Vaping FAQs

do people die from vaping site nih.gov

by Barbara Heidenreich Published 1 year ago Updated 1 year ago
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Reports of Deaths Related to Vaping The Food and Drug Administration has alerted the public to thousands of reports of serious lung illnesses associated with vaping, including dozens of deaths. They are working with the Centers for Disease Control and Prevention (CDC) to investigate the cause of these illnesses.

Reports of Deaths Related to Vaping
The Food and Drug Administration has alerted the public to thousands of reports of serious lung illnesses associated with vaping, including dozens of deaths. They are working with the Centers for Disease Control and Prevention (CDC) to investigate the cause of these illnesses.

Full Answer

What are vaping devices?

What chemicals are in vaping?

How old do you have to be to vape?

Can nicotine be inhaled in a vaporizer?

Is vaping harmful?

Is it too late to quit smoking?

Is vitamin E acetate harmful?

See 4 more

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Is vaping worse than smoking?

1: Vaping is less harmful than smoking, but it's still not safe. E-cigarettes heat nicotine (extracted from tobacco), flavorings and other chemicals to create an aerosol that you inhale. Regular tobacco cigarettes contain 7,000 chemicals, many of which are toxic.

How harmful is vaping?

The e-cigarette aerosol that users breathe from the device and exhale can contain harmful and potentially harmful substances, including: Nicotine. Ultrafine particles that can be inhaled deep into the lungs. Flavorings such as diacetyl, a chemical linked to a serious lung disease.

What are 5 risks of vaping?

Vaping has been linked to lung injury.Rapid onset of coughing.Breathing difficulties.Weight loss.Nausea and vomiting.Diarrhea.

What are the long term effects of vaping on the human body?

These risks include nicotine addiction, mood disorders, and permanent lowering of impulse control. Nicotine also changes the way synapses are formed, which can harm the parts of the brain that control attention and learning.

Can your lungs heal from vaping?

Breathing in the harmful chemicals from vaping products can cause irreversible (cannot be cured) lung damage, lung disease and, in some cases, death.

What are the benefits of vape?

Benefits of vaping Vaping can help some people quit smoking. Vaping is usually cheaper than smoking. Vaping is not harmless, but it is much less harmful than smoking. Vaping is less harmful to those around you than smoking, as there's no current evidence that second-hand vapour is dangerous to others.

What is the safest vape to use?

If you are looking for the safest vape kit then you might want to consider disposables or pod kits. These are often low powered and have safety cuts offs as well as other features to prevent them from overheating. Not only as disposables one of the safest vape kits, but they are also super easy to use.

What does vaping do to your brain?

The majority of vape liquids contain nicotine. In addition to being highly addictive, nicotine alters the neurotransmitters in the brain. It has been found to slow brain development in teens and affect memory, decision-making, concentration, self-control, and mood.

How much vaping is too much?

Even today, many high-profile sources list the toxic dose of nicotine (the LD50 – or the dose that will kill about half of people exposed) as between 30 and 60 mg. To put this in context of vaping, this would be about 4 ml of 12 mg/ml e-liquid. d.

How long do you have to vape for it to cause damage?

Exposure for just three days was enough to incur sufficient damage to their lungs, setting the stage for long-term chronic lung damage. This damage occurred both with e-cigarettes containing nicotine, and those with just the propylene glycol carrier fluid.

What happens when you quit vaping?

When you go without vaping, the nicotine level in your bloodstream drops, which may cause unpleasant feelings, physical symptoms, and strong urges to vape. This is nicotine addiction.

How long does it take for your lungs to heal from vaping?

After two weeks: your circulation and lung function begin to improve. After one to nine months: clear and deeper breathing gradually returns; you have less coughing and shortness of breath; you regain the ability to cough productively instead of hacking, which cleans your lungs and reduce your risk of infection.

How much vaping is too much?

Even today, many high-profile sources list the toxic dose of nicotine (the LD50 – or the dose that will kill about half of people exposed) as between 30 and 60 mg. To put this in context of vaping, this would be about 4 ml of 12 mg/ml e-liquid. d.

What happens if I stop vaping?

When you go without vaping, the nicotine level in your bloodstream drops, which may cause unpleasant feelings, physical symptoms, and strong urges to vape. This is nicotine addiction.

Are disposable Vapes safe?

Disposables are as safe as any other vape product on the market. While they do still come with some potential hazards, they are a far safer alternative to smoking traditional cigarettes. Public Health England has even concluded that vape products are at least 95% safer than combustible tobacco products.

Is Flavoured vape harmful?

Blaha says there's limited evidence that vape juice flavors themselves are dangerous to individual users. But there are unknowns — research suggests that flavors, when combined with other vape juice ingredients and heated, can create new compounds that may be harmful.

Doctor's warning about dangers of vaping - Mayo Clinic Health System

For the safety of our patients, staff and visitors, Mayo Clinic has strict masking policies in place. Anyone shown without a mask was either recorded prior to COVID-19 or recorded in a non-patient care area where social distancing and other safety protocols were followed.

Can vaping damage your lungs? What we do (and don’t) know

The rising popularity of vaping has been dramatic, especially among teenagers.According to a 2019 study, about 37% of high school seniors reported vaping in 2018, up from 28% the year before.An estimated 2.1 million middle school and high school students reported using e-cigarettes in 2017; that number jumped to 3.6 million in 2018.A more recent survey found that among high school seniors ...

Is Vaping Bad for You? And 12 Other FAQs - Healthline

Vaping isn't as risky as smoking cigarettes, but it still has negative side effects. Find out which fluid flavors carry the most risk, ingredients to avoid, and more.

Health Risks Of Vaping: Let's Stick To The Science And Speculate Less

A growing body of evidence gathered over the last 15 years has shown that using an electronic cigarette ("vaping") is probably far safer than smoking and likely to help smokers quit their deadly habit forever. Certain segments of the public health establishment have reacted oddly to these results—they've ignored them and treated vaping as a serious threat.

What are the health risks of smoking e-cigarettes?

The device is made up of a mouthpiece, liquid tank, a heating element, and a battery. E-cigarette use may pose health risks in the form of cardiovascular and respiratory diseases. These health risks have implications to not only the primary user, but the aerosols can also cause secondhand and thirdhand injuries to others in the vicinity. Acute lung injury may also be associated with the use of e-cigarettes, but the underlying cause remains unknown. Clinicians, including hospitalists, pulmonologists, intensivists, medical examiners, pathologists, and the like, should report possible cases as the medical community continues to assess the health risks of e-cigarette use.

What is an e-cigarette?

This raises significant health concerns [1]. Simply put, electronic cigarettes (e-cigarettes) are electronic devices designed to vaporize chemical compounds. These devices have different components, including a mouthpiece, a liquid tank, a heating element, and a battery [2]. They come in various shapes, sizes, and device types, and are known by different names to different users. The most common terminologies include e-cigs, vapes, e-hookahs, vape pens, mods, tanks, or electronic nicotine delivery systems (ENDS). The process of using the devices is sometimes referred to as vaping or juuling, the latter so named for the particular device brand [3].

What are the symptoms of e-cigarette use?

Most of the patients in their study presented with shortness of breath, cough, and chest pain [12]. The severity of the illness varied from mild shortness of breath requiring oxygen supplementation via nasal cannula to severe debilitating respiratory failure requiring intubation and mechanical ventilation [12,13]. Five patients identified in July and August 2019 had acute lung injury associated with e-cigarette use. These patients were identified in two different hospitals in North Carolina, all were admitted for hypoxemic respiratory failure. All the patients reported a history of recent e-cigarette use. They were initially admitted for community-acquired pneumonia (CAP), but their symptoms worsened with conventional treatment for CAP. They were eventually diagnosed with acute exogenous lipoid pneumonia [13]. Another patient had presented with shortness of breath; investigations yielded a diagnosis of spontaneous pneumothorax. An 18-year-old patient had no history of cigarette smoking but endorsed daily use of e-cigarettes. The patient then had a recurrent spontaneous pneumothorax. He had no significant medical or surgical history to increase his propensity for spontaneous pneumothorax [14].

Why is it important to understand the nature and attitude of e-cigarettes use among young adults?

Understanding the nature and attitude of e-cigarettes use among young adults is very important as this is the period when they transition into social contexts (e.g., college, peer pressure, and workplace) often resulting in an increased prevalence in substance use and the development of addictive patterns [18] .  This raises a public health concern as it suggests that the younger generations of users, which have the highest rates of electronic cigarettes use, might become addicted to these devices despite unknown long-term physiologic and pathologic consequences [19].

Does vaping cause ground glass opacities?

Chest computed tomography scans obtained from patients with vaping-associated lung disease showed significant findings. Ground-glass opacities seem to be a common finding in the imaging studies of most patients with e-cigarette-associated lung disease [16,17].

Is vaping associated with pulmonary disease?

So far, most of the literature on vaping-associated pulmonary disease we have are case reports and case series. A high index of suspicion is paramount as there are reports of patients that rapidly progressed to acute respiratory failure requiring intubation and mechanical ventilation [3]. The use of ENDS continues to grow in the United States. For example, while the use of combustible tobacco cigarettes has declined significantly, the United States ENDS market now exceeds 8 billion dollars [4]. At the moment, there are regular advertisements for e-cigarettes, promoting them as viable and safe alternatives to cigarettes smoking despite an absence of any studies to prove superior efficacy to conventional smoking cessation strategies already studied, such as nicotine replacement, bupropion hydrochloride, varenicline, and counseling [5]. E-cigarettes use may pose health risks in the form of cardiovascular and respiratory diseases. Tobacco cigarette smoking is the primary cause of preventable cardiovascular death in the United States, and smoking cessation has long been the focus of significant public health efforts. The rates of tobacco smoking in the United States have continued to decline and reached historic lows according to a Surgeon General report in 2014. However, with this decline, the use of electronic cigarettes, introduced in 2007, has markedly increased, especially among young people [6]. Healthcare providers should be on the alert for symptoms suggestive of acute lung injury secondary to vaping and remind patients that even though some e-cigarettes contain nicotine, they are currently not approved by the Food and Drug Administration as a cessation aid for smokers. Clinicians, including hospitalists, pulmonologists, medical examiners, primary care physicians, pathologists, and the like, are reminded to report possible cases [3,7].  People should consider not using e-cigarettes. This is especially the case for high-risk groups, including those without prior experiences, teenagers, pregnant women/nursing mothers, or adults who do not currently use oral tobacco products. These health risks have implications to not only the primary user, but the aerosols can also cause secondhand and thirdhand injuries to others in the vicinity. However, the regulations for public e-cigarette use vary across states and are inconsistent across cities within certain states. These variations in restrictions exist in both locations and types of product use, public versus private use, and types of products allowed in certain places [7]. Consumers in most states must be 18 years or older to purchase the device, although underage sales have been reported in retailers and online. The Food and Drug Administration has expressed concerns that certain flavored e-cigarettes are appealing to youth who may be unaware of the products’ addictiveness and some others who may have never tried a nicotine product [8]. There are many compounds in the aerosols and liquids and the selling point mostly used is that it can serve as a “Healthier” alternative to tobacco smoking even though the Food and Drug Administration has not approved this. The American Cancer Society discourages the dual use of electronic cigarettes and cigarettes because such use has not resulted in reduced exposures to the harmful effects of smoking [9,10]. Flavoring was considered by most users as the most important reason for vaping [10].  Over the past year, the Center for Disease Control has drawn attention to severe pulmonary disease associated with the use of electronic cigarette products. There have been reports of more than 200 cases associated with the use of these devices, using both known and unknown products [11]. The exact cause of these findings is still uncertain. Available data have been either case reports or case series. Some of the reported cases of e-cigarette-associated pulmonary illnesses include spontaneous pneumothorax, acute eosinophilic pneumonia, respiratory bronchiolitis-associated interstitial lung disease, hypersensitivity pneumonitis, organizing pneumonia, and acute exogenous lipoid pneumonia [12-14].

Who invented vaping?

The invention of vaping is attributed to Herbert Gilbert, a cigarette smoker and scrap metal dealer from Pennsylvania. Gilbert’s device was battery-powered to vaporize a liquid for inhalation, very similar to modern electronic cigarettes. He admitted to the Smithsonianmagazine that he believed it to be a breakthrough alternative to cigarette smoking to save people from tobacco’s harmful effects as it did not contain nicotine. After multiple permutations, the device was never mass-produced but its patent has been cited by many companies since then. He actually proposed an alternative use for the device for people that were dieting and believed that they could vaporize the tastes of their favorite foods to quench food cravings. He initially proposed a handful of flavorings including cinnamon, rum, orange, and mint.1–2A year after the patent was submitted in 1963, the Surgeon General Luther Terry released his report “Smoking and Health” on the potential health consequences of cigarette smoking. This was the first report implicating cigarettes in a causal relationship with lung cancer and heart disease as well as laryngeal cancer and chronic bronchitis.3

What is the basic design of vaping?

The basic design of the device, in the case of vaping both tobacco and marijuana, is largely unchanged from the original patent by Gilbert. There is a reservoir that holds an oil or liquid, a mouthpiece, and a heating element. Theoretically, vaporizing the liquid does not combust it and saves the person va ping from exposure to byproducts generated by high heat . However, there is no regulation of these devices and no agreed upon standard temperature. There appears to be a wide variance in the quality of the components of these devices depending on the price of purchase.2,10,11,16,28

What solvents are used to dissipate nicotine?

The conventional solvents for the dissolution of nicotine or THC have been propylene glycol and glycerol, and these are the best studied. Initially thought to be benign, there is now some research demonstrating that propylene glycol when vaporized causes significant respiratory irritation and even increases the incidence of asthma. The breakdown products from heating propylene glycol and glycerol to target temperatures include formaldehyde and hemiacetals such as acetaldehyde. Formaldehyde is a Group 1 carcinogen that contributes a 5–15 times higher lifetime risk of cancer. It is present in traditional smoked tobacco in much lower quantities. Hemiacetals such as acrolein and acetone have been implicated in nasal irritation, cardiovascular effects, and lung mucosal damage and these byproducts are produced in higher quantities with higher voltage devices. Basically, as the temperature of the coil increases, the carcinogenic risk of vaping approaches that of traditionally smoked cigarettes.9,10,16–18

Is vaping harmful?

Good clinical evidence is lacking regarding the potential harm of vaping or the potential benefits. There are some problems with studying something like vaping. For one thing, any research has to make a distinction between vaporizing marijuana and vaporizing tobacco and this is not always possible. Additionally, the methods by which people vaporize tobacco and marijuana differ. As far as tobacco devices go, there are many brands with many different compositions and construction designs. Regarding the vaporization of marijuana, there are no standardized devices and there are no standard formulations.

Is vaping safer than smoking?

With the current body of evidence and the outbreak of EVALI in 2019, it is incumbent upon all healthcare practitioners to advise patients that vaping should not be considered safer than smoking and that there are very real and new dangers associated with vaping that still require further study. Providers must learn more about the dangers of vaping and identify adverse health effects from this practice in patients. An evidence-based approach to smoking cessation based on established data and practice patterns is needed.

Is vaping bad for you?

All of the medical dangers of vaping are unknown. Only a small number of people who admit to vaping marijuana are doing so for medical reasons, and there are almost no studies. A large number of people believe that vaping tobacco is a healthy way to quit, and this belief has been fostered by the tobacco industry.6,14There is no strong clinical signal in the direction of using electronic cigarettes as an effective method of quitting smoking. It is difficult to hold an informed discussion with patients about the potential risks and benefits of vaping. Potential risks come from multiple places: device specific concerns, the makeup of the liquid products being vaporized, and the potential for toxicity of both nicotine and marijuana when inhaled in concentrated forms.

Is vaping marijuana safe?

The studies on the safety or dangers of vaporizing marijuana are limited in number because the marijuana itself is difficult to acquire. There were a small number of the plants released in the early 90s for clinical research.12Most of those studies utilized the same device, manufactured under the name “Volcano”. This device is expensive and is drastically different from any of the modern handheld devices for vaporizing marijuana and tobacco. It does not serve as a good facsimile for comparison to modern day vaporization technology. Many of the clinical research studies available focus on aspects of vaping such as the amount of nicotine or marijuana delivered but there’s not a great deal of evidence on the analysis of other toxins released both from vaporizing tobacco leaf products and marijuana. With all of these limitations, most of the available studies are non-clinical or have very small numbers of study subjects. A strong and thorough assessment of the potential dangers of vaporizing tobacco and marijuana products has not been forthcoming.12,13

How many eighth graders use vaping?

Reported use of vaping nicotine specifically in the 30 days prior to the survey nearly doubled among high school seniors from 11 percent in 2017 to 20.9 percent in 2018. More than 1 in 10 eighth graders (10.9 percent) say they vaped nicotine in the past year, and use is up significantly in virtually all vaping measures among eighth, 10th and 12th graders. Reports of past year marijuana vaping also increased this year, at 13.1 percent for 12th graders, up from 9.5 percent last year.

What is the National Youth Tobacco Survey?

Additionally, the National Youth Tobacco Survey, a school-based survey of U.S. students in grades six–12 conducted by the CDC in collaboration with the Food and Drug Administration, collects data on the use of multiple tobacco products, including e-cigarettes.

What percentage of 12th graders use marijuana?

Rates of overall marijuana use are steady, with 5.8 percent of 12th graders reporting daily use. Daily use of marijuana has been reported by high school seniors for the past 20 years at somewhere between 5.0 and 6.6 percent.

What is a vape?

Vapes are battery-operated devices that heat liquid with nicotine, marijuana, or flavorings. Some vapes contain other unknown substances or chemicals. When heated, the liquid turns into aerosol, which people inhale or puff.

What are some of the dangers of e-cigarettes?

In mid-2019, the Centers for Disease Control and Prevention began reporting on cases of e-cigarette or vaping product use-associated lung injury, including deaths. These lung injuries are linked to vitamin E acetate, which is mostly found in vaping products containing THC, but some patients reported using a mixture of THC and nicotine or nicotine alone.

What are other common names for vapes?

Common names include electronic nicotine delivery systems (ENDS), e-cigarettes, e-cigs, electronic cigarettes, e-hookahs, vape pens, and mods.

What is the National Institute on Drug Abuse doing?

The National Institute on Drug Abuse is researching COVID-19 in people who vape nicotine and marijuana to better understand what risk factors can lead to worse disease outcomes. Source: National Institute on Drug Abuse. Image credit: Adobe Stock. October 21, 2020.

What are the effects of marijuana on teens?

Both can impact how a person's lungs and brain work, especially the developing brains of teenagers. Both drugs can put teens at risk for other drug use.

Is vaping a quit aid?

However, vapes are not currently an FDA-approved quit-aid. More research is needed to further test vape safety and effectiveness for this potential use.

Is vaping regulated online?

Another challenge is that some vaping products that can be purchased online are not regulated. This means they may contain dangerous ingredients or defective parts.

What are vaping devices?

Vaping devices, also known as e-cigarettes, vape pens, and e-hookahs among other terms, come in many shapes and sizes. Some look like traditional cigarettes, cigars, or pipes. Others are shaped like every-day objects, such as pens or USB memory sticks.

What chemicals are in vaping?

Vaping exposes the lungs to a variety of chemicals. These may include the main active chemicals in tobacco (nicotine) or marijuana (THC), flavorants, and other ingredients that are added to vaping liquids. Plus, other chemicals can be produced during the vaporizing process.

How old do you have to be to vape?

New laws are aimed at curbing vaping among teens. People must now be 21 to buy any tobacco product, including vaping products. And companies can no longer produce and sell flavors that appeal to children like fruit and mint. If you’ve already started vaping or smoking cigarettes, it’s never too late to quit.

Can nicotine be inhaled in a vaporizer?

Plus, other chemicals can be produced during the vaporizing process. “If the liquid has nicotine in it, then the user is inhaling nicotine along with the other ingredients in the liquid,” explains Dr. Thomas Eissenberg, an expert on tobacco research at Virginia Commonwealth University.

Is vaping harmful?

So how safe is vaping? Studies suggest nicotine vaping may be less harmful than traditional cigarettes when people who regularly smoke switch to them as a complete replacement. But nicotine vaping could still damage your health.

Is it too late to quit smoking?

If you’ve already started vaping or smoking cigarettes, it’s never too late to quit. See the Wise Choices box for tips on stopping.

Is vitamin E acetate harmful?

One harmful chemical may be a thickening agent called Vitamin E acetate, which is sometimes used as an additive in THC-containing vape products. The CDC identified it as a “chemical of concern” among people with vaping-associated lung injuries.

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