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There are also restrictions on liquids with flavors that may

July 25, 2024

Alarming rise of electronic vaping use in U S

Larger devices, such as tank systems or “mods,” do not look like other tobacco products. According to a 2017 study, teens who use e-cigarettes are more likely to smoke regular tobacco products later on, compared with their peers. An electronic cigarette is a battery-operated device that emits a vaporized solution to inhale. These devices have various names, including e-cigarettes, e-hookahs, vaporizer cigarettes, vapes, and vape pens.They come in a range of shapes. Cigarette use among New Jersey high school students has declined steadily since the Department of Health began measuring it in 1999. In 2012, the Department began measuring youth “vaping,” or use of electronic cigarettes (e-cigarettes).

The judge concluded that FDA acted unlawfully by delaying requiring e-cigarettes and other newly deemed tobacco products to go through a pre-market review process. The judge subsequently ruled that the filing deadline for all premarket review applications is May 12, 2020. Any product that does not submit an application by this deadline must be removed from the marketplace, which if properly enforced, could lead a significantly smaller marketplace.

But this flavoring is accompanied by other chemicals comprising the aerosol itself. A study in the American Heart Association journal suggests that e-cigarette flavorings may damage blood vessels and the heart. Harmful substances, trace metals, and other toxins have been found in e-cigarettes. Yet, despite the fact more research is needed, there is enough evidence implying the immediate health risks in using them brings. The negative health consequences from long-term tobacco use and smoking either cigarettes or cigars took decades to prove. Altamore says the FDA has rejected millions of other vaping devices and liquids submitted by the vape industry, including Marco’s Vapor’s own brand Custom Clouds.

Recently, a study observed more than 6,000 teenagers between the ages of 12 and 15 to determine if e-cigarettes are increasing the odds for teen smoking. What was found was that e-cigarettes were the premiere choice for those who chose to smoke and once they began, they also moved on to traditional cigarettes. Jacob is working hard to stay in control, he wants to be stronger than the addiction. He will openly admit he regrets the day he tried vaping and he swears he will never do it again. He recognizes his life was spiraling out of control and admits how difficult it was to quit.

You don’t actually light up an e-cig; they’re powered by a rechargeable lithium battery. Instead of burning tobacco, the “e-liquid” is vaporized in a heating chamber when the user inhales. If you think you have had an adverse effect from using a vape or have a safety concern, you can report it via the Yellow Card Scheme website. You can buy them from specialist vape shops, some pharmacies, supermarkets and other retailers, or from an online vape store. You should use the vape as much as you need to manage your cravings and withdrawal symptoms. Here are some of the most common myths, and the facts based on scientific evidence and data.

Tobacco companies complain that the FDA is unwilling to approve new alternative products — including e-cigarettes — that might help adults quit smoking. EVP use increases risks of nicotine addiction, drug-seeking behavior, mood disorders and long-term risks of avoidable premature morbidities and mortality. In addition, compared to nonusers, adolescents and young adults who use EVPs are more likely to switch to cigarette smoking, which, despite remarkable declines in the U.S., remains the leading avoidable cause of premature death in the U.S. and worldwide.” The Food and Drug Administration (FDA) first attempted to regulate e-cigarettes more than a decade ago. The regulations would have treated e-cigarettes as what the agency calls drug/device combination products.

More commonly known as e-cigs or vape kits, we stock a huge range of vaping hardware, from mouth to lung (MTL) to direct lung (DL). Our range of vape pods is ideal to use with nic salts and high-strength e-liquid. And, our starter kits and disposable vape pens are a great, simple way to make the switch from smoking to vaping. We also have a wide selection of advanced kits for vapers who prefer high-powered cloud chasing e-cigs.

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.

Disposable e-cigarettes, sometimes referred to as puff bars, have been designed as an affordable entry level device. Ready to use straight out of the box, disposables are the simplest type of device to use. We have lots of detailed vaping guides and blog posts to help new vapers make the transition to vaping. Find everything you need to know about e-liquids, starter kits, and what to expect when switching to vaping. Alternatively, why not speak to one of our customer service advisors?

Together, they harness the full potential of biomedicine through collaborative research, education and clinical care for patients. E-cigarettes contain many of the same cancer-causing chemicals that regular cigarettes do. Originally, it was thought that vaping might be helpful for people trying to quit smoking. Some e-cigarette labels have claimed that the product had no nicotine when, in fact, it was in the vapor. For this reason, it’s important to use only trusted brands if you vape. Nicotine is highly addictive, and most e-cigarettes include it as a main ingredient.

If you have never smoked or used other tobacco products or e-cigarettes, do not start. Effective July 1 voopoo bulgaria, 2019, people must be at least 21 years old to buy tobacco products in Illinois, including e-cigarettes. While they may help some people stop smoking, vaping products do not have FDA approval as a tool for quitting. E-cigarettes may even keep people from trying proven methods of quitting smoking. People who switch from traditional cigarettes to e-products may put off getting medical help or trying proven tools that can help with quitting. A comparison of the serum levels of nicotine from e-cigarette or conventional cigarette consumption has been recently reported [39].

This conclusion was widely reported by Chinese media during the next year or so and discussed repeatedly at the WeChat forum, and we estimate that it led some 20% of participants in the EC arm to stop EC use. As a result, we estimate that some 15% of participants in the varenicline arm stopped using their product. These events may have reduced quit rates in the EC and varenicline arms, but this would dilute rather than amplify the difference between these 2 arms and the NRT arm. Another external event affecting the trial was the COVID-19 pandemic.

FDA’s award-winning public education campaign, “The Real Cost sensor de presión de neumáticos mercedes,” continues to prevent youth from tobacco initiation and use. In 2017, the campaign began prioritizing e-cigarette prevention messaging to combat increasing youth vaping rates. “The Real Cost” campaign also educates teens on the health consequences of smoking cigarettes. Vaping involves using a device known as an e-cigarette—also called a vape pen, mod, or tank—to heat up a small amount of liquid, turning it into a vapor that can be inhaled. Most vape liquids contain substances such as propylene glycol and glycerol as base ingredients that create the vapor. But they may also contain other compounds including artificial flavors, nicotine, THC, and cannabinoid (CBD) oil.

SPRINGFIELD – E-cigarette use will no longer permitted in indoor public spaces in Illinois beginning January 1, 2024, under a new state law signed earlier this year by Gov. JB Pritzker. The Illinois Department of Public Health (IDPH) supports the intent of the new law, one of several taking effect in the New Year that will improve public health across the state. This NYTS—administered Jan. 18- May 21, 2021—was the first to be fully conducted during the COVID-19 pandemic. Data were collected using an online survey to allow eligible students to participate in the classroom, at home or in some other place to account for various school settings during this time.

Our study analyzed recent e-cigarette use patterns among US adults to monitor existing policies and guide the development of strategies to address potential health risks and improve public health. A recent national survey showed that about 10% of U.S. youth believe e-cigarettes cause no harm, 62% believe they cause little or some harm, and 28% believe they cause a lot of harm when they are used some days but not every day. In 2014, nearly 20% of young adults believe e-cigarettes cause no harm, more than half believe that they are moderately harmful, and 26.8% believe they are very harmful.

A study in the Journal of the American Medical Association in 2015 found a connection too. Researchers surveyed 2,500 Los Angeles high school students who had never smoked. They found that kids who used e-cigs were more likely than non-users to smoke cigarettes or other tobacco products over the next year.

In 2014, more than 9 of 10 young adult e-cigarette users said they use e-cigarettes flavored to taste like menthol, alcohol, candy, fruit, chocolate, or other sweets. In 2018, more than 6 of 10 high school students who use e-cigarettes said they use flavored e-cigarettes. Marketing and advertising of conventional tobacco products like cigarettes are proven to cause youth to use tobacco products. Scientists are also finding that youth who are exposed to e-cigarette advertisements are more likely to use the product than youth who are not exposed.

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.

However, varenicline is already on the market in the U.S. in generic versions while cytisinicline has not yet received FDA approval and is not currently available for use by patients. To date, there is no state excise or special tax placed on e-cigarettes. These products, also known as e-cigarettes, don’t create smoke—because they don’t burn tobacco. Voopoo vape kits have an almost space-age feel due to the technological advancements their devices often herald for the entire vape industry.

All this evidence would suggest that e-cigarettes are potentially less harmful than conventional cigarettes (Fig. 2) [11, 14, 22, 24 uwell uruguay, 27,28,29]. Importantly, however, most of these studies have investigated only short-term effects [10, 14, 15, 22, 27,28,29, 31, 32], and the long-term effects of e-cigarette consumption on human health are still unclear and require further study. The majority of cases reported to poison centers are due to accidental exposures in children less than 6 years old. This reflects the increasing availability of these products in the home due to use by guardians or older siblings. Additionally, in the last 5 years, the FDA has warned companies selling e-cigarette devices made in the shape of toys, foods or cartoons that specifically appeal to use by young people.

Descriptive statistics and multinomial logistic regression models were applied. The retailers sold or distributed e-cigarette products in the U.S. that were not authorized by the FDA, putting them in violation of the Federal Food, Drug, and Cosmetic Act, the agency indicates. The warning letters also identified other brands that are popular with teens, according to retail sales data and internal FDA data from a survey among teen users.

As of April 30, 2024, Poison Centers have managed 2,816 e-cigarette and liquid nicotine related exposure cases. When users inhale from the end of an e-cigarette, a battery-operated device heats a liquid solution (e-liquid or e-juice) into an aerosol. Use of e-cigarettes mimics conventional cigarette smoking, and e-cigarettes also contain the same addictive ingredient, nicotine. Results Macrophage culture with ECL or ECVC resulted in a dose-dependent reduction in cell viability. ECVC was cytotoxic at lower concentrations than ECL and resulted in increased apoptosis and necrosis. Exposure of AMs to a sub-lethal 0.5% ECVC/nfECVC increased ROS production approximately 50-fold and significantly inhibited phagocytosis.

We also have a selection of cheap disposable vapes, featuring top brands at great value prices. If you are not sure whether disposables are for you, these kits would be a great place to start. FDA Real Cost Campaign”The Real Cost” campaign website and social media channels are intended for the campaign target audience only — youth ages 12-17. Findings also show that in 2015, the percentage of EVP use was significantly higher in boys (2.8%) than girls (1.1%).

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].

“We took a much lighter touch to reflect the behavioral support that you’d likely experience if you went to your doctor and asked for help with quitting e-cigarettes,” Fucito said. To recreate this, they developed a self-guided cessation booklet for patients, with practical tools and tips for quitting. A licensed health care provider also met with each patient to inform them of how to use the medication, offer brief advice and instruct them to set a quit date for one to two weeks after starting the medication. Individual businesses can prohibit the use of vape devices indoors but this is not required by state law. Vaping refers to the use of an electronic device (e-cigarette) to heat liquids that produce a vapour, which is then inhaled. “It’s a pernicious problem. The foremost harm of e-cigarettes is the addiction process. Kids smoke them, they get addicted, and it stays for life,” Dr. Steven Kelder of UTHealth said.

Recycle your used vapes and pods for free with New Zealand’s first vape recycling programme. At least one of the three chemicals was detected in 47 of the 51 flavors tested. Diacetyl was detected above the laboratory limit of detection in 39 of the flavors tested. Acetoin and 2,3-pentanedione were detected in 46 and 23 and of the flavors, respectively. Single-use, disposable e-cigarettes cost anywhere from $1 to $15 each or more. Rechargeable starter kits with multiple pods can cost anywhere from $25 to $150 or more.

The devices, also known as vapes, can cause serious health implications, including contributing to detrimental inhalation patterns, and heightened risks for youth’s developing brains, according to medical researchers. While data indicate a substantial decline in traditional cigarette smoking among U.S. adolescents, the introduction of EVP use and their alarming increases have presented new challenges. The researchers believe that the data create clinical and public health challenges. As of August 1, 2019, this definition includes carrying or using an activated electronic delivery device, such as e-cigarettes or vapes.

If a person has been severely affected, they may have ongoing seizures or respiratory failure or other problems because of the damage done from low oxygen levels during the nicotine overdose event. Increased levels of nicotine or cotinine (nicotine metabolite) can be detected in urine or blood. There’s been one case report where two brothers smoked 17 and 18 pipes of tobacco in a row and were fatally poisoned. Nicotine poisoning refers to the toxic effects of consuming nicotine.

Rigotti noted that the difference between the treatment arm and the placebo arm was about 32% of people who got cytisinicline quit and were not vaping for the last 4 weeks of the trial, more than double the 15% of those in the placebo arm. However, there were some developments afterward which suggest the need for larger trials. Among teens who preferred sweet vape flavors, as opposed to menthol or mint ones, biomarkers of uranium were especially high. But, CDC stats on teen smoking show that while use of e-cigs went up to 24% in 2015, cigarette smoking dropped to an historic low — to just under 11%.

There is a web of policy approaches to these issues at all levels of government, including the federal, state, local and international level. While some evidence supports the use of e-cigarettes as quit devices, recent research suggests that their efficacy for quitting is likely overstated. Truth Initiative is America’s largest nonprofit public health organization committed to making tobacco use and nicotine addiction a thing of the past. This includes owners of vehicles from which e-cigarette products are sold and any person who sells e-cigarettes on the internet or by telephone or mail order.

But the MRTP pathway falls far short of encouraging the roughly 18 million adults using menthol cigarettes to switch completely to these alternative products if they cannot quit. MRTPs are defined as products that “reduce harm or the risk of tobacco-related disease uwell caliburn g2 porlasztó,” according to section 911 of the Federal Food, Drug, and Cosmetic Act (FD&C Act). Children are much more prone to nicotine overdose because of their smaller body size.

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.

A leaflet was provided with information on where the products could be bought. The study started recruitment in May 2021 and completed all follow-ups in December 2022. Ventilation, filtration and air cleaning techniques may reduce harmful substances released from e-cigarette use indoors but are not likely to eliminate them. E-cigarettes refers to the device and vaping is the use of the device.

E-cigarette emissions typically contain nicotine and other toxic substances that are harmful to both users and non-users who are exposed to the aerosols second-hand. Some products claiming to be nicotine-free (ENNDS) have been found to contain nicotine. Your doctor will begin his or her diagnosis by asking you about your use of e-cigarettes within the past three months and whether you vaped a product containing nicotine, THC, or both.

Further, the consumption of nicotine in children and adolescents has negative impacts on brain development, leading to long-term consequences for brain development and potentially leading to learning and anxiety disorders. At Yale Medicine, most pediatricians have started asking middle- and high school-age patients about their exposure to vaping, in large part to identify patients who might be at higher risk for developing related problems. This guidance is intended to support healthcare providers in their understanding and tracking of -cigarette and vaping product use. 20% (5 million) of all youth use e-cigarettes, a 135% increase in just two years.

ENDS emissions therefore pose potential risks to both users and non-users. Some vape shops may have legal responsibilities as both manufacturers and retailers of tobacco products. These products use an “e-liquid” that usually contains nicotine derived from tobacco, as well as flavorings, propylene glycol, vegetable glycerin, and other ingredients.

E-cigarette companies have promoted unsubstantiated health claims about their products as healthier than traditional cigarettes, when, in fact, e-cigarettes are uniquely dangerous for kids due to nicotine’s impact on their developing brains. This cross-sectional study highlights a high prevalence of e-cigarette use among adults in the US, particularly among young adults, in 2021. A striking finding is that 71.5% of those aged 18 to 20 years who reported e-cigarette use had no prior history of combustible cigarette use—this number is numerically higher compared with prior BRFSS data.

The traditional tobacco industry took notice of JUUL’s rapid ascent. In 2018, Altria, the makers of Marlboro cigarettes, acquired a 35% stake in the company for $12.8 billion. In September 2019, an Altria executive replaced the former head of JUUL as CEO. The ACS encourages young people currently using any of these products to ask for help in quitting and to quit as soon as possible.

E-cigarettes usually contain nicotine and may have other harmful substances too. When the liquid is used up or the battery dies, the user throws the device away. Others can be refilled with liquid, recharged, and used over and over. If you prefer to stop vaping in one step, you can ask your pharmacist or stop smoking adviser about switching to a suitable nicotine replacement therapy (NRT) product. This is an alternative way of cutting down your nicotine use until you are ready to stop completely. They also cause other serious illnesses, including lung disease, heart disease and stroke.

This article looks at the potential harms of vaping marijuana, how to identify them, and how vaping marijuana compares to vaping nicotine. The current study leaves many questions unanswered, but it joins a wave of concern over e-cigarette use among teens, which the US surgeon general described in 2018 as an epidemic. Very little research has evaluated the potential of metal exposure from vaping or the effect of certain flavors, making the long-term outcomes an even bigger mystery. Teenagers who regularly puff away on their vape throughout the day could be exposing their bodies to potentially toxic metals. Vaping worked in a month, and she’s been off cigarettes for more than two years. “I’m breathing digiflavor torch rta, sleeping, and eating much better since I started vaping. My ‘smoker’s laugh’ went away, and I no longer smell like an ashtray.”

But this trial, at least, should give health care providers some confidence in prescribing varenicline for patients trying to stop using e-cigarettes. “We need more pharmacotherapy treatments to help address the really strong physical dependence that can develop from e-cigarette use. People undergo significant withdrawal when they try to stop, and that withdrawal is so unpleasant and hard to manage with just behavioral support alone,” Fucito said. Electronic cigarettes and ESDs also pose a risk of fire and explosions, which result in serious injuries and property damage.

The sale of tobacco products to minors is prohibited by law.This is an age restricted product and age verification is required at sale. Disturbances in AM function could therefore increase the risk of infection and enhance susceptibility to chronic obstructive pulmonary disease (COPD). We also assessed the effects of our ECVC with and without nicotine on human AMs to determine if this is a key component and determine whether anti-oxidants abrogate any of the effects. Objective Vaping may increase the cytotoxic effects of e-cigarette liquid (ECL). We compared the effect of unvaped ECL to e-cigarette vapour condensate (ECVC) on alveolar macrophage (AM) function.

Nicotine gum was selected as the most widely used form of NRT in China. Three boxes containing 105 pieces of the gum each were provided at each monthly contact, with an option to request additional supplies if needed. Smoking causes at least 15 different types of cancer so stopping smoking completely is the best thing you can do for your health.

E-cigarette use has increased 78 percent in one year for high schoolers and 48 percent in middle schoolers. Additionally, the CDC reports nearly 38 percent of all high schoolers and even 13 percent of middle schoolers have tried “vaping” at least once, and those statistics likely are underreported. Drawn to the fruity flavor cartridges, or trying to wean from traditional tobacco products voopoo vape pen france, or even to curtail hunger, many people believe e-cigarettes or “vaping” is safer than smoking cigarettes and simply not addictive. As shown in Table 1, the majority of the 1624 respondents were males (61.2%), young adults between 25 and 34 years old (56.9%), Whites (59.4%), and had at least a bachelor’s degree (66.8%). The majority of respondents had used e-cigarettes between two and five years (69.6%) and 79.8% had moderate or strong intentions to quit. The percent of respondents saying they used e-cigarettes because of the added flavors or for quitting smoking cigarettes were 54.4% and 36.6%, respectively.

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.

Since 2016, the FDA regulates the flavours used in the e-cigarette market and has recently published an enforcement policy on unauthorised flavours, including fruit and mint flavours, which are more appealing to young users [77]. However, the long-term effects of all flavour chemicals used by this industry (which are more than 15,000) remain unknown and they are not usually included in the product label [78]. Furthermore, there is no safety guarantee since they may harbour potential toxic or irritating properties [5].

Alaska Beacon, an affiliate of States Newsroom, is an independent, nonpartisan news organization focused on connecting Alaskans to their state government. The other thing, too, is that when people are using any drug when they’re still in adolescence, their brain is still developing. Use of nicotine or other addictive things can impact your brain development in ways that are hard to predict. “Clinical interventions could include routine screening for vaping and nicotine dependence during adolescent health assessments as well as counseling and tailored cessation programs,” said Dr. Hennekens. Exposure to these substances can lead to serious health issues, including respiratory diseases, cardiovascular diseases, and cancer. As such, Chinh has requested the Ministry of Health to communicate more about the harmful impacts of e-cigarettes, as well as proposing solutions to manage them.

For example, tobacco-flavored e-cigarette cartridges sales dropped from 47.2% of those sold or given away in 2015 to 21% in 2018, while the sale of “other” flavored cartridges tripled in that time, increasing from 13.8% in 2015 to 42.1% in 2018. This was significant because Chantix, at one point, had a “black box warning” after reports linking the drug to psychiatric side effects. That warning was dropped in 2016 after a very large study showed the drug to be safe, but Toll and Fucito said the stigma of the warning remains in the minds of both health care providers and the general public. The American Association of Poison Control Centers, reports as of May 31, 2022, poison control centers have managed 2,451 exposure cases about e-cigarette devices and liquid nicotne in 2022. For more information about how poison control center data is collected click here.

Nicotine is the primary agent in regular cigarettes and e-cigarettes, and it is highly addictive. It causes you to crave a smoke and suffer withdrawal symptoms if you ignore the craving. It raises your blood pressure and spikes your adrenaline, which increases your heart rate and the likelihood of having a heart attack. First, it relied on self-reported data, which introduces the potential for misclassification or recall bias. In addition, social desirability and recall bias may have resulted in underreporting of both e-cigarette use and smoking status. It is important to note that these data provide a snapshot of e-cigarette use specifically in 2021, and assessing the overall impact of the entire COVID-19 pandemic on e-cigarette use presents challenges.

The devices, also known as vapes, can cause serious health implications, including contributing to detrimental inhalation patterns and heightened risks for youth’s developing brains, according to medical researchers. The changes to the county regulations are in response to public health data that show the increased use of e-cigarettes by Sonoma teenagers in high school. In 2022, tobacco conglomerate Philip Morris International bet big on Zyn, acquiring its parent company Swedish Match as part of its push into smokeless products.

Oregon Health & Science University is dedicated to improving the health and quality of life for all Oregonians through excellence, innovation and leadership in health care, education and research. Research on the link between vaping and COVID-19 outcomes is rapidly evolving and more research is needed to clarify the relationship. However, there is evidence that indicates that vaping exacerbates COVID-19 infection rates. The last five years have seen enormous spikes in youth e-cigarette use rates. For retailers who do not have a cigarette, cigar and/or tobacco permit, the e-cigarette retailer permit fee is $180 prorated over a two-year period of June 1 through May 31 of even-numbered years (see Permit Fee Table One).

For those who currently use, My Life My Quit offers resources tailored to support youth ages on their journey to quitting. Youth and teens can text Start My Quit to or visit the website for free, confidential quit help. For example, the study design doesn’t allow researchers to establish causation, but Dr. Vindhyal said in the release that it does show a clear association between any kind of smoking and negative health outcomes. The researchers were also unable to determine whether these outcomes may have occurred prior to using e-cigarettes, according to the ACC release. “Cigarette smoking carries a much higher probability of heart attack and stroke than e-cigarettes, but that doesn’t mean that vaping is safe,” Dr. Vindhyal said, adding that some e-cigarettes contain nicotine and release very similar toxic compounds to tobacco smoking.

It should be noted that there are seven FDA-approved quit aids that are proven safe and can be effective when used as directed. To date, no e-cigarette has been approved as a cessation device or authorized to make a modified risk claim, and more research is needed to understand the potential risks and benefits these products may offer adults who use tobacco products. The mid-to-long-term consequences of e-cigarettes are not yet known, as it’s a new product and has been sold for less than a decade in the U.S. While much remains to be determined about these lasting health consequences of these products, we are very troubled by what we see so far.

Electronic cigarettes produce an aerosol by heating a liquid that usually contains nicotine, flavorings and other chemicals. Several states have imposed restrictions on the sale of e-cigarettes. There are also restrictions on liquids with flavors that may be more attractive to younger people. When the user sucks on the mouthpiece, the heating element vaporizes the solution, which the person then “vapes,” or inhales.

In addition, young adults were significantly more likely to use both cigarettes and e-cigarettes than adults 45 and older. Young adults with family incomes of less than 200% of the federal poverty level also were more likely to use e-cigarettes than those with greater family income. Among young adults, men were slightly more likely to use e-cigarettes than women, while those who are white were more likely to use e-cigarettes than young Black adults and significantly more likely than young Asian or Hispanic/Latino adults. The emergence of vaping-related illnesses, which have prompted federal health agencies’ investigations and advisories, underscore the urgency of research. E-cigarettes are also not approved as quit aids by the FDA or the U.S. Enlist in our movement, explore youth activism programs, share quitting resources and learn about more ways you can get involved.

Adolescents are more likely to use e-cigarettes than any other tobacco product, and rates of e-cigarette use have risen sharply in recent years. Population-level interventions to reduce tobacco use include price increases, mass media campaigns, and smoke-free policies that include e-cigarettes. The role of non-combustible alternatives to the cigarette is a variable that Surgeon General Terry and his committee did not have to address. Determining whether and how to integrate such products into the fight against smoking-related death and disease is the task of public health and tobacco control experts of today. In this 60th Anniversary year, it is hoped that the 2024 Summit will embody the spirit of the 1964 report that placed scientific evidence at the forefront of public health action.

Not only is there evidence of mislabelling of nicotine content among refills labelled as nicotine-free, but there also seems to be a history of poor labelling accuracy in nicotine-containing e-liquids [37, 38]. Cancer is definitely a concern, given that vaping introduces a host of chemicals into the lungs. But vaping products haven’t been around long enough for us to learn whether or not they cause cancer. And, while it’s safe when taken orally as a supplement or used on the skin, it’s likely an irritant when inhaled. It’s been found in the lungs of people with severe, vaping-related damage. Research on health effects of secondhand exposure to e-cigarettes is still emerging.

The rapidly rising rates of use in young people and the high rates of daily use strongly suggest that many are addicted to nicotine and will have difficulty in stopping use of all tobacco products. Based on the current literature, it seems that several factors have led to the success of e-cigarette use as a smoking cessation tool. First, some e-cigarette flavours positively affect smoking cessation outcomes among smokers [102]. Second, e-cigarettes have been described to improve smoking cessation rate only among highly-dependent smokers and not among conventional smokers, suggesting that the individual degree of nicotine dependence plays an important role in this process [97]. Third, the general belief of their relative harmfulness to consumers’ health compared with conventional combustible tobacco [103].

E-cigarettes are nicotine-based products, and no nicotine use is safe. Until we know more, it is probably best to avoid these products whenever possible, including secondhand smoke. However, vaping early on may increase the chances of smoking ordinary cigarettes later in life.

Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nation’s food supply, cosmetics, dietary supplements, products that give off electronic radiation, and for regulating tobacco products. The agency has taken action on over 96% of the applications to date, including issuing marketing denial orders (MDOs) for more than one million flavored ENDS products that are so popular with young people. The MDOs were issued for products whose applications lacked sufficient evidence that such products have a benefit to adult smokers to overcome the public health concern posed by the well-documented and considerable appeal of the products to youth. The FDA is aware of a number of companies, such as Puff Bar, claiming their products contain only synthetic nicotine not sourced from tobacco, which may raise separate regulatory and legal issues that the agency is considering how best to address.

Talk about peer pressure, the tricks advertisers use and the importance of health. Even if you’re a tobacco user, having an open, honest discussion with your teen can help. The most important thing to understand is that the liquid in e-cigarette cartridges is not regulated by the FDA. Keep reading to learn more about vaping and how it’s affecting young people. Additional collection points are being added all the time, you can use your postcode to find your nearest vape recycling locations. You can take vapes for recycling to the shop where you buy your replacements or to your local authority household waste recycling centre.

The difference in opinion worldwide may be due to different restrictions imposed. For example, while no more than 20 ng/mL of nicotine is allowed in the EU, e-liquids with 59 mg/dL are currently available in the United States. Nevertheless, despite the national restrictions, users can easily access foreign or even counterfeit products online. Electronic nicotine dispensing systems (ENDS), commonly known as electronic cigarettes or e-cigarettes, have been popularly considered a less harmful alternative to conventional cigarette smoking since they first appeared on the market more than a decade ago. E-cigarettes are electronic devices, essentially consisting of a cartridge, filled with an e-liquid, a heating element/atomiser necessary to heat the e-liquid to create a vapour that can be inhaled through a mouthpiece, and a rechargeable battery (Fig. 1) [1, 2]. Both the electronic devices and the different e-liquids are easily available in shops or online stores.

Second, we reported the distribution of the primarily used e-cigarette flavor before and after the ban with paired t-tests to evaluate the differences. Third, a multinomial logistic regression (PROC LOGISTIC in SAS, version 9.4) was used to estimate the associations between demographics, e-cigarettes and smoking preference and use status, and the flavor that respondents primarily used after the ban. Fourth, we reported the distribution of ways of obtaining e-cigarettes before and after the flavor ban. Finally, the use of non-e-cigarettes tobacco products after the ban among different categories of respondents was assessed. Respondents were also asked whether they were aware of the ban, supported the ban, and extent to which they perceived local retailers were compliant with the ban. Over the next few years, the optimism over e-cigarettes waned as their popularity skyrocketed.

The “vapor” inhaled also can cause inflammations in the mouth, eventually leading to gum disease. Additionally, “vaping” has been proven to destroy the mitochondria used in wound healing. Over time, inhaling the particles present in the “vapor” can cause what has become the well-known “smoker’s cough.” Smoking is the leading cause of death and disease in the United States and according to the FDA, teen electronic cigarette use has skyrocketed by nearly 80 percent in the past year.

Findings  In this randomized clinical trial including 1068 smokers, ECs were as effective as varenicline and more effective than nicotine chewing gum when all 3 treatments were provided with minimal behavioral support. Switching from cigarettes to e-cigarettes could also save you a lot of money. Some people spend more than others, but in general, smoking costs over three times as much as vaping. If you or someone you know has had a safety issue with an electronic cigarette (e-cigarette or vape), please report the problem to the Food and Drug Administration (FDA) at the FDA Safety Reporting Portal (hhs.gov).

You may have seen ads or stories on the internet that say e-cigarettes are not harmful, or are a good way to help smokers quit smoking. However smok vape price philippines, doctors and researchers still have a lot to learn about the health effects of e-cigarettes. While e-cigarettes may be less harmful than regular cigarettes, this does not mean that they are harmless. E-cigarettes, devices that typically deliver nicotine, flavorings, and other additives to users through an inhaled aerosol, are a rapidly emerging trend, and are especially popular among youth and young adults.

The report also reveals a large increase in the concentration of nicotine in disposable e-cigarettes sold between 2015 and 2018. In 2015 tpms sensor, disposable products on average contained 25 mg of nicotine per ml of e-liquid. This concentration increased nearly 60% to 39.5 mg/ml in 2018, increasing their addictiveness. Cartridge-based e-cigarettes contained even higher nicotine concentrations, with the most popular products having concentrations between 51 and 61 mg/ml, while the sale of nicotine-free cartridges was negligible. On the other hand, one potential challenge that the researchers uncovered in the results indicated that people without a cigarette smoking history – in other words, those who have only ever used e-cigarettes – might have a harder time quitting.

They are not yet regulated nor approved for smoking cessation by the U.S. Food and Drug Administration.The long-term health effects to users and bystanders are still unknown. In 2022, e-cigarettes remained the most common tobacco product used by high school (16.5%) and middle school (4.5%) students in the last 30 days.

In December 2019, the legislation was included in the federal year-end legislative package and passed by both houses of Congress. President Trump signed the bill into law on December 20, 2019 and it immediately took effect. This legislation, which applies to all states, raises the minimum age of sale for all tobacco products— including e-cigarette—to 21. On May 15, 2019 a federal judge sided with the American Lung Association and our partners in this lawsuit.

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, personal diffusers or diffuser sticks. The best way to protect your children is to never smoke or vape near them.

Even if you have used tobacco yourself, your children will listen if you discuss your struggles with nicotine addiction. Be clear that you don’t approve of them smoking or using e-cigarettes, and that you expect them to live tobacco-free. Today, more high school students use e-cigarettes than regular cigarettes. The use of e-cigarettes is higher among high school students than adults.

The researchers also raise concerns about risks of short- as well as long-term use of EVPs. That’s up to the e-cigarette companies, because the companies get to decide what kind of authorization they want to seek from FDA. There’s no reason why an e-cigarette company can’t say, “Thank you, Center for Tobacco Products, but we’d rather our product be regulated as a drug and we’re going to submit applications to the Center for Drug Evaluation and Research.” That’s their choice.

A 2020 Intercultural Development Research Association (IDRA) study showed students removed from school for non-criminal offenses in Texas were 23% more likely to have future contact with the justice system. The new Texas law that went into effect Sept. 1 adds possession of an e-cigarette to Section 37 of the Texas Education Code. That section details some of the most serious offenses a student can commit and requires removal from school. The felony offenses include bringing a gun to school, making terroristic threats, and violent assault.

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.

Cigarette smoking kills almost half a million people a year in the United States. Most of the harm comes from the thousands of chemicals that are burned and inhaled in the smoke, he explains. “This research has provided greater understanding in the court systems nationwide as to the nature of drug usage, abuse, and overdose cases in which electronic cigarettes were used to deliver an illicit drug,” the researchers concluded. Harvard T.H. Chan School of Public Health brings together dedicated experts from many disciplines to educate new generations of global health leaders and produce powerful ideas that improve the lives and health of people everywhere. Each year, more than 400 faculty members at Harvard Chan School teach 1,000-plus full-time students from around the world and train thousands more through online and executive education courses.

E-cigarette sales tripled between 2012 and 2013 rising from $500 million to over $1.5 billion and are expected to soon exceed the sales of traditional cigarettes, motivating giant tobacco and other non-cigarette companies to market this product. A popular claim is that nicotine in e-cigarettes is relatively harmless, whereas additives and combustion products largely account for the harms of traditional cigarettes. The UofL research, which tested the effects of e-cigarettes with various types and doses of nicotine in animal models, showed that the nicotine form contained in pod-based e-cigarettes — nicotine salts — led to heart arrhythmias, particularly at higher doses.

Find more information on Iowa’s e-cigarette-related laws and regulations from the Public Health Law Center at Mitchell Hamline School of Law. Besides nicotine, e-cigarette aerosol can contain harmful and cancer-causing chemicals. Defective batteries have caused fires and explosions resulting in serious injuries. More than 2.1 million students across the country reported using e-cigarettes in 2023, according to a survey study from the U.S. Common side effects of using Juul and other e-cigarettes include coughing, dizziness and dry mouth. Serious vaping side effects may include severe lung injuries, seizures, and nicotine addiction and poisoning.

The research lacks a control group of teens who did not vape at all, but the pattern evident within a US sample of 200 e-cigarette users who avoided cigarettes is still concerning. For the sake of public health, the researchers argue for further investigation into the potential toxicity of e-cigarettes. Finally, the researchers compared the levels of nicotine in the blood serum of people after they had vaped e-cigarettes with the levels in people who smoked traditional cigarettes. They found that the amounts of nicotine in the blood were similar between the two groups after 10 minutes of smoking at a constant rate. The flavoring liquid for electronic cigarettes, or e-cigarettes, may increase the risk of cardiovascular disease when inhaled, according to a study led by researchers at the School of Medicine. Public health groups want the FDA to more aggressively police regular cigarettes and flavored e-cigarettes that appeal to teenagers.

As the user draws on the device, the battery heats the e-liquid to produce aerosol (not water vapor). The battery-operated devices come in many forms and can look like conventional cigarettes, pens or even sleek tech gadgets. This way of taking in nicotine poses health risks to both users and non-users. The 2021 report also provides details on some characteristics of e-cigarette products, including flavors and nicotine concentration, as well as the bundling of the components in cartridge systems. The data shows that in 2021, 69.2 percent of e-cigarette cartridges either sold or given away contained menthol-flavored e-liquids, and the rest were tobacco-flavored. The monitoring of other tobacco product sales in conjunction with the monitoring of e-cigarette sales is necessary to provide a comprehensive picture of the overall U.S. tobacco product market.

To address these concerns, in early 2020 the FDA announced an order that would stop most flavored vape pods (also known as cartridges) from being sold. Then, in April 2020, the agency began reviewing all U.S. e-cigarette products to determine which could stay on the market and which should be removed. The decision for each is based on whether the products offer more public health benefits (helping smokers quit) rather than harm (hooking youth on nicotine). Most are noncombustible which includes a battery, a heating element, and a liquid compartment, usually containing addictive nicotine, that is added to the e-liquid or included in the device.

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.

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, although a larger study would be needed to verify this finding.

In the UK, e-cigarettes are tightly regulated for safety and quality. They are not recommended for non-smokers and cannot be sold to people under 18 years old. In recent years, e-cigarettes have become a very popular stop smoking aid in the UK. A PDF is a digital representation of the print book, so while it can be loaded into most e-reader programs, it doesn’t allow for resizable text or advanced, interactive functionality. The eBook is optimized for e-reader devices and apps, which means that it offers a much better digital reading experience than a PDF, including resizable text and interactive features (when available).

Electronic cigarettes, also known as e-cigarettes, e-vaporizers, or electronic nicotine delivery systems, are battery-operated devices that people use to inhale an aerosol, which typically contains nicotine (though not always), flavorings, and other chemicals. Some common nicknames for e-cigarettes include e-cigs, vapes, vape pens, and mods (customizable, more powerful vaporizers). E-cigarettes come in many shapes and sizes but commonly have a power source (battery), a heating element (atomizer), a mouthpiece, and a cartridge or reservoir to hold liquid. E-cigarettes produce an aerosol by heating a liquid that usually contains nicotine, flavorings, and other chemicals that help to make the aerosol. Bystanders can also breathe in this aerosol when the user exhales into the air.

The ACHA ATOD Coalition has collected the links below to providecampuses with resources and information to assist in e-cigarette andvaping prevention. For medical questions, we encourage you to review our information with your doctor. The nicotine salts induced cardiac arrhythmias more potently than freebase nicotine, and the cardiac arrhythmias increased with the higher concentrations of nicotine. An e-cigarette’s appearance is determined by the shape and size of its components. In some instances, because of its appearance and the vapours it emits, an e-cigarette may be confused with a regular cigarette. Other types of e-cigarettes, however, are similar to a cigar, a smoking pipe, or a ballpoint pen in appearance.

EVALI is a serious medical condition in which a person’s lungs become damaged from substances contained in e-cigarettes and vaping products. E-cigarettes invite harmful and unknown chemicals into the body and bloodstream. These cancer-causing agents reach deep into the lungs, irritating the bronchi and cause an increase in blood pressure, heart rate, as well as compromise adequate flow of blood to the heart and restrict of the arteries. Juul is probably the most popular brand of e-cigarette currently marketed. The device heats a nicotine-containing liquid pod to produce an aerosol inhaled by the user and any bystander within its radius (in the form of secondhand “smoke”). All Juul e-cigarettes have a high level of nicotine and in fact, according to the manufacturer, a single Juul pod contains as much nicotine as a pack of 20 regular cigarettes.

The lockdowns made the collection of CO readings difficult, particularly during 2 periods in 2022 shown in eFigure 2 in Supplement 2 when most study dropouts were recorded. This reduced the validated quit rates, but all 3 study arms were affected equally. This cluster of events is the likely reason for quit rates being lower than expected in our power calculations.

A 1.5-minute video that explains what e⁠-⁠cigarettes are and how they operate. A producer is anyone who manufactures or imports these products or who re-brands any product as their own.Retailers do not need to submit information for any products they sell unless they also qualify as a producer. “There’s still some hesitancy to prescribe this very safe – now generic – drug, and it really shouldn’t be that way,” Toll said. Alcohol and Drug Foundation’s services are here to support communities across all states and territories.

Pan and class one isoform phosphoinositide 3 kinase inhibitors partially inhibited the effects of ECVC/nfECVC on macrophage viability and apoptosis. Secretion of interleukin 6, tumour necrosis factor α, CXCL-8, monocyte chemoattractant protein 1 and matrix metalloproteinase 9 was significantly increased following ECVC challenge. Treatment with the anti-oxidant N-acetyl-cysteine (NAC) ameliorated the cytotoxic effects of ECVC/nfECVC to levels not significantly different from baseline and restored phagocytic function. E-cigarettes do not produce tar or carbon monoxide, two of the most harmful elements in tobacco smoke. There are different types of e-cigarette, including vape pens, vape bars, pod devices, mods, and cigalikes.

Juul’s sales increased over 600 percent each year to become the best selling device on the market while I inhaled an atmosphere’s worth of vanilla vapor into my lungs. I never kidded myself into thinking that this habit was harmless, but my conviction that they were less harmful than cigarettes made the endeavor seem worthwhile, even praiseworthy. (THE CONVERSATION) This article was originally published on Dec. 21, 2023 Californians – including minors – are still able to buy flavored electronic cigarettes online, even after the state’s much-publicized ban went into effect. That’s the key finding of my team’s 2023 study, published in JAMA Network Open. Initially marketed as a safer alternative to traditional cigarettes for adults looking to quit smoking, these products quickly caught the attention of younger demographics. A survey of more than 4,000 New Jersey adolescents found that 25% were vaping — far outpacing cigarette smoking, according to a 2020 study.

The evidence for e-cigarettes as a tool to help adults quit smoking is limited. To date, no e-cigarettes have been approved by the FDA as smoking-cessation devices. In 2019, more than one in six (15.2%) New York City high school students reported using e-cigarettes.

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.

Powered by a pre-charged non-rechargeable battery, typically with a capacity of 400mAh – 750mAh, disposable vapes are designed to be used for a finite period of time tpms, with newer devices offering approximately 800 puffs per bar. Vape Kits (or e-cigarettes) are battery operated devices that are used to create the vapour produced when heating the flavoured liquid. Whilst the premise of an e-cig remains the same there are many different types available, each with their own benefits. Increasing consumer awareness of the environmental toxicity and dangers posed by discarding e-cigarette waste into landfills and encouraging vapers to quit are the best ways to protect the environment from tobacco product waste. Currently, there is no standardized way to recycle e-cigarettes in the U.S.

Did you know you can buy 10ml vape juice that tastes just like your favourite disposables? Bar salt liquids are made with extra strong flavours to give you the same great taste for a fraction of the cost. Choose from the most popular bar salts like MaryLiq, ElfLiq by Elf Bar, Elux Legend Nic Salts and Crystal Bar E-liquid. If you need more than 10ml bottles, we have an incredibly diverse range of shortfill e-liquids.

In 2014, 50% of Alaska Native adults and 21% of non-Native adults used tobacco products, the report said. By 2021, the rate for Native adults fell to 43% while the rage for non-Native adults was unchanged over that period. While a quarter of all Alaska adults reported that they used tobacco products in 2021, different patterns are emerging according to socioeconomic status, geography and other factors, the new report said. To be authorized, a product’s manufacturer must show it will benefit the health of the population as a whole.

The intent behind this bill is to try to keep vape products out of the hands of children. Florence says that vapor stores cater to adults and that stores are either 21 and up or age-gated to prevent kids from accessing the products. Another research team collected weekly Google search rates related to online shopping for cigarettes and vaping products in California from January 2018 to May 2023. They found that shopping queries were 194% higher than expected for cigarettes and 162% higher than expected for e-cigarettes – which suggests consumers are searching on Google for vendors promoting banned products.

That’s not to say that e-cigarettes haven’t helped some people transition away from conventional cigarettes. In the meantime, Dr. Baldassarri says population rates of smoking and vaping should be closely monitored to ensure that the regulatory steps taken by the FDA are optimizing protection of public health. “We want to see cigarette smoking rates decline, and we want vaping to decline among youth and non-smokers,” he says. A pharmacist in China created what would be the first commercially successful electronic cigarette in 2003. “He wanted to develop a pure form of nicotine that could help smokers quit, but without the thousands of harmful chemicals that come from burning cigarettes,” explains Suchitra Krishnan-Sarin, PhD, co-director of the Yale Tobacco Center for Regulatory Science. It shall be unlawful to sell, distribute or offer tobacco products or electronic cigarettes to a minor.

Nicotine levels in e-cigarettes are highly variable, with some reaching or exceeding levels found in combustible cigarettes. Treatment adherence was similar in the 3 study arms during the first 3 months (Figure and Table 3). During the second 3 months, product use continued in the EC arm only, with 314 (76.8%), 285 (69.7%), and 255 (62.3%) EC arm participants using ECs at 4, 5, and 6 months, respectively. Among abstainers at 6 months in the EC arm, 43 of 64 (67.2%) were using ECs.

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, 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.

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.