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E-cigarettes

Vaping and COVID-19

Vaping can cause lung injury and may affect lung health in other ways. Since COVID-19 can also affect your lungs, vaping may put your lungs at increased risk. If you are interested in quitting, or need support managing cravings and staying comfortable while indoors, help is available:

  • Visit the New York State Smokers' Quitline, or call 866-NY-QUITS (866-697-8487), to apply for a free starter kit of nicotine medications and to talk to a quit coach.
  • Call your doctor's office to see if they have telehealth or other remote visit options currently available.
  • Teens and young adults (ages 13 to 24) can text “DROPTHEVAPE” to 88709 to join This Is Quitting, a free Truth Initiative texting support program.
  • Talk to a local pharmacist for advice, including about over-the-counter medicine options.
  • See below for more tips and information.

Smoking, Vaping and COVID-19 (PDF, January 13)
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Letter from the Health Commissioner About E-cigarette Lung Injury Outbreak (PDF)
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E-cigarettes are devices that heat a liquid, called e-liquid, into an aerosol that the user can inhale. Although e-liquids do not contain tobacco, they contain chemicals, usually including flavorings, and often contain nicotine, which is addictive.

E-cigarettes come in many shapes and sizes and can also be called e-cigs, e-hookahs, vapes, vape pens, personal diffusers or diffuser sticks. One popular e-cigarette, JUUL, is shaped like a USB flash drive.

Using an e-cigarette is often called "vaping" or "JUUL-ing".

Youth and E-cigarettes

The popularity of e-cigarettes among youth is alarming. In 2019, more than one in six (15.2%) New York City high school students reported using e-cigarettes. Nearly five times as many high school students use e-cigarettes than smoke cigarettes.

Further, in 2018, one in 15 (6.7%) middle school students reported using e-cigarettes. E-cigarette use was higher among older students, with one in 11 (9%) seventh grade students reporting use, compared to one in 38 (2.6%) in sixth grade. As with high school students, e-cigarette use was much more common than cigarette use.

Flavors, including mint and menthol, are one of the top reasons young people use e-cigarettes. Candy and fruit-flavored e-liquids can make e-cigarettes appealing and seem harmless. As of July 2020, the sale of flavored e-cigarettes is prohibited in NYC.

E-cigarettes can be especially harmful for young people because nicotine affects them in different ways than adults. Youth who use e-cigarettes are also more likely to try cigarettes.

Other Health Risks

E-liquid ingredients vary, and the long-term health effects of e-cigarette use are unknown. Even without nicotine, we know that the aerosol from heated e-liquids can contain other harmful chemicals, such as:

  • Formaldehyde and benzene, which are known to cause cancer.
  • Diacetyl from flavoring, which is linked to lung disease.
  • Heavy metals, such as cobalt, nickel, tin and lead.

People can be poisoned if they swallow e-liquid or absorb it through their skin or eyes.

Defective e-cigarette batteries cause fires and explosions that can lead to serious injuries and even death.

Lung Injury Outbreak

The CDC, FDA and state and local health departments are investigating a multi-state outbreak of e-cigarette, or vaping, product use associated lung injury. While the investigation is ongoing, we urge New Yorkers to share information with their communities.

What Parents Can Do

Adult Use of E-Cigarettes to Quit Smoking

The evidence for e-cigarettes as a tool to help adults quit smoking is limited. To date, no e-cigarettes have been approved by the FDA as smoking-cessation devices.

FDA approved tobacco treatment medications can help people trying to quit smoking. These include over-the-counter and prescription options, which are known to be effective. These medications can make you nearly two times as likely to successfully quit smoking.

Most health insurance plans (PDF), including Medicaid, cover treatment to help you quit smoking.

Quitting Vaping Resources

Laws about E-cigarettes

NYC laws include all e-cigarettes, regardless of nicotine content. NYC laws prohibit:

  • The use of e-cigarettes in all places where smoking is prohibited, including residential common areas, restaurants, sports arenas and workplaces.
  • The sale of e-cigarettes to anyone younger than 21. You can file an underage sales complaint online or by calling 311.
  • The sale of e-cigarettes without a valid e-cigarette retail dealer license.
  • The sale of flavored e-cigarette products.
  • You can file a tobacco product sales complaint online or by calling 311 for flavored products or unlicensed retailers.

Additional Resources

More Information