Vaping FAQs

how vaping became a health emergency

by Susan Hermann Published 2 years ago Updated 1 year ago
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On August 23, the CDC held a press briefing to reveal that vaping was associated with a mysterious lung disease that had affected 193 people, mostly young, in 22 states; the agency attributed one death to the unusual lung injuries.Feb 4, 2020

Full Answer

Is vaping becoming a public health crisis?

Another reason that vaping is becoming a public health crisis is the unknown long-term effects of the habit. Over 2,000 illnesses may seem like a small number compared to the number of people who have died from smoking related illnesses, but e-cigarettes are a relatively new product.

Is vaping bad for your health?

Vaping is growing in popularity both because of the addictive nature of the substances people place inside e-cigarettes and because of the fun flavoring that is used in these products. Yet more and more health officials are expressing concern about vaping after a rash of people who have become ill or even died due to this pastime.

How many people have been injured by vaping?

As of the fall of 2019, over 2,050 people have had official illness due to vaping reported to the CDC, and all states except Alaska have had cases of vaping lung illness or injuries. These numbers continues to grow.

Does vaping help you quit smoking?

Based on this and other studies, the supposed benefit of vaping to avoid cigarette use may be null and void. Some people who are smoking traditional cigarettes will turn to e-cigarettes with the hope of being able to quit altogether.

How many people died from vaping?

When is the deadline for vaping?

What was the Wild West of vaping?

How many teenagers are addicted to vaping?

How many times a minute do teenagers breathe?

Is vaping safe?

Is vaping safer than smoking?

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Why is vaping an urgent threat to public health?

E-cigarettes are smoking initiation devices However, e-cigarettes still contain potentially harmful substances — such as heavy metals like lead, volatile organic compounds and cancer-causing agents — and evidence of vaping being an effective cessation method is limited and, in many cases, ambiguous.

Is vaping a health crisis?

Vaping is causing an epidemic of nicotine addiction in teens Tobacco is the leading cause of disease and death in the United States, and its use is entirely preventable. Repeated vaping can lead to the same risk of addiction to nicotine that comes with smoking.

Why is vaping considered an epidemic?

Vaping is on the rise in schools First, e-cigarettes have been linked to severe lung and heart diseases. Second, e-cigarettes with high levels of nicotine can put youth at risk for developing a nicotine addiction which subsequently hinders brain development.

When did vaping become a problem?

The estimated number of vapers worldwide jumped from just 7 million in 2011 to nearly 25 million in 2014. By that time, vaping had become so widespread that the Oxford English Dictionary named “vape” its word of the year.

Is vaping worse than smoking?

Smoking has been proven to cause cancer, which can kill you. But vaping has been proven to cause serious lung illness, which can also kill you. The bottom line is: Smoking kills. Vaping kills you faster.

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 kids start vaping?

Young people start smoking or vaping for a variety of reasons; peer pressure, the belief that it relieves stress or looks cool, to lose or control weight, easy access, and role models or family members who use tobacco.

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.

How many kids are vaping?

2022 Findings on Youth E-Cigarette Use 14.1% (2.14 million) of high school students and 3.3% (380,000) of middle school students reported current e-cigarette use.

Why is vaping so addictive?

Nicotine is very addictive. The more you vape, the more your brain and body get used to having nicotine, and the harder it is to go without it. When you go without vaping, the nicotine level in your bloodstream drops, which may cause unpleasant feelings, physical symptoms, and strong urges to vape.

What percentage of people vape?

Key findings. In 2018, 14.9% of adults had ever used an electronic cigarette (e-cigarette), and 3.2% were current e-cigarette users. The prevalence of adults who had ever used an e-cigarette and were current users was highest among men, non-Hispanic white adults, and those aged 18–24.

Who invented vaping and why?

The e-cigarette was invented in 2003 by Chinese pharmacist Hon Lik, who initially developed the device to serve as an alternative to conventional smoking. In addition to the battery component, an e-cigarette comprises an atomizer and a cartridge containing either a nicotine or a non-nicotine liquid solution.

What does the AMA say about vaping?

The AMA also continues to supports local, state and federal actions to prohibit the sale of flavored tobacco and e-cigarette products that lure young people into addiction. We applaud states and municipalities that have enacted bans on flavored products and encourage other jurisdictions to follow suit.

How many teenagers are vaping?

2022 Findings on Youth E-Cigarette Use 14.1% (2.14 million) of high school students and 3.3% (380,000) of middle school students reported current e-cigarette use.

How common is vaping?

Teens and young adults. Gallup says that 20% of people age 18 to 29 vape, compared to 9% of people age 30 to 49, 7% of people age 50 to 64, and less than 0.5% of people older than 65. And, according to the Truth Initiative, 15- to 17-year-olds are 16 times more likely to vape than 25- to 34-year-olds.

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].

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].

What are the health risks of vaping?

What is more concerning than this is the fact that vaping appears to cause serious lung injury. Many people who vape have fallen victim to respiratory illnesses that are not due to infection. People who use e-cigarettes often report problems like: 1 Coughing 2 Breathing difficulties 3 Shortness of breath 4 Nausea 5 Chest pains

Why is vaping bad for health?

Another reason that vaping is becoming a public health crisis is the unknown long-term effects of the habit. Over 2,000 illnesses may seem like a small number compared to the number of people who have died from smoking related illnesses, but e-cigarettes are a relatively new product. Since they have only been on the market for around 10 years in America, long-term studies as to their potential risks are not yet in the books. No one has studied people who have used e-cigarettes for several decades to determine whether or not this product will affect the cardiovascular or pulmonary systems long-term or cause cancer.

How long has vaping been around?

Vaping has been on the market in the United States for about 10 years. Across the globe, the number of people vaping is growing exponentially. In 2011, the estimated number of “vapers” was about 7 million. In 2018, it had grown to 41 million.

Why is vaping so popular?

Vaping is growing in popularity both because of the addictive nature of the substances people place inside e-cigarettes and because of the fun flavoring that is used in these products. Yet more and more health officials are expressing concern about vaping after a rash of people who have become ill or even died due to this pastime.

What is a vape?

Vaping uses battery-powered devices called e-cigarettes have specially designed cartridges that contain nicotine, flavorings and other chemicals. The device turns these into vapor, which the user inhales in order to experience the effects of the nicotine, rather than smoking it through a traditional cigarette.

How many people died from vaping?

This was the first teenager in the country to die due to vaping, and the boy was added to a growing list of 23 people killed because of vaping, with many more deaths under investigation.

Can teens vape?

In addition, the lower entry-level nicotine strengths popular with teens can give the false impression that there is less risk with vaping than with traditional smoking, which provides less control. Unfortunately, studies have shown that vaping as a teenager increases the likelihood of using other nicotine products later in life, including cigarettes.

How many people died from vaping?

On August 23, the CDC held a press briefing to reveal that vaping was associated with a mysterious lung disease that had affected 193 people, mostly young, in 22 states; the agency attributed one death to the unusual lung injuries. If the news bothered Tyler Huffhines, it wasn’t apparent from Snapchat.

When is the deadline for vaping?

That meant the deadline for vaping companies to submit their premarketing tobacco applications would be August 2018 — eight years after the initial federal-court decision. Until then, companies could release new products with functionally no oversight or regulation at all. And shortly after Scott Gottlieb became FDA commissioner during the Trump administration, he pushed the application deadline back even further, to 2022 — “a horrible mistake,” in Lindblom’s estimation. (Public-health groups filed a lawsuit to speed up the process, and a federal judge imposed a new deadline; it comes up in a couple of months, on May 12, 2020, and the pro-e-cigarette blogosphere is already predicting a “vaping apocalypse.”)

What was the Wild West of vaping?

But it wasn’t just Juul. What resulted was a Wild West of unregulated, disparate products: different devices (vape pens and dab pens and “mods, ” which allow users to customize their vaping experience); different “tanks” (to hold e-liquids); different coils (to heat the liquids to different temperatures); different e-liquids (some manufactured, some mixed like home brews); and different flavoring components (all with different chemical properties), some legal (containing nicotine in varying amounts), some illegal (containing black-market THC). In terms of product safety, it was like a huge chemistry experiment with no controls and dozens of variables, and the guinea pigs were American consumers.

How many teenagers are addicted to vaping?

Officials are even more worried about a quieter, larger vaping epidemic: More than a million teenagers, many of whom might never have picked up a standard cigarette, are now addicted to nicotine and regularly sucking on the end of a battery — the long-term safety of which remains almost a total mystery.

How many times a minute do teenagers breathe?

They had all been sick for a couple of weeks before something tipped them over into severe respiratory distress, breathing 40 or 50 times a minute. “That rate for a teenager is very close to impending respiratory failure,” said Meyer.

Is vaping safe?

Casual observers might have concluded that the crisis had been resolved, that vaping is generally safe, and that the new regulatory scrutiny will keep it that way. But President Trump’s watered-down policy to ban flavored vaping juices, announced on New Year’s Eve, has been panned by many public-health groups.

Is vaping safer than smoking?

government agency; the review, which drew on 185 citations, concluded that vaping, which eliminates tar and many of the carcinogens in cigarettes, was “around 95 percent safer” than traditional smoking. That message — and, just as important, its scientific framing of risk by comparing e-cigarettes to regular ones — has permeated the public, policy, and political conversations about vaping for the past five years.

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