Electronic cigarettes (e-cigarettes) are not harmless and pose significant health risks. Their use, commonly known as vaping, exposes users to a variety of harmful substances.
Key Health Concerns
Nicotine Addiction:

- Most e-cigarettes contain nicotine, a highly addictive substance. Nicotine can harm the developing adolescent brain, which continues to mature into the early to mid-20s.
- Addiction can lead to sustained use and exposure to other harmful chemicals.
Harmful Aerosol Components:
- The aerosol inhaled from e-cigarettes is not merely water vapor. It can contain:
- Nicotine.
- Ultrafine particles that can be inhaled deep into the lungs.
- Flavorings such as diacetyl, a chemical linked to a serious lung disease called bronchiolitis obliterans.
- Volatile organic compounds (VOCs).
- Cancer-causing chemicals (carcinogens).
- Heavy metals like nickel, tin, and lead.
Lung Damage:
- E-cigarette use is associated with lung injuries, including severe cases like EVALI (e-cigarette, or vaping, product use-associated lung injury).
- It can exacerbate existing respiratory conditions such as asthma and chronic bronchitis, and may cause airway irritation and inflammation.
Cardiovascular Effects:
- Nicotine in e-cigarettes is a stimulant that raises blood pressure and heart rate, potentially increasing the risk of heart attack and stroke.
- Some studies suggest that e-cigarette use can negatively impact blood vessel function.
Risks to Specific Populations:
- Youth and Young Adults: Particularly vulnerable to nicotine addiction and its effects on brain development. Early exposure can also increase the likelihood of future combustible cigarette use.
- Pregnant Women: Nicotine exposure during pregnancy can harm fetal development.
Other Dangers:
- Defective e-cigarette batteries have been known to cause fires and explosions, resulting in serious injuries.
- Accidental ingestion of e-liquid, or absorption through the skin or eyes, can cause acute nicotine poisoning, especially in young children.
Not a Harmless Alternative
While some e-cigarettes may contain fewer toxic substances than traditional combustible cigarettes, this does not make them safe or without health risks. The long-term health effects of e-cigarette use are still being studied, as they are a relatively new product. For individuals who do not smoke, initiating e-cigarette use introduces avoidable health hazards. They are not recommended as a smoking cessation tool for everyone, and their efficacy for this purpose is still debated, with health authorities often recommending approved cessation aids first.