Vapes: Scary Enough

Scary Enough Campaign
The Effects of Nicotine Exposure
Vapes: Q&A scary-enough
- Question
  
  How can I tell if I’m addicted to vaping?
  
  Answer
  
  Addiction feels different for every person. Some teens we talked to for “My Vaping Mistake” series reported feeling “shakes in hands,” “nicotine withdrawal headaches every morning,” and “mood swings off the charts.” Others said they felt more anxious and depressed while they were vaping. All of these can be signs of nicotine addiction. If you are not sure how vaping is affecting you, take this quiz to find out. Knowing more can help you decide what to do about it.
- Question
  
  Are vapes better or safer for teens to use than cigarettes or other tobacco products?
  
  Answer
  
  While cigarettes are the deadliest form of tobacco, no tobacco product is safe. Vape aerosol can contain some of the same chemicals found in cigarette smoke, including chromium, formaldehyde, lead, and nickel.
- Question
  
  What are the chemicals in vapes?
  
  Answer
  
  The e-liquid in vapes is usually made of propylene glycol, glycerol, nicotine, and flavor chemicals. When heated, the liquid becomes an aerosol, and the aerosol can contain toxic chemicals like acrylonitrile, nickel, and lead.
If vaping is affecting your life: scary-enough
The Aerosol You Inhale

Scary Enough Campaign
- Williams M, Villarreal A, Bozhilov K, Lin S, Talbot P. Metal and silicate particles including nanoparticles are present in electronic cigarette cartomizer fluid and aerosol. PLoS One. 2013; 8(3):e57987.
- Olmedo P, Goessler W, Tanda S, et al. Metal concentrations in e-cigarette liquid and aerosol samples: the contribution of metallic coils. Environmental Health Perspectives (Online). 2018; 126(2).
- National Academies of Sciences, Engineering, and Medicine (NASEM). 2018. Public Health Consequences of E-cigarettes. Washington, DC: The National Academies Press. Doi: https://doi.org/10.17226/24952
- Sommerfeld CG, Weiner DJ, Nowalk A. Larkin A. Hypersensitivity Pneumonitis and Acute Respiratory Distress Syndrome From E-Cigarette Use. Pediatrics. 2018; 141(6):e20163927.
- Khan, MS, Khateeb F, Akhtar J, Khan Z, Lal A, Kholodovych V, Hammersley J. Organizing pneumonia related to electronic cigarette use: A case report and review of literature. The clinical respiratory journal. 2018; 12(3):1295-1299.
The Effects of Nicotine Exposure
- U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016.
- Hiler M, Breland A, et al. Electronic cigarette user plasma nicotine concentration, puff topography, heart rate, and subjective effects: Influence of liquid nicotine concentration and user experience. Exp Clin Psychopharmacol. 2017; 25(5)380-392.
- Jackler RK & Ramamurthi D. Nicotine arms race: JUUL and the high-nicotine product market. Tob Control. 2019; 28(6)623-628.
- Prochaska JJ, Vogel EA, Benowitz N. Nicotine delivery and cigarette equivalents from vaping a JUULpod. Tob Control 2022; 31:e88-e93.
Vapes: Q&A scary-enough
- U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016.
- Jackler RK & Ramamurthi D. Nicotine arms race: JUUL and the high-nicotine product market. Tob Control. 2019; 28(6)623-628.
- Connor DA, Gould TJ. Chronic fluoxetine ameliorates adolescent chronic nicotine exposure-induced long-term adult deficits in trace conditioning. Neuropharmacology. 2017; 125:272-283.
- Holliday ED, Gould TJ. Chronic Nicotine Treatment During Adolescence Attenuates the Effects of Acute Nicotine in Adult Contextual Fear Learning. Nicotine & Tobacco Research. 2017; 19(1):87-93.
- Counotte DS, Spijker S, Van de Burgwal LH, et al. Long-lasting cognitive deficits resulting from adolescent nicotine exposure in rats. Neuropsychopharmacology. 2009; 34(2):299-306.
- Fountain SB, Rowan JD, Kelley BM, Willey AR, Nolley EP. Adolescent exposure to nicotine impairs adult serial pattern learning in rats. Exp Brain Res. 2008; 187(4):651-656.
- National Academies of Sciences, Engineering, and Medicine (NASEM). 2018. Public Health Consequences of E-cigarettes. Washington, DC: The National Academies Press. Doi: https://doi.org/10.17226/24952
- U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: Preventing Tobacco Use among Youth and Young Adults. We Can Make the Next Generation Tobacco-Free (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2012.
- U.S. Department of Health and Human Services (USDHHS). Preventing Tobacco Use Among Youth and Young Adults (Fact Sheet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2012.
- Trauth JA, Seidler FJ, Ali SF, Slotkin TA. Adolescent nicotine exposure produces immediate and long-term changes in CNS noradrenergic and dopaminergic function. Brain Research. 2001; 892(2):269-280.
- Williams M, Villarreal A, Bozhilov K, Lin S, Talbot P. Metal and silicate particles including nanoparticles are present in electronic cigarette cartomizer fluid and aerosol. PLoS One. 2013; 8(3):e57987.
- Olmedo P, Goessler W, Tanda S, et al. Metal concentrations in e-cigarette liquid and aerosol samples: the contribution of metallic coils. Environmental Health Perspectives (Online). 2018; 126(2).
- Food and Drug Administration (FDA). Harmful and potentially harmful constituents in tobacco products and tobacco smoke: established list. Federal Register. 2012; 77(64): 20034-20037.
- Rubinstein M, Delucchi K, Benowitz N, Ramo D. Adolescent exposure to toxic volatile organic chemicals from e-cigarettes. Pediatrics. 2018; 141(4):e20173557.
The Aerosol You Inhale
- U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016.
- National Academies of Sciences, Engineering, and Medicine (NASEM). 2018. Public Health Consequences of E-cigarettes. Washington, DC: The National Academies Press. Doi: https://doi.org/10.17226/24952
- Cao Y, Wu D, Ma Y, Ma X, Wang S, Li F, Li M, Zhang T. Toxicity of electronic cigarettes: A general review of the origins, health hazards, and toxicity mechanisms. Sci. Total Environ. 2021; 772:145475.
- Rubinstein M, Delucchi K, Benowitz N, Ramo D. Adolescent exposure to toxic volatile organic chemicals from e-cigarettes. Pediatrics. 2018; 141(4):e20173557.
- Occupational Safety and Health Administration (OSHA). Occupational Safety and Health Standards. Medical surveillance – Formaldehyde. Washington, DC: U.S. Department of Labor, Occupational Safety and Health Administration. https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10078. Accessed May 8, 2018.
- Goniewicz ML, Knysak J, Gawron M, et al. Levels of selected carcinogens and toxicants in vapour from electronic cigarettes. Tob Control. 2014; 23(2):133-139.
- U.S. Department of Health and Human Services (USDHHS). Smoking Cessation. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2020.

Vapes (Scary Enough)

Vapes: Scary Enough

Scary Enough Campaign

The Effects of Nicotine Exposure

Vapes: Q&A scary-enough

If vaping is affecting your life: scary-enough

The Aerosol You Inhale

Sources

Scary Enough Campaign

The Effects of Nicotine Exposure

Vapes: Q&A scary-enough

The Aerosol You Inhale