Notes from the Field: Use of Electronic Cigarettes and Any Tobacco Product Among Middle and High School Students United States, 20112018 MMWR An Overview of E Cigarette Impact on Reproductive Health Tobacco Control Chronic Disease Prevention & Health Promotion Division Electronic Cigarettes A new study published in Nicotine & Tobacco Research found that those using e cigarettes alone were more than twice as likely to develop COPD than people who didn't use any tobacco products,