What We Know About Electronic Cigarettes

Vape aerosols are not just harmless water vapors that are inhaled and exhaled (as marketed). Vape aerosol exposure is unsafe and contains chemicals, metals (i.e., lead, nickel), and other particles that can interfere with lung development and health. Vape aerosols may also increase the risk of heart disease, lung cancer, and asthma complications. E-cigarettes are harmful for youth, young adults, and pregnant women. The nicotine in e-cigarettes is harmful for developing babies, and can lead to addiction and harm brain development in children and young adults into their early 20s. Although there is still much to learn about e-cigarettes, the evidence is clear that the harmful health effects of using e-cigarettes means teens and young adults should not use them.

Children 13–15-years old are using e-cigarettes at rates higher than adults in all WHO regions. In Canada, the rates of e-cigarette use among 16–19-year-olds has doubled between 2017–2022, and in England (the United Kingdom) the number of young users has tripled in the past three years. There’s no evidence so far that vaping causes harm to other people around you. If you suspect you have experienced a health-related side effect from using your e-cigarette or would like to report a product defect, report these via the Yellow Card Scheme.

However, study authors themselves caution that leaving both mint and menthol on the market undermines the purpose of removing flavors — which is to prevent kids from using e-cigarettes at all. Consumers need to consistently know what they are getting and whether it is safe — particularly from a product designed to deliver chemicals by frequent inhalation. The growing evidence of potential health risks and lung injuries related to e-cigarette use has led researchers to question whether e-cigarettes are safer than combustible cigarettes. All tobacco products, including e-cigarettes, pose a risk to the health of the user.

A US National Youth Tobacco Survey in 2023 found that 10 percent of high school students currently used e-cigarettes, with nearly 40 percent of those reporting vaping on at least 20 days in the previous month. Ninety percent of e-cigarette users said they used flavored products. There are currently more than 7,000 varieties of flavored e-cigarettes and e-juice (liquid containing nicotine that is used in refillable devices) on the market. Although the popularity and use of e-cigarettes continues to increase, there is a lack of data on their potential health effects. Food and Drug Administration (FDA) has issued a proposed rule to include e-cigarettes under its authority to regulate certain tobacco and nicotine-containing products. E-cigarettes have a battery-operated component that heats liquid containing nicotine, flavorings, and other chemicals.

For one, our protocol for the study was developed during the COVID-19 pandemic. With the health and safety of our team in mind, we avoided in-person interactions. This means that we did not receive the package of flavored e-cigarettes from a delivery person. A comprehensive evaluation of SB 793 compliance among brands and vendors that sell their products online in California would help determine the extent to which flavored e-cigarettes are still available. This research would provide data on retailer awareness of the new legislation and would show whether they understand the potential consequences for being in violation of the new law. E-cigarette use among adolescents is a public health concern, particularly since these products have a special appeal to young people.

But if a project is particularly stressful (or just slightly vexatious, any excuse will do), my sleek little e-cig is just sitting in my bag at my feet. Like a never-ending pipe, you don’t know when you’ve had enough, when you’ve had a cigarette’s worth of nicotine. One quick puff to slay your stress can turn into one puff every few minutes, then whenever I get the slightest urge. While saturated fat and alcohol still have their supporters, nobody is rushing to cigarettes’ defense.

“EVP use is not a safer alternative to smoking but may have contributed to the decline in regular tobacco product use. EVP use also raises concerns about new health risks, including nicotine addiction.” Electronic vapor products (EVPs), also known as e-cigarettes or vaping devices, have an allure because of their marketed image as a safer alternative to traditional cigarette smoking and for their variety of appealing flavors. Preventing youth use of e-cigarettes and other vaping devices will require community-based efforts to monitor the activities of youth and decrease youth access to devices, e-liquids, and other illicit substances.

The age-standardized prevalence of current e-cigarette use among individuals who reported never using combustible cigarettes was 2.9% (95% CI, 2.8%-3.1%). The prevalence was higher among individuals who reported former combustible cigarette use, at 17.2% (95% CI, 16.5%-18.0%), and current combustible cigarette use, at 17.9% (95% CI, 17.1%-18.7%). The age-standardized prevalence of daily e-cigarette use by smoking status showed similar patterns (Table 2). In a recent study, about 18% of people who switched to vaping had been able to quit smoking. That’s about twice as many people as those who used other methods to quit smoking. Of people who used other methods, 91% kicked nicotine products altogether.

Among people who were hospitalized with severe EVALI, most were younger than 35 and used THC-containing vapes from informal sources (online, family or friends). However, EVALI can happen in anyone using either nicotine or THC-containing vapes. The particles you inhale while vaping can cause inflammation (swelling) and irritation in your lungs. This can lead to lung damage like scarring and narrowing of the tubes that bring air in and out of your lungs. Researchers don’t yet know all the effects vaping can have on your body. Nicotine exposure in pregnant women can adversely affect the development of the fetus.

There is little research on the safety of vaping in pregnancy, but it’s likely to be substantially less harmful for you and your baby than smoking. Unlike cigarettes, vapes do not produce carbon monoxide, which is very harmful to a developing baby in the womb. Making small changes to your vape products or how you vape should help.

Using e-cigarettes, or “vaping,” are terms used synonymously to refer to the use of a wide variety of electronic, battery-operated devices that aerosolize, but do not burn, liquids to release nicotine and other substances. Nicotine-containing e-cigarettes are regulated as “tobacco products” by the FDA because the nicotine is derived from the tobacco plant. E-cigarettes pose a threat to the health of users and the harms are becoming increasingly apparent. In the past few years, the use of these products has increased at an alarming rate among young people in significant part because the newest, re-engineered generation of e-cigarettes more effectively delivers large amounts of nicotine to the brain. Many e-cigarettes sold in the U.S. contain far more nicotine than e-cigarettes sold elsewhere, which increases the risk of addiction and harm to the developing brains of youth and young adults. Marketing tactics targeting young people have contributed to the rapid increase in use.

However, increased ROS production was registered in H292 cells [88]. Nicotine poisoning can occur when someone ingests, inhales, or absorbs nicotine through the skin or eyes. It can be particularly dangerous for children and young adults, as they are more susceptible to the effects of nicotine. JUUL is designed for adult smokers, and our platform is designed to prevent unauthorized users from accessing our products. All condensates used in this study were generated from two batches of ECL. GC-FID data (table 1A) suggested actual nicotine content of ECL was 31.0 mg/mL and 30.7 mg/mL for batch 1 and 2 respectively.

Always be considerate when vaping around anyone else, especially people with health conditions like asthma or other respiratory conditions, or people who do not like vaping. But as a precaution, it is best not to vape around babies and children if you can avoid it. Remember, if you have stopped smoking completely you have already achieved a huge step in protecting your health, so don’t worry if it takes you a while to stop vaping. Once you have been vaping for a while and feel sure you will not go back to smoking, you should aim to quit vaping too. Whichever vape you choose, make sure you use it daily to help you make the switch from cigarettes. A vape bar, pod device or vape pen are good choices, as they are discreet, make small clouds and can give high amounts of nicotine.

The 966 respondents who had never vaped more often believed that e-cigarette waste was dangerous to throw in trash compared to the 1,083 respondents who had vaped at least once (81.4% vs. 71%). Fewer of those who had vaped at least once (79.3%) believed that e-cigarettes contained toxic substances compared to those who had never vaped (89.6%). And the burden is 100% on the company, by law, to demonstrate that the marketing of their product is appropriate for the protection of the public health. In response to the burgeoning e-cigarette market and concern over youth using the products, the FDA in 2020 ordered most flavored vape pods off the market.

Starting in 2016, the agency was able to begin regulating e-cigarettes—this time as tobacco products. Under those regulations, companies must submit an application to FDA to keep selling existing e-cigarette products or to sell new products. The FDA’s recent ruling on Juul is only the latest in a heated public health debate about e-cigarettes, including whether or not they help smokers quit and what risks they pose to youth. It shall be unlawful to sell, distribute or offer tobacco products or electronic cigarettes by any means other than vendor assisted sales where the customer has no access to the product except through the assistance of the seller.

However, your local Stop Smoking Service may offer a free vaping starter pack. Almost two-thirds of people who use a vape along with support from a local Stop Smoking Service successfully quit smoking. Vaping has not been around for long enough to know the risks of long-term use. While vaping is substantially less harmful than smoking, it is unlikely to be totally harmless.

They are often called e-cigs, e-hookahs, vapes, vape pens, tank systems, or mods. They come in many different shapes and sizes—some look like a regular cigarette, some look very different. Approximately 31% of youth adults ages report having used an e-cigarette at least once in their life.

Before and after the passage of SB 793, our researchers – all posing online as minors under the age of 21 – attempted to buy flavored e-cigarette products from 26 websites that sold them in California. Despite the known risks, vaping has seen a dramatic increase among U.S. adolescents. Researchers from Florida Atlantic University’s Schmidt College of Medicine conducted a study using data from the Youth Risk Behavior Survey which included participants from ninth to 12th grade. E-cigarettes are electronic devices that heat a liquid and produce an aerosol or mix of small particles in the air. Here are facts about vaping that you should consider before taking it up. The measure, Senate Bill 89, is sponsored by Senate President Gary Stevens, R-Kodiak.

Even if you don’t think your kids vape, talk about it with them anyway so they know it’s unhealthy. Vaping is the inhaling of an aerosol (mist) created by an electronic cigarette (e-cigarette). To inform this work and evaluate the effectiveness of policy, the CDC Foundation is collecting and analyzing information about e-cigarette sales, teen e-cigarette use, and teens’ attitudes about the epidemic. Children are exposed to e-cigarette advertising online and on TV, in magazines and billboards. Although it is illegal for e-cigarettes to be sold to youth under age 21, they can be ordered online. Drop the Vape also directs users to the New York State Quitline for free and confidential quit-coaching via telephone, internet, and text, and free starter kits of nicotine replacement therapy (NRT) for eligible New Yorkers.

The review process is called “premarket evaluation.” A federal judge ordered the FDA to complete its process by September 2021. On the deadline last year, the FDA said it had ruled on 93% of the products, but needed more time to decide on Juul and other major applicants. In October 2021, the first product to receive an “okay” from the FDA was R.J. Reynolds’ Vuse Solo refillable device and corresponding tobacco-flavored pods.

Vaping is not completely risk-free, but it poses a small fraction of the risk of smoking cigarettes. Keep all vaping supplies and refill materials in child-resistant packaging out of the reach of children. E-cigarettes can be especially harmful for young people because nicotine affects them in different ways than adults. E-cigarettes come in many shapes and sizes and can also be called e-cigs, e-hookahs, vapes, vape pens lost vape disposable, personal diffusers or diffuser sticks. The best way to protect your children is to never smoke or vape near them.

(Duh.) Vaping also seems to trigger potentially harmful immune responses in the lungs. Food and Drug Administration (FDA) issued warning letters over the sale of illegal vapes in the U.S. The products were singled out by the agency as being especially appealing to teens in the U.S. FDA has only approved 23 disposable e-cigarettes for the U.S. market, banning those the agency finds too appealing to teen users. The ban was motivated, in large part, by a desire to reduce to reduce consumption of tobacco among young people – who are particularly attracted to the flavors in e-cigarettes, such as mango and creme.

The risk is greater from illegally manufactured or modified vape products, which are more common in states where marijuana remains illegal. However, even with legal products, vaping THC oil just one time can significantly harm your lungs. The risk of damage increases significantly if your vape product contains a chemical called vitamin E acetate. In 2019, an outbreak of severe lung disease from vaping was largely blamed on this vitamin. The results of this small study do not prove that vaping causes toxic metal accumulation in the body, but previous analyses have consistently found signs of toxic metals in e-cigarette aerosol samples and in the bodily fluid of vapers.

The model includes ten components of school health that interact to address a child’s physical, social, and emotional development. Addressing multiple components of the WSCC model will improve collaboration between school and community leaders to address the underlying reasons and improve student health and learning. The Tobacco and Related Products Regulations 2016 do not cover nicotine-containing products that are authorised as medicines.

The lawsuits claim the company marketed nicotine products to minors and Juul devices led to serious health problems. Lawyers expect people to file more Juul lawsuits in the litigation as time passes. The trendy e-cigs appeal to young adults and teens who often don’t realize Juul products are e-cigarettes or contain nicotine. Public health researchers have found teens using the term “juuling” instead of “vaping” to distinguish Juul from other e-cigs even though the two activities are the same. E-cigarettes deliver a liquid to users as a vapor instead of a harsher smoke.

Principal investigator Wendy Max, PhD, director of the Institute for Health & Aging, noted that from 2013 to 2018, e-cigarette use among high school students soared  from 4.5% to 20.8%. Protective factors may reduce the risk of youth engaging in substance use. Increasing protective factors in addition to reducing risk factors can be more effective in preventing substance use. Another piece of good news – those who stopped vaping didn’t boomerang back to cigarettes. None of the participants in this study experienced serious side effects lost vape centaurus, although a larger study would be needed to verify this finding.

The information on this site should not be used as a substitute for professional medical care or advice. Contact a health care provider if you have questions about your health. Children and adults have been poisoned by swallowing, breathing ijoy avenger tank, or absorbing e-cigarette liquid through their skin or eyes. In cultured human airway epithelial cells, both e-cigarette aerosol and CS extract induced IL-8/CXCL8 (neutrophil chemoattractant) release [28]. In contrast, while CS extract reduced epithelial barrier integrity (determined by the translocation of dextran from the apical to the basolateral side of the cell layer), e-cigarette aerosol did not, suggesting that only CS extract negatively affected host defence [28]. Moreover, Higham et al. also found that e-cigarette aerosol caused IL-8/CXCL8 and matrix metallopeptidase 9 (MMP-9) release together with enhanced activity of elastase from neutrophils [12] which might facilitate neutrophil migration to the site of inflammation [12].

The FDA reports an alarming 900% rise in e-cigarette use among high school students from 2011 to 2015 and the number of high school students using them increased 78% in 2018 alone. Some individuals who smoke combustible tobacco products, such as cigarettes, cigars, and pipes, have been turning to electronic cigarettes (e-cigarettes) as an alternative to combustibles and as a smoking cessation tool. E-cigarettes are also commonly referred to as electronic nicotine devices, alternate nicotine devices, hookahs, vape pens, or e-cigs. Use of e-cigarettes and inhalation of their contents is known as vaping (American Cancer Society, 2022). Moreover, while the basic technology behind e-cigarettes is consistent, there is enormous variability within the product category and there is no typical e-cigarette. The products include different ingredients, different hardware and deliver highly variable amounts of nicotine and potentially toxic chemicals, including heavy metals such as cadmium, lead, nickel, tin and copper.

Researchers are working hard to gather more information about e-cigarettes and how they are used. This information may lead to additional regulations and could be helpful for informing the public about what’s in e-cigarettes and the potential health risks of using them. Studies on e-cigarettes as a quitting aid for nicotine addiction and cigarette use are few, with mixed and modest results. Some show that they are about equal in effectiveness to that of nicotine replacement therapy (NRT) – like the nicotine patch. The best way to quit is to use quit line counseling and FDA-approved medications. E-cigarette use among both youth and young adults has increased considerably in recent years.

The FDA said the company marketed its products as “modified risk tobacco products” without FDA clearance. The agency stressed that there was no scientific proof that Juul products posed less risk or were less harmful than tobacco products. Flavored vape fluids have been criticized as a marketing ploy to lure teens and young adults to vaping.

We calculated the optimal puff duration of 3 s every 30 s based on published data.16–21 This allows time for the vapour to condense between each puff and prevented overheating of the device; 1.4 mL of ECL/nicotine-free ECL (nfECL) was vaped from each device. On completion, suction traps were normalised to room temperature and spun at 1500g for 10 min to collect the condensate. The liquid and vapour contain some potentially harmful chemicals also found in cigarette smoke, but at a much lower level. Find out more about e-cigarettes, e-liquids and vaping to quit smoking on the Better Health website. FDA approved tobacco treatment medications can help people trying to quit smoking. These include over-the-counter and prescription options, which are known to be effective.

They can also be collectively called electronic nicotine delivery systems (ENDS). A non-smoker who uses ENDS may become addicted to nicotine and find it difficult to stop using ENDS or become addicted to conventional tobacco products. Further, many e-cigarettes are designed to allow the control of nicotine (which can reach dangerously high levels). This can also increase the levels of other toxicants to the user and also expose bystanders to harmful emissions.

You may have heard the benefits of vaping are that it’s safe or that it helps you quit smoking. Some people vape because they think it’ll help them quit smoking if they’ve already tried other methods and haven’t been able to quit. Unfortunately, you may end up addicted to vaping instead, so the benefits of vaping for smoking cessation may not be as good as they seem. Vaping is when you use a small, handheld device (like e-cigarettes, vape pens or mods) to inhale a mist of nicotine and flavoring (e-liquid). It’s similar to smoking a cigarette, but vaping heats tiny particles out of a liquid rather than burning tobacco. E-cigarettes as consumer products have not been proven to be effective for cessation at the population level.

As part of this project, we also worked to determine whether minors could illegally purchase flavored e-cigarettes online. As of Tuesday, Sonoma County has banned the sale of e-cigarettes and flavored tobacco in unincorporated areas. (KRON) — A Bay Area County has enacted a stronger ban on the sales of e-cigarettes and flavored tobacco.

Currently, e-cigarettes are not mentioned in the Illinois Smoke-free Illinois Act, which prohibits smoking in virtually all public places and workplaces, but some local ordinances do include e-cigarettes. E-cigarette aerosol is not harmless; it can contain harmful and potentially harmful substances, including nicotine and cancer-causing chemicals. While e-cigarettes typically have fewer chemicals than regular cigarettes, researchers found e-cigarettes present their own unique health risks and can increase the odds of chronic cough, phlegm, bronchitis, and asthma. Some cigarette smokers have replaced traditional smoking with electronic cigarettes (e-cigarettes) or vaping, thinking it is not as dangerous.

In addition, PG with nicotine caused increased macrophage and CD4+/CD8+ T-lymphocytes cell counts in BALF compared to air control, but these effects were ameliorated when animals were sub-chronically exposed to PG alone [42]. Urgent action is needed to control e-cigarettes to protect children, as well as non-smokers and minimize health harms to the population. E-cigarettes as consumer products are not shown to be effective for quitting tobacco use at the population level. Instead, alarming evidence has emerged on adverse population health effects. E-cigarettes (often called vape pens) are battery-operated vaping devices that heat a liquid until it becomes an aerosol (mist), which is inhaled. It usually contains nicotine, other harmful chemicals, and flavorings.

What we do know is that they are not free of toxins and still deliver harmful chemicals. The leading reason for e-cigarette use among adults (25 and older) was the belief that e-cigarettes may be less harmful than combustible cigarettes both to themselves and others, with 79% selecting this as a reason. Additionally, 7 in 10 (71.5%) adults indicated that they believed e-cigarettes could facilitate quitting. This is Quitting, Truth Initiative’s first-of-its-kind ijoy vape cape town, free and anonymous text message quit vaping program for teens and young adults, is helping more than 200,000 young people quit using e-cigarettes. The program first launched in January 2019, created with input from teens, college students and young adults who have attempted to, or successfully, quit e-cigarettes. With the start of a new year, smokers and vapers may have resolved to quit or cut back on the habit to improve their health.

People tend to think of vaping as “safer” than smoking, but it’s not safe. It actually creates an aerosol (or mist) that contains small particles of nicotine, metal and other harmful substances. Strong decisive action is needed to prevent the uptake of e-cigarettes based on the growing body of evidence of use by children and adolescents and health harms. The aerosols generated by ENDS typically raise the concentration of particulate matter in indoor environments and contain nicotine and other potentially toxic substances.

The pouches have flavorings and other constituents in there that haven’t historically been in nicotine products before. So while they don’t have the conventional carcinogens we know are present at high levels in tobacco, we don’t know what some of the other things are going to do. This is due in part to the early introduction and widespread availability of e-cigarettes. Other countries have also reported increases in teen vaping, but the prevalence in the U.S. is notably high. By the early 2010s, as vaping devices became more sophisticated and flavors more appealing, their use among teenagers began to rise significantly.

However, e-cigarettes containing 20 mg/mL of nicotine are more equivalent to normal cigarettes, based on the delivery of approximately 1 mg of nicotine every 5 min [40]. ESD aerosol is a new source of pollution and toxins being emitted into the environment. We do not know the long-term health effects of ESD use and although the industry marketing of the product implies that these products are harmless, the aerosol that ESD emit is not purely water vapor. In conclusion, we sought to replicate the potential effects of exposure of the user in an acute in vitro system using our vaping-condensate technique.

Many popular e-cigarettes, like JUUL, are pod-based with single-use plastic cartridges containing nicotine. Generating even more waste are disposable e-cigarettes like Puff Bar, which are designed entirely for one-time use and have skyrocketed in popularity with a 1,000% increase in use among high school students between 2019 and 2020. And the 2021 National Youth Tobacco Survey found that more than 2 million middle and high school kids were current users of e-cigarettes, and that approximately 85% used a flavored product. The flavors that are the most popular with kids are fruit, candy, mint, and menthol.

An estimated 200,000 to two million class members will receive payments. Reviewer specialties include internal medicine, gastroenterology, oncology, orthopedic surgery and psychiatry. Board-certified physicians medically review Drugwatch.com content to ensure its accuracy and quality. Find the tools you need to manage your care, request medical records and pay bills. Don’t just tell them that there’s no good reason to start, help them learn why there’s no good reason.

Even e-cigarettes that claim to have no nicotine have been found to contain nicotine. While teen smoking has fallen by 80% over the past 20 years, a new generation is now at risk of becoming addicted to nicotine — and possibly at risk for other serious health problems — through e-cigarettes. More than 2.5 million U.S. middle and high school students are now using e-cigarettes, with nearly 85% of them using flavored products. Vaping has exploded into a national crisis, and tobacco companies are helping to fuel it by targeting kids with flavors such as gummy bear and cotton candy.

The Federal Trade Commission’s first-ever report on e-cigarette products paints a disturbing picture of surging e-cigarette sales and advertising that are likely to damage the health of America’s youth. “People can get to very high levels of nicotine exposure with these e-cigarette products, and they can use them near constantly throughout the day. So, the question we all have is, ‘Can any pharmacotherapy stand up to this challenge? Talk to your patients, including youth and young adults, about the dangers of tobacco use. Screen all patients, encourage them to quit, and refer patients to evidence-based services for help quitting.

While these devices may help some people quit smoking, there is growing evidence that e-cigarettes can pose serious health risks, especially to people who do not smoke traditional cigarettes. The composition of e-liquids requires stricter regulation, as they can be easily bought online and many incidences of mislabelling have been detected, which can seriously affect consumers’ health. Beyond their unknown long-term effects on human health, the extended list of appealing flavours available seems to attract new “never-smokers”, which is especially worrying among young users. Additionally, there is still a lack of evidence of e-cigarette consumption as a smoking cessation method. Indeed, e-cigarettes containing nicotine may relieve the craving for smoking, but not the conventional cigarette smoking habit.

On this webpage, these products are collectively referred to as e-cigarettes. The long-term health effects of e-cigarettes are not well understood yet. But the science clearly indicates vaping is not a safe or healthy alternative to smoking. We’ll continue to support research into the health consequences of this and other tobacco product trends that aim to appeal to a new generation of users. New York State has enacted strong policies to protect youth from accessing tobacco products and denormalize tobacco and nicotine use to prevent lifelong addiction, illness, and early death. Policies include banning the sale of flavored vapor products, ending price discounts on tobacco and vapor products, and banning the exterior display of tobacco and vapor product ads near schools.

If an eBook is available, you’ll see the option to purchase it on the book page. An uncorrected copy, or prepublication, is an uncorrected proof of the book. We publish prepublications to facilitate timely access to the committee’s findings. Any person or business that sells, transfers or ships for profit any ENDS in interstate commerce must now register with ATF according to 15 U.S.C. §§ 375 and 376. Tobacco companies want to hook a new generation on nicotine and smoking.

“We still do not understand the consequences of chronic e-cigarette vaping,” he says. In 2018, the FDA warned of an epidemic of teens who were becoming addicted to nicotine through these products. More than 2 million middle and high school students use e-cigarettes, and almost 85% of them use flavored products, according to the 2021 National Youth Tobacco Survey from the FDA and the Centers for Disease Control and Prevention (CDC). “Even with the current relatively low use of e-cigarettes among adults – 3.7 percent – health care costs are already substantial, and likely to increase in the future if youth continue to use this product,” said Max. In addition, the FTC found that there was a large shift in sales from tobacco-flavored e-cigarette products to fruit, candy, and dessert flavors.

E-cigarettes have been strongly linked to continued tobacco use and are not recommended for young people. Vaping can cause eye, throat ijoy captain x3, and nose irritation, as well as irritation in the respiratory tract. The nicotine in e-cigarettes can cause dizziness and nausea, especially in new users. E-cigarettes contain many of the same toxins as regular cigarettes, but they may have smaller amounts. Some brands also have much less nicotine than regular cigarettes or no nicotine at all.

A P-value  ≤0.05 was considered to represent a statistically significant difference. You can buy them from specialist vape shops, some pharmacies and other retailers, or on the internet. As with all rechargeable electrical devices, the correct charger should be used and the device should not be left charging unattended or overnight. There have been instances of e-cigarettes exploding or catching fire. EBook files are now available for a large number of reports on the NAP.edu website.

There are currently 78 licensed tobacco retailers in unincorporated Sonoma County, representing over 20% of the total tobacco retailers throughout the county, including cities, the county said. Given these alarming trends, the researchers advocate for targeted interventions to address the rising vaping rates among adolescents. They suggest mass media campaigns and peer interventions to counteract the social norms that promote such risky behaviors. By 2019, this figure had jumped to 7.2% – more than a threefold increase.

Innokin are known widely as the premier manufacturer of starter vape kits, though they also have a great deal of experience in producing sub-ohm kits, mods and tanks. In January 2023, a California judge gave preliminary approval for Juul’s $255 million offer to settle a class action involving economic loss. Members of the class claimed they would have paid less or not bought Juul’s products had the company not falsely advertised.

Get the latest facts and analyses on the most important issues related to smoking, vaping, nicotine and substance use. If, at the time of application, the applicant holds a valid cigarette, cigar and/or tobacco retailer permit for the same business location, use Permit Fee Table Two below to calculate the permit fee due. If, at the time of application, the applicant does not hold a valid cigarette, cigar and /or tobacco retailer permit for the same business location, use Permit Fee Table One below to calculate the permit fee due. It’s easy to renew your retail tobacco and e-cigarette permits online. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others.

E-cigarettes are battery-operated, handheld devices that mimic the experience of smoking a cigarette. According to Vindhyal, there are now more than 460 brands of e-cigarettes and over 7,700 flavors. There are substantial research gaps in proving the effectiveness of e-cigarettes as quit smoking aids. The 2020 Surgeon General’s Report on smoking cessation found that there is “inadequate evidence” to conclude that e-cigarettes increase smoking cessation.

Like many states lost vape pods near me, New Jersey made it illegal to sell vaping products to anyone under 21 and then went a step further by banning flavored vape juice. But the laws did little to curb the problem, experts told the panel. Most teens report using vape devices for nicotine, or flavored products only. However, the DEA urges teens (and the adults who care about them) to understand the potential health consequences. Both smoking and vaping marijuana generally have been considered safer than smoking cigarettes (or vaping with nicotine products, which may introduce new health hazards rather than reducing all harm). E-cigarettes are battery-operated devices used for a type of smoking called vaping.

There were 2,528 tobacco retailers in New Jersey as of 2020, said the state Office of Legislative Services. “We are seeing an increase in young people in the prepubescent ages who are becoming addicted to vaping who may never become addicted to smoking at an alarming rate,” said Tom Collins, a retired Camden police officer who educates law enforcement on vaping. To make edibles, cannabis extract oils or butter can be used to cook or bake any number of sweets, savory foods, or even beverages.

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Cases of accidental eye exposure have also been reported as refill bottles are similar to commercially available eye dropper bottles used for therapeutic eye drops. Now that the September 9, 2020 deadline has passed, FDA has begun reviewing thousands of applications to determine if those products meet the public health standard set by the Tobacco Control Act. The emergence of e-cigarettes and the resulting explosion of youth e-cigarette use have presented regulatory challenges. These issues include determining policies to deter youth use, appropriate taxation, clean air regulations, as well as standards for product approval.

To address this problem, the Campaign for Tobacco-Free Kids and other public health organizations have called on the U.S. Food and Drug Administration to eliminate all flavored e-cigarettes. While FDA has made progress in reviewing marketing applications for flavored e-cigarettes, it has repeatedly missed deadlines to complete its review of major products and failed to clear the market of these illegal flavored products. The researchers concluded that, if these results are confirmed in humans, regulating nicotine salts through minimum pH standards or limits on acid additives in e-liquids may mitigate the public health risks of vaping. E-cigarettes are not currently approved by the FDA as a quit-smoking aid.

The numbers suggest recreational users who don’t have access to a dispensary are more at risk of developing EVALI than those who have access to a dispensary. What’s clear so far is that vaping is involved and vitamin E acetate is not the only culprit. Such findings are deeply concerning because compounds like lead and uranium are known to be harmful to human development. The study was supported by the National Institutes of Health, the American Heart Association, the Stanford Diabetes Research Center, the University of California Tobacco Related Disease Research Program and the FDA.

E-cigarettes create an aerosol by using a battery to heat up liquid that usually contains nicotine, flavorings, and other additives. E-cigarettes can also be used to deliver cannabinoids such as marijuana, and other drugs. How a country approaches ENDS will depend on factors particular to its situation. In others they are regulated as consumer products, as pharmaceutical products, as tobacco products, in other categories or totally unregulated.

Then there’s tobacco-flavored e-cigarettes, and in that case the benefit–harm equation is different, because tobacco-flavored e-cigarettes are not nearly as popular with kids as flavored e-cigarettes. And so that’s how we have been able to authorize some tobacco-flavored e-cigarettes for marketing. This is because under federal law, although the FDA has the power to regulate the tobacco industry, they can do so with certain limitations. For example, nicotine and cigarette products cannot be banned, but flavorings such as mint (sold as menthol) and fruit can.

Tobacco retailers play a direct role in protecting kids from nicotine addiction and the deadly effects of tobacco use. Learn what tobacco retailers need to do to comply with the rules designed to prevent our nation’s youth from becoming the next generation of Americans to die prematurely from tobacco-related disease. The Food and Drug Administration has not found any e-cigarette to be safe and effective in helping smokers quit.

Finally, diacetyl, pentanedione, O-vanillin, maltol, coumarin, and CAD induced significant IL-8 secretion from MM6 and U937 monocytes [86]. It should be borne in mind, however, that the concentrations assayed were in the supra-physiological range and it is likely that, once inhaled, these concentrations are not reached in the airway space. Indeed, one of the limitations of the study was that human cells are not exposed to e-liquids per se, but rather to the aerosols where the concentrations are lower [86].

The Food and Drug Administration (FDA) extended its regulatory authority over tobacco products to include e-cigarettes in May 2016. In December 2019, Congress raised the minimum age to buy tobacco products, including e-cigarettes, from 18 to 21. Because of the popularity of certain flavored e-cigarette products among children, FDA stated in January 2020 that it would prioritize enforcement actions against the manufacture and sale of most flavors in cartridge-based e-cigarettes. In April 2020, FDA extended from May to September 2020 the deadline for manufacturers to apply for premarket authorization, a process that includes the scientific evaluation of risks and benefits of e-cigarettes for the U.S. population. In 2019, the MCIAA was amended to expand the definition of smoking to include electronic delivery devices, also known as e-cigarettes or vapes. The amendment protects employees and the general public from hazards to secondhand smoke and involuntary exposure to aerosol or vapor from e-cigarettes.

This means that e-cigarettes (vapes) cannot be used in areas where smoking is banned, cannot be displayed at retailer outlets lostvapebelgique, and cannot be sold to people under 18 years of age, as well as being subject to other restrictions. The FDA’s tobacco center was created by Congress in 2009 and granted sweeping powers to remake the industry, including banning harmful ingredients from traditional products and authorizing new, less-harmful alternatives. Not everyone is aware that there is nicotine in most e-cigarettes in varying amounts.

They also have a good practice of retaining older designs that vapers wish to continue using, such as their popular Nautilus Coil range, which boasts an impressive number of resistance options for different vaping styles. Aspire vape kits have a certain steel & glass sophistication to their designs, with high-performance functionality hidden beneath the glossy exteriors. Aspire are an established and well-respected vape brand known for pairing sleek builds with widely-compatible coils for all ohmage preferences. OXVA are a relative newcomer, founded in 2019 by Justin Lai, but in only five years, their devices have become some of the most sought-after MTL kits around. There will be many of you reading this whose first vape kit was made by Innokin, one of the top vape brands, and there’s an excellent reason for that. Since its founding in 2011, Innokin’s primary focus has been producing simple vape kits that even an absolute beginner can master immediately.

The agency said it would ban all e-cigarette flavors except tobacco, mint and menthol in retail stores. Fruity or sweet e-cig flavors can now only be purchased through age-restricted stores or online merchants that can verify a buyer’s age. A 2018 report from Truth Initiative, an anti-smoking group, found that 15- to 17-year-olds were 16 times more likely to have used a Juul e-cig than older age groups.

For instance, 68 people died in an outbreak of vaping-related illness (EVALI) in 2019 and 2020. WHO regularly monitors and reviews the evidence on ENDS and health and offers guidance to governments. Links to E-Cigarette Resources Links other websites, reports educational materials, toolkits and more information on e-cigarettes. The Office of the Surgeon General shares an important message about the possible dangers of e-cigarette use by young people. The best choice to protect your health in the short and long-term is to quit or never begin smoking. They are called many things—hookahs, Juuls, pens, mods, “vapes,” e-cigs.

Our core mission to eliminate combustible cigarettes is not achievable without ensuring those who have never used nicotine never start. In our dedicated effort to combat underage use of JUUL products, we implement additional safeguards and advanced security directives. JUUL.com is an age-gated website which requires a verification process to confirm users are 21 years of age or older for full access. Conclusions ECVC is significantly more toxic to AMs than non-vaped ECL. Excessive production of ROS, inflammatory cytokines and chemokines induced by e-cigarette vapour may induce an inflammatory state in AMs within the lung that is partly dependent on nicotine. Inhibition of phagocytosis also suggests users may suffer from impaired bacterial clearance.

Therefore, follow up studies are necessary to clarify the impact of e-cigarette consumption on human health in SARS-CoV-2 infection. Recently, a commonly commercialized crème brûlée-flavoured aerosol was found to contain high concentrations of benzoic acid (86.9 μg/puff), a well-established respiratory irritant [88]. When human lung epithelial cells (BEAS-2B and H292) were exposed to this aerosol for 1 h lost vape centaurus m200, a marked cytotoxicity was observed in BEAS-2B but not in H292 cells, 24 h later.

Meanwhile, e-cigarettes became popular among adolescents, who were drawn to the fruit and candy flavors (combined with nicotine) that could be placed in e-cigarette devices. A 2-minute video that portrays a timeline of how cigarettes have evolved into the popular e⁠-⁠cigarette devices we know today. Established in 2015, VAPORESSO’s goal has been to establish a smoke-free world while raising the quality of life for our users through innovation and experience.

Drugwatch.com’s trusted legal partners support the organization’s mission to keep people safe from dangerous drugs and medical devices. Vaping may be safer than smoking for adults past their mid-20s who already smoke. But e-cigarettes are not safe for nonsmokers, teens, young adults or pregnant women, according to the CDC. However, the next day, Juul filed an emergency appeal that allowed it to continue selling its products until the FDA finishes a second review of safety data. In September 2022, the e-cigarette maker sued the FDA for refusing to disclose documents that led to the ban. The term “vaping” comes from the act of inhaling and exhaling e-cigarette vapor (which is actually an aerosol).

Freemax made their name by making the best sub-ohm coils and have since segued into innovative MTL pod vape kits. Established in 2015, Vaporesso first gained attention with their superb Tarot Nano sub-ohm kits and have since been challenging Voopoo for sub-ohm pod vape dominance. The LUXE XR Max Pod Kit, in particular, stands out for its portability, ease, long-lasting battery life, and comprehensive pod/coil compatibility options. There’s also excellent coil compatibility, with many of their kits and tanks utilising the perfect PnP Coil system, which has both DTL and MTL ohmages available. This makes Voopoo one of the best vape brands for those of you seeking fashionable designs with user-friendly convenience.

It was not until months later that I understood, at which point my son had now been vaping every day for 3 months, 4 to 5 times a day. LEXINGTON, Ky. — Governor Andy Beshear, Ky-D, signed House Bill 11 into law in early April. It’s a bill that bans retailers from selling unauthorized vapor products. The wording of the bill has vape store owners concerned, and a lawsuit was filed shortly after it was passed to address this. But now that I’ve gotten rid of the endless, all-day vaping, and a nicotine hit makes me stink like a dive bar ashtray, makes my mouth taste like dirt, and makes my friends recoil from my presence, I’ve got reasons to cut back.

But more importantly, I do not want any other child to have to deal with what my son, Jacob dealt with and is still dealing with. His story is an important one because…People need to understand how quickly the addiction can happen. People need to understand how severe the negative effects of vaping are, both mentally and physically. I do not want any parent to have to hear his/her child have a panic attack on the phone like I did as Jacob sat locked in a bathroom stall at school because he couldn’t leave for fear he might vape with the other kids. Tony Florence, the owner of 723 Vapor and a Kentucky Hemp Association board member, has concerns with HB 11.

However, FDA enforcement efforts have had little effect on reducing teen vaping, according to recent data. “Cytisinicline has been shown in clinical trials to be effective and safe to help adults stop smoking cigarettes. The results of this study indicate that it might also help people to quit vaping.” Most e-cigarettes contain nicotine, which is addictive and can harm brain development in youth, affect learning, lead to use of regular cigarettes and increase risk of addiction to other drugs, according to the Centers for Disease Control and Prevention.

The majority of respondents currently smoked cigarettes either daily (30.9%) or weekly (44.4%). Most respondents had been aware of the ban before the survey (67.7%), with a plurality feeling neutral about the ban (36.1%) but more supporting the ban than opposing it (35.9% vs. 28.1%). Among respondents who knew about the ban before the survey, the perceived compliance of local retailers with the ban as lower than 50% was quite high (66.2%), and relatively few perceived that more than 75% of retailers were complying (14.8%). On Dec. 21, 2022, California enacted Senate Bill 793, which prohibited the sale of most flavored tobacco products, including e-cigarettes, to people of all ages. Hookahs, premium cigars and loose-leaf tobacco were exempted from the legislation.

One of the most popular vaping devices, JUUL, has a sleek, modern design that resembles a USB drive. Other compounds that have been detected in aerosols include acetamide, a potential human carcinogen [5], and some aldehydes [69], although their levels were minimal. Interestingly, the existence of harmful concentrations of diethylene glycol, a known cytotoxic agent, in e-liquid aerosols is contentious with some studies detecting its presence [4, 68, 70,71,72], and others finding low subtoxic concentrations [73, 74].

Some individuals who smoke choose to try e-cigarettes to help them stop smoking. Since smoking kills fully half of all long-time users, successfully stopping smoking leads to well-documented health benefits. Nonetheless, adults who smoke who switch to using e-cigarettes expose themselves to potentially serious ongoing health risks. If they are unable to quit e-cigarettes on their own, they should seek help from a health care professional or quitline. Individuals who are not yet able to stop using e-cigarettes should be strongly discouraged from simultaneous, or “dual,” use of any combustible tobacco products, including cigarettes. Continuing to smoke exposes the individual to enormous harms, irrespective of whether the individual is using e-cigarettes part of the time.

“I expect location and possible buffers from schools or parks to be considered, as well as screening and signage,” Plowman said. The Alaska Beacon is an independent, nonpartisan news organization focused on connecting Alaskans to their state government. Our journalists fairly and fearlessly report on the people and interests that determine state policy. Our stories may be republished online or in print under Creative Commons license CC BY-NC-ND 4.0.

The American Academy of Pediatrics and the American Lung Association are glad to have the rules. But, Sward adds, “We certainly thought [the FDA] should have gone farther — ending the sale of flavored products.” Some come in candy and fruity flavors that appeal to kids and teens. “Diacetyl is a well-known harmful chemical, which, among other things, causes a lung disease called ‘popcorn lung,'” says Erika Sward, assistant vice president for national advocacy at the American Lung Association. The severity of the damage, aspects of which occur even in the absence of nicotine, varies among popular flavors, the researchers said. Vape explosions have been linked to faulty batteries in vaping devices. Sonoma County’s ordinance, which will take effect 30 days after passing, aligns with the cities of Petaluma, Sebastopol and Windsor, which have also outlawed the sale of e-cigarettes and flavored tobacco.

And a lot’s being said about vaping and its effects – but there’s also some confusing or conflicting info out there. As of April 1, 2024, 1,061 municipalities, plus 26 states, commonwealths, and territories restrict e-cigarette use in 100% smokefree venues. Experts are questioning whether punishment is an effective deterrent to nicotine use in the first place. How many students have been caught at the Houston area’s largest school districts?

After this time, the footrest was abruptly lowered, and they were asked to stand up and remain still, an action known to increase cardiac sympathetic nerve activity. This action has been shown to unmask abnormal ventricular repolarization. CDC recommends you not use e-cigarettes or vapor products, especially those with THC. Fewer Pierce County youth are smoking cigarettes in recent years, but more are vaping. Vape pen and e-cigarette explosions from overheated, defective and/or modified device batteries have occurred, causing injury and serious health problems to users.

District Court for the District of Columbia ruled that e-cigarettes did not meet the criteria for drug-delivery devices and therefore were exempt from regulation under the FFDCA. The court did rule, however, that the FDA could regulate e-cigarettes as tobacco products under the Family Smoking Prevention and Tobacco Control Act (TCA), since the nicotine contained in some of the e-cigarette cartridges was derived from tobacco. Reports in 2018 of increased e-cigarette use among adolescents and teenagers in the United States prompted the FDA to identify strategies for combating e-cigarette use by minors.

During the physical exam, your doctor will use a stethoscope to listen to your lungs, check your heartrate, and measure your blood oxygen saturation using a pulse oximeter. A chest X-ray or computed tomography (CT) scan is usually necessary for diagnosis and will show hazy looking spots (called opacities) in the lungs. Your doctor may also order bloodwork to rule out other possible causes of your illness. The Impact of E-Cigarettes on the Lung There’s evolving evidence about the health risks and impact of e-cigarettes on the lungs. The National Academies of Science, Engineering and Medicine concluded there is “substantial evidence” that if a youth or young adult uses an e-cigarette, they are at increased risk of using traditional cigarettes.

This is especially true for vaping products containing THC,” explains Blaha. Vaping and smoking both involve inhaling nicotine and other substances into your lungs. E-cigarettes heat liquid to make an aerosol; cigarettes burn tobacco, which creates smoke.

In response to this issue, the PACT Act Amendment prohibits sellers from using the U.S. Post Office to ship e-cigarettes, vapes, flavored and smokeless tobacco products. The PACT Act applies to all shipments in interstate commerce (15 U.S.C. § 376) as well as to all delivery sales. While e-cigarettes are often marketed as a way for adults to quit nicotine, a whole new generation of non-smokers is now taking to the habit in young adulthood.

E-cigarettes are considered tobacco products because most of them contain nicotine, which comes from tobacco. The FDA reported earlier this year that 1.3 million more high school students use e-cigarettes now than in 2017. Although the FDA began regulating e-cigarettes and other tobacco products in August 2016, there has been a significant spike in their use.

Patients have reported high variability in substances/products they used in vaping, including both tobacco and tetrahydrocannabinol (THC) containing products as well as other products. Many e-cigarettes and vaping materials contain harmful or potentially harmful substances, and it is difficult to know what each individual product contains. The mislabelling of nicotine content in e-liquids has been previously addressed [8, 34]. Of note, several studies have detected nicotine in those e-liquids labelled as nicotine-free [5, 35, 36]. Among the 17 samples tested in this latter study 14 were identified to be counterfeit or suspected counterfeit. A third study detected nicotine in 7 of 10 nicotine-free refills, although the concentrations were lower than those identified in the previous analyses (0.1–15 µg/mL) [5].

The long-term risks of exclusive use of e-cigarettes are not fully known but evidence is accumulating that e-cigarette use has negative effects on the cardiovascular system and lungs. Without immediate measures to stop epidemic use of these products, the long-term adverse health effects will increase. FDA is committed to protecting the public health of the U.S. population while regulating an addictive product that carries health risks. We’re conducting ongoing research on potentially less harmful forms of nicotine delivery for adults, including studies of e-cigarettes and ENDS. Many studies suggest e-cigarettes and noncombustible tobacco products may be less harmful than combustible cigarettes. However, there is not yet enough evidence to support claims that e-cigarettes and other ENDS are effective tools for quitting smoking.

These devices are referred to by a variety of names, including “e-cigs,” “e-hookahs,” “mods,” “vape pens,” “vapes,” and “tank systems.” E-cigarettes can also be used to deliver other drugs besides nicotine, such as marijuana. E-cigarettes, also known as e-cigs, vapes, vape pens, and electronic nicotine delivery systems (ENDS), are experiencing rapid growth in popularity, especially among teens and young adults. They come in a variety of forms, sometimes looking like USB flash drives, pens, and other items that make them hard for parents and teachers to spot. Researchers said this could be due to decreased toxic effects of e-cigarette usage, early dissipation of the toxic effects, or the fact that it has not been studied long enough to show permanent damage to portray cardiovascular disease morbidity.

Among those the team could identify were several potentially harmful substances, including caffeine, three chemicals never previously found in e-cigarettes, a pesticide and two flavorings linked with possible toxic effects and respiratory irritation. It is important to provide up-to-date and comprehensive data on e-cigarette use, particularly among susceptible population groups. To address this need, we used the 2021 BRFSS to examine recent patterns of e-cigarette use among US adults.

Firstly that propylene glycol, largely responsible for making your breath look like a cloud of mist lost vape near me brasil, is also found in fog machines used in concerts and has been linked to chronic lung problems among stagehands. It’s actually FDA-approved for use in food (believe it or not it’s common in pre-made cake mix) but when heated to vaping temperature it can produce the carcinogen formaldehyde. The warning letters were issued to Elf Bar, Esco Bar, Funky Republic, Hyde, Kang, Cali Bars, Lost Mary, and other e-cigarette retailers. The warning letters cite the vape companies for selling unauthorized disposable e-cigarettes. A “purchase attempt” occurred when a researcher was able to add a flavored e-cigarette product to their cart, make it through the age verification system – if any – and provide their credit card information. There are trace components of tobacco-specific nitrosamines and things that are harmful, but it’s still much, much lower than chewing tobacco, for example.

During the 180-day moratorium on new electronic smoking retailers, passed by the City Council last week, the city will study potential zoning code changes for e-cigarette stores, or vape shops. “The harmful effects of e-cigarettes have been known, and the product has no benefit worth usage and management,” Tri said. Emergency room visits nationwide for vaping peaked in 2019 and have declined, said the Centers for Disease Control and Prevention. Excess nicotine can harm brain development, and inhaling the vapors can swell and irritate the lungs. The testimony by former law enforcement officials came just before an Assembly committee approved three bills to help crack down on illegal sales. The bills are meant to put some teeth into a law signed by Gov. Phil Murphy in 2020 that made New Jersey the first state to ban flavored vaping liquids that are especially popular among young people.

Linking to a non-federal website does not constitute an endorsement by ODPHP or any of its employees of the sponsors or the information and products presented on the website. Talk to your children’s pediatrician, who may be able to provide treatment or make a referral, if you are concerned that your child is vaping and/or addicted to vaping. As an example, NIDA point to the practice of “dripping.” This involves inhaling solutions dripped directly onto the heater coil “to produce a stronger throat hit.” The specific risks of these practices are still unclear. Experimenting with different ways of using vaping materials may be additionally risky. A website along with social media resources for teens to give them the facts about vaping and help them not become a tool. Primary spontaneous pneumothorax, or collapsed lung, occurs when there’s a hole in the lung through which oxygen escapes.

Nevertheless, there is no doubt that the deleterious effects of battery output voltage are not comparable to those exerted by CS extracts [30] (Figs. 1 and 2). With regards to toxicity, little is known about the effects of humectants when they are heated and chronically inhaled. Studies have indicated that PG can induce respiratory irritation and increase the probability of asthma development [55, 56], and both PG and glycerol from e-cigarettes might reach concentrations sufficiently high to potentially cause irritation of the airways [57]. Indeed, the latter study established that one e-cigarette puff results in a PG exposure of 430–603 mg/m3, which is higher than the levels reported to cause airway irritation (average 309 mg/m3) based on a human study [55]. The same study established that one e-cigarette puff results in a glycerol exposure of 348–495 mg/m3 [57], which is close to the levels reported to cause airway irritation in rats (662 mg/m3) [58].

Given their relatively recent introduction, there has been little time for a scientific body of evidence to develop on the health effects of e-cigarettes. E-cigarettes were developed and marketed as alternatives to traditional combustible cigarettes. However, e-cigarettes are not an FDA-approved quit aid, and there is no conclusive scientific evidence on the effectiveness of e-cigarettes for long-term smoking cessation. They have the potential to benefit adult smokers who are not pregnant if used as a complete substitute for regular cigarettes and other smoked tobacco products. However, E-cigarettes still contain nicotine, the chemical that makes traditional cigarettes addictive. They are not safe for youth, young adults, pregnant women, or adults who do not currently use tobacco products.