Notes from the Field: E Cigarette and Nicotine Pouch Use Among Middle and High School Students United States, 2024 MMWR FACT: Most e cigarette users also smoke cigarettes, a pattern known as dual use. This means the tobacco industry isn't helping people quit; it's sustaining addiction through another product. While the industry claims One e cigarette with nicotine leads to adrenaline changes in nonsmokers' hearts UCLA Teens inhale cancer causing chemicals in e cigarettes E Cigarettes, Vapes, and other Electronic Nicotine Delivery Systems (ENDS) FDA E cigarettes contain hazardous substances, addictive and harmful