Health Risks of Vaping for Kids CIMCC E Cigs Are Still Flooding the US, Addicting Teens With Higher Nicotine Doses KFF Health News Primary health effects from smoking. Figure 1 used with permission from Download Scientific Diagram Electronic Nicotine Delivery Systems (ENDS), including e cigarettes and vapes, are often perceived as a safer alternative to traditional tobacco. But is the evidence really supporting this belief? A recent umbrella review published Risk and safety profile of electronic nicotine delivery systems (ENDS): an umbrella review to inform ENDS health communication strategies Tobacco Control