Full article: Health impact of e cigarettes and heated tobacco products in chronic obstructive pulmonary disease: current and emerging evidence Exclusive E cigarette Use Significantly Associated with COPD RT A new study published in Nicotine & Tobacco Research found that those using e cigarettes alone were more than twice as likely to develop COPD than people who didn't use any tobacco products, E cigarettes, vapes, juul, extwhatever you call them, they are not a better alternative to smoking. They still contain toxic chemicals that cause severe lung diseases. Start your quit plan today by call Vaping and COPD: Is it okay or can it cause more problems?