What is ENDS?

  • Electronic Nicotine Delivery Systems and Electronic Non-Nicotine Delivery Systems (ENDS / ENNDS) have the potential to be a new form of nicotine addiction.
  • The liquid in these battery-powered devices typically contains nicotine, propylene glycol, glycerin, flavourings, and other harmful chemicals.
  • Fruit and candy flavours such as chocolate, strawberry, and vanilla are added to the liquid to make it attractive for kids/teenagers.


    • Use of E-Cigarettes is considered unsafe. Nicotine present in E-Cigarettes is a highly addictive drug with known health risks.
    • E-Cigarettes can contain cancer-causing chemicals and heavy metals that are inhaled into the lungs.
    • Use of E-Cigarettes increases the possibility of using multiple tobacco products.
    • Nicotine and other chemicals in E-Cigarettes can harm the developing brain and can also cause addiction.
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    • E-Cigarettes are marketed as an alternative to smoking traditional cigarettes. Instead, the e-cigarette epidemic can create a new generation of first-time tobacco users.
    • Nicotine present in E-Cigarettes may lead to youngsters taking up conventional cigarettes.
    • Nicotine consumed during adolescence can harm the development of the brain, alter nerve functioning, and has risks of seizure.
    • Increase the likelihood of former smokers to again become addicted to nicotine through E-Cigarettes.

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Know the risks

Nicotine addiction and brain development

  • The developing teen brain is more vulnerable to addiction through the use of E-Cigarettes.
  • Brain development continues till mid-20s, so nicotine addiction can harm adolescent brain development.
  • It can harm parts of brain that control attention, learning, mood, and impulse control.
  • Risk for future addiction.

Second-hand smoke

  • E-cigarette aerosols can contain a mixture of elements, including heavy metals, some with concentrations higher than in conventional cigarette smoke.
  • The aerosol that users breathe from the device, including second-hand smoke can contain ultrafine particle, flavoring such as diacetyl, a chemical linked to a serious lung disease.
  • Use of E-Cigarettes around pregnant women can expose the developing fetus at risk.

Explosions and exposure

  • There are numerous reports about explosions in defective E-Cigarettes, some of which have resulted in serious injuries.
  • These explosions typically take place during charging, or by overheating of the device leading to battery failures.
  • Accidental exposure to or ingestion of e-liquids can be very dangerous and, in the case of accidental swallowing or injection, even fatal.

Indian context

Increased tobacco burden

  • There are almost 267 million tobacco users in India. ENDS will add to growing menace.
  • India has the highest burden of tobacco related diseases. Since ENDS is not a completely safe product, it may add to the increasing list of diseases burden.
  • The economic cost of smoking is in millions.Exposure to ENDS may have a widespread economic impact.
  • Introducing ENDS may hold ongoing tobacco control efforts in India.

ICMR calls for a complete ban

  • India Council of Medical Research (ICMR) recommends complete ban on e-cigarettes and other electronic nicotine delivery systems as its use can introduce or lead to nicotine addiction among non-smokers
  • E-cigarettes have adverse impact damaging cardiovascular system, impairs respiratory immune cell function and severe respiratory disease
  • Cases of poisoning and accidental swallowing by children have been reported by ICMR

Progress in states
States that have banned e-cigarettes.

Experts Speak

Research papers

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