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cigarettes and vaping As the usage of e cigarettes and vaping has increased in recent years, so has the controversy surrounding them. Medical experts have both lauded the product for helping routine cigarette smokers break the habit and harangued it for exposing young people to the world of nicotine. "Trying it once isn't going to ruin your health," he says. "The products of combustion are not there. It's when you burn the tobacco, like you do when you smoke a cigarette, that you get the tar and the carcinogens." E cigarettes contain a nicotine based liquid that is vaporized and inhaled, unlike cigarettes or hookahs where the nicotine is burned, introducing carcinogens to the smoke. This doesn't mean that the e cigarettes are risk free. Some powerful e cigarettes, commonly known as tank systems, do heat nicotine liquid hot enough to produce cancer causing carcinogens in their vapor, researchers from Georgetown University found. Youths are likely to use e cigarettes as a gateway to actual cigarettes, Weinstein says. Companies use colorful advertisements featuring celebrities, conjuring images of Joe Camel and the Marlboro Man, and touting flavors like bubble gum and chocolate. From 2011 to 2012, the number of high school students who tried e cigarettes doubled from 4.7 percent to 10 percent, says the Centers for Disease Control and Prevention. "In people who don't already smoke, it can easily cause a switch to smoking an actual cigarette," Weinstein says. "Some of these companies sell flavors that no adult is going to use. In my mind, that is clearly targeted towards kids." The American Heart Association last month supported e cigarettes as a last resort to help smokers quit. It and the American Cancer Society have urged more regulation of nicotine vapor products, especially to keep them away from youth, The Associated Press reported. The groups also say that proven smoking cessation methods should be tried first. The World Health Organization has also urged governments to ban the use of e cigarettes in public and workplaces and to restrict ads aimed at young users. The Food and Drug Administration sought to regulate the industry by issuing proposed rules in April to oversee e cigarettes, cigars, pipe tobacco and hookah tobacco. The rules would set a federal minimum age of 18 to buy and use e cigarettes. Still, e cigarettes and vaporizers are a less dangerous alternative to cigarettes, Weinstein says. "As a doctor, I would caution people to do most legal things in moderation," he says. "For example, drinking alcohol in moderation is physiologically OK. Just be aware that nicotine is a potentially addictive substance. It can be easy to convert to smoking cigarettes."
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