Pro and Con: Vaping

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To access extended pro and con arguments, sources, and discussion questions about whether vaping is safe, go to ProCon.org.

Vaping is the act of using e-cigarettes, which were first introduced in the United States around 2006.

E-cigarettes are battery-powered devices that heat a liquid into an aerosol vapor for inhalation. The liquid used in e-cigarettes is also known as e-liquid or vape juice. The main components are generally flavoring, nicotine, and water, along with vegetable glycerin and propylene glycol, which distribute the flavor and nicotine in the liquid and create the vapor. Popular flavorings include mint, mango, and tobacco.

E-cigarettes are also known as “e-cigs,” “e-hookahs,” “mods,” “vape pens,” “vapes,” “vaporizers,” “e-pipes,” and “electronic nicotine delivery systems (ENDS).” Some e-cigarettes are made to resemble regular cigarettes, cigars, or pipes, while others look like pens or USB flash drives.

The JUUL brand of e-cigarettes, a vaporizer shaped like a USB drive, launched in 2015 and captured nearly 75% of the market in 2018, becoming so popular that vaping is often referred to as “juuling.” Juul’s market popularity has since declined to 42% in 2020.

The US Food and Drug Administration (FDA) has regulated e-cigarettes as a tobacco product since 2016. On Sep. 11, 2019, the Trump administration announced plans to have the FDA end sales of non-tobacco e-cigarette flavors such as mint or menthol in response to concerns over teen vaping. E-cigarette manufacturers were required to request FDA permission to keep flavored products on the market. The FDA had until Sep. 9, 2021 to make a decision.

On Sep. 9, 2021, Acting FDA Commissioner Janet Woodcock, MD, and Director of the FDA’s Center for Tobacco Products Mitch Zeller, JD, announced that the FDA had made decisions on 93% of the 6.5 million submitted applications for “deemed” new tobacco products (“‘deemed’ new” means the FDA newly has authority to review the products but the products may already be on the market), including denying 946,000 vaping products “because their applications lacked sufficient evidence that they have a benefit to adult smokers to overcome the public health threat posed by the well-documented, alarming levels of youth use.” The FDA had taken no action on JUUL products as of Sep. 9.

On Oct. 12, 2021, the FDA authorized the Vuse e-cigarette and cartridges, marketed by R.J. Reynolds one of the world’s largest cigarette manufacturers. The move is the first time the FDA authorized any vaping product. According to a statement from the FDA, the organization “determined that the potential benefit to smokers who switch completely or significantly reduce their cigarette use, would outweigh the risk to youth.”

Nearly 11 million American adults used e-cigarettes in 2018, more than half of whom were under age 35. One in five high school students used e-cigarettes to vape nicotine in 2018. E-cigarettes were the fourth most popular tobacco products with 4% of retail sales, behind traditional cigarettes (83%), chewing/smokeless tobacco (8%), and cigars (5%) as of Feb. 2019. The global e-cigarette and vape market was worth $15.04 billion in 2020.

According to the most recent CDC data (2018), 9.7% of current cigarette smokers were also current vapers, though 49.4% of current smokers had vaped at some point. Of former smokers who had quit within the last year, 25.2% were current vapers and 57.3% had tried vaping. Of former smokers who quit one to four years ago, 17.3% were current vapers and and 48.6% had tried vaping. Of former smokers who quit five or more years ago, 1.7% were current vapers and 9% had tried vaping. And of people who have never smoked, 1.5% were current vapers and 6.5% had tried vaping.

18-29 year olds were more likely to say they vaped (17%) than smoked cigarettes, while every older age group was more likely to smoke than vape.

PRO

  • E-cigarettes help adults quit smoking and lowers youth smoking rates.
  • Vaping is a safer way to ingest tobacco.
  • E-cigarettes reduce health care costs, create jobs, and help the economy.

CON

  • Vaping among kids is skyrocketing: addicting a new generation to nicotine and introducing them to smoking.
  • Vaping causes serious health risks, including depression, lung disease, and stroke.
  • E-cigarettes can catch fire and even explode.

This article was published on November 8, 2021, at Britannica’s ProCon.org, a nonpartisan issue-information source.