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To give a few examples: the vape company JUUL was marketing and distributing to school kids, black market e-liquids and even regular e-liquids didnt have any guidelines for what should be precluded as an ingredient, and users began modifying their e-liquids with drugs and extras that were never tested as an E-Cigarette ingredient

doi: 10.1111/exd.14182 70 LiYZhangJFaloLDLarreginaATSumpterTL

When experts began to sound the alarm about the health risks of smoking, the tobacco industry responded with what would become its signature script: deny harm, manufacture uncertainty with biased research and use political influence to prevent government action

Image credit: Reshetnikov_art/Shutterstock.com The proportion of Americans who think electronic cigarettes (e-cigarettes, colloquially called vapes) are as dangerous to health, or more so, than combustible cigarettes is rapidly increasing, according to prior population-level studies cited in a paper recently published in the journal Addictive Behaviors

Table 1 outlines the accounts included in the May 2026 release

Can occasional nicotine use cause addiction