Electronic Nicotine Delivery Systems (ENDS): Smoking Cessation Tools or Escalating Nicotine Addiction

Introduction: Electronic nicotine delivery systems (ENDS) are used to smoke or ‘vape’, a flavoured solution containing nicotine, an addictive chemical found in cigarettes and tobacco products. Contrary to popular belief that they are useful as smoking cessation tools, current data does not support this theory. In fact, they cause various deleterious effects in body including death. Their use has seen exponential rise amongst youth. We conducted a study in northern India to assess its prevalent use and awareness amongst youth. Material and methods: A questionnaire with various questions related to ENDS was circulated amongst higher secondary schools and university students to ascertain their use and awareness amongst students regarding its usage pattern and health effects. After receiving first 200 confirmed responses of use, the data was analysed. Results: First 200 confirmed users were obtained after 764 responses. 82% were exposed to ENDS at an age of 1520 years. 38% said vaping was ‘COOL’ and 32% started it because of nice flavours. 28% believed that ENDS are safe and 47% were either not sure or not aware. 41% were now more open to the idea of regular smoking. Conclusion: Nicotine is one of the most addictive drug and exposure of youth to ENDS predisposes them to nicotine at an early age. Understanding of the potential harmful effects of ENDS is not fully comprehended by them predisposing them to addiction. Therefore, the ban on ENDS by the government is justified.