In The News

Stay In The Know About Vaping

The teen e-cigarette or vaping epidemic is a controversial issue that makes headlines nearly every day. It’s important for parents to stay up to date on the latest breaking news regarding e-cigarettes – from new data and health threats to state governors executive orders and legislative efforts to prohibit or restrict the sale of e-cigarettes. Below, you can find links to current stories about the teen vaping epidemic and tobacco from sources you can trust.

Answers from our experts

Here are some key insights from American Cancer Society industry experts.

Vaping 101

Q&A to help parents understand e-cigarettes.

Written By: The American Cancer Society communications team 

Last Medical Review: November 12, 2019 / Last Revised: November 21, 2019

U.S. Food and Drug Administration. Trump administration combating epidemic of youth e-cigarette use with plan to clear market of unauthorized, non-tobacco-flavored e-cigarette products [news release]. Silver Spring, MD: U.S. Food and Drug Administration; September 11, 2019. Accessed at on September 26, 2019.

U.S. Food and Drug Administration. 3 Trends in adolescent vaping, 2017-2019 [correspondence]. New Eng J Med. September 18, 2019. Accessed at on September 26, 2019.

Abreu-Villaca Y, Seidler FJ, Tate CA, Slotkin TA. Nicotine is a neurotoxin in the adolescent brain: critical periods, patterns of exposure, regional selectivity, and dose thresholds for macromolecular alterations. Brain Res. 2003;979(1-2): 114-128.

Allen JG, Flanigan SS, LeBlanc M, Vallarino J, MacNaughton P, Stewart JH, Christiani DC. Flavoring chemicals in e cigarettes: diacetyl, 2, 3 pentanedione, and acetoin in a sample of 51 products, including fruit, candy, and cocktail flavored e cigarettes. Environmental Health Perspectives. 2016;124(6):733–9.

American Cancer Society. Cancer Prevention & Early Detection Facts & Figures 2019-2020. Atlanta, Ga: American Cancer Society; 2019. Accessed at on October 3, 2019. 

American Heart Association. How Smoking and Nicotine Damage Your Body. February 15, 2015. Accessed at on October 3, 2019.

American Lung Association. Learn About COPD. March 13, 2019. Accessed at on October 3, 2019.

Cao S, Gan Y, Dong X, Liu J, Lu Z. Association of quantity and duration of smoking with erectile dysfunction: a dose-response meta-analysis. J Sex Med. 2014;11(10):2376-2384.

Centers for Disease Control and Prevention (CDC). Outbreak of Lung Illness Associated with Using E-cigarette Products. September 6, 2019. Accessed at on September 9, 2019.

Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, and Office on Smoking and Health. How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General. 2010. Publications and Reports of the Surgeon General. Atlanta (GA): Centers for Disease Control and Prevention (US). Accessed at on October 3, 2019.

Centers for Disease Control and Prevention (CDC). Health Effects of Cigarette Smoking. May 15, 2017. Accessed at on October 3, 2019.

Centers for Disease Control and Prevention (CDC). Smoking & Tobacco Use Fast Facts. February 20, 2018. Accessed at on October 3, 2019.

Centers for Disease Control and Prevention (CDC). Youth Risk Behavior Surveillance – United States, 2017. Accessed at on October 3, 2019.

Drope J, Cahn Z, Kennedy R, Liber AC, Stoklosa M, Henson R, Douglas CE, Drope J. Key issues surrounding the health impacts of electronic nicotine delivery systems (ENDS) and Other Sources of Nicotine. CA: A Cancer Journal for Clinicians. 2017;87(6):449-471. Accessed at on October 3, 2019.

Food and Drug Administration (FDA). Statement from FDA Commissioner Scott Gottlieb, M.D., on proposed new steps to protect youth by preventing access to flavored tobacco products and banning menthol in cigarettes. November 2018. Accessed at on October 3, 2019.

Cullen KA, Ambrose BK, Gentzke AS, Apelberg BJ, Jamal A, King BA. Notes from the field: Use of electronic cigarettes and any tobacco product among middle and high school students: United States, 2011–2018. Morbidity and Mortality Weekly Report. 2018;67(45):1276-1277. Accessed at on October 3, 2019.

Doura MB, Luu TV, Lee NH, Perry DC. Persistent gene expression changes in ventral tegmental area of adolescent but not adult rats in response to chronic nicotine. Neuroscience, 2010;170(2):503-513. doi:10.1016/j.neuroscience.2010.06.071.

Fairchild AL, Bayer R, Colgrove J. The renormalization of smoking? e-cigarettes and the tobacco “endgame.” N Engl J Med. 2014;370(4):293-295. doi:10.1056/NEJMp1313940.

Feldman H, Johannes C, Derby C, et al. Erectile dysfunction and coronary risk factors: prospective results from the Massachusetts male aging study. Prev Med. 2000;30:328-338.

Food and Drug Administration (FDA). Statement from FDA Commissioner Scott Gottlieb, M.D., on proposed new steps to protect youth by preventing access to flavored tobacco products and banning menthol in cigarettes. November 2018. Accessed at on October 3, 2019.

Hackshaw A, Rodeck C, Boniface S. Maternal smoking in pregnancy and birth defects: a systematic review based on 173 687 malformed cases and 11.7 million controls. Hum Reprod Update. 2011;17(5):589-604.

Huang J, Duan Z, Kwok J, et al. Vaping versus JUULing: how the extraordinary growth and marketing of JUUL transformed the US retail e-cigarette market. Tob Control. 2018;28(2).

Jacobs EJ, Newton CC, Carter BD, et al. What proportion of cancer deaths in the contemporary United States is attributable to cigarette smoking? Ann Epidemiol. 2015;25:179-182.

Jensen RP, Luo W, Pankow JF, Strongin RM, Peyton DH. Hidden formaldehyde in e cigarette aerosols. N Engl J Med. 2015;372(4):392–4.

Jha P, Ramasundarahettige C, Landsman V, et al. 21st-century hazards of smoking and benefits of cessation in the United States. New Engl J Med. 2013;368(4):341–350.

Maziak W. Harm reduction at the crossroads: the case of e-cigarettes. Am J Prev Med. 2014;47(4):505-507. doi:10.1016/j.amepre.2014.06.022.

Miech R, Patrick ME, O’Malley PM, Johnston LD. E-cigarette use as a predictor of cigarette smoking: results from a 1-year follow-up of a national sample of 12th grade students. Tob Control. 2017;26: e106-e111.

Mintz ML, Yawn BP, Mannino DM, et al. Prevalence of airway obstruction assessed by lung function questionnaire. Mayo Clin Proc. 2011;86(5):375-381.

Moline JM, Golden AL, Highland JH, Wilmarth KR, Kao AS. Health effects evaluation of theatrical smoke, haze, and pyrotechnics. 2000. Prepared for Actor’s Equity Pension and Health Trust Funds. Accessed at on October 3, 2019.

Nagelmann A, Tonnov Ä, Laks T, et al. Lung dysfunction of chronic smokers with no signs of COPD. COPD. 2011;8(3):189-195.

National Academies of Sciences, Engineering, and Medicine. Public Health Consequences of E-Cigarettes. Eaton DL, Kwan LY, Stratton K, eds. 2018. Washington, DC: National Academies Press. Accessed at on October 3, 2019. 

National Institutes of Health. National Heart, Lung, and Blood Institute. Smoking and Your Heart. Accessed at on October 3, 2019.

Robertson OH, Loosli CG, et al. Tests for the chronic toxicity of propylene glycol and triethylene glycol on monkeys and rats by vapor inhalation and oral administration. Journal of Pharmacology and Experimental Therapeutics 1947;91(1):52–76.

Romberg A, Miller Lo E, Cuccia A, Willett J, Xiao H, Hair E, Vallone D, Marynak K, King B. Patterns of nicotine concentrations in electronic cigarettes sold in the United States, 2013-2018. Drug and Alcohol Dependence. 2019;203, pp.1-7.

Schochet TL, Kelley AE, Landry CF. Differential expression of arc mRNA and other plasticity-related genes induced by nicotine in adolescent rat forebrain. Neuroscience. 2005;135(1):285-297. doi:10.1016/j.neuroscience.2005.05.057

Soneji S, Barrington-Trimis JL, Wills TA, et al. Association between initial use of e-cigarettes and subsequent cigarette smoking among adolescents and young adults: A systematic review and meta-analysis. JAMA Pediatr. 2017;171:788-797

U.S. Department of Health and Human Services, Office of the Surgeon General. E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General. 2016. Accessed at on October 3, 2019.

U.S. Department of Health & Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. 2014. Accessed at on October 3, 2019.

Varughese S, Teschke K, Brauer M, Chow Y, van Netten C, Kennedy SM. Effects of theatrical smokes and fogs on respiratory health in the entertainment industry. American Journal of Industrial Medicine. 2005;47(5):411-418. 

Waldie KE, McGee R, Reeder AI, Poulton R. Associations between frequent headaches, persistent smoking, and attempts to quit. Headache. 2008;48:545-552.

Willigendael EM, Teijink JA, Bartelink ML, et al. Smoking and the patency of lower extremity bypass grafts: a meta-analysis. J Vasc Surg. 2005;42:67-74.