how to educate individuals on vaping article

How To Talk To Teens About Vaping

Full Answer

Why should you know the truth about vaping?

Vaping: Know the truth fills critical knowledge gaps about how these products can be detrimental to their health, as well as how e-cigarette marketers intentionally target young consumers.

Why does America’s curriculum need an e-cigarette education campaign?

The curriculum, which offers a modern approach to guide teachers and educate America’s youth about the dangers associated with e-cigarette use and vaping, is meeting an urgent need. Here’s why. Many young people did not know the health risks of e-cigarettes when they started using them.

Is youth vaping impacting the education system?

Teachers have reported youth vaping is impacting their ability to educate students because of frequent class interruptions, decreased student focus and few resources to help them address the problem, according to previous Truth Initiative ® research.

How many young e-cigarette users want to quit vaping?

Most young e-cigarette users want to quit vaping – a new Truth Initiative survey found 60% of young current e-cigarette users surveyed want to quit vaping within the year – signaling a pressing need to provide resources to support them.

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

What is an e-cigarette?

What are the health risks of smoking e-cigarettes?

What are the symptoms of e-cigarette use?

Does vaping cause ground glass opacities?

Is vaping associated with pulmonary disease?

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How do you raise awareness for vaping?

Communicate with studentsFree Tobacco-Free Schools Signs (Association for Nonsmokers – Minnesota)Free My Life, My Quit Promotional Materials.Escape the Vape: Student-made vaping prevention videos.Free print and digital materials, such as posters (U.S. Food and Drug Administration)

How do you educate kids about vaping?

Talk with Your Teen About E-cigarettes: A Tip Sheet for Parents. ... Know the facts. ... Be patient and ready to listen. ... not to deliver a lecture. ... Set a positive example by being tobacco-free. ... Find the right moment. ... Ask for support. ... coaches, or counselors whom you know are aware of the risks of e-cigarettes.More items...

How do I teach my child not to vape?

5 Tips to Help Teens Quit VapingReason with your child. Have an honest discussion about the effects of vaping and how this type of addiction can lead to other substance abuse. ... Be present. ... Talk, don't punish. ... Appeal to their desire for independence. ... Equip them with support and resources.

What strategies are effective for preventing nicotine vaping in youth?

Reduce Young People's Exposure to E-cigarettesRestrict E-cigarette Use Around Young People. Don't let anyone use e-cigarettes or other tobacco products around young people. ... Visit Tobacco-Free Locations. ... Ensure School is Tobacco-Free. ... Make Your Home Tobacco-Free. ... Be an Example.

What parents need to know about vaping?

becoming a smoker: Young people who vape are more likely to start smoking regular (tobacco) cigarettes and may be more likely to develop other addictions in the future. impotence: There is some evidence that vaping can cause sexual dysfunction in men. sleep problems. exposure to cancer-causing chemicals.

What can someone do if they become addicted to vaping?

It's best to seek help as early as possible. This could mean speaking with a loved one, a medical professional or a support group." "The longer you let vaping addiction go on, the more difficult it will be to stop. The time to start making changes is now.

How can we prevent students from smoking?

Take an active stance against teen smoking. Participate in local and school-sponsored smoking prevention campaigns. Support efforts to make public places smoke-free and increase taxes on tobacco products. Talk to your teen early and often about the dangers of smoking and vaping.

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 is a good punishment for vaping?

Most kids use vape pens because they cannot be easily recognized as e-cigarettes. Common punishments include community service, one-week suspension for first or second offenses, and even expulsion for repeated behavior.

How can you say no to vaping?

"No thanks." "I'm not interested." "Being athletic is too important to me."...Give a reason:"I don't want to smoke. Besides, it makes you smell bad.""I'm not going to smoke/vape. It's bad for you.""I promised my sister that I'd never smoke/vape.""I'm on the basketball team. I need all the air I can get."

How do I stop vaping in high school?

One of the best ways to stop vaping at your school is to create a healthy school environment. This means promoting healthy activities and providing support for students who are struggling with addiction. You can do this by offering counseling services, after-school programs, and health education classes.

How do schools deal with vaping?

Here are three ways you can help your students to extinguish their vaping habit:Provide ongoing education – at an earlier age. Years of public health education on the dangers of nicotine have paid off. ... Go beyond citation and suspension – and help students quit. ... Engage peers, staff, and family.

What are good questions to ask about vaping?

Your questions about vaping, answeredWhat is vaping?When is vaping legal? Illegal?What is in e-liquids/vape juice?Is vaping ever safe?Does vaping always involve nicotine?Is vaping addictive?Are there any advantages of vaping compared to smoking traditional cigarettes?Does vaping help people quit smoking?More items...•

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.

Why do middle school students vape?

Most said that it was for "middle schoolers," and that kids vape because it's trendy and they think it looks cool. Since the different flavors mask the taste of nicotine, it doesn't "feel nasty, like smoking a cigarette." Dena started vaping when she was in middle school as a way to relax and deal with stress.

4 Major Health Risks Linked To E-Cigarette Use - WebMD

E-cigarette use, or "vaping," has been linked to lung, heart, brain, and gum illnesses. While using e-cigarettes ("vaping") may be healthier than smoking traditional cigarettes, users still face ...

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.

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.

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].

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 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 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].

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].

How can physicians help with vaping?

The other way physicians can help address vaping in adolescents is by participating in advocacy at a local, state or national level. Currently in the state of Missouri, e-cigarettes are not included in the definition of “Tobacco Products” and thus are not subject to the same restrictions as combustible cigarettes. The sale of e-cigarettes to those under 18 years of age is prohibited, just as with tobacco. But the only regulation in place for e-cigarette packaging is that the liquid must be in child-resistant containers. The American Academy of Pediatrics is currently advocating for Missouri to include e-cigarettes in smoke-free laws and to increase the minimum age to purchase electronic cigarettes to 21 years.16Organizations like the American Academy of Pediatrics and the American College of Physicians have both released position papers on vaping and offer further ways to join the fight. It is time for physicians to ask their adolescent patients about vaping and to provide education to the child and parents on the dangers of vaping. Physicians have the responsibility to be advocates for their patients working with medical organizations, state and local governments to address the adolescent vaping epidemic.

What is the advertising for e-cigarettes?

Advertising for e-cigarettes has been heavily aimed at adolescents. Everything from the billboards to the packaging to the product itself has been aimed at teens. Ads on social media were widely distributed. From 2014 to 2016, advertising for vaping exploded and one study found that 78% of middle and high school students had been exposed to at least one advertisement.1Pods come in fun packaging and the different pods are flavored to be attractive to adolescents, with everything from mint to gummi bear to frosted sugar cookie. This is especially concerning because studies have shown that flavor is one of the most important factors adolescents consider in trying e-cigarettes.4The devices to aerosolize the pods are designed to look like anything from USBs to pens to inhalers. They can be personalized much like a cell phone case and backpacks have special pockets for the mod devices.

How does nicotine affect the brain?

Adolescent brains are still developing, and nicotine exposure has been linked with cognitive deficits and impairment in memory and executive function. Electronic cigarettes have been connected with increased impulsivity, with one animal study demonstrating that exposure to e-cigarette vapor during times of rapid brain growth (like during adolescence) can cause hyperactivity and impulsive behavior changes.4Another study looking specifically at the teen population found increased risks of physical fighting, attempted suicide, and alcohol/marijuana use when comparing non-users to teens who smoked or vaped.8

What is an electronic cigarette?

Electronic cigarettes are battery-operated devices that use an electric pulse to heat and aerosolize a flavored liquid that typically contains nicotine. They were first introduced to the U.S. in 2007, and they were advertised by the tobacco companies as an adjunct method to help patients quit smoking. This claim never had evidence to support it, as studies comparing the use of electronic cigarettes, placebos, and nicotine patches demonstrated no significant differences in abstinence rates.3But because e-cigarettes were seen as a treatment option, they were not subjected to the same regulations as combustible cigarettes. It wasn’t until 2016 that the Congress passed the Child Nicotine Poisoning Prevention Act, giving the FDA the authority to regulate e-cigarette packaging.1

Do e-cigarettes increase the chance of smoking?

There has also been evidence that suggests e-cigarette use increases an individual’s chance of using combustible cigarettes . Adolescents who use e-cigarettes are 3.6 times more likely to report using combustible cigarettes later in life.9Teens have also been shown to be more susceptible to addiction. We know that nicotine addiction often originates in adolescence with studies showing that close to 90% of adult daily smokers started before the age of 18.10Thus, e-cigarettes are effectively helping to create a new generation addicted to nicotine.

Is e-cigarette use increasing?

Electronic cigarette (e-cigarette) use has recently risen to the forefront of medical discussions across the country. A significant increase in e-cigarette use by adolescents has been observed over the last decade. This article discusses the targeting of adolescents by e-cigarette companies. It looks at how teenagers are uniquely affected by nicotine and at risk for progressing to using combustible cigarettes and marijuana. Lastly, it discusses the role of physicians in combating the spread of e-cigarettes.

Can vaping be used to inhale cannabinoids?

Many vaping devices can also be used to inhale cannabinoids. One study demonstrated that teens who use nicotine liquid in e-cigarettes were 3.6 to 4 times more likely to use marijuana in the next two years.1Another study demonstrated that 1 in 10 seniors in high school vape cannabis.6This should be extremely distressing to physicians and medical providers because it is known that marijuana is extremely harmful to the development of the adolescent brain and studies have actually shown changes in brain structure. As a result, deficits in attention, learning, and memory associated with cannabis use in adolescents has been reported.11One study demonstrated that high schoolers who use marijuana were four times more likely to have multiple sexual partners when compared to students who only use tobacco or alcohol.12A sizable portion of adolescents who use marijuana report symptoms of paranoia, anxiety and hallucinations.13. Adverse effects from marijuana use, including cannabis hyperemesis syndrome have become common among pediatric patients.14

How does vaping affect teachers?

Teachers have reported youth vaping is impacting their ability to educate students because of frequent class interruptions, decreased student focus and few resources to help them address the problem, according to previous Truth Initiative ® research.

How many high school students are vaping in 2020?

With youth vaping continuing at epidemic levels – about one in five high school students were using e-cigarettes in 2020 – schools and communities have an important role to play in reaching students with the information they need to make informed choices, as well as tools to quit if they are already vaping. YouTube.

What is the Quit Together campaign?

To support the many people who want to quit, the latest youth e-cigarette education campaign from truth, Quit Together , taps current e-cigarette users and TikTok influencers to broadcast their own experiences as they quit vaping, in real-time, to their huge followings across social media platforms. In Quit Together, which was featured in a Mashable story , Victoria Annunziato (aka King Victober), Tosha, and Jerry Purpdrank are asking their millions of followers to join them in using This is Quitting.

Do young people want to quit vaping?

Most young e-cigarette users want to quit vaping – a new Truth Initiative survey found 60% of young current e-cigarette users surveyed want to quit vaping within the year – signaling a pressing need to provide resources to support them.

How to steer kids away from tobacco?

Here are some of the most effective ways you can steer your kids away from tobacco: Maintain a dialogue. Start early — begin talking with your kids about smoking and vaping in kindergarten. Be honest and open to seeing things from your child’s point of view. And don’t stop.

What to do if a friend offers a cigarette?

Discuss what they might say if a friend offers a cigarette or e-cigarette. Set a good example. If you smoke or vape, the best thing you can do is quit. At a minimum, don’t smoke around your children. Establish a smoke-free home. Don’t allow family members or friends to smoke in your home or car.

What are tobacco companies targeting?

Tobacco companies are targeting young people with ads, price discounts and enticing new products such as e-cigs designed to look like sleek gadgets. Many teens and young adults exposed to these efforts are highly impressionable and dealing with social pressures to “fit in” with peers.

Can you smoke with your kids?

At a minimum, don’t smoke around your children. Establish a smoke-free home. Don’t allow family members or friends to smoke in your home or car. Make sure the places your child spends a lot of time are tobacco-free. If your child has started smoking or vaping, try to learn why.

What is the act of inhaling and exhaling the aerosol called?

Vaping is the act of inhaling and exhaling the aerosol, often referred to as vapor, which is produced by an e-cigarette or similar device. The term is used because e-cigarettes do not produce tobacco smoke, but rather an aerosol, often mistaken for water vapor, that actually consists of fine particles. Many of these particles contain varying amounts of toxic chemicals, which have been linked to heart and respiratory diseases and cancer.

Is e-cigarette a quit aid?

The Federal Drug Administration lists e-cigarettes as a quit smoking aid.

Can you smoke one time with an e-cigarette?

Evidence shows that the nicotine and additives in e-cigarettes may harm a smoker’s cardiovascular system. Trying an e-cigarette just one time is not risky . The Federal Drug Administration lists e-cigarettes as a quit smoking aid.

Is it safe to smoke e-cigarettes?

Most teenagers believe that occasionally using an e-cigarette is relatively safe. Smoking even a few cigarettes a day is harmful to one’s health. Many adults who use e-cigarettes to help them stop smoking end up smoking both e-cigarettes and regular cigarettes. Thank you for completing this quiz.

Is vaping safe for teens?

Anyone who says vaping is safe is just blowing smoke. There is a vaping epidemic in this country, especially among teens. Every day, over 3,500 youths start vaping. In 2018 alone, the number of high school students who vape nearly doubled. This is an emergency situation.

How many high school students are using e-cigarettes in 2020?

About 1 in 5 high school students and 1 in 20 middle school students reported using e-cigarettes in 2020. Now is an important time to help students understand the serious health risks of e-cigarette use.

What is the most commonly used tobacco product among US middle and high school students?

E-cigarettes were the most commonly used tobacco product among US middle and high school students.

What are the flavors of e-cigarettes?

Some e-cigarette products also come in a variety of flavors, including fruit, candy, mint, dessert, and menthol. These flavors make the addictive product more appealing to kids. In 2020, about 8 in 10 middle and high school students who used e-cigarettes reported using a flavored product.

What do e-cigarettes look like?

E-cigarettes come in many shapes and sizes, as tobacco companies use new technologies to develop new products. The two most common types of e-cigarettes used by youth are prefilled pods or cartridges and disposables. They may look like a small USB flash drive, pen, highlighter, or other everyday items. They are easy to hide among school supplies.

Do e-cigarettes cause addiction?

Young people who use e-cigarettes may be more likely to smoke regular cigarettes later in life. E-cigarette use can also increase the risk for future addiction to other drugs.

Is e-cigarette smoking safe?

Any tobacco use by youth and young adults, including e-cigarettes, is unsafe.

Is nicotine addictive?

Nicotine is highly addictive and can harm adolescent brain development, which continues into the mid-20s. Compared with older adults, the brains of youth and young adults are more vulnerable to nicotine’s harmful health effects. These include nicotine addiction and potentially reduced impulse control, mood disorders, and poor attention and thinking skills.

What to do if your kid tried vaping?

Teach, don't preach. If you do find out that your kid has tried vaping, resist the temptation to read them the riot act. "You're not going to punish, yell, or shame your kid out of vaping," Koval says. Megan Jacobs, managing director of product innovation at Truth Initiative, agrees.

What is become an ex?

Become An Ex is a Truth Initiative resource for parents looking to help their child quit vaping. The program sends customized text messages to help parents understand what their teen is going through emotionally and physiologically, and how they can be supportive. To join, text "QUIT" to 202-899-7550.

Do vape pens leave a smell on clothes?

Vape pens are easy to conceal, they're easy to confuse with other electronic gadgets like USB flash drives, and they generally don't leave lingering smell s on clothes. All these things make them appealing to underage users, and confounding to parents. Gone are the days when sniffing a teenager's jacket or gym bag counted as passive drug screening. Now if parents want to know if their teens are vaping nicotine or cannabis, their best bet is a good old fashioned conversation.

Can a teen quit vaping?

If your teen vapes, Krishnan-Sarin says to take it as seriously as any other addiction, and be aware of how hard it is to quit. "Some kids may experience the physiological and psychological symptoms of withdrawal, and might need pharmacological support like nicotine replacement therapy." For teen-specific social support, Truth Initiative developed This Is Quitting — a vaping cessation program for young people. To join, text "DITCHJUUL" to 88709.

Is sniffing a teenager's jacket a drug screening?

All these things make them appealing to underage users, and confounding to parents. Gone are the days when sniffing a teenager's jacket or gym bag counted as passive drug screening. Now if parents want to know if their teens are vaping nicotine or cannabis, their best bet is a good old fashioned conversation.

Did they sign up to become addicted?

They certainly didn't sign up to become addicted.". Dr. Suchitra Krishnan-Sarin, a psychiatrist at Yale University, who specializes in teenage substance abuse, says when it comes to some ingredients, "we don't really know the long term effect on your health.".

Is vaping dangerous for kids?

It may seem obvious, but make sure your kid understands that vaping comes with health risks. There's even more risk for vape products purchased informally, which could have been adulterated, and for THC-containing products — which the CDC warns people to stay away from altogether until it has a handle on the vaping lung disease outbreak.

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].

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 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 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].

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].