Vaping and Electronic Cigarettes (E-cigs)

Electronic Cigarettes (e-cigs) and other “vaping” devices (such as JUUL) are battery-operated products designed to deliver nicotine, flavor and other chemicals. They turn chemicals, including highly addictive nicotine, into an aerosol that is inhaled by the user. Most e-cigs are manufactured to look like conventional cigarettes, cigars, or pipes. Some resemble everyday items such as pens or USB memory sticks.

To Quit

Or to learn more about Live Vape Free, click here.

How Many Adults Vape?

Approximately 4.4% of American adults vape. In 2020, 221.9 million units of e-cigarette products were sold in U.S. retail stores nationwide. This is an increase of 173.7% from 2015. Approximately 11.3% of teens vape.

How Many Youth Vape?

More than 2.5 million US students vape

• 2.55 million U.S. middle and high school students reported vaping in the last 30 days
• Of those, 14.1% of were high school students; more than 3% were middle school students
• Nearly 85 percent used flavored e-cigarettes
• More than half used disposable e-cigarettes

For more national stats, see the CDC page.

Health Effects

A congressionally mandated panel from the National Academy of Sciences, Engineering, and Medicine examined more than 800 peer-reviewed scientific studies. In its report, the panel concluded that evidence suggests that while e-cigarettes are not without health risks, they are likely less harmful than combustible cigarettes.

Long-term health effects of vaping are unknown.
- Researchers at Marquette and reporters at the Milwaukee Journal Sentinel collaborated to test popular e-cig juices: Lab Tests of E-cigs Reveal Harmful Chemicals
Vaping devices with THC can be deadly.
- In the United States:
  - As of February 18, 2020, a total of 2,807 hospitalized EVALI cases or deaths have been reported to CDC from all 50 states, the District of Columbia, and two U.S. territories (Puerto Rico and U.S. Virgin Islands).
  - Sixty-eight deaths have been confirmed in 29 states and the District of Columbia (as of February 18, 2020).
  - Most of these deaths have reportedly involved vaping THC with vitamin E acetate.
- Illinois and Wisconsin: Hospitalizations from Vaping “Street” Products
  - Latest tally of cases and deaths in Wisconsin

Vaping News Conference — Wisconsin teenager Logan Krahn discusses how he nearly died after vaping, urging youth not to vape.

Why is youth vaping a concern?

According to a study in Pediatrics, children who vape are exponentially more likely to smoke cigarettes daily when they are young adults. (~3x more likely)
A study in the Journal of the American Medical Association found youth who vaped were nearly 4 times more likely to smoke.
Free webinar: Vaping Evolved: What Parents Need to Know, November 17, 2021
Nicotine alters the adolescent brain. It increases their risk for:
- - Impulsivity.
  - Mood disorders.
  - Stunted learning and recall.
  - Diminished enjoyment of activities they normally adore.
  - To view a poster by high school student Anna T., click here

The TRUTH Campaign highlighted the environmental risks of vaping
Schools: Find resources to ensure tobacco-free schools here.

Dr. Megan Piper discusses vaping with Hannah Flood — UW-CTRI’s Dr. Megan Piper discusses vaping with NBC 15’s Hannah Flood

Does Vaping Help People Quit Smoking?

Study: Is Substituting Vapes for Cigs Sustainable?
The PATH study examined this among thousands of patients.
According to a Cochrane review of published research, it is unclear if e-cigs are an effective way to quit smoking.
According to a UW-CTRI editorial in JAMA Open Network, there is still a lot we don’t know about vaping. Further research is needed.
In a UW-CTRI study, vaping can reduce nicotine dependence, but it is unclear if patients would quit vaping.
Another UW-CTRI study found that participants who both smoked and vaped were more likely to quit vaping than to quit smoking.
A British study published in the New England Journal of Medicine found e-cigarettes were more effective for smoking cessation than nicotine-replacement therapy (18% quit vs. 9%), when both products were accompanied by behavioral support.
In its report, “Nicotine Without Smoke: Tobacco Harm Reduction,” the Royal College of Physicians in the United Kingdom recommended promoting both quit-smoking medications and e-cigarettes as a way to help people avoid the harms caused by smoking combustible tobacco products. The FDA has not made such recommendations.

UW-CTRI Research on Vaping

UW-CTRI is analyzing its second study on smoking and vaping. The first UW-CTRI study on smoking and vaping found no clear evidence that vaping e-cigs reduced smoking or lowered carbon monoxide levels in participants. The second study did find that dual users of e-cigs and regular cigarettes smoked fewer cigarettes per day, but were taking in the same amount of nicotine. UW is also conducting a study on the acute and long-term effects of vaping.

There is still much about vaping we don’t know, including the interaction between smoking and COVID-19. UW-CTRI has called for more research.

Regulation

On May 5, 2016, the FDA asserted authority to regulate all tobacco products, including vaping devices. On August 8, 2016, those regulations took effect.
FDA Warns Puff Bar and Issues Denial to Hyde
Listen: Juul To Pay $438 Million Settlement for Marketing to Kids
The FDA continues to examine vaping products and enforce laws and regulations.
To view a list of vaping regulations by state, click here.
FDA Denies Marketing Authorization for JUUL
Dr. Fiore on FDA Regulation & Quitting Nicotine
As states mull laws to raise the age to buy tobacco to 21, matching the federal Tobacco 21 law for enforcement purposes, CBS 58 in Milwaukee spoke with UW-CTRI Associate Director of Research Dr. Megan Piper about youth vaping.

Taxes on Vaping

Wisconsin recently joined other states in taxing vaping products.