The Health Impacts of E Cigarettes 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 Scripps Health E cigarettes remain the most commonly used tobacco product among middle and high school students in the United States, according to the Instagram Vaping and the Body Poster E Cigarette Health Effects Chart AnatomyStuff