E-Cigarettes and Lung Health | American Lung Association

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They include e-pens, e-pipes, e-hookah, and e-cigars, known collectively as ENDS—electronic nicotine delivery systems. They're also sometimes called "vapes" or "vape pens." While much remains to be determined about the lasting health consequences of e-cigarettes, there’s evolving evidence about the health risks of e-cigarettes on the lungs—including irreversible lung damage and lung disease.</p> </div> </div> </div> </div> </section> <section class=" section bg-gray " style="" id="section_faa085393bea"> <div class="global-container"> <div class="row "> <div class="col-12"> <div class="fr-view"> <p>The American Lung Association is very concerned that we are at risk of losing another generation to tobacco-caused diseases as the result of e-cigarettes. The Lung Association remains extremely troubled about the rapid increase of youth using these products and has repeatedly called upon the Food and Drug Administration (FDA) to increase their oversight and scrutiny of these products to protect kids.</p> </div> </div> </div> </div> </section> <section class=" " style="" id="section_9e702b231d6f"> <div class="global-container"> <div class="row "> <div class="col-12"> <div class="fr-view"> <h2 id="isPasted">Common Questions About E-Cigarettes</h2><p>Below are answers to common questions about e-cigarettes, including health consequences, risks of secondhand emissions, kids and e-cigarettes and FDA oversight.</p> </div> <div class="card accordion bold-title widget" id="panel_2137e1e8725f"> <button class="card-title accordion-title " aria-expanded="false"> What Are E-Cigarettes? </button> <section class="card-content accordion-content" aria-labelledby="What Are E-Cigarettes?"> <p>Electronic cigarettes, or e-cigarettes, include e-pens, e-pipes, e-hookah, and e-cigars are known collectively as ENDS— electronic nicotine delivery systems. According to the FDA, e-cigarettes are devices that allow users to inhale an aerosol containing nicotine or other substances.</p><p>Unlike traditional cigarettes, e-cigarettes are generally battery-operated and use a heating element to heat e-liquid from a cartridge (usually refillable), releasing a chemical-filled aerosol.</p> </section> </div> <div class="card accordion bold-title widget" id="panel_2fa8bff652e9"> <button class="card-title accordion-title " aria-expanded="false"> What's in E-Cigarettes? </button> <section class="card-content accordion-content" aria-labelledby="What's in E-Cigarettes?"> <p>The main component of e-cigarettes is the e-liquid contained in cartridges or tanks. To create an e-liquid, <a href="/quit-smoking/smoking-facts/health-effects/nicotine">nicotine</a> is extracted from tobacco and mixed with a base (usually propylene glycol), and may also include flavorings, colorings and other chemicals (such as formaldehyde and acrolein, which can cause irreversible lung damage).</p><p><a href="/quit-smoking/e-cigarettes-vaping/whats-in-an-e-cigarette">Learn more about what's in e-cigarettes.</a></p> </section> </div> <div class="card accordion bold-title widget" id="panel_7c14602c8986"> <button class="card-title accordion-title " aria-expanded="false"> Are E-Cigarettes a Gateway to Youth Smoking? </button> <section class="card-content accordion-content" aria-labelledby="Are E-Cigarettes a Gateway to Youth Smoking?"> <p>The National Academies of Science, Engineering and Medicine concluded there is "substantial evidence" that if a youth or young adult uses an e-cigarette, they are at increased risk of using traditional cigarettes. </p> </section> </div> <div class="card accordion bold-title widget" id="panel_243b44c4fb64"> <button class="card-title accordion-title " aria-expanded="false"> How Many Youth Use E-Cigarettes or Vape? </button> <section class="card-content accordion-content" aria-labelledby="How Many Youth Use E-Cigarettes or Vape?"> <p>The 2024 National Youth Tobacco Survey found that more than 1.6 million middle and high school students currently use e-cigarettes, with more than 1 in 4 using them daily. Additional data, rates and trends can be found in the American Lung Association’s <a href="/research/trends-in-lung-disease/tobacco-trends-brief">Tobacco Trends Brief</a>.</p> </section> </div> <div class="card accordion bold-title widget" id="panel_681d249adaf1"> <button class="card-title accordion-title " aria-expanded="false"> What Are the Health Consequences of E-Cigarette Use? </button> <section class="card-content accordion-content" aria-labelledby="What Are the Health Consequences of E-Cigarette Use?"> <p>A recent study from the University of North Carolina found that even in small doses, inhaling the two primary ingredients found in e-cigarettes—propylene glycol and vegetable glycerin—is likely to expose users to a high level of toxins and that the more ingredients a user is inhaling, the greater the toxicity.<sup>1</sup></p><p>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. The inhalation of harmful chemicals can cause irreversible lung damage and lung diseases.</p><p><a href="/quit-smoking/e-cigarettes-vaping/impact-of-e-cigarettes-on-lung">Learn more about the impact of e-cigarettes on lungs.</a></p> </section> </div> <div class="card accordion bold-title widget" id="panel_6cdf2a1cc861"> <button class="card-title accordion-title " aria-expanded="false"> Can E-Cigarettes Help Smokers Quit? </button> <section class="card-content accordion-content" aria-labelledby="Can E-Cigarettes Help Smokers Quit?"> <p>The Food and Drug Administration has not found any e-cigarette to be safe and effective in helping smokers quit. If smokers are ready to quit smoking for good, they should call 1-800-QUITNOW or talk with their doctor about finding the best way to quit using proven methods and FDA-approved treatments and counseling. </p> </section> </div> <div class="card accordion bold-title widget" id="panel_5c1097ea6ae1"> <button class="card-title accordion-title " aria-expanded="false"> How Can Smokers Quit Their Use of All Tobacco Products? </button> <section class="card-content accordion-content" aria-labelledby="How Can Smokers Quit Their Use of All Tobacco Products?"> <p>The American Lung Association believes everyone who uses tobacco products can quit using methods that are proven safe and effective by the FDA, including the seven FDA-approved medications and individual, phone (available by calling 1-800-QUITNOW and 1-800-LUNGUSA) and group counseling (such as the Lung Association's Freedom from Smoking® program). Learn more about quitting smoking at <a href="/quit-smoking">Lung.org/stop-smoking</a>.</p><p>The American Lung Association urges everyone to quit – don’t switch!</p> </section> </div> <div class="card accordion bold-title widget" id="panel_1a2faad4a3a3"> <button class="card-title accordion-title " aria-expanded="false"> Are There Risks of Secondhand E-Cigarette Emissions? </button> <section class="card-content accordion-content" aria-labelledby="Are There Risks of Secondhand E-Cigarette Emissions?"> <p>In 2016, the Surgeon General concluded that secondhand emissions contain, "nicotine; ultrafine particles; flavorings such as diacetyl, a chemical linked to serious lung disease; volatile organic compounds such as benzene, which is found in car exhaust; and heavy metals, such as nickel, tin, and lead."<sup>2</sup> </p> </section> </div> </div> </div> </div> </section> <section class=" " style="" id="section_e678309e572b"> <div class="global-container"> <div class="row "> <div class="col-12"> <div class="fr-view"> <h2>More Information on E-Cigarettes</h2><p>The Surgeon General reports e-cigarette use among youth is a significant public health concern and steps must be taken by parents, educators and especially policymakers to discourage use of e-cigarettes. Learn more about e-cigarettes lung health risks and get downloadable resources for parents, schools and teens.</p><p><a href="/quit-smoking/e-cigarettes-vaping/impact-of-e-cigarettes-on-lung">The Impact of E-Cigarettes on the Lung</a><br>There's evolving evidence about the health risks and impact of e-cigarettes on the lungs.</p><p><a href="/quit-smoking/e-cigarettes-vaping/what-you-should-know">What You Should Know about Vaping</a><br>Information for parents to learn more about e-cigarettes and vaping and the health effects on kids.</p><p><a href="/quit-smoking/e-cigarettes-vaping/e-cigarette-resources">Links to E-Cigarette Resources</a><br>Links other websites, reports educational materials, toolkits and more information on e-cigarettes.</p> </div> </div> </div> </div> </section> <section class=" section cards--grid margin-bottom" style="" id="section_f7b36f94b64a"> <div class="global-container"> <div class="row "> <div class="col-12"> <div id="promo-0cihit021w4" class="icon-cta-card card-symbol card widget bg-accent position-up icon-size-small "> <div class="card-content"> <span class="card-icon icon-notobacco"></span> <h2 class="card-title no-margin">Menthol Cigarettes & Flavored Cigars</h2> <div class="card-summary"> Get resources for parents, teens and schools on the dangers of menthol cigarettes and flavored cigars. </div> <a class="cta-link primary-btn " href="/quit-smoking/smoking-facts/health-effects/what-is-menthol#resources"> Get Resources </a> </div> </div> </div> </div> </div> </section> <section class="bg-primary promo footer-promo-banner promo-cta-links mobile-full-img desktop-middle-top-left-corner bottom-left-corner-mobile"> <div class="promo-card "> <div class="promo-card-content"> <div class="promo-card-content-wrap "> <span class="card-icon icon-health"></span> <h2>Guidance for Healthcare Providers</h2> <p>This guidance is intended to support healthcare providers in their understanding and tracking of e-cigarette and vaping product use. </p> <div class="promo-card-ctas"> <a href="/quit-smoking/e-cigarettes-vaping/tracking-e-cigarette-use">Learn more</a> </div> </div> </div> <div class="promo-card-img corner-img" style="background-image:url('/optimize/getmedia/ba2f737e-d398-4576-afb9-0988517222a5/generalhealthcare_k.jpg?width=584&height=418&ext=.jpg&format=webp')"></div> </div> </section> <section class="section-general-content-references"> <ul class="nav-tabs nav" id="myTab" role="tablist"> <li class="nav-item active"> <span class="nav-link active" id="references-tab" role="tab" aria-controls="references" aria-selected="true">References</span> </li> </ul> <div class="tab-content" id="myTabContent"> <div class="tab-pane fade show active" id="references" role="tabpanel" aria-labelledby="references-tab"> <ol class="references-list"> <li class="references-list-item"> <p> Sassano MF, Davis ES, Keating JE, Zorn BT, Kochar TK, Wolfgang MC, et al. (2018) Evaluation of e-liquid toxicity using an open-source high-throughput screening assay. PLoS Biol 16(3): e2003904. https://doi.org/10.1371/journal.pbio.2003904 </p> </li> <li class="references-list-item"> <p> U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General—Executive Summary. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016 </p> </li> </ol> </div> </div> </section> <section class="no-padding"> <div class="global-container"> <p class="footnote right"><em>Page last updated: November 20, 2024</em></p> </div> </section> </div> </div> </div> </section> <a href="#modaal_gt_2024_2x" class="newsletter-modal-link" style="display:none;">Show</a> <div id="modaal_gt_2024_2x" class="newsletter-modal-content" style="display:none;" data-lightbox-id="gt_2024_2x" data-cookie-switch="False" data-create-cookie="true" data-expiration-days="5"> <div class="row"> <div class="offset-lg-6 col-lg-6"> <div class="card widget"> <div class="card-img desktop" style="background-image: url('/optimize/getmedia/e5b006d5-bda2-4e7a-a2f2-0b0502a25585/ALA-35623392_Lightbox_992x372_C.jpg?width=992&height=372&ext=.jpg&format=webp')"></div> <div class="card-img mobile" style="background-image: url('/optimize/getmedia/57989a96-60ac-4dd8-adf3-d3ee47f910cf/ALA-35623392_Lightbox_768x336_C.jpg?width=768&height=336&ext=.jpg&format=webp')"></div> <div class="card-content js-newsletter-form"> <div class="newsletter-before"> <h3 class="card-title">Donations Doubled</h3> <div class="card-summary"> <p>Make a 2X matched donation today and join us in creating a world where everyone can breathe easy.</p> <p><a href="https://action.lung.org/site/Donation2?df_id=31271&mfc_pref=T&31271.donation=form1&topic=2024GT2X&s_src=Lung.org&s_subsrc=home-lightbox" class="btn primary-btn">Donate now</a></p> </div> </div> <div class="newsletter-after d-none"> <h3 class="card-title"></h3> <div class="card-summary"> </div> </div> </div> </div> </div> </div> </div> <a href="#modaal_altgt_2024_2x" class="newsletter-modal-alt-link" style="display:none;">Show</a> <div id="modaal_altgt_2024_2x" class="newsletter-modal-content alt-lightbox-alt" style="display:none;" data-lightbox-id="gt_2024_2x" data-cookie-switch="False" data-create-cookie="true" data-expiration-days="5"> <div class="row"> <div class="offset-lg-6 col-lg-6"> <div class="card widget"> <div class="card-content js-newsletter-form"> <div class="newsletter-before"> <h3 class="card-title"></h3> <div class="card-summary"> </div> </div> <div class="newsletter-after d-none"> <h3 class="card-title"></h3> <div class="card-summary"> </div> </div> </div> </div> </div> </div> </div> </main> <section data-ktc-search-exclude="" class="section section-signup bg-white"> <div class="global-container"> <div class="row"> <div class="col-md-6"> <div class="section-signup-donate"> <h2 class="h4">Make a Donation</h2> <p class=""> Your tax-deductible donation funds lung disease and lung cancer research, new treatments, lung health education, and more. </p> <a id="signUpDonateBtn" href="/donate" class="btn secondary-btn homeDonateBtn">Make a Donation</a> </div> </div> <div class="col-md-6"> <div class="section-signup-email"> <div class="js-newsletter-form"> <h2 class="h4">Become a Lung Health Insider</h2> <p class="">Join over 700,000 people who receive the latest news about lung health, including research, lung disease, air quality, quitting tobacco, inspiring stories and more!</p> <div class="newsletter-before"> <form action="https://action.lung.org/site/SSurvey" method="post" name="responsiveSurvey" id="responsiveSurvey-footer" class="" target="redirectframe"> <div class="input-group newsletter-signup"> <label for="email-signup" class="sr-only">Sign Up For Newsletter</label> <div class="d-none"> <input type="checkbox" aria-label="Remember me" name="s_rememberMe" id="footer-s_rememberMe" checked="checked"> <input type="text" aria-label="newsletter script checker" name="3264_56280_7_103920" class="password_alt hnypt password" id="footer-3264_56280_7_103920" value="" alt="This field is used to prevent form submission by scripts." oninput="for (var i = 1; 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