E-Cigarettes and
Vaping: Risky Business
While use of alcohol and tobacco products has decreased, e-cigarettes
and vaping have increased in popularity as a way of “smoking” that American youth
often perceive as harmless. One in three high school seniors have reported
using a vape or e-cigarette in the past year in the annual poll of 45,000 students
from 380 public and private secondary schools conducted by the University of
Michigan for the 2018 Monitoring the Future Survey.
E-cigarettes range in size,
flavor, and ingredients. Traditional e-cigarettes have a distinct cigarette
taste. Vapes are small, refillable devices that heat flavored liquid into a vapor
or mist. Devices used for vaping can be larger like a refillable lighter or fountain
pen, or smaller and more discreet like a thumb drive. Most vape juices do not contain
nicotine, but they can contain substances like THC, the chemical found in
marijuana.
Many types of substances can be put into a JUUL or e-cigarette. E-juice
may contain different combinations and levels of nicotine, propylene glycol,
glycerin, water and various flavorings. While tobacco in e-cigarettes may not expose
users to the same level of chemicals found in regular cigarettes, there are
still many potentially cancer-causing chemicals in e-juice flavoring and tiny
particles that can reach deep into the lungs. Children and adults have been
poisoned by swallowing, breathing, or absorbing e-cigarette liquid through
their skin or eyes. Some teen vapers report having bleeding gums and are developing
what is now known as a “vaper’s cough.” Long-term health effects from frequent use
of these types of chemicals are not yet known.
What is known is that e-cigarette and vape manufacturers
specifically target youth with a wide variety of sugary vape liquids that
include fruity, candy, and breakfast cereal flavors. Varieties named Skittles
and Honey Nut Cereal make vaping appealing to young people and help create the illusion
that the flavored substances used in vapes are less harmful - a fact confirmed
in the Monitoring the Future Survey, which reported that children and teens believe
that what they are vaping is “just flavoring.”
This is where the danger comes in. Because e-cigarettes, vapes,
and the chemicals in flavorings used in them have not yet been widely studied, there
are still many unanswered questions about the potential effects on the heart,
lungs and immune system. Further research is needed to identify potential hazards
associated with inhaling flavoring agents. Parents need to talk to their teens about
the facts to let them know that the safest, healthiest choice is not to start
using at all!
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