Electronic Nicotine Delivery Systems (ENDS)

types.ecigsA device that creates an aerosol, NOT water vapor from a solution usually referred to as “e-juice” that can contain nicotine and other additives. There are many types of these Electronic Nicotine Delivery Systems (ENDS) which include:

  • E-Cigarettes
  • JUUL
  • Vape Pens
  • Mods
  • Tanks
  • E-cigars
  • E-pipes
  • E-Hookahs


Studies have found that “e-juice” can contain many different chemicals some which can be dangerous to the human body. These include:

  • Propylene Glycol
  • Diacetyl
  • Benzene
  • Toluene
  • Formaldehyde
  • Heavy Metals: lead, nickel, and tin
  • Nicotine
  • Nitrosamines = Carcinogens

Consuming “e-juice” can cause serious bodily harm and maybe death. One tablespoon of liquid nicotine and kill an adult, one teaspoon can kill a child.

Unfortunately, there has been a confirmed death of a one year old toddler in New York State from consuming liquid nicotine. NEVER leave “e-juice” in the reach of any child as they can mistake it as candy or a fruity drink because of the smell of the “e-juice”.

The potential long-term benefits and risks associated with e-cigarette use are not currently known. A 2015 study found that many “e-juice” flavors contain the flavoring agent Diacetyl. Diacetyl is a chemical that was found to be a prominent volatile constituent in butter flavoring. Diacetyl was found in a 2004 study to contribute to Bronchiolitis Obliterans aka “Popcorn Lung.”  “Popcorn Lung” is an irreversible condition that causes the tiny air sacs of the lungs to become scarred. This scarring causes shortness of breath and coughing much like the tobacco caused Chronic Obstructive Pulmonary Disorder(COPD).



The North American Quitline Consortium (NAQC) only recommends approved U.S. Food and Drug Administration (FDA) cessation medications to smokers as part of the quit attempt. ENDS unlike other nicotine replacement therapy products simulate the habit of smoking traditional tobacco products, which may make it harder for people to quit. Until the long-term health effects are known about ENDS, it is not recommended safe to replace traditional tobacco products with ENDS. The only safe alternative to traditional tobacco product use is to quit.



CDC’s Basic Information on Electronic Cigarette

CDC E-cigarette Handout

CDC E-cigarette Infographic

JUUL Factsheet

Talk with Your Teen About E-cigarettes: A Tip for Parents



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