lung cancer, or other tobacco-related harms. Moreover, the use of vaporization technology, which heats herbal cannabis to a set temperature below the point of combustion, is associated with reduced exposure to toxic gasses and has been identified as a “safe and effective” cannabis delivery device in clinical trial settings.

Source


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