Where There's Vapor, Is There Fire? We Need Evidence on E Cigarettes RAND 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 July August 2023 Current Evidence Identifies Health Risks of E cigarette Use; Long Term Research Needed University of Maryland School of Medicine Vaping: What you need to know Heart and Stroke Foundation