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Updated: Jul 15, 2026

Generation of Electronic Cigarette Aerosol by a Third-Generation Machine-Vaping Device: Application to Toxicological Studies
Published on: August 25, 2018
Vaping-related lung disease: a narrative review
Christie Mellor1, Richard Davidson2, Benjamin Pippard1,2
1Department of Respiratory Medicine, Royal Victoria Infirmary, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Vaping, or e-cigarette use, is linked to various lung conditions beyond EVALI, with long-term health impacts remaining unclear. Further research is vital for policy and public health guidance on vaping risks.
Area of Science:
- Pulmonology
- Public Health
- Toxicology
Background:
- Vaping device use has surged globally, especially among youth and young adults.
- While promoted for smoking cessation, vaping is increasingly associated with adverse pulmonary and extra-pulmonary effects.
- Long-term consequences of vaping on lung health are not well understood.
Purpose of the Study:
- To review current evidence on the pathophysiological effects of vaping on the lungs.
- To summarize clinical manifestations of vaping-related lung diseases.
- To provide an overview of vaping epidemiology and products.
Main Methods:
- A comprehensive literature search of PubMed was conducted up to January 2026.
- Keywords included 'Vaping', 'e-cigarette', 'lung injury', 'EVALI', 'pneumothorax', 'lung function', and 'epidemiology'.
- Inclusion criteria focused on English-language, peer-reviewed studies, supplemented by public policy resources.
Main Results:
- Vaping has surpassed traditional smoking in the UK, with significant uptake among never-smokers.
- Acute lung injury (EVALI) linked to vitamin E acetate has been identified, alongside other conditions like pneumothorax and hypersensitivity pneumonitis.
- Chronic respiratory symptoms are prevalent, but the long-term effects on lung function and chronic lung disease development are uncertain.
Conclusions:
- A spectrum of lung diseases is associated with vaping, not limited to EVALI.
- Vaping devices should not be considered safe due to emerging health risks.
- Continued research on long-term vaping impacts is essential for policy development and informed public health discussions.
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