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                                          What is vaping?

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.

 

How does vaping work?

Vaping works by heating liquid in a small device so you can breathe it into your lungs. The e-cigarette, vape pen or other vaping device heats the liquid in the device to create an aerosol. This isn’t water vapor. Mist from e-cigarettes contains particles of nicotine, flavoring and other substances suspended in air. You breathe these particles into your mouth from the mouthpiece, where they go down your throat and into your lungs.

 

What are e-cigarettes (vape pens)?

An electronic cigarette (e-cigarette) is a device that heats up the liquid nicotine and flavoring for you to breathe in. There are many varieties of e-cigarettes that go by different names, including vapes, vape pens or sticks, e-hookahs, hookah sticks, mods and personal vaporizers (PVs). They can also be collectively called electronic nicotine delivery systems (ENDS).

 

Most types of e-cigarettes have:

 

A cartridge, tank or pod that holds liquid (can be refillable).

A heating element for turning the liquid into breathable particles (aerosol, commonly called “vapor”).

A battery to power the heating element.

A power or control button (some are activated by sensors when you inhale).

A mouthpiece to breathe in the aerosol.

What is the difference between vaping and smoking cigarettes?

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.

 

Is vaping worse than cigarettes?

Vaping is often thought of as safer than cigarette smoking, but vaping causes health problems, too. Both vaping and smoking are addictive and bring potentially dangerous chemicals into your body. The levels of many of these chemicals is higher when you burn tobacco. Vaping hasn’t been around long enough to know what kind of long-term damage it might cause.

 

What does vaping do to your lungs?

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.

 

Isn’t vaping just water vapor?

No. Despite the name, vaping doesn’t make water vapor. It actually creates an aerosol (or mist) that contains small particles of nicotine, metal and other harmful substances.

 

What’s in e-liquid (e-juice)?

E-liquid, also called e-juice or vape juice, is what vaping devices use to make the vapor you breathe in. E-liquids aren’t just water. They usually contain:

 

Flavoring. Each flavoring has its own set of ingredients.

Nicotine, the addictive and harmful substance in cigarettes and other tobacco products.

Propylene glycol and glycerin, used to create vapor.

E-liquids and flavorings sometimes have other ingredients, including:

 

Chemicals that can cause cancer (carcinogens), like acetaldehyde and formaldehyde.

Chemicals known to cause lung disease, such as acrolein, diacetyl and diethylene glycol.

THC (tetrahydrocannabinol), the chemical in marijuana that gets you “high.”

Vitamin E acetate, linked to lung injury caused by vaping (EVALI, see below).

Heavy metals like nickel, tin, lead and cadmium.

Tiny (ultrafine) particles that can get deep into your lungs.

Risks / Benefits

What are the dangers of vaping?

The dangers of vaping include lung and other organ damage, breathing problems, addiction and more. People tend to think of vaping as “safer” than smoking, but it’s not safe.

 Problems vaping causes include:

 Asthma. Vaping can make you more likely to get asthma and other lung conditions. It can make your existing asthma worse.

Lung scarring. Diacetyl, a chemical used in some flavorings, can cause bronchiolitis obliterans (“popcorn lung”). Bronchiolitis obliterans causes permanent scarring in your lungs.

Organ damage. In addition to your lungs, nicotine and other substances in e-liquid can hurt your heart and brain. We know nicotine can hurt brain development, raise your blood pressure and narrow your arteries.

EVALI (e-cigarette, or vaping, product use associated lung injury). EVALI is a serious lung condition that vaping causes. It causes widespread damage to your lungs and gives you symptoms like coughing, shortness of breath and chest pain. EVALI can be fatal.

Addiction. Nicotine is highly addictive. It causes changes in your brain so you want more and more nicotine. You might not be able to stop vaping if you want to or if it starts causing health problems. Even e-liquids that say they’re nicotine free have small amounts of nicotine.

Cigarette smoking. Many people start out vaping and end up smoking cigarettes, which contain higher amounts of harmful chemicals.

Second-hand exposure. Vaping doesn’t make smoke, but people around you are exposed to nicotine and other chemicals when you vape.

Explosions. There have been incidents of batteries in vaping devices exploding and causing serious injuries and burns.

Cancer. Some ingredients in e-liquids are known to cause cancer.

What is EVALI?

EVALI is short for e-cigarette, or vaping, product use associated lung injury. It’s a serious lung condition caused by vaping. Vitamin E acetate, found in some e-liquids, is a possible cause.

 An outbreak of EVALI in late 2019 and early 2020 put thousands of people in the hospital. At least 68 people died. Since then, EVALI cases have been declining, but people who vape can still get EVALI.

 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.

 Symptoms of EVALI include:

 Cough.

Shortness of breath.

Chest pain.

Fever.

Vomiting.

Diarrhea.

Stomach pain.

Fast heartbeat.

What are the side effects of vaping?

Short-term side effects of vaping include:

 

Coughing.

Shortness of breath.

Eye irritation.

Headaches.

Dry and irritated mouth and throat.

Nausea.

What is the benefit of vaping?

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. There’s no benefit to vaping if you don’t already smoke.

 

People usually think vaping isn’t as bad as cigarette smoking, but the mist you breathe in still has nicotine and other harmful chemicals in it. Vaping isn’t safe and can cause health problems, including life-threatening lung injuries.

 

Can your lungs heal from vaping?

Some damage to your lungs from vaping can heal or get better with medications. Others, like lung scarring, are permanent. Over time, constant irritation to your lungs can lead to health problems (like asthma and COPD) that won’t go away.

 

Can vaping kill you?

In some cases, yes, you can die from lung injuries vaping causes. For instance, 68 people died in an outbreak of vaping-related illness (EVALI) in 2019 and 2020.

 

Is it safe to vape while pregnant?

No, it’s not safe to vape while you’re pregnant. Vaping exposes you to some of the same chemicals that cigarette smoking does. Vaping while pregnant can cause low birth weight, lung damage and brain damage in the developing fetus.

 

An e-cigarette is a device that may look like a cigarette, a cigar, a pipe, a pen, or a USB drive. The liquid inside may smell fruity, but it can have a high nicotine content.

 

JUUL devices, for example, look like USB drives. They appeared on the U.S. market in 2015Trusted Source and are now the top-selling brand of e-cigarette in the country.

 

There is concern about young people using JUUL. Refills come in flavors such as cool cucumber, mango, and mint, which may seem natural and harmless, but a single JUUL refill contains as much nicotine as a pack of 20 cigarettesTrusted Source.

 

How they work

Most e-cigarettes are made up of the following parts:

 The mouthpiece: This is a cartridge fixed to the end of a tube. Inside is a small plastic cup containing absorbent material soaked in a liquid solution.

 The atomizer: This heats the liquid, causing it to vaporize so that a person can inhale it.

 The battery: This powers the heating element.

 The sensor: This activates the heater when the user sucks on the device.

 The solution: E-liquid, or e-juice, contains a combination of nicotine, a base, which is usually propylene glycol, and flavoring.

 When the user sucks on the mouthpiece, the heating element vaporizes the solution, which the person then “vapes,” or inhales. The nicotine content of the liquid can range from “very high” to zero.

 Flavors vary widely, from “traditional” and menthol to watermelon and “lava flow.” Some e-cigarettes taste like traditional cigarettes and even mimic the tastes of specific brands.

 Risks

Manufacturers claim that e-cigarettes bypass many of the health risks of tobacco smoking, providing a healthful alternative.

 While these devices may helpTrusted Source 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 CDCTrusted Source advise against vaping if people:

 are children or young adults

are pregnant

have never smoked and are not trying to quit

7 reasons to avoid e-cigarettes

Below are seven reasons why e-cigarettes can be harmful:

 

1. They usually contain nicotine

Most e-cigarettes contain nicotine, which is dangerous because it:

 

is habit-forming

affects brain development, which continues up to the age of about 25 years

can harm a fetus during pregnancy

2. They contain other toxins

The American Lung Association list a number of toxins, beyond nicotine, that appear in e-cigarettes. Among them are:

 

carcinogens, such as acetaldehyde and formaldehyde

acrolein, a weed killer that can lead to irreversible lung damage

benzene, a compound in car exhaust

diacetyl, a chemical linked to bronchiolitis, which is a health condition sometimes called “popcorn lung”

propylene glycol, used in antifreeze

hazardous metals, such as lead and cadmium

other minute particles that can enter the lungs

Many of these are also in traditional cigarettes.

 

3. Quitting smoking may be harder

People who switch from traditional cigarettes to e-products may put off getting medical help or trying proven tools that can help with quitting. This can delay or even prevent a person from quitting smoking.

 

A 2016 studyTrusted Source found that people who use or have used e-cigarettes are less likely to stop smoking altogether.

 

4. They cause secondhand smoke

Vaping produces secondhand smoke. Since e-cigarettes often contain the same chemicals as traditional cigarettes, smoke produced by vaping may be toxic to people nearby.

 

5. They may not deter teen smoking

The marketing of e-cigarettes and their range of flavors can give the impression that vaping is not harmful.

 

This message can tempt people, including teens, to start vaping. However, vaping early on may increase the chances of smoking ordinary cigarettes later in life.

 

According to a 2017 study, teens who use e-cigarettes are more likely to smoke regular tobacco products later on, compared with their peers.

 

6. They can harm the brain

In young people, the use of nicotine can impact the reward system in the brain. In time, this can make the use of other drugs, such as cocaine, more pleasurable, according to the National Institute on Drug Abuse (NIDA)Trusted Source.

 

In addition, nicotine use can affect areas of a young person’s brain that are responsible for attention and learning.

 

It may also increase the risk of developing mood disorders and problems with impulse control.

 

7. Experimental use may be more dangerous

Experimenting with different ways of using vaping materials may be additionally risky.

 

As an example, NIDATrusted Source 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.

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