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 Notes from the Field: E Cigarette and Nicotine Pouch Use Among Middle and High School Students United States, 2024 MMWR Vaping Versus Smoking: Are Electronic Cigarettes the Savior? Arteriosclerosis, Thrombosis, and Vascular Biology E cigarettes with cigarette like nicotine delivery reduce exposure to lung carcinogen Penn State Health News