My child is vaping – how bad is it?

Experts explain what’s known about e-cigarettes and the health risks to youngsters.

Lisa Salmon
Tuesday 06 June 2023 16:03 BST
(Alamy/PA)
(Alamy/PA)

Paediatricians have warned vaping is “fast becoming an epidemic among children” and are calling for disposable vapes to be banned.

Many parents may be concerned about their own child’s health if they’re vaping.

In May, Action on Smoking and Health (ASH ) warned there had been a 50% rise in the proportion of children vaping – from 7.7% of 11 to 17-year-olds trying e-cigarettes last year to 11.6% this year.

And because vapes haven’t been around long (they’ve only been on sale in the UK since 2007) there haven’t been any long-term studies on the effect on health, and particularly on young lungs, hearts and brains.

However, responding to a current Government consultation on e-cigarettes, the Royal College of Paediatrics and Child Health (RCPCH) has warned e-cigarettes “are not a risk-free product and can be just as addictive, if not more so than traditional cigarettes”.

The RCPCH’s vice president for policy and paediatric respiratory consultant, Dr Mike McKean, says: “Without a doubt, disposable e-cigarettes should be banned. Youth vaping is fast becoming an epidemic among children, and I fear that if action is not taken, we will find ourselves sleepwalking into a crisis.”

But it’s a crisis many parents are ill-informed about – so here’s what the experts think parents should know…

What are vapes?Hazel Cheeseman, deputy chief executive at ASH, describes vapes  – also known as electronic cigarettes – as “a battery-powered heating element which heats a liquid – generally containing nicotine and other ingredients – that’s then inhaled as a vapour by users”.

Some vapes are single -use and come in bright packaging, with exotic flavours and enticing, sweetie-type names like strawberry ice cream, cotton candy and cherry cola, others are rechargeable.

Can children buy vapes?

It’s illegal to sell vapes to under 18s in the UK. However,  youngsters are clearly still getting their hands on them.

McKean, who practises in the north-east of England, says he’s concerned to hear there’s been an increase in unregulated e-cigarettes hitting the UK market recently. He points out that in the north-east alone, more than 1.4 tonnes of illegal e-cigarettes – which Trading Standards said were often indistinguishable from regulated products – were seized from shops in the second half of last year.

“It’s impossible to know what these products contain or how they might impact young people’s health,” he says. “The thought that these products are ending up in the hands of children is terrifying.”

What do they contain?

The crucial thing for parents to know is that they contain nicotine, which is harmful and addictive.

Gurch Randhawa, professor of diversity in public health and director of the Institute for Health Research at the University of Bedfordshire, says: “E-cigarettes do not burn tobacco and do not produce tar or carbon monoxide, the most harmful aspects of smoking cigarettes. E-cigarettes typically contain nicotine, propylene glycol, vegetable glycerine, and flavourings.”

Are they addictive?

Yes. McKean warns: “Vaping is far from risk-free, and in many cases can be very addictive.”

Cheeseman adds: “It appears likely that people who have not smoked can become addicted to nicotine through vaping”.

What are the health impacts long-term?

Randhawa says that because vapes are a relatively new product, evidence on their health impacts isn’t clear. Experts are concerned though – especially because people under the age of 18 are still developing.

Nicotine is known to cause an increase in blood pressure, heart rate, flow of blood to the heart and a narrowing of the arteries.Cheeseman says: “We don’t know what the health implications will be long-term. It seems likely there will be some, but until we have a population of people who have exclusively vaped without smoking for many decades it will be difficult to fully assess the impact.”

Decades ago, no one knew about the devastating health impacts of smoking either.

How can parents help children quit?

Ensure your child has all the correct information and risks associated with vaping. Rather than setting strict punishments, try to be understanding and have a gentle discussion about peer pressure and having the confidence to say no.

Cheeseman says nicotine replacement therapy can be used for children as young as 12.

Randhawa points out that e-cigarettes should only be used to help people stop smoking.  “If you haven’t smoked, you should not use e-cigarettes, as they contain nicotine, which is addictive. This message needs to be understood and articulated across society and schools to support children to not take up vaping.”

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