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 Vaping and Electronic Cigarette (E Cigarette) Products Cattaraugus County Website Public Health Consequences of E Cigarettes First comparison of dangers of tobacco cigarettes, e cigarettes and waterpipes Known Health Effects of E Cigarette Use Kansas Health Institute