E-cigarettes - NYC Health

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E-cigarettes

Help for Quitting Vaping

People ages 13 to 24 can join This is Quitting by texting “DROPTHEVAPE” to 88709. The program provides free, 24/7, anonymous and confidential support to quit vaping.

Visit the New York State Smokers' Quitline, or call 866-NY-QUITS (866-697-8487), to talk to a quit coach for support. Adults can also apply for a free starter kit of nicotine medications.

Talk with your health care provider about resources and strategies to help you cope with nicotine withdrawal. Most health insurance plans, including Medicaid, cover services to help you quit vaping.

See below for more tips and resources, including information about local programs.

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.

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. Many popular e-cigarettes are shaped like USB flash drives. Using an e-cigarette is often called "vaping."

Other electronic devices that heat tobacco instead of liquid nicotine, such as IQOS, are not considered e-cigarettes. They are heated tobacco products.

Health Bulletin: E-cigarettes (PDF)

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Watch: Don't Get Hooked

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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.

#DontGetHookedNYC Comic Book (PDF)

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Teens and Vaping: What are the Risks? (PDF)
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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.

Letter from the Health Commissioner About E-cigarette Lung Injury Outbreak (PDF)

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Health care providers should report possible cases of lung injury associated with e-cigarette use to the NYC Poison Control Center by calling 212-POISONS (212-764-7667).

What Parents Can Do

To learn about the products youth use and for tips on talking with your children see
How to Talk With Your Children About Tobacco and E-Cigarettes: A Coaching Guide (PDF)

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Connect with other parents who are working to protect kids from vaping and nicotine dependence.

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.

How to Use Tobacco Treatment Medications Pocket Guide (PDF)

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

How Can I Get Tobacco Treatment Medications? Insurance Guide (PDF)

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Quitting Vaping Resources

Talk with your health care provider about resources and strategies to help you cope with nicotine withdrawal. Many health insurance plans, including Medicaid, cover services to help you quit vaping.

Even if you are not ready to quit, nicotine replacement therapy can help you cope with nicotine withdrawal. Visit Cope with Nicotine Withdrawal and Preventing Relapse to learn more.

Visit the New York State Smokers' Quitline, or call 866-NY-QUITS (866-697-8487), to talk to a quit coach for support. Adults can also apply for a free starter kit of nicotine medications.

Find local quit-smoking and quit-vaping programs:

On the NYC Health Map.

In our Guide to Tobacco Treatment Programs in New York City (PDF).

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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. Visit This is Quitting to learn more. Use these materials to promote the texting support program:

Drop the Vape Poster (Teens) (PDF)
Drop the Vape Poster (Young Adults) (PDF)
Drop the Vape Palm Card (Teens) (PDF)
Drop the Vape Palm Card (Young Adults) (PDF)

Parents can also text QUIT to 202-899-7550 to receive daily advice to help youth quit.

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.

The sale of e-cigarettes without a valid e-cigarette retail dealer license.

The sale of flavored e-cigarette products.

You can file an e-cigarette complaint online or by calling 311 for violations of any of these laws.

Additional Resources

Tobacco, E-Cigarettes and Alternative Products: Product Guide for Pediatric Providers (PDF)

Know the Risks: E-cigarettes and Young People

HealingNYC: Preventing Overdoses, Saving Lives (PDF)

Drug Myths and Facts (PDF)

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Countering Tobacco and E-cigarette Industry Influences in Your Community: An Action Guide (PDF)

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The Health Effects of Smoking and Vaping on Pets (PDF)

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More Information

Flavored Tobacco and Recreational Nicotine Products

NYC Quits

Tobacco and E-Cigarette Retailers

Smoke-Free Air Laws

Smoke-Free Housing

Information on Smoking, Tobacco and E-cigarette Use for Clinicians